Evidence map›Paper›PMID 27356547›Full record

Trial reportMaternal & child nutrition2017

Effects of maternal vitamin B12 supplementation on early infant neurocognitive outcomes: a randomized controlled clinical trial.

Krishnamachari Srinivasan, Tinku Thomas, Aruna Rose Mary Kapanee, Asha Ramthal, David C Bellinger, Ronald J Bosch, Anura V Kurpad, Christopher Duggan

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Maternal & child nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 7 pooled it
6.0field-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

36 citing papers in PubMed, 7 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Effect of Maternal Vitamin BCurrent nutrition reports · 2025
    Pooled it
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  4. Pooled it
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  8. Maternal supplementation of vitamin BBMJ paediatrics open · 2026
    Trial
  9. Trial
  10. Trial
  11. Trial
  12. Does early vitamin BBMJ open · 2018
    Trial
  13. Trial
  14. Trial
  15. Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2025
    Review
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  17. Article
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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 2 countries.

Krishnamachari SrinivasanDivision of Mental Health and Neurosciences, St. John's Research Institute, Bengaluru, Karnataka, India.
Tinku ThomasDivision of Epidemiology, Biostatistics and Population Health, St. John's Research Institute, Bangalore, Karnataka, India.
Aruna Rose Mary KapaneeDepartment of Clinical Psychology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Asha RamthalDivision of Mental Health and Neurosciences, St. John's Research Institute, Bengaluru, Karnataka, India.
David C BellingerDepartment of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Ronald J BoschDepartment of Biostatistics, Harvard School of Public Health, Boston, Massachusetts, USA.
Anura V KurpadDivision of Nutrition, St. John's Research Institute, Bangalore, Karnataka, India.
Christopher DugganDivision of Nutrition, St. John's Research Institute, Bangalore, Karnataka, India.
Harvard University · USSt.John's Medical College Hospital · INNational Institute of Mental Health and Neurosciences · INSt. John's National Academy of Health Sciences · IN

Funding

ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHRISTOPHER P DUGGAN · 1994 to 2026
$31.6M
Mouse Neurodevelopmental Behavior CoreU54HD090255 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI POMEROY, SCOTT LOREN · 2016 to 2020
$5.2M
Patient-oriented Research in Pediatric Diarrheal DiseasesK24DK104676 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI DUGGAN, CHRISTOPHER P · 2015 to 2019
$903k
Randomized trial of vitamin B12 in pregnant Indian womenR03HD052143 · NICHD · HARVARD SCHOOL OF PUBLIC HEALTH · PI DUGGAN, CHRISTOPHER P · 2007 to 2008
$167k
HIV/AIDS through the eyes of young Africans: an analysis of fictional narrativesR03HD054323 · NICHD · EMORY UNIVERSITY · PI WINSKELL, S KATE · 2007 to 2008
$151k
NICHD NIH HHS R03 HD052143NICHD NIH HHS R03 HD054323NICHD NIH HHS U54 HD090255NIDDK NIH HHS K24 DK104676NIDDK NIH HHS P30 DK040561
6 · The paper itself

Abstract

Maternal nutritional status during pregnancy impacts fetal brain development. Vitamin B12 plays a vital role in neuronal development. However, findings from studies on the association between maternal B12 status and child cognitive functions have been inconsistent. We performed a randomized, placebo-controlled clinical trial of oral B12 supplementation (50 µg) beginning at <14 weeks of gestation through a 6-week post-partum. In the present study, we report the effects of maternal B12 supplementation on cognitive development in infants at 9 months of age on Bayley Scales of Infant Development-III (BSID-III). One hundred eighty-three pregnant women received vitamin B12, and 183 received placebo. Nine-month BSID-III development score was available in 178 infants. There were no significant differences in maternal sociodemographic characteristics and baseline biochemical measures between infants who underwent BSID-III evaluation and infants who were not evaluated. There were no significant differences in any of the subscales of BSID-III between infants born to mothers who received B12 supplementation (n = 78) vs. placebo (n = 100). On multiple regression analysis, elevated maternal total homocysteine (tHcy) levels adjusted for treatment group, birthweight, parity, income and home environment at second trimester of pregnancy were significantly negatively associated with expressive language (β = 3.13 points, P < 0.001), and in third trimester of pregnancy with expressive language (β = -2.29 points, P < 0.001) and fine motor (β = -1.41 points, P = 0.005) domains of BSID-III. While no significant effects of maternal B12 supplementation were seen on cognitive development in infants at 9 months of age, elevated maternal tHcy levels were associated with poorer cognitive performance in some of the subdomains of BSID-III. In pregnant women with elevated tHcy levels and or B12 deficiencies, it may be worthwhile to study the impact of longer term maternal supplementation on infant cognitive outcomes.

Indexed as

CognitionDietary SupplementsMaternal Nutritional Physiological PhenomenaAdultBrainChild DevelopmentDouble-Blind MethodFemaleFetal DevelopmentHomocysteineHumansIndiaInfantLinear ModelsMicronutrientsNutritional StatusHomocysteineMicronutrientsVitamin B 12antenatal nutritioncognitive functionhomocysteineinfantsmaternal micronutrientsmaternal vitamin B12

Identifiers

PMID27356547
PMCPMC6090548
OpenAlexW2469275192

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.