Evidence map›Paper›PMID 25388405›Full record

ArticleInternational journal of obesity (2005)2015

Maternal caffeine intake during pregnancy and risk of obesity in offspring: a prospective cohort study.

D-K Li, J R Ferber, R Odouli

Open access · hybridAbstract read
In one paragraph

Article in International journal of obesity (2005), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 4% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Risk Factors in the First 1000 Days of Life Associated With Childhood Obesity: A Systematic Review and Risk Factor Quality Assessment.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
  2. Pooled it
  3. Reducing the risk of sudden unexpected infant death: the caffeine hypothesis.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Prenatal caffeine exposure: association with neurodevelopmental outcomes in 9- to 11-year-old children.Journal of child psychology and psychiatry, and allied disciplines · 2022
    Article
  10. Maternal caffeine intake and DNA methylation in newborn cord blood.The American journal of clinical nutrition · 2022
    Article
  11. Article
  12. Review
  13. Article
  14. Impacts of Caffeine during Pregnancy.Trends in endocrinology and metabolism: TEM · 2020
    Review
  15. Article
  16. Caffeine and Clinical Outcomes in Premature Neonates.Children (Basel, Switzerland) · 2019
    Review
  17. Observational
  18. Evaluation of Caffeine Consumption among Pregnant Women from Southern Poland.International journal of environmental research and public health · 2018
    Article
  19. Observational
  20. 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

3 authors at 1 institution in 1 country.

D-K Li1] Division of Research, Kaiser Foundation Research Institute, Kaiser Permanente, Oakland, CA, USA [2] Department of Health Research and Policy, School of Medicine, Stanford University, Palo Alto, CA, USA.
J R FerberDivision of Research, Kaiser Foundation Research Institute, Kaiser Permanente, Oakland, CA, USA.
R OdouliDivision of Research, Kaiser Foundation Research Institute, Kaiser Permanente, Oakland, CA, USA.
Kaiser Foundation Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesIn-utero exposures through adverse fetal programming are emerging as an important contributing factor to the epidemic of childhood obesity. This study examines the impact of in-utero exposure to caffeine on the risk of childhood obesity in offspring. SUBJECTS/

methodsA prospective study of pregnant women with 15 years follow-up of their offspring was conducted to examine the impact of in-utero exposure to caffeine on the risk of childhood obesity. Maternal caffeine intake was prospectively ascertained during pregnancy and outcome measures (body mass index (BMI)) were ascertained from medical charts, with 17 BMI measurements per child, on average, during the follow-up period. Potential confounders including known perinatal risk factors for childhood obesity were adjusted for using the generalized estimating equations model with repeated measurements.

resultsAfter controlling for potential confounders, compared with those without caffeine exposure, in-utero exposure to caffeine overall is associated with 87% increased risk of childhood obesity: odds ratio (OR) =1.87, 95% confidence interval (CI): 1.12-3.12. This association demonstrated a dose-response relationship: OR=1.77 (1.05-3.00) for maternal daily caffeine intake <150 mg per day, OR=2.37 (1.24-4.52) for caffeine intake ⩾150 mg per day during pregnancy, respectively. We also observed a linear relationship: every one unit increase (log10 scale) in the amount of maternal caffeine intake was associated with 23% increased risk of obesity in offspring. The dose-response relationship appears stronger for persistent obesity than for transitory obesity (occasional high BMI), and for girls than for boys.

conclusionsWe observed an association of in-utero exposure to caffeine with increased risk of childhood obesity. If this observation is further replicated in other studies, the finding will contribute to the understanding of fetal programming of childhood diseases and development of intervention strategy to prevent childhood obesity.

Indexed as

Pregnant PeopleAdolescentAdultAppetite RegulationBody Mass IndexCaffeineCentral Nervous System StimulantsFemaleHumansInfant, NewbornMaleMothersPediatric ObesityPregnancyPrenatal Exposure Delayed EffectsPrevalenceCaffeineCentral Nervous System Stimulants

Identifiers

PMID25388405
PMCPMC4389720
OpenAlexW2054922066

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.