Evidence map›Paper›PMID 25574704›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2015

Maternal fuels and metabolic measures during pregnancy and neonatal body composition: the healthy start study.

Tessa L Crume, Allison L Shapiro, John T Brinton, Deborah H Glueck, Mercedes Martinez, Mary Kohn, Curtis Harrod, Jacob E Friedman, Dana Dabelea

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
18.4field-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

68 citing papers in PubMed, 103 citations in OpenAlex.

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  9. Adiponectin and Glucocorticoids Modulate Risk for Preterm Birth: The Healthy Start Study.The Journal of clinical endocrinology and metabolism · 2025
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8 more citing papers are in PubMed but not listed here.

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

9 authors at 3 institutions in 1 country.

Tessa L CrumeColorado School of Public Health (T.L.C., A.L.S., J.T.B., D.H.G., M.M., C.H., D.D.), Aurora, Colorado 80045; University of Colorado Hospital (M.K.), Aurora, Colorado 80045; and University of Colorado School of Medicine (J.E.F.), Aurora, Colorado 80045.
Allison L Shapiro
John T Brinton
Deborah H Glueck
Mercedes Martinez
Mary Kohn
Curtis Harrod
Jacob E Friedman
Dana Dabelea
Colorado School of Public Health · USUniversity of Colorado Denver · USUniversity of Colorado Hospital · US

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Exploring the Fuel-Mediated Programming of Neonatal GrowthR01DK076648 · NIDDK · UNIVERSITY OF COLORADO DENVER/HSC DENVER · PI DABELEA, DANA · 2009 to 2018
$7.0M
NCATS NIH HHS UL1 TR001082NIDDK NIH HHS DK076648NIDDK NIH HHS R01 DK076648
6 · The paper itself

Abstract

contextThe impact of specific maternal fuels and metabolic measures during early and late gestation on neonatal body composition is not well defined.

objectiveTo determine how circulating maternal glucose, lipids, and insulin resistance in the first and second halves of pregnancy influence neonatal body composition.

designA prospective pre-birth cohort enrolling pregnant women, the Healthy Start Study, was conducted, in which fasting maternal serum samples were collected twice during pregnancy to measure glucose, insulin, hemoglobin A1c, triglyceride, total cholesterol, high-density lipoprotein, and free fatty acids. Neonatal body composition was measured with air displacement plethysmography.

settingAn observational epidemiology study of pregnant women attending obstetric clinics at the University of Colorado, Anschutz Medical Center.

participantsThis analysis includes 804 maternal-neonate pairs.

resultsA strong positive linear relationship between maternal estimated insulin resistance (homeostasis model of assessment for insulin resistance) in the first half of pregnancy and neonatal fat mass (FM) and FM percentage (FM%) was detected, independent of prepregnancy body mass index (BMI). In the second half of pregnancy, positive linear relationships between maternal glucose levels and offspring FM and FM% were observed, independent of prepregnancy BMI. An inverse relationship was detected between high-density lipoprotein in the first half of pregnancy and FM, independent of prepregnancy BMI. Free fatty acid levels in the second half of pregnancy were positively associated with higher birth weight, independent of prepregnancy BMI.

conclusionMaternal insulin resistance in the first half of pregnancy is highly predictive of neonatal FM%, whereas maternal glycemia, even within the normal range, is an important driver of neonatal adiposity in later pregnancy, independent of prepregnancy BMI. Our data provide additional insights on potential maternal factors responsible for fetal fat accretion and early development of adiposity.

Indexed as

Body CompositionEnergy MetabolismAdultBirth WeightBlood GlucoseBody Mass IndexCohort StudiesFemaleHealthHumansInfant, NewbornInsulinMaternal-Fetal ExchangePregnancyYoung AdultBlood GlucoseInsulin

Identifiers

PMID25574704
PMCPMC4399301
OpenAlexW2153163661

What OpenQuestion holds

Textmetadata
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.