Evidence map›Paper›PMID 27632775›Full record

ArticlePediatric research2017

Antenatal steroid exposure and heart rate variability in adolescents born with very low birth weight.

Patricia A Nixon, Lisa K Washburn, Thomas Michael O'Shea, Hossam A Shaltout, Gregory B Russell, Beverly M Snively, James C Rose

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. The effect of antenatal corticosteroid use on offspring cardiovascular function: A systematic review.BJOG : an international journal of obstetrics and gynaecology · 2023
    Pooled it
  3. Review
  4. Time and frequency domain assessment of heart rate variability in patients with pulmonary sarcoidosis.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Observational
  10. Article
  11. Review
  12. Observational
  13. Article
  14. Observational
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

7 authors at 2 institutions in 1 country.

Patricia A NixonDepartment of Health and Exercise Science, Wake Forest University, Winston Salem, North Carolina.
Lisa K WashburnDepartment of Pediatrics, Wake Forest University School of Medicine, Winston Salem, North Carolina.
Thomas Michael O'SheaDepartment of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Hossam A ShaltoutDepartment of Obstetrics and Gynecology, Wake Forest University School of Medicine, Winston Salem, North Carolina.
Gregory B RussellDepartment of Biostatistical Sciences, Wake Forest University School of Medicine, Winston Salem, North Carolina.
Beverly M SnivelyDepartment of Biostatistical Sciences, Wake Forest University School of Medicine, Winston Salem, North Carolina.
James C RoseDepartment of Obstetrics and Gynecology, Wake Forest University School of Medicine, Winston Salem, North Carolina.
Wake Forest University · USUniversity of North Carolina at Chapel Hill · US

Funding

WORKER PROTECTION AGAINST AIRBORNE INFLUENZA - A PILOT STUDYM01RR007122 · NCRR · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KOCH, KENNETH L · 1992 to 2010
$35.2M
Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
The Impact of Antenatal Steroid Exposure on the Intrarenal Renin-Angiotensin SystP01HD047584 · NICHD · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ROSE, JAMES C. · 2005 to 2016
$13.0M
NCATS NIH HHS UL1 TR001420NCRR NIH HHS M01 RR007122NICHD NIH HHS P01 HD047584
6 · The paper itself

Abstract

backgroundReduced heart rate variability (HRV) suggests autonomic imbalance in the control of heart rate and is associated with unfavorable cardiometabolic outcomes. We examined whether antenatal corticosteroid (ANCS) exposure had long-term programming effects on HRV in adolescents born with very low birth weight (VLBW).

methodsFollow-up study of a cohort of VLBW 14-y olds born between 1992 and 1996 with 50% exposed to ANCS. HRV in both the time and frequency domains using Nevrokard Software was determined from a 5-min electrocardiogram tracing.

resultsHRV data from 89 (35 male, 53 non-black) exposed (ANCS+) and 77 (28 male, 29 non-black) unexposed (ANCS-) adolescents were analyzed. HRV did not differ between ANCS+ and ANCS- black participants. However, in non-black participants, a significant interaction between ANCS and sex was observed, with ANCS- females having significantly greater HRV than ANCS+ females and males, and ANCS- males for both time and frequency domain variables.

conclusionAmong non-black adolescents born with VLBW, ANCS exposure is associated with reduced HRV with apparent sex-specificity. Reduced HRV has been associated with development of adverse cardiometabolic outcomes, thus supporting the need to monitor these outcomes in VLBW adolescents as they mature.

Indexed as

AdolescentAdrenal Cortex HormonesAnalysis of VarianceAutonomic Nervous SystemBlack or African AmericanCohort StudiesFemaleFetal Organ MaturityFollow-Up StudiesHeart RateHumansInfant, NewbornInfant, Very Low Birth WeightMaleNorth CarolinaPregnancyAdrenal Cortex Hormones

Identifiers

PMID27632775
PMCPMC5235986
OpenAlexW2520761678

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.