Evidence map›Paper›PMID 26882542›Full record

ArticleJAMA pediatrics2016

Fish Intake in Pregnancy and Child Growth: A Pooled Analysis of 15 European and US Birth Cohorts.

Nikos Stratakis, Theano Roumeliotaki, Emily Oken, Henrique Barros, Mikel Basterrechea, Marie-Aline Charles, Merete Eggesbø, Francesco Forastiere, Romy Gaillard, Ulrike Gehring and 24 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in JAMA pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
15.7field-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

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors at 20 institutions in 12 countries.

Nikos StratakisDepartment of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece2Section of Complex Genetics, Department of Genetics and Cell Biology, NUTRIM School of Nutrition and Translational Research in Metabolism, Faculty of Health, Medici.
Theano RoumeliotakiDepartment of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece.
Emily OkenObesity Prevention Program, Harvard Pilgrim Health Care Institute, Department of Population Medicine, Harvard Medical School, Boston, Massachusetts.
Henrique BarrosDepartment of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Porto, Portugal5Epidemology Research Unit, Institute of Public Health, University of Porto, Porto, Portugal.
Mikel BasterrecheaPublic Health Division of Gipuzkoa, Basque Government; Health Research Institute, Biodonostia, San Sebastián, Spain7Centros de Investigación Biomédica en Red Epidemiología y Salud Pública, Spain.
Marie-Aline CharlesCentre for Research in Epidemiology and Biostatistics Paris Sorbonne Cité, Institut National de la Santé et de la Recherche Médicale, Early Origin of the Child Development and Health Team, Villejuif, France9Université Paris Descartes, Villejuif, France.
Merete EggesbøNorwegian Institute of Public Health, Oslo, Norway.
Francesco ForastiereDepartment of Epidemiology, Lazio Regional Health System, Rome, Italy.
Romy GaillardGeneration R Study Group, Department of Epidemiology, Erasmus University Medical Centre, Rotterdam, Netherlands.
Ulrike GehringInstitute for Risk Assessment Sciences, Utrecht University, Utrecht, Netherlands.
Eva GovartsEnvironmental Risk and Health, Flemish Institute for Technological Research, Mol, Belgium.
Wojciech HankeDepartment of Environmental Epidemiology, Nofer Institute of Occupational Medicine, Lodz, Poland.
Barbara HeudeCentre for Research in Epidemiology and Biostatistics Paris Sorbonne Cité, Institut National de la Santé et de la Recherche Médicale, Early Origin of the Child Development and Health Team, Villejuif, France9Université Paris Descartes, Villejuif, France.
Nina IszattNorwegian Institute of Public Health, Oslo, Norway.
Vincent W JaddoeGeneration R Study Group, Department of Epidemiology, Erasmus University Medical Centre, Rotterdam, Netherlands.
Cecily KelleherSchool of Public Health, Physiotherapy, and Population Science, University College Dublin, Dublin, Ireland.
Monique MommersDepartment of Epidemiology, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University Medical Centre+, Maastricht, Netherlands.
Mario MurciaCentros de Investigación Biomédica en Red Epidemiología y Salud Pública, Spain18Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana-Universitat Jaume I, Universitat de València Joint Research Unit of Epidemiology.
Andreia OliveiraPublic Health Division of Gipuzkoa, Basque Government; Health Research Institute, Biodonostia, San Sebastián, Spain7Centros de Investigación Biomédica en Red Epidemiología y Salud Pública, Spain.
Costanza PizziCancer Epidemiology Unit, Department of Medical Sciences, University of Turin and Reference Centre for Epidemiology and Cancer Prevention in Piemonte, Turin, Italy.
Kinga PolańskaDepartment of Epidemiology, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University Medical Centre+, Maastricht, Netherlands.
Daniela PortaInstitute for Risk Assessment Sciences, Utrecht University, Utrecht, Netherlands.
Lorenzo RichiardiCancer Epidemiology Unit, Department of Medical Sciences, University of Turin and Reference Centre for Epidemiology and Cancer Prevention in Piemonte, Turin, Italy.
Sheryl L Rifas-ShimanObesity Prevention Program, Harvard Pilgrim Health Care Institute, Department of Population Medicine, Harvard Medical School, Boston, Massachusetts.
Greet SchoetersEnvironmental Risk and Health, Flemish Institute for Technological Research, Mol, Belgium21University of Antwerp, Antwerp, Belgium; University of Southern Denmark, Odense, Denmark.
Jordi SunyerCentros de Investigación Biomédica en Red Epidemiología y Salud Pública, Spain22Centre for Research in Environmental Epidemiology, Barcelona, Spain23Pompeu Fabra University, Barcelona, Spain.
Carel ThijsDepartment of Epidemiology, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University Medical Centre+, Maastricht, Netherlands.
Karien ViljoenSchool of Public Health, Physiotherapy, and Population Science, University College Dublin, Dublin, Ireland.
Martine VrijheidCentros de Investigación Biomédica en Red Epidemiología y Salud Pública, Spain22Centre for Research in Environmental Epidemiology, Barcelona, Spain24Department of Experimental and Health Sciences, Pompeu Fabra University, Barcelona, Spain.
Tanja G M VrijkotteDepartment of Public Health, Academic Medical Centre, University of Amsterdam, Amsterdam, Netherlands.
Alet H WijgaCentre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, Netherlands.
Maurice P ZeegersSection of Complex Genetics, Department of Genetics and Cell Biology, NUTRIM School of Nutrition and Translational Research in Metabolism, Faculty of Health, Medicine and Life Sciences, Maastricht University Medical Centre+, Maastricht, Netherlands27CAPHR.
Manolis KogevinasCentros de Investigación Biomédica en Red Epidemiología y Salud Pública, Spain28Centre for Research in Environmental Epidemiology, Barcelona, Spain29Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain30National School of Public Health, A.
Leda ChatziDepartment of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece.
Maastricht University Medical Centre · NLUniversity of Crete · GRBasque Government · ESErasmus University Rotterdam · NLFlemish Institute for Technological Research · BEHarvard Pilgrim Health Care · USNorwegian Institute of Public Health · NOUniversity College Dublin · IEUtrecht University · NLCenter for Research in Environmental Epidemiology · ESCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana · ESInserm · FRNational Institute for Public Health and the Environment · NLNational School of Public Health · GRNofer Institute of Occupational Medicine · PLPiedmont Reference Center for Epidemiology and Cancer Prevention · ITUniversidade do Porto · PTUniversité Paris Cité · FRUniversity of Amsterdam · NL

Funding

Gene-Environment Interactions in an Autism Birth CohortU01NS047537 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LIPKIN, W. IAN · 2003 to 2013
$27.0M
Prenatal environmental determinants of health in young adulthood: a lifecourse approachR01HD034568 · NICHD · HARVARD PILGRIM HEALTH CARE, INC. · PI Marie-France Hivert, Emily Oken · 1998 to 2026
$20.6M
Pre- and Peri-natal Predictors of Childhood ObesityR37HD034568 · NICHD · HARVARD PILGRIM HEALTH CARE, INC. · PI GILLMAN, MATTHEW W · 2012 to 2015
$4.5M
Maternal fatty acids, child obesity, and asthma immunityR01HL075504 · NHLBI · HARVARD PILGRIM HEALTH CARE, INC. · PI GILLMAN, MATTHEW W · 2004 to 2007
$2.4M
Effects of prenatal diet and mercury exposure on child behavior and developmentR01ES016314 · NIEHS · HARVARD PILGRIM HEALTH CARE, INC. · PI OKEN, EMILY · 2008 to 2011
$1.4M
Patient-oriented Research in Maternal Perinatal Overnutrition and Child AdiposityK24HD069408 · NICHD · HARVARD PILGRIM HEALTH CARE, INC. · PI OKEN, EMILY · 2011 to 2015
$844k
NHLBI NIH HHS R01 HL075504NICHD NIH HHS K24 HD069408NICHD NIH HHS R01 HD034568NICHD NIH HHS R37 HD034568NIEHS NIH HHS N01 ES075558NIEHS NIH HHS R01 ES016314NINDS NIH HHS 1 U01 NS 047537-01NINDS NIH HHS 2 U01 NS047537-06A1NINDS NIH HHS U01 NS047537
6 · The paper itself

Abstract

importanceMaternal fish intake in pregnancy has been shown to influence fetal growth. The extent to which fish intake affects childhood growth and obesity remains unclear.

objectiveTo examine whether fish intake in pregnancy is associated with offspring growth and the risk of childhood overweight and obesity. DESIGN, SETTING, AND

participantsMulticenter, population-based birth cohort study of singleton deliveries from 1996 to 2011 in Belgium, France, Greece, Ireland, Italy, the Netherlands, Norway, Poland, Portugal, Spain, and Massachusetts. A total of 26,184 pregnant women and their children were followed up at 2-year intervals until the age of 6 years. EXPOSURES: Consumption of fish during pregnancy. MAIN OUTCOMES AND MEASURES: We estimated offspring body mass index percentile trajectories from 3 months after birth to 6 years of age. We defined rapid infant growth as a weight gain z score greater than 0.67 from birth to 2 years and childhood overweight/obesity at 4 and 6 years as body mass index in the 85th percentile or higher for age and sex. We calculated cohort-specific effect estimates and combined them by random-effects meta-analysis.

resultsThis multicenter, population-based birth cohort study included the 26,184 pregnant women and their children. The median fish intake during pregnancy ranged from 0.5 times/week in Belgium to 4.45 times/week in Spain. Women who ate fish more than 3 times/week during pregnancy gave birth to offspring with higher body mass index values from infancy through middle childhood compared with women with lower fish intake (3 times/week or less). High fish intake during pregnancy (>3 times/week) was associated with increased risk of rapid infant growth, with an adjusted odds ratio (aOR) of 1.22 (95% CI, 1.05-1.42) and increased risk of offspring overweight/obesity at 4 years (aOR, 1.14 [95% CI, 0.99-1.32]) and 6 years (aOR, 1.22 [95% CI, 1.01-1.47]) compared with an intake of once per week or less. Interaction analysis showed that the effect of high fish intake during pregnancy on rapid infant growth was greater among girls (aOR, 1.31 [95% CI, 1.08-1.59]) than among boys (aOR, 1.11 [95% CI, 0.92-1.34]; P = .02 for interaction). CONCLUSIONS AND RELEVANCE: High maternal fish intake during pregnancy was associated with increased risk of rapid growth in infancy and childhood obesity. Our findings are in line with the fish intake limit proposed by the US Food and Drug Administration and Environmental Protection Agency.

Indexed as

DietFishesPregnancy ComplicationsSeafoodAnimalsBody Mass IndexChildChild DevelopmentChild, PreschoolCohort StudiesEuropeFemaleFetal DevelopmentFollow-Up StudiesHumansInfant

Identifiers

PMID26882542
PMCPMC5103635
OpenAlexW2272846777

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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.