Evidence map›Paper›PMID 27603522›Full record

ArticlePloS one2016

The Influence of Gestational Diabetes on Neurodevelopment of Children in the First Two Years of Life: A Prospective Study.

Shirong Cai, Anqi Qiu, Birit F P Broekman, Eric Qinlong Wong, Peter D Gluckman, Keith M Godfrey, Seang Mei Saw, Shu-E Soh, Kenneth Kwek, Yap-Seng Chong and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

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  11. Allostatic load in children: The cost of empathic concern.Proceedings of the National Academy of Sciences of the United States of America · 2023
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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

14 authors at 4 institutions in 4 countries.

Shirong CaiDepartment of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore, Singapore.ORCID http://orcid.org/0000-0002-0650-2234
Anqi QiuSingapore Institute for Clinical Sciences, Agency for Science and Technology Research (A*STAR), Singapore, Singapore.
Birit F P BroekmanSingapore Institute for Clinical Sciences, Agency for Science and Technology Research (A*STAR), Singapore, Singapore.
Eric Qinlong WongSingapore Institute for Clinical Sciences, Agency for Science and Technology Research (A*STAR), Singapore, Singapore.
Peter D GluckmanSingapore Institute for Clinical Sciences, Agency for Science and Technology Research (A*STAR), Singapore, Singapore.
Keith M GodfreyMRC Lifecourse Epidemiology Unit and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.
Seang Mei SawSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Shu-E SohSingapore Institute for Clinical Sciences, Agency for Science and Technology Research (A*STAR), Singapore, Singapore.
Kenneth KwekDepartment of Maternal and Fetal Medicine, KK Women's and Children's Hospital, Singapore, Singapore.
Yap-Seng ChongDepartment of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore, Singapore.
Michael J MeaneySingapore Institute for Clinical Sciences, Agency for Science and Technology Research (A*STAR), Singapore, Singapore.
Michael S KramerDepartment of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore, Singapore.
Anne Rifkin-GraboiSingapore Institute for Clinical Sciences, Agency for Science and Technology Research (A*STAR), Singapore, Singapore.
GUSTO study group
Agency for Science, Technology and Research · SGNational University of Singapore · SGKK Women's and Children's Hospital · SGUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

Medical Research Council MC_UP_A620_1017Medical Research Council MC_UU_12011/4
6 · The paper itself

Abstract

objectiveAnalyze the relation of gestational diabetes and maternal blood glucose levels to early cognitive functions in the first two years of life.

methodsIn a prospective Singaporean birth cohort study, pregnant women were screened for gestational diabetes at 26-28 weeks gestation using a 75-g oral glucose tolerance test. Four hundred and seventy three children (n = 74 and n = 399 born to mothers with and without gestational diabetes respectively) underwent neurocognitive assessments at 6, 18, and/or 24 month, including electrophysiology during an attentional task and behavioral measures of attention, memory and cognition.

resultsGestational diabetes is related to left hemisphere EPmax amplitude differences (oddball versus standard) at both six (P = 0.039) and eighteen months (P = 0.039), with mean amplitudes suggesting offspring of mothers with gestational diabetes exhibit greater neuronal activity to standard stimuli and less to oddball stimuli. Associations between 2-hour maternal glucose levels and the difference in EPmax amplitude were marginal at 6 months [adjusted β = -0.19 (95% CI: -0.42 to +0.04) μV, P = 0.100] and significant at 18 months [adjusted β = -0.27 (95% CI: -0.49 to -0.06) μV, P = 0.014], and the EPmax amplitude difference (oddball-standard) associated with the Bayley Scales of Infant and toddler Development-III cognitive score at 24 months [β = 0.598 (95% CI: 0.158 to 1.038), P = 0.008].

conclusionGestational diabetes and maternal blood glucose levels are associated with offspring neuronal activity during an attentional task at both six and eighteen months. Such electrophysiological differences are likely functionally important, having been previously linked to attention problems later in life.

Indexed as

AdultAttentionBehaviorCase-Control StudiesCerebrumChildDiabetes, GestationalElectrodesEvoked PotentialsFemaleHumansInfantNervous SystemPregnancyProspective Studies

Identifiers

PMID27603522
PMCPMC5014336
OpenAlexW2516373504

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.