Evidence map›Paper›PMID 28338907›Full record

ArticleInternational journal of epidemiology2017

Fish and seafood consumption during pregnancy and the risk of asthma and allergic rhinitis in childhood: a pooled analysis of 18 European and US birth cohorts.

Nikos Stratakis, Theano Roumeliotaki, Emily Oken, Ferran Ballester, Henrique Barros, Mikel Basterrechea, Sylvaine Cordier, Renate de Groot, Herman T den Dekker, Liesbeth Duijts and 32 more

Open access · bronzeAbstract read
In one paragraph

Article in International journal of epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 7% 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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Dietary factors during pregnancy and atopic outcomes in childhood: A systematic review from the European Academy of Allergy and Clinical Immunology.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2020
    Pooled it
  4. Article
  5. Review
  6. Article
  7. Associations between maternal fish intake and polyunsaturated fatty acid status with childhood asthma in a high fish-eating population.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Observational
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. S3 guideline Allergy Prevention.Allergologie select · 2022
    Article
  14. Review
  15. Review
  16. Maternal active asthma in pregnancy influences associations between polyunsaturated fatty acid intake and child asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2021
    Article
  17. Review
  18. Article
  19. Article
  20. Article
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

42 authors at 20 institutions in 13 countries.

Nikos StratakisDepartment of Social Medicine, University of Crete, Heraklion, Greece.
Theano RoumeliotakiDepartment of Social Medicine, University of Crete, Heraklion, Greece.
Emily OkenObesity Prevention Program, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA.
Ferran BallesterSpanish Consortium for Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Henrique BarrosDepartment of Clinical Epidemiology, University of Porto Medical School, Porto, Portugal.
Mikel BasterrecheaSpanish Consortium for Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Sylvaine CordierEpidemiological Research in Environment, Reproduction and Child Development, University of Rennes I, Rennes, France.
Renate de GrootNUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.
Herman T den DekkerGeneration R Study Group, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands.
Liesbeth DuijtsGeneration R Study Group, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands.
Merete EggesbøNorwegian Institute of Public Health, Oslo, Norway.
Maria Pia FantiniDepartment of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy.
Francesco ForastiereDepartment of Epidemiology, Lazio Regional Health System, Rome, Italy.
Ulrike GehringInstitute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.
Marij GielenNUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.
Davide GoriDepartment of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy.
Eva GovartsEnvironmental Risk and Health, Flemish Institute for Technological Research (VITO), Mol, Belgium.
Hazel M InskipMedical Research Council (MRC) Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Nina IszattNorwegian Institute of Public Health, Oslo, Norway.
Maria JansenCAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
Cecily KelleherPhysiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
John MeheganPhysiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
Carolina Moltó-PuigmartíCAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
Monique MommersCAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
Andreia OliveiraDepartment of Clinical Epidemiology, University of Porto Medical School, Porto, Portugal.
Sjurdur F OlsenCentre for Fetal Programming, Statens Serum Institut, Copenhagen, Denmark.
Fabienne PeléEpidemiological Research in Environment, Reproduction and Child Development, University of Rennes I, Rennes, France.
Costanza PizziCancer Epidemiology Unit, University of Turin and CPO-Piemonte, Turin, Italy.
Daniela PortaDepartment of Epidemiology, Lazio Regional Health System, Rome, Italy.
Lorenzo RichiardiCancer Epidemiology Unit, University of Turin and CPO-Piemonte, Turin, Italy.
Sheryl L Rifas-ShimanObesity Prevention Program, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA.
Sian M RobinsonMedical Research Council (MRC) Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Greet SchoetersEnvironmental Risk and Health, Flemish Institute for Technological Research (VITO), Mol, Belgium.
Marin StrømCentre for Fetal Programming, Statens Serum Institut, Copenhagen, Denmark.
Jordi SunyerSpanish Consortium for Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Carel ThijsCAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
Martine VrijheidSpanish Consortium for Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Tanja G M VrijkotteDepartment of Public Health, University of Amsterdam, Amsterdam, The Netherlands.
Alet H WijgaCentre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Manolis KogevinasSpanish Consortium for Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Maurice P ZeegersNUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.
Leda ChatziDepartment of Social Medicine, University of Crete, Heraklion, Greece.
Maastricht University · NLCenter for Research in Environmental Epidemiology · ESNorwegian Institute of Public Health · NOStatens Serum Institut · DKUniversidade do Porto · PTUniversité de Rennes · FRUniversity College Dublin · IEUniversity of Bologna · ITBasque Government · ESCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESErasmus MC · NLErasmus University Rotterdam · NLFlemish Institute for Technological Research · BEGGD Amsterdam · NLHarvard Pilgrim Health Care · USHarvard University · USMRC Lifecourse Epidemiology Unit · GBNational Institute for Public Health and the Environment · NLOpen University of the Netherlands · NLPiedmont Reference Center for Epidemiology and Cancer Prevention · IT

Funding

Translational Research Support CoreP30ES007048 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ROB S MCCONNELL · 1996 to 2026
$46.4M
Prenatal environmental determinants of health in young adulthood: a lifecourse approachR01HD034568 · NICHD · HARVARD PILGRIM HEALTH CARE, INC. · PI Marie-France Hivert, Emily Oken · 1998 to 2026
$20.6M
Pre- and Peri-natal Predictors of Childhood ObesityR37HD034568 · NICHD · HARVARD PILGRIM HEALTH CARE, INC. · PI GILLMAN, MATTHEW W · 2012 to 2015
$4.5M
Patient-oriented Research in Maternal Perinatal Overnutrition and Child AdiposityK24HD069408 · NICHD · HARVARD PILGRIM HEALTH CARE, INC. · PI OKEN, EMILY · 2011 to 2015
$844k
Medical Research Council MC_U147574218Medical Research Council MC_UP_A620_1015Medical Research Council MC_UU_12011/2Medical Research Council MC_UU_12011/4NICHD NIH HHS K24 HD069408NICHD NIH HHS R01 HD034568NICHD NIH HHS R37 HD034568NIEHS NIH HHS P30 ES007048
6 · The paper itself

Abstract

Background: It has been suggested that prenatal exposure to n-3 long-chain fatty acids protects against asthma and other allergy-related diseases later in childhood. The extent to which fish intake in pregnancy protects against child asthma and rhinitis symptoms remains unclear. We aimed to assess whether fish and seafood consumption in pregnancy is associated with childhood wheeze, asthma and allergic rhinitis. Methods: We pooled individual data from 60 774 mother-child pairs participating in 18 European and US birth cohort studies. Information on wheeze, asthma and allergic rhinitis prevalence was collected using validated questionnaires. The time periods of interest were: infancy (0-2 years), preschool age (3-4 years), and school age (5-8 years). We used multivariable generalized models to assess associations of fish and seafood (other than fish) consumption during pregnancy with child respiratory outcomes in cohort-specific analyses, with subsequent random-effects meta-analyses. Results: The median fish consumption during pregnancy ranged from 0.44 times/week in The Netherlands to 4.46 times/week in Spain. Maternal fish intake during pregnancy was not associated with offspring wheeze symptoms in any age group nor with the risk of child asthma [adjusted meta-analysis relative risk (RR) per 1-time/week = 1.01, 95% confidence interval 0.97-1.05)] and allergic rhinitis at school age (RR = 1.01, 0.99-1.03). These results were consistently found in further analyses by type of fish and seafood consumption and in sensitivity analyses. Conclusion: We found no evidence supporting a protective association of fish and seafood consumption during pregnancy with offspring symptoms of wheeze, asthma and allergic rhinitis from infancy to mid childhood.

Indexed as

Prenatal Nutritional Physiological PhenomenaSeafoodAnimalsAsthmaChildChild, PreschoolCohort StudiesEuropeFatty Acids, Omega-3FemaleHumansInfantInfant, NewbornMalePregnancyPrevalenceFatty Acids, Omega-3allergic rhinitisasthmachildrenfishpregnancyseafoodWheezing

Identifiers

PMID28338907
PMCPMC6251679
OpenAlexW2603091842

What OpenQuestion holds

Textmetadata
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.