Evidence map›Paper›PMID 27981358›Full record

ArticleDiabetologia2017

Associations of maternal BMI and insulin resistance with the maternal metabolome and newborn outcomes.

Victoria Sandler, Anna C Reisetter, James R Bain, Michael J Muehlbauer, Michael Nodzenski, Robert D Stevens, Olga Ilkayeva, Lynn P Lowe, Boyd E Metzger, Christopher B Newgard and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Diabetologia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
10.7field-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

53 citing papers in PubMed, 98 citations in OpenAlex.

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  9. Impact of active phase duration on neonatal and maternal adverse outcomes: A systematic analysis of parity stratification, body mass index interaction, and predictive modeling in a retrospective cohort.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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  19. An epidemiological introduction to human metabolomic investigations.Trends in endocrinology and metabolism: TEM · 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

13 authors at 3 institutions in 1 country.

Victoria SandlerFeinberg School of Medicine, Northwestern University, 420 E. Superior Street, Rubloff 12, Chicago, IL, 60611, USA.
Anna C ReisetterFeinberg School of Medicine, Northwestern University, 420 E. Superior Street, Rubloff 12, Chicago, IL, 60611, USA.
James R BainSarah W. Stedman Nutrition and Metabolism Center, Duke University Medical Center, Durham, NC, USA.
Michael J MuehlbauerSarah W. Stedman Nutrition and Metabolism Center, Duke University Medical Center, Durham, NC, USA.
Michael NodzenskiFeinberg School of Medicine, Northwestern University, 420 E. Superior Street, Rubloff 12, Chicago, IL, 60611, USA.
Robert D StevensSarah W. Stedman Nutrition and Metabolism Center, Duke University Medical Center, Durham, NC, USA.
Olga IlkayevaSarah W. Stedman Nutrition and Metabolism Center, Duke University Medical Center, Durham, NC, USA.
Lynn P LoweFeinberg School of Medicine, Northwestern University, 420 E. Superior Street, Rubloff 12, Chicago, IL, 60611, USA.
Boyd E MetzgerFeinberg School of Medicine, Northwestern University, 420 E. Superior Street, Rubloff 12, Chicago, IL, 60611, USA.
Christopher B NewgardSarah W. Stedman Nutrition and Metabolism Center, Duke University Medical Center, Durham, NC, USA.
Denise M ScholtensFeinberg School of Medicine, Northwestern University, 420 E. Superior Street, Rubloff 12, Chicago, IL, 60611, USA.
William L LoweFeinberg School of Medicine, Northwestern University, 420 E. Superior Street, Rubloff 12, Chicago, IL, 60611, USA. wlowe@northwestern.edu.
HAPO Study Cooperative Research Group
Northwestern University · USDuke Medical Center · USDuke University Hospital · US

Funding

Hyperglycemia and Adverse Pregnancy Outcome (HAPO)R01HD034243 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI METZGER, BOYD E · 1999 to 2010
$16.2M
TRAINING IN METABOLISM, DIABETES AND ENDOCRINOLOGYT32DK007169 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Joseph Bass · 1988 to 2026
$6.6M
HAPO: DATA COORDINATING CENTERR01HD034242 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DYER, ALAN R · 1999 to 2007
$3.0M
Maternal Obesity and Gestational Diabetes: Impact on MetabolomeR01DK095963 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LOWE, WILLIAM L · 2013 to 2016
$1.7M
NICHD NIH HHS R01 HD034242NICHD NIH HHS R01 HD034243NIDDK NIH HHS R01 DK095963NIDDK NIH HHS T32 DK007169
6 · The paper itself

Abstract

aims/hypothesisMaternal obesity increases the risk for large-for-gestational-age birth and excess newborn adiposity, which are associated with adverse long-term metabolic outcomes in offspring, probably due to effects mediated through the intrauterine environment. We aimed to characterise the maternal metabolic milieu associated with maternal BMI and its relationship to newborn birthweight and adiposity.

methodsFasting and 1 h serum samples were collected from 400 European-ancestry mothers in the Hyperglycaemia and Adverse Pregnancy Outcome Study who underwent an OGTT at ∼28 weeks gestation and whose offspring had anthropometric measurements at birth. Metabolomics assays were performed using biochemical analyses of conventional clinical metabolites, targeted MS-based measurement of amino acids and acylcarnitines and non-targeted GC/MS.

resultsPer-metabolite analyses demonstrated broad associations with maternal BMI at fasting and 1 h for lipids, amino acids and their metabolites together with carbohydrates and organic acids. Similar metabolite classes were associated with insulin resistance with unique associations including branched-chain amino acids. Pathway analyses indicated overlapping and unique associations with maternal BMI and insulin resistance. Network analyses demonstrated collective associations of maternal metabolite subnetworks with maternal BMI and newborn size and adiposity, including communities of acylcarnitines, lipids and related metabolites, and carbohydrates and organic acids. Random forest analyses demonstrated contribution of lipids and lipid-related metabolites to the association of maternal BMI with newborn outcomes. CONCLUSIONS/

interpretationHigher maternal BMI and insulin resistance are associated with broad-based changes in maternal metabolites, with lipids and lipid-related metabolites accounting, in part, for the association of maternal BMI with newborn size at birth.

Indexed as

Body Mass IndexAdultBirth WeightBlood GlucoseFemaleGestational AgeHumansInsulin ResistanceMetabolomeObesityPregnancyPregnancy OutcomeYoung AdultBlood GlucoseFetal growthMaternal BMIMaternal insulin resistanceMaternal metabolismPregnancy

Identifiers

PMID27981358
PMCPMC5300897
OpenAlexW2563751900

What OpenQuestion holds

Textmetadata
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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.