Evidence map›Paper›PMID 27087411›Full record

ArticlePublic health nutrition2016

Serum and red-blood-cell folate demonstrate differential associations with BMI in pregnant women.

Minxue Shen, Shazia Hira Chaudhry, Amanda J MacFarlane, Laura Gaudet, Graeme N Smith, Marc Rodger, Ruth Rennicks White, Mark C Walker, Shi Wu Wen

Open access · bronzeAbstract read
In one paragraph

Article in Public health nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  12. Plausible relationship between homocysteine and obesity risk viaDiabetes, metabolic syndrome and obesity : targets and therapy · 2019
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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

9 authors at 5 institutions in 2 countries.

Minxue Shen1Department of Epidemiology and Health Statistics,School of Public Health,Central South University,Changsha,Hunan,People's Republic of China.
Shazia Hira Chaudhry2OMNI Research Group,Department of Obstetrics and Gynecology, Faculty of Medicine,University of Ottawa,Ottawa,Ontario,Canada.
Amanda J MacFarlane5Nutrition Research Division,Health Canada,Ottawa,Ontario,Canada.
Laura Gaudet2OMNI Research Group,Department of Obstetrics and Gynecology, Faculty of Medicine,University of Ottawa,Ottawa,Ontario,Canada.
Graeme N Smith6Department of Obstetrics and Gynecology,Queen's University,Kingston,Ontario,Canada.
Marc Rodger3Ottawa Hospital Research Institute,Clinical Epidemiology Program,501 Smyth Road,Ottawa,Ontario,Canada,K1H 8L6.
Ruth Rennicks White2OMNI Research Group,Department of Obstetrics and Gynecology, Faculty of Medicine,University of Ottawa,Ottawa,Ontario,Canada.
Mark C Walker2OMNI Research Group,Department of Obstetrics and Gynecology, Faculty of Medicine,University of Ottawa,Ottawa,Ontario,Canada.
Shi Wu Wen1Department of Epidemiology and Health Statistics,School of Public Health,Central South University,Changsha,Hunan,People's Republic of China.
Ottawa Hospital · CAOttawa Hospital Research InstituteHealth Canada · CAQueen's University · CAUniversity of Ottawa · CA

Funding

CIHR MCT-98030CIHR MOP53188CIHR MOP 82802
6 · The paper itself

Abstract

objectiveTo examine the association between BMI and folate concentrations in serum and red blood cells (RBC) in pregnant women.

designA cross-sectional comparison of folate concentrations in serum and RBC sampled simultaneously from the same individual.

settingThe Ottawa Hospital and Kingston General Hospital, Ontario, Canada. SUBJECTS: Pregnant women recruited between 12 and 20 weeks of gestation.

resultsA total of 869 pregnant women recruited from April 2008 to April 2009 were included in the final analysis. Serum folate was inversely associated and RBC folate positively associated with BMI, after adjusting for folic acid supplementation, age, gestational age at blood sample collection, race, maternal education, annual income, smoking and MTHFR 677C→T genotype. In stratified analyses, this differential association was significant in women with the MTHFR CC variant. In women with the CT and TT variants, the differential associations were in the same direction but not significant. Folic acid supplementation during pregnancy did not alter the differential association of BMI with serum and RBC folate concentration. This indicates that the current RBC folate cut-off approach for assessing risk of neural tube defects in obese women may be limited.

conclusionsBMI is inversely associated with serum folate and positively associated with RBC folate in pregnant women, especially for those with the MTHFR CC variant.

Indexed as

Body Mass IndexAdultCross-Sectional StudiesErythrocytesFemaleFolic AcidHumansMethylenetetrahydrofolate Reductase (NADPH2)Neural Tube DefectsOntarioPregnancyFolic AcidMethylenetetrahydrofolate Reductase (NADPH2)MTHFR protein, humanBMIFolateFolic acidObesityPregnancy

Identifiers

PMID27087411
PMCPMC10270987
OpenAlexW2336462127

What OpenQuestion holds

Textmetadata
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.