Evidence map›Paper›PMID 26572932›Full record

ArticleObesity (Silver Spring, Md.)2016

Maternal obesity and gestational weight gain are risk factors for infant death.

Lisa M Bodnar, Lara L Siminerio, Katherine P Himes, Jennifer A Hutcheon, Timothy L Lash, Sara M Parisi, Barbara Abrams

Open access · bronzeAbstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
6.0field-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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
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  10. The importance of nutrition in pregnancy and lactation: lifelong consequences.American journal of obstetrics and gynecology · 2022
    Review
  11. Article
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  13. Pre-pregnancy body mass index, gestational weight gain and postnatal growth in preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Lisa M BodnarDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Lara L SiminerioDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Katherine P HimesDepartment of Obstetrics, Gynecology, and Reproductive Sciences, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Jennifer A HutcheonDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, British Columbia, Canada.
Timothy L LashDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Sara M ParisiDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Barbara AbramsDivision of Epidemiology, University of California at Berkeley School of Public Health, Berkeley, California, USA.
University of Pittsburgh · USBerkeley Public Health Division · USEmory University · USUniversity of British Columbia · CA

Funding

Innovative Approaches to Inform Evidence-Based Pregnancy Weight Gain GuidelinesR01HD072008 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BODNAR, LISA M, HUTCHEON, JENNIFER ANNE · 2013 to 2016
$2.4M
Maternal obesity, weight gain, and the black-white disparity in pregnancy outcomeR21HD065807 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BODNAR, LISA M · 2011 to 2012
$443k
NICHD NIH HHS R01 HD072008NICHD NIH HHS R21 HD065807
6 · The paper itself

Abstract

objectiveAssessment of the joint and independent relationships of gestational weight gain and prepregnancy body mass index (BMI) on risk of infant mortality was performed.

methodsThis study used Pennsylvania linked birth-infant death records (2003-2011) from infants without anomalies born to mothers with prepregnancy BMI categorized as underweight (n = 58,973), normal weight (n = 610,118), overweight (n = 296,630), grade 1 obesity (n = 147,608), grade 2 obesity (n = 71,740), and grade 3 obesity (n = 47,277). Multivariable logistic regression models stratified by BMI category were used to estimate dose-response associations between z scores of gestational weight gain and infant death after confounder adjustment.

resultsInfant mortality risk was lowest among normal-weight women and increased with rising BMI category. For all BMI groups except for grade 3 obesity, there were U-shaped associations between gestational weight gain and risk of infant death. Weight loss and very low weight gain among women with grades 1 and 2 obesity were associated with high risks of infant mortality. However, even when gestational weight gain in women with obesity was optimized, the predicted risk of infant death remained higher than that of normal-weight women.

conclusionsInterventions aimed at substantially reducing preconception weight among women with obesity and avoiding very low or very high gestational weight gain may reduce risk of infant death.

Indexed as

Body Mass IndexWeight GainAdolescentAdultBody WeightFemaleHumansInfantInfant DeathLogistic ModelsMothersObesityOverweightPennsylvaniaPregnancyRisk Factors

Identifiers

PMID26572932
PMCPMC4731302
OpenAlexW2176784722

What OpenQuestion holds

Textmetadata
LicenceTDM
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.