Evidence map›Paper›PMID 27508392›Full record

Observational studyPloS one2016

The Impact of Macronutrients on Retinal Microvasculature among Singapore Pregnant Women during the Mid-Late Gestation.

Ling-Jun Li, Peng Guan Ong, Marjorelee T Colega, Chad Yixian Han, Ling Wei Chen, Ryan Man Eyn Kidd, Ecosse Lamoureux, Peter Gluckman, Kenneth Kwek, Yap Seng Chong and 5 more

Erratum issuedOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Dietary Patterns and Retinal Vessel Caliber in the Irish Nun Eye Study.The journal of nutrition, health & aging · 2018
    Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 9 institutions in 3 countries.

Ling-Jun LiSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Peng Guan OngSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Marjorelee T ColegaSingapore Institute for Clinical Sciences, Growth, Development & Metabolism, Singapore, Singapore.
Chad Yixian HanDepartment of Nutrition and Dietetics, Flinders University of South Australia, Adelaide, South Australia, Australia.
Ling Wei ChenSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore, Singapore.
Ryan Man Eyn KiddSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Ecosse LamoureuxSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Peter GluckmanSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore, Singapore.
Kenneth KwekKK Women's and Children's Hospital, Singapore, Singapore.
Yap Seng ChongSingapore Institute for Clinical Sciences, Growth, Development & Metabolism, Singapore, Singapore.
Seang Mei SawSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Keith M GodfreyMedical Research Council Lifecourse Epidemiology Unit and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.
Tien Yin WongSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Mary Chong Foong-FongSingapore Institute for Clinical Sciences, Growth, Development & Metabolism, Singapore, Singapore.
GUSTO study group
Singapore Eye Research Institute · SGSingapore National Eye Center · SGSingapore Institute for Clinical Sciences · SGAgency for Science, Technology and Research · SGFlinders University · AUKK Women's and Children's Hospital · SGNational University Health System · SGNational University of Singapore · SGNIHR Southampton Biomedical Research Centre · GB

Funding

British Heart Foundation RG/07/009/23120Department of Health SOUDIBRU-2008-1Medical Research Council MC_U147574222Medical Research Council MC_U147574226Medical Research Council MC_UP_A620_1017Medical Research Council MC_UU_12011/4
6 · The paper itself

Abstract

backgroundImbalanced macronutrient intakes can induce impairment of endothelial and vascular function, and further lead to metabolic and cardiovascular disease. However, little is known about the influence of such diets on endothelial and vascular dysfunction in pregnant women, even though high-fat diet is a known risk for pregnancy complications such as gestational diabetes and pre-eclampsia.

objectiveWe aimed to assess the association between maternal macronutrient intakes (protein, fat and carbohydrates), dietary quality and retinal microvascular changes in a multi-ethnic Asian mother-offspring cohort.

methodsPregnant women (n = 614) with singleton pregnancies were recruited during their first trimester from June 2009 to Sep 2010. Maternal diet quality and macronutrient intakes, expressed as a percentage of total energy during pregnancy, were ascertained using 24 hr recalls and 3 d food diaries at 26-28 weeks gestation. Retinal examination was completed at the same clinic visit. Dietary quality was assessed and scored using the Health Eating Index in Asian Pregnant women (HEI-AP), while macronutrients intakes ware expressed as percentages of total energy and further log transformed for analysis. Associations were examined cross-sectionally by substitution models with the use of multiple linear regression.

resultsIn adjusted model, each 20 points decrease in HEI-AP score was associated with a significant increase of 1.70 μm (p<0.05) in retinal venular calibre. Each 0.1 log increase in percentage of total fat intake was associated with a significant increment of 1.84 μm (p<0.05) in retinal venular caliber. Additionally, each 0.1 log increase in percentage of mono-unsaturated fat intake was associated with an increment of 1.84 μm (p<0.01) in retinal venular caliber.

conclusionsIn this cross-sectional study, we found that women with higher fat and lower protein intakes, and lower diet quality tended to have wider retinal venular caliber, which is suggestive of suboptimal microvasculature.

Indexed as

AdultCross-Sectional StudiesDietDiet, High-FatFemaleHumansMaternal Nutritional Physiological PhenomenaMicrovesselsPregnancyPregnancy Trimester, ThirdPregnant PeopleRetinaSingapore

Identifiers

PMID27508392
PMCPMC4979959
OpenAlexW2486999046

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.