Evidence map›Paper›PMID 26912491›Full record

Trial reportThe American journal of clinical nutrition2016

Maternal single nucleotide polymorphisms in the fatty acid desaturase 1 and 2 coding regions modify the impact of prenatal supplementation with DHA on birth weight.

Ines Gonzalez-Casanova, Peter Rzehak, Aryeh D Stein, Raquel Garcia Feregrino, Juan A Rivera Dommarco, Albino Barraza-Villarreal, Hans Demmelmair, Isabelle Romieu, Salvador Villalpando, Reynaldo Martorell and 2 more

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00646360 (Effects of Prenatal DHA Supplements on Infant Development), which is not on this map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
4.2field-weighted citation impact, top 7% 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.

NCT00646360 nacompletednot on this map

Effects of Prenatal DHA Supplements on Infant Development

TypeinterventionalSponsorEmory UniversityRan2005 to 2014Enrolled1,094ConditionsPregnancyArmsDHA, Placebo
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Omega-3 fatty acid addition during pregnancy.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Review
  12. Fatty acid desaturase genetic variations in heart failure and cardiovascular disease.American heart journal plus : cardiology research and practice · 2025
    Review
  13. Article
  14. Association ofNutrients · 2023
    Article
  15. Article
  16. Association betweenNutrients · 2022
    Article
  17. Article
  18. Article
  19. Review
  20. Article
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 5 institutions in 6 countries.

Ines Gonzalez-CasanovaHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA;
Peter RzehakDivision of Metabolic and Nutritional Medicine, Dr. von Hauner Children's Hospital, University of Munich Medical Centre, Munich, Germany;
Aryeh D SteinHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA;
Raquel Garcia FeregrinoHealth and Nutrition Research Center and.
Juan A Rivera DommarcoHealth and Nutrition Research Center and.
Albino Barraza-VillarrealPopulation Health Research Center, National Institute of Public Health, Cuernavaca, Mexico; and.
Hans DemmelmairDivision of Metabolic and Nutritional Medicine, Dr. von Hauner Children's Hospital, University of Munich Medical Centre, Munich, Germany;
Isabelle RomieuInternational Agency for Research on Cancer, Lyon, France.
Salvador VillalpandoHealth and Nutrition Research Center and.
Reynaldo MartorellHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA;
Berthold KoletzkoDivision of Metabolic and Nutritional Medicine, Dr. von Hauner Children's Hospital, University of Munich Medical Centre, Munich, Germany;
Usha RamakrishnanHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA; uramakr@emory.edu.
Emory University · USMünchen Klinik · DEUniversidad Del Valle De Cuernavaca · MXCentre international de recherche sur le cancer · FRNational Institute of Public Health · SI

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundSpecific single nucleotide polymorphisms (SNPs) in the fatty acid desaturase (FADS) gene affect the activity and efficiency of enzymes that are responsible for the conversion of polyunsaturated fatty acids (PUFAs) into their long-chain active form. A high prevalence of SNPs that are associated with slow PUFA conversion has been described in Hispanic populations.

objectiveWe assessed the heterogeneity of the effect of prenatal supplementation with docosahexaenoic acid (DHA) on birth weight across selected FADS SNPs in a sample of Mexican women and their offspring.

designWe obtained information on the maternal genotype from stored blood samples of 654 women who received supplementation with 400 mg DHA/d or a placebo from weeks 18 to 22 of gestation through delivery as part of a randomized controlled trial conducted in Cuernavaca, Mexico. We selected 4 tag SNPs (rs174455, rs174556, rs174602, and rs498793) in the FADS region for analysis. We used an ANOVA to test for the heterogeneity of the effect on birth weight across each of the 4 SNPs.

resultsThe mean ± SD birth weight was 3210 ± 470 g, and the weight-for-age z score (WAZ) was -0.24 ± 1.00. There were no intention-to-treat differences in birth weights. We showed significant heterogeneity by SNP rs174602 (P= 0.02); offspring of carriers of alleles TT and TC in the intervention group were heavier than those in the placebo group (WAZ: -0.13 ± 0.14 and -0.20 ± 0.08 compared with -0.55 ± 0.15 and -0.39 ± 0.09, respectively); there were no significant differences in offspring of rs174602 CC homozygotes (WAZ: -0.26 ± 0.09 in the intervention group compared with -0.04 ± 0.09 in the placebo group). We showed no significant heterogeneity across the other 3 FADS SNPs.

conclusionDifferential responses to prenatal DHA supplementation on the basis of the genetic makeup of target populations could explain the mixed evidence of the impact of DHA supplementation on birth weight. This trial was registered at clinicaltrials.gov as NCT00646360.

Indexed as

Dietary SupplementsPolymorphism, Single NucleotideAdolescentAdultAllelesArachidonic AcidBirth WeightDelta-5 Fatty Acid DesaturaseDocosahexaenoic AcidsDouble-Blind MethodEnergy IntakeFatty Acid DesaturasesFatty Acids, UnsaturatedFemaleGenotyping TechniquesHumansArachidonic AcidDelta-5 Fatty Acid DesaturaseDocosahexaenoic AcidsFADS2 protein, humanFatty Acid DesaturasesFatty Acids, Unsaturatedbirth weightDHAFADSlong-chain PUFAsprenatal supplementation

Identifiers

PMID26912491
PMCPMC4807702
OpenAlexW2274953176

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.