Evidence map›Paper›PMID 27004434›Full record

ArticlePaediatric and perinatal epidemiology2016

Prenatal Programming of Infant Neurobehaviour in a Healthy Population.

Allison A Appleton, Megan A Murphy, Devin C Koestler, Corina Lesseur, Alison G Paquette, James F Padbury, Barry M Lester, Carmen J Marsit

Open access · greenAbstract read
In one paragraph

Article in Paediatric and perinatal epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 pooled it
5.4field-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

27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  12. Observational
  13. Associations between maternal pre-pregnancy body mass index and neonatal neurobehavior in infants born before 30 weeks gestation.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Observational
  14. Article
  15. Seasonally variant gene expression in full-term human placenta.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2020
    Article
  16. PlacentalExploration of medicine · 2020
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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

8 authors at 4 institutions in 1 country.

Allison A AppletonDepartment of Epidemiology and Biostatistics, University at Albany School of Public Health, State University of New York, Rensselaer, NY.
Megan A MurphyDepartment of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH.
Devin C KoestlerDepartment of Biostatistics, University of Kansas Medical Center, Kansas City, KS.
Corina LesseurDepartment of Pharmacology and Toxicology, Geisel School of Medicine at Dartmouth, Hanover, NH.
Alison G PaquetteDepartment of Pharmacology and Toxicology, Geisel School of Medicine at Dartmouth, Hanover, NH.
James F PadburyDepartment of Pediatrics, Women and Infants Hospital, Providence, RI.
Barry M LesterDepartment of Pediatrics, Women and Infants Hospital, Providence, RI.
Carmen J MarsitDepartment of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH.
Dartmouth College · USWomen & Infants Hospital of Rhode Island · USUniversity at Albany, State University of New York · USUniversity of Kansas Medical Center · US

Funding

Project 3: Placental Biomarkers of Exposure and Outcome (Marsit)P01ES022832 · NIEHS · DARTMOUTH COLLEGE · PI KARAGAS, MARGARET RITA · 2013 to 2018
$4.7M
Environment, Imprinting, and NeurodevelopmentR01ES022223 · NIEHS · EMORY UNIVERSITY · PI CHEN, JIA, MARSIT, CARMEN JOSEPH · 2013 to 2017
$4.3M
Training Program for Quantitative Population Sciences in CancerR25CA134286 · NCI · DARTMOUTH COLLEGE · PI KARAGAS, MARGARET RITA, TOSTESON, TOR D · 2009 to 2018
$3.0M
Heartland Institute for Clinical and Translational ResearchKL2TR000119 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BAROHN, RICHARD J. · 2012 to 2015
$2.5M
Epigenetics in Neurodevelopment and Mental HealthR01MH094609 · NIMH · DARTMOUTH COLLEGE · PI MARSIT, CARMEN JOSEPH · 2011 to 2015
$2.3M
NCATS NIH HHS KL2 TR000119NCI NIH HHS R25 CA134286NIEHS NIH HHS P01 ES022832NIEHS NIH HHS R01 ES022223NIMH NIH HHS R01 MH094609
6 · The paper itself

Abstract

backgroundIdentifying the prenatal origins of mental conditions is of increasing interest, yet most studies have focused on high-risk populations and cannot disentangle prenatal and postnatal programming effects. Thus, we examined whether profiles of neurobehaviour indicative of future risk could be identified in healthy 1-3-day-old infants, and examined associations with perinatal risk factors.

methodsParticipants included 627 healthy mothers and term infants from a population-based US cohort. Neurobehaviour was assessed within 24-72 h after delivery with the NICU Network Neurobehavioural Scales (NNNS). A model-based clustering algorithm was used to derive neurobehavioural profiles from NNNS scores. Maternal health histories, pregnancy conditions and behaviours, labour/delivery factors, and infant attributes were examined in relation to the neurobehavioural profiles.

resultsSeven discrete neurobehavioural profiles were identified, including one average functioning profile, and two inversely patterned below and above average profiles. Higher pregnancy weight gain (OR 1.44, 95% CI 1.10, 1.88) and birthweight percentiles (OR 1.46, 95% CI 1.10, 1.95) were associated with greater odds of below average newborn neurobehaviour. Above average neurobehaviour was associated with experiencing longer gestations (OR 1.29, 95% CI 1.02, 1.64) and higher 5-min APGAR scores (OR 2.43, 95% CI 1.07, 5.52). Maternal pregnancy alcohol use (OR 0.54, 95% CI 0.33, 0.89), and fetal distress (OR 0.10, 95% CI 0.01, 0.72) were associated with lower likelihood of having average neurobehaviour.

conclusionDistinct profiles of neurobehaviour can be derived in a healthy population of newborns, with different sets of perinatal factors predicting different patterns of neurobehaviour. These findings suggest a potential in utero origin for mental health risk.

Indexed as

HealthNeurologic ExaminationPrenatal Exposure Delayed EffectsAdultAlgorithmsApgar ScoreBirth WeightCognitionFemaleFetal DistressGestational AgeHumansInfant BehaviorInfant, NewbornLabor, ObstetricMaledevelopmental origins of health and diseaseinfant neurobehaviorprenatal programmingrecursively partitioned mixture model

Identifiers

PMID27004434
PMCPMC5054721
OpenAlexW2308543768

What OpenQuestion holds

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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.