Evidence map›Paper›PMID 24349496›Full record

Trial reportPloS one2013

Effects of nutritional supplementation during pregnancy on early adult disease risk: follow up of offspring of participants in a randomised controlled trial investigating effects of supplementation on infant birth weight.

John Macleod, Lie Tang, F D Richard Hobbs, Brian Wharton, Roger Holder, Shakir Hussain, Linda Nichols, Paul Stewart, Penny Clark, Steve Luzio and 2 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 3 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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

12 authors at 6 institutions in 2 countries.

John MacleodSchool of Social and Community Medicine, University of Bristol, Bristol, United Kingdom ; Department of Primary Care and General Practice, University of Birmingham, Birmingham, United Kingdom.
Lie TangDepartment of Primary Care and General Practice, University of Birmingham, Birmingham, United Kingdom.
F D Richard HobbsDepartment of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Brian WhartonInstitutes of Child Health, University of London and University of Birmingham, London and Birmingham, United Kingdom.
Roger HolderDepartment of Primary Care and General Practice, University of Birmingham, Birmingham, United Kingdom.
Shakir HussainDepartment of Primary Care and General Practice, University of Birmingham, Birmingham, United Kingdom.
Linda NicholsDepartment of Primary Care and General Practice, University of Birmingham, Birmingham, United Kingdom.
Paul StewartCentre for Endocrinology, Diabetes and Metabolism, University of Birmingham, Birmingham, United Kingdom.
Penny ClarkDepartment of Clinical Biochemistry, University Hospital Birmingham, Birmingham, United Kingdom.
Steve LuzioCollege of Medicine, Swansea University, Swansea, United Kingdom.
Jeff HollySchool of Clinical Sciences, University of Bristol, Bristol, United Kingdom.
George Davey SmithSchool of Social and Community Medicine, University of Bristol, Bristol, United Kingdom.
University of Birmingham · GBUniversity of Bristol · GBNIHR Surgical Reconstruction and Microbiology Research Centre · GBPrimary Health Care · QASwansea University · GBUniversity of London · GB

Funding

Medical Research Council MC_UU_12013/1Wellcome TrustWellcome Trust GR057124MA
6 · The paper itself

Abstract

backgroundObservational evidence suggests that improving fetal growth may improve adult health. Experimental evidence from nutritional supplementation trials undertaken amongst pregnant women in the less developed world does not show strong or consistent effects on adult disease risk and no trials from the more developed world have previously been reported.

objectiveTo test the hypothesis that nutritional supplementation during pregnancy influences offspring disease risk in adulthood.

designClinical assessment of a range of established diseases risk markers in young adult offspring of 283 South Asian mothers who participated in two trials of nutritional supplementation during pregnancy (protein/energy/vitamins; energy/vitamins or vitamins only) at Sorrento Maternity Hospital in Birmingham UK either unselected or selected on the basis of nutritional status.

results236 (83%) offspring were traced and 118 (50%) of these were assessed in clinic. Protein/energy/vitamins supplementation amongst undernourished mothers was associated with increased infant birthweight. Nutritional supplementation showed no strong association with any one of a comprehensive range of markers of adult disease risk and no consistent pattern of association with risk across markers in offspring of either unselected or undernourished mothers.

conclusionsWe found no evidence that nutritional supplements given to pregnant women are an important influence on adult disease risk however our study lacked power to estimate small effects. Our findings do not provide support for a policy of nutritional supplementation for pregnant women as an effective means to improve adult health in more developed societies.

Indexed as

EatingPrenatal Exposure Delayed EffectsAdultAsian PeopleDietary ProteinsFemaleFollow-Up StudiesHumansMalePregnancyRisk FactorsVitaminsDietary ProteinsVitamins

Identifiers

PMID24349496
PMCPMC3862758
OpenAlexW2114057827

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.