Evidence map›Paper›PMID 26848931›Full record

Trial reportAmerican journal of human biology : the official journal of the Human Biology Council2016

Blood pressure and the capacity-load model in 8-year-old children from Nepal: Testing the contributions of kidney size and intergenerational effects.

Jonathan C K Wells, Delan Devakumar, Carlos S Grijalva-Eternod, Dharma S Manandhar, Anthony Costello, David Osrin

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of human biology : the official journal of the Human Biology Council, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 11% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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.

Jonathan C K WellsChildhood Nutrition Research Centre, UCL Institute of Child Health, London, United Kingdom.
Delan DevakumarUCL Institute for Global Health, London, United Kingdom.
Carlos S Grijalva-EternodUCL Institute for Global Health, London, United Kingdom.
Dharma S ManandharMother and Infant Research Activities, Kathmandu, Nepal.
Anthony CostelloUCL Institute for Global Health, London, United Kingdom.
David OsrinUCL Institute for Global Health, London, United Kingdom.
George Institute for Global Health · GBUniversity College London · GBMother and Infant Research Activities · NP

Funding

Wellcome Trust 092121Wellcome Trust 092121/Z/10/Z
6 · The paper itself

Abstract

objectivesGrowth patterns in early life are increasingly linked with subsequent cardio-metabolic risk, but the underlying mechanisms require elucidation. We have developed a theoretical model of blood pressure, treating it as a function of homeostatic metabolic capacity, and antagonistic metabolic load. We sought to differentiate prenatal and postnatal components of metabolic capacity, and to identify intergenerational contributions to offspring capacity and load.

methodsWe followed up at 8 years a cohort of children originally recruited into a randomized trial of maternal micronutrient supplementation in pregnancy. Maternal anthropometry was measured at recruitment. Offspring anthropometry was measured at birth, 2 years and 8 years. Offspring blood pressure, kidney size, and body composition were measured at 8 years. Regression analysis was used to investigate potential associations of maternal phenotype, birth phenotype, and current body composition with kidney size and blood pressure.

resultsBlood pressure was positively associated with body fat, but negatively associated with birth weight and relative leg length. Kidney size was positively associated with birth weight but not with relative leg length. Adjusting for adiposity, blood pressure was independently negatively associated with birth weight, relative leg length, and kidney length. Maternal height and BMI predicted offspring size at birth and at 8 years, but not blood pressure.

conclusionsOur data provide support for the capacity-load model of blood pressure in Nepalese children. Fetal and postnatal growth and kidney dimensions all contribute to metabolic capacity. Maternal phenotype contributed to offspring capacity and load, but these associations did not propagate to blood pressure. Am. J. Hum. Biol. 28:555-565, 2016. © 2016 The Authors American Journal of Human Biology Published by Wiley Periodicals, Inc.

Indexed as

Blood PressureHeredityBody CompositionChildChild, PreschoolCohort StudiesDietary SupplementsFemaleHumansKidneyMaleMicronutrientsModels, TheoreticalMothersNepalOrgan SizeMicronutrients

Identifiers

PMID26848931
PMCPMC7611548
OpenAlexW2427131280

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.