Evidence map›Paper›PMID 27302980›Full record

Trial reportPediatrics2016

Breast Milk Consumption in Preterm Neonates and Cardiac Shape in Adulthood.

Adam J Lewandowski, Pablo Lamata, Jane M Francis, Stefan K Piechnik, Vanessa M Ferreira, Henry Boardman, Stefan Neubauer, Atul Singhal, Paul Leeson, Alan Lucas

Open access · greenAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
20.3field-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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 115 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. P-Wave Axis of Schoolchildren Who Were Once Breastfed.Children (Basel, Switzerland) · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Understanding the preterm human heart: What do we know so far?Anatomical record (Hoboken, N.J. : 2007) · 2022
    Review
  16. Review
  17. Article
  18. Reduced Aerobic Exercise Capacity in Adults Born at Very Low Birth Weight: No Small Matter!American journal of respiratory and critical care medicine · 2022
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Adam J LewandowskiOxford Cardiovascular Clinical Research Facility, and Oxford Centre for Clinical Magnetic Resonance Research, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom; paul.leeson@cardiov.ox.ac.uk.
Pablo LamataDepartment of Biomedical Engineering, King's College London, London, United Kingdom; and.
Jane M FrancisOxford Centre for Clinical Magnetic Resonance Research, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom;
Stefan K PiechnikOxford Centre for Clinical Magnetic Resonance Research, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom;
Vanessa M FerreiraOxford Centre for Clinical Magnetic Resonance Research, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom;
Henry BoardmanOxford Cardiovascular Clinical Research Facility, and Oxford Centre for Clinical Magnetic Resonance Research, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom;
Stefan NeubauerOxford Centre for Clinical Magnetic Resonance Research, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom;
Atul SinghalMRC Childhood Nutrition Research Centre, Institute of Child Health, University College London, London, United Kingdom.
Paul LeesonOxford Cardiovascular Clinical Research Facility, and Oxford Centre for Clinical Magnetic Resonance Research, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom;
Alan LucasMRC Childhood Nutrition Research Centre, Institute of Child Health, University College London, London, United Kingdom.
John Radcliffe Hospital · GBUniversity College London · GBUniversity of Oxford · GBKing's College London · GBOxford BioMedica (United Kingdom) · GB

Funding

British Heart Foundation FS/06/024British Heart Foundation FS/11/65/28865British Heart Foundation PG/13/58/30397Department of HealthWellcome Trust 099973Wellcome Trust 099973/Z/12/Z
6 · The paper itself

Abstract

BACKGROUND AND

objectivesPreterm birth relates to long-term alterations in cardiac morphology and function. Understanding whether preterm postnatal life is a tractable period of cardiovascular development that can be positively altered by nutrition is relevant to long-term outcomes. We hypothesized that being fed human breast milk during early postnatal life is beneficial to long-term cardiac structure and function in preterm-born individuals compared with infant formulas.

methodsA total of 926 preterm-born infants originally took part in a randomized controlled trial of postnatal milk-feeding regimens between 1982 and 1985 across 5 different UK centers. Preterm-born individuals were randomly assigned to either breast milk donated by unrelated lactating women or nutrient-enriched formulas. We followed 102 individuals from this cohort: 30 of whom had been randomized to being fed exclusively human milk and 16 to being fed exclusively formula. As a comparison group, we recruited an additional 102 individuals born term to uncomplicated pregnancies. Cardiac morphology and function were assessed by MRI.

resultsPreterm-born individuals fed exclusively human milk as infants had increased left and right ventricular end-diastolic volume index (+9.73%, P = .04 and +18.2%, P < .001) and stroke volume index (+9.79%, P = .05 and +22.1%, P = .01) compared with preterm-born individuals who were exclusively formula fed as infants.

conclusionsThis study provides the first evidence of a beneficial association between breast milk and cardiac morphology and function in adult life in those born preterm and supports promotion of human milk for the care of preterm infants to reduce long-term cardiovascular risk.

Indexed as

Food, FormulatedMilk, HumanAdultFemaleFollow-Up StudiesHeartHumansInfant, NewbornInfant, PrematureMaleProspective StudiesYoung Adult

Identifiers

PMID27302980
PMCPMC6198929
OpenAlexW2423945313

What OpenQuestion holds

Textmetadata
LicenceTDM
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.