Evidence map›Paper›PMID 26395995›Full record

SynthesisAllergy2016

Prenatal maternal stress and atopic diseases in the child: a systematic review of observational human studies.

N W Andersson, M V Hansen, A D Larsen, K S Hougaard, H A Kolstad, V Schlünssen

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Allergy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
11.4field-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

49 citing papers in PubMed, 3 syntheses or guidelines pooled it, 129 citations in OpenAlex.

  1. Pooled it
  2. The Association between Maternal Stress and Childhood Eczema: A Systematic Review.International journal of environmental research and public health · 2018
    Pooled it
  3. Pooled it
  4. Article
  5. Prenatal depression and psychotropics in offspring asthma and atopic dermatitis.Journal of the Chinese Medical Association : JCMA · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Maternal stressful life events during pregnancy and childhood asthma and wheeze.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2024
    Article
  11. Factors of Fetal Origin in the Regulation of Labor Initiation and Preterm Birth.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2023
    Article
  12. Atopic Dermatitis Across Shades of Skin.American journal of clinical dermatology · 2023
    Review
  13. Article
  14. Article
  15. Mothers' Sexual Identity and Children's Health.Population research and policy review · 2022
    Article
  16. Article
  17. Maternal prenatal psychological distress associates with offspring early-life wheezing - FinnBrain Birth Cohort.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2022
    Article
  18. S3 guideline Allergy Prevention.Allergologie select · 2022
    Article
  19. Article
  20. Review
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

6 authors at 3 institutions in 2 countries.

N W AnderssonDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
M V HansenDepartment of Organic Psychiatric Disorders and Emergency Ward, Aarhus University Hospital, Risskov, Aarhus, Denmark.
A D LarsenThe National Research Centre for the Working Environment, Copenhagen, Denmark.
K S HougaardThe National Research Centre for the Working Environment, Copenhagen, Denmark.
H A KolstadDepartment of Occupational Medicine, Danish Ramazzini Centre, Aarhus University Hospital, Aarhus, Denmark.
V SchlünssenThe National Research Centre for the Working Environment, Copenhagen, Denmark.
Aarhus University Hospital · DKNational Research Centre for the Working Environment · DKStatens Serum Institut · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA growing number of studies suggest that maternal stress during pregnancy promotes atopic disorders in the offspring. This is the first systematic review to address prenatal maternal stress (PNMS) and the subsequent risk of atopy-related outcomes in the child.

methodsThe review was performed in accordance to the PRISMA criteria. We searched and selected studies in PubMed, Scopus, Embase and PsychINFO until November 2014.

resultsSixteen (with 25 analyses) of 426 identified articles met the review criteria. Five main PNMS exposures (negative life events, anxiety/depression, bereavement, distress and job strain) and five main atopic outcomes (asthma, wheeze, atopic dermatitis, allergic rhinitis and IgE) were assessed across the studies. Overall, 21 of the 25 analyses suggested a positive association between PNMS and atopic outcomes. Of the 11 exposure-response analyses reported, six found statistically significant trends.

conclusionThis systematic review suggests a relationship between maternal stress during pregnancy and atopic disorders in the child. However, the existing studies are of diverse quality. The wide definitions of often self-reported stress exposures imply a substantial risk for information bias and false-positive results. Research comparing objective and subjective measures of PNMS exposure as well as objective measures for atopic outcome is needed.

Indexed as

Prenatal Exposure Delayed EffectsStress, PhysiologicalStress, PsychologicalChildChild, PreschoolFemaleHumansHypersensitivity, ImmediateInfantMaternal ExposureOdds RatioPregnancyasthmaatopic disorderschild allergyprenatal maternal stresssystematic review

Identifiers

PMID26395995
PMCPMC5054838
OpenAlexW1798688674

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.