Evidence map›Paper›PMID 23806636›Full record

ArticleThe Journal of allergy and clinical immunology2014

Prenatal alcohol exposure and childhood atopic disease: a Mendelian randomization approach.

Seif O Shaheen, Clare Rutterford, Luisa Zuccolo, Susan M Ring, George Davey Smith, John W Holloway, A John Henderson

Open access · hybridAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  3. Dietary factors during pregnancy and atopic outcomes in childhood: A systematic review from the European Academy of Allergy and Clinical Immunology.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Seif O ShaheenCentre for Primary Care and Public Health, Barts and The London School of Medicine and Dentistry, London, United Kingdom. Electronic address: s.shaheen@qmul.ac.uk.
Clare RutterfordCentre for Primary Care and Public Health, Barts and The London School of Medicine and Dentistry, London, United Kingdom.
Luisa ZuccoloSchool of Social and Community Medicine, University of Bristol, Bristol, United Kingdom; Medical Research Council Centre for Causal Analyses in Translational Epidemiology, University of Bristol, Bristol, United Kingdom.
Susan M RingSchool of Social and Community Medicine, University of Bristol, Bristol, United Kingdom.
George Davey SmithSchool of Social and Community Medicine, University of Bristol, Bristol, United Kingdom; Medical Research Council Centre for Causal Analyses in Translational Epidemiology, University of Bristol, Bristol, United Kingdom.
John W HollowayHuman Development and Health, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
A John HendersonSchool of Social and Community Medicine, University of Bristol, Bristol, United Kingdom.
Barts Health NHS Trust · GBMedical Research Council · GBUniversity of Bristol · GBUniversity of Southampton · GB

Funding

Medical Research Council 092731Medical Research Council 74882Medical Research Council G0600705Medical Research Council G0902144Medical Research Council G9815508Medical Research Council MC_PC_15018Wellcome TrustWellcome Trust 076467Wellcome Trust 092731
6 · The paper itself

Abstract

backgroundAlcohol consumption in western pregnant women is not uncommon and could be a risk factor for childhood atopic disease. However, reported alcohol intake may be unreliable, and associations are likely to be confounded.

objectiveWe aimed to study the relation between prenatal alcohol exposure and atopic phenotypes in a large population-based birth cohort with the use of a Mendelian randomization approach to minimize bias and confounding.

methodsIn white mothers and children in the Avon Longitudinal Study of Parents and Children (ALSPAC) we first analyzed associations between reported maternal alcohol consumption during pregnancy and atopic outcomes in the offspring measured at 7 years of age (asthma, wheezing, hay fever, eczema, atopy, and total IgE). We then analyzed the relation of maternal alcohol dehydrogenase (ADH)1B genotype (rs1229984) with these outcomes (the A allele is associated with faster metabolism and reduced alcohol consumption and, among drinkers, would be expected to reduce fetal exposure to ethanol).

resultsAfter controlling for confounders, reported maternal drinking in late pregnancy was negatively associated with childhood asthma and hay fever (adjusted odds ratio [OR] per category increase in intake: 0.91 [95% CI, 0.82-1.01] and 0.87 [95% CI, 0.78-0.98], respectively). However, maternal ADH1B genotype was not associated with asthma comparing carriers of A allele with persons homozygous for G allele (OR, 0.98 [95% CI, 0.66-1.47]) or hay fever (OR, 1.11 [95% CI, 0.71-1.72]), nor with any other atopic outcome.

conclusionWe have found no evidence to suggest that prenatal alcohol exposure increases the risk of asthma or atopy in childhood.

Indexed as

AdultAlcohol DehydrogenaseAlcohol DrinkingAsthmaChildCohort StudiesDermatitis, AtopicEczemaFemaleGenotypeHumansMendelian Randomization AnalysisPolymorphism, GeneticPregnancyPrenatal Exposure Delayed EffectsRhinitis, Allergic, SeasonalADH1B protein, humanAlcohol DehydrogenaseADHADH1BAlcoholAlcohol dehydrogenaseALSPACasthmaatopyAvon Longitudinal Study of Parents and Children (ALSPAC)birth cohortGenome Wide Association StudyGWASMendelian randomizationPCApregnancyprenatal exposurePrincipal Components Analysis

Identifiers

PMID23806636
PMCPMC3884122
OpenAlexW2043456188

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.