Evidence map›Paper›PMID 26761122›Full record

ArticlePediatric research2016

Early postnatal docosahexaenoic acid levels and improved preterm brain development.

Emily W Y Tam, Vann Chau, A James Barkovich, Donna M Ferriero, Steven P Miller, Elizabeth E Rogers, Ruth E Grunau, Anne R Synnes, Duan Xu, Justin Foong and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
9.7field-weighted citation impact, top 2% 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

48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Pooled it
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  15. DHA supplementation and pregnancy complications.Journal of translational medicine · 2023
    Review
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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

12 authors at 4 institutions in 2 countries.

Emily W Y TamDepartment of Pediatrics, Hospital for Sick Children and University of Toronto, Toronto, Ontario, Canada.
Vann ChauDepartment of Pediatrics, Hospital for Sick Children and University of Toronto, Toronto, Ontario, Canada.
A James BarkovichDepartment of Neurology, University of California San Francisco, San Francisco, California.
Donna M FerrieroDepartment of Neurology, University of California San Francisco, San Francisco, California.
Steven P MillerDepartment of Pediatrics, Hospital for Sick Children and University of Toronto, Toronto, Ontario, Canada.
Elizabeth E RogersDepartment of Pediatrics, University of California San Francisco, San Francisco, California.
Ruth E GrunauDepartment of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.
Anne R SynnesDepartment of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.
Duan XuDepartment of Radiology & Diagnostic Imaging, University of California San Francisco, San Francisco, California.
Justin FoongDepartment of Pediatrics, Hospital for Sick Children and University of Toronto, Toronto, Ontario, Canada.
Rollin BrantDepartment of Statistics, University of British Columbia, Vancouver, BC, Canada.
Sheila M InnisDepartment of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.
University of British Columbia · CAUniversity of California, San Francisco · USSickKids Foundation · CAUniversity of Toronto · CA

Funding

Repair in High Risk Newborns with Congential Heart DiseaseP01NS082330 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI XU, DUAN · 2014 to 2018
$6.0M
Development of Advanced Techniques for MR of the Newborn BrainR01EB009756 · NIBIB · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BARKOVICH, ANTHONY JAMES, XU, DUAN · 2009 to 2013
$5.5M
MRI, MRSI, AND DTI OF BRAIN INJURY IN PRETERM NEONATESR01NS046432 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BARKOVICH, ANTHONY JAMES · 2004 to 2013
$4.3M
Towards Baby Brain Connectome: a Study of Newborn Brain NetworksR01HD072074 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HESS, CHRISTOPHER PAUL, XU, DUAN · 2013 to 2017
$3.0M
CIHR CHI 151135NIBIB NIH HHS R01 EB009756NICHD NIH HHS R01 HD072074NINDS NIH HHS P01 NS082330NINDS NIH HHS R01 NS046432
6 · The paper itself

Abstract

backgroundPreterm birth has a dramatic impact on polyunsaturated fatty acid exposures for the developing brain. This study examined the association between postnatal fatty acid levels and measures of brain injury and development, as well as outcomes.

methodsA cohort of 60 preterm newborns (24-32 wk gestational age) was assessed using early and near-term magnetic resonance imaging (MRI) studies. Red blood cell fatty acid composition was analyzed coordinated with each scan. Outcome at a mean of 33 mo corrected age was assessed using the Bayley Scales of Infant Development, 3rd edition.

resultsAdjusting for confounders, a 1% increase in postnatal docosahexaenoic acid (DHA) levels at early MRI was associated with 4.3-fold decreased odds of intraventricular hemorrhage, but was not associated with white matter injury or cerebellar haemorrhage. Higher DHA and lower linoleic acid (LA) levels at early MRI were associated with lower diffusivity in white matter tracts and corresponding improved developmental scores in follow-up.

conclusionHigher DHA and lower LA levels in the first few weeks of life are associated with decreased intraventricular haemorrhage, improved microstructural brain development, and improved outcomes in preterm born children. Early and possibly antenatal interventions in high-risk pregnancies need to be studied for potential benefits in preterm developmental outcomes.

Indexed as

BrainBrain InjuriesCohort StudiesDocosahexaenoic AcidsErythrocytesFatty AcidsFatty Acids, UnsaturatedFemaleHemorrhageHumansInfant, NewbornInfant, PrematureMagnetic Resonance ImagingMaleTreatment OutcomeDocosahexaenoic AcidsFatty AcidsFatty Acids, Unsaturated

Identifiers

PMID26761122
PMCPMC4853254
OpenAlexW2258254301

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.