Evidence map›Paper›PMID 23910982›Full record

Observational studyThe Journal of pediatrics2013

Preterm infant linear growth and adiposity gain: trade-offs for later weight status and intelligence quotient.

Mandy B Belfort, Matthew W Gillman, Stephen L Buka, Patrick H Casey, Marie C McCormick

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in The Journal of pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 6 pooled it
10.4field-weighted citation impact, top 1% 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

82 citing papers in PubMed, 6 syntheses or guidelines pooled it, 191 citations in OpenAlex.

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22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 1 country.

Mandy B BelfortDivision of Newborn Medicine, Boston Children's Hospital, Boston, MA. Electronic address: mandy.belfort@childrens.harvard.edu.
Matthew W Gillman
Stephen L Buka
Patrick H Casey
Marie C McCormick
Boston Children's Hospital · USBrown University · USHarvard Pilgrim Health Care · USHarvard University · USUniversity of Arkansas for Medical Sciences · US

Funding

Patient-oriented research in early life origins of CVDK24HL068041 · NHLBI · HARVARD PILGRIM HEALTH CARE, INC. · PI GILLMAN, MATTHEW W · 2001 to 2010
$1.4M
Balancing the Risk and Benefits of Rapid Weight Gain in InfancyK23DK083817 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI BELFORT, MANDY BROWN · 2008 to 2012
$752k
EARLY INTERVENTION FOR LBW INFANTS AGES 6 TO 8R01HD027344 · NICHD · YESHIVA UNIVERSITY · PI DAUM, CECELIA M · 1991 to 1994
–
NHLBI NIH HHS K24 HL068041NHLBI NIH HHS K24 HL68041NICHD NIH HHS R01 HD27344NIDDK NIH HHS K23 DK083817
6 · The paper itself

Abstract

objectiveTo examine trade-offs between cognitive outcome and overweight/obesity in preterm-born infants at school age and young adulthood in relation to weight gain and linear growth during infancy. STUDY

designWe studied 945 participants in the Infant Health and Development Program, an 8-center study of preterm (≤37 weeks gestational age), low birth weight (≤2500 g) infants from birth to age 18 years. Adjusting for maternal and child factors in logistic regression, we estimated the odds of overweight/obesity (body mass index [BMI] ≥85th percentile at age 8 or ≥25 kg/m(2) at age 18) and in separate models, low IQ (<85) per z-score changes in infant length and BMI from term to 4 months, from 4 to 12 months, and from 12 to 18 months.

resultsMore rapid linear growth from term to 4 months was associated with lower odds of IQ <85 at age 8 years (OR, 0.82; 95% CI, 0.70-0.96), but higher odds of overweight/obesity (OR, 1.27; 95% CI, 1.05-1.53). More rapid BMI gain in all 3 infant time intervals was also associated with higher odds of overweight/obesity, and BMI gain from 4-12 months was associated with lower odds of IQ <85 at age 8. Results at age 18 were similar.

conclusionIn these preterm, low birth weight infants born in the 1980s, faster linear growth soon after term was associated with better cognition, but also with a greater risk of overweight/obesity at age 8 years and 18 years. BMI gain over the entire 18 months after term was associated with later risk of overweight/obesity, with less evidence of a benefit for IQ.

Indexed as

Body WeightGrowthIntelligenceWeight GainAdiposityAdolescentBody Mass IndexChildFollow-Up StudiesHumansInfant, Low Birth WeightInfant, NewbornInfant, PrematureObesityOverweightBMIBody mass indexIHDPInfant Health and Development ProgramNeonatal intensive care unitNICUSGASmall for gestational age

Identifiers

PMID23910982
PMCPMC3834090
OpenAlexW1968398662

What OpenQuestion holds

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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.