Evidence map›Paper›PMID 26173869›Full record

ArticleEuropean journal of clinical nutrition2016

Influence of breastfeeding on retinal vessel calibers in school-age children. The Generation R Study.

O Gishti, V W V Jaddoe, L Duijts, O H Franco, A Hofman, M K Ikram, R Gaillard

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in European journal of clinical nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 39% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Breastfeeding may shape children's hearts.European journal of clinical nutrition · 2026
    Article
  4. P-Wave Axis of Schoolchildren Who Were Once Breastfed.Children (Basel, Switzerland) · 2023
    Article
  5. 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

7 authors at 2 institutions in 2 countries.

O GishtiGeneration R Study Group, Erasmus University Medical Center, Rotterdam, The Netherlands.
V W V JaddoeGeneration R Study Group, Erasmus University Medical Center, Rotterdam, The Netherlands.
L DuijtsDepartment of Pediatrics, Erasmus University Medical Center, Rotterdam, The Netherlands.
O H FrancoDepartment of Epidemiology, Erasmus University Medical Center, Rotterdam, The Netherlands.
A HofmanDepartment of Epidemiology, Erasmus University Medical Center, Rotterdam, The Netherlands.
M K IkramSingapore Eye Research Institute, National University of Singapore, Singapore.
R GaillardGeneration R Study Group, Erasmus University Medical Center, Rotterdam, The Netherlands.
Erasmus MC · NLSingapore National Eye Center · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesA shorter breastfeeding duration is associated with an increased risk of cardiovascular disease in adulthood. Early microvasculature structure adaptations may be part of the underlying mechanism. We examined the associations of ever breastfeeding, breastfeeding duration and exclusivity, and the timing of introduction of solid foods with retinal vessel calibers in children. SUBJECTS/

methodsWe performed a population-based prospective cohort study from fetal life onwards in the city of Rotterdam, the Netherlands. We obtained information on ever breastfeeding, breastfeeding duration and exclusivity, and age at introduction of solid foods from postal questionnaires at the ages of 2, 6 and 12 months after birth. At the median age of 6.0 years (90% range: 5.7-6.8), we measured retinal arteriolar and venular calibers from digitized retinal photographs among 3220 children. Grader-specific s.d. scores (SDS) for both central retinal and arteriolar equivalents were constructed.

resultsWe observed that in the models only adjusted for child's age, sex and ethnicity, children who were never breastfed had narrower retinal arteriolar and venular calibers in childhood as compared with children who were breastfed (differences in retinal arteriolar and venular calibers, respectively: -0.16 SDS (95% confidence interval (CI): -0.29, -0.03) and -0.18 SDS (95% CI: -0.32, -0.04)). After additional adjustment for maternal and childhood socio-demographic and lifestyle-related characteristics, never breastfeeding was only associated with narrower retinal venular caliber (difference: -0.15 SDS (95% CI: -0.29, -0.02)). We did not observe associations of breastfeeding duration or exclusivity, or age at introduction of solid foods with retinal vessel calibers.

conclusionsChildren who were never breastfed tended to have narrower retinal venular calibers. We did not observe associations of breastfeeding duration with retinal vessel calibers. Family-based socio-demographic factors, maternal lifestyle-related factors and childhood factors only slightly influenced the observed associations. These results should be considered a hypothesis generating for further observational and experimental studies.

Indexed as

ArteriolesBreast FeedingRetinal VesselsVenulesCardiovascular DiseasesChildChild, PreschoolFemaleHumansInfantInfant Nutritional Physiological PhenomenaMaleNetherlandsProspective StudiesRisk FactorsYoung Adult

Identifiers

PMID26173869
OpenAlexW1493372154

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.