Evidence map›Paper›PMID 28866296›Full record

ArticleJournal of affective disorders2018

Relation of plasma tryptophan concentrations during pregnancy to maternal sleep and mental well-being: The GUSTO cohort.

Linde van Lee, Shirong Cai, See Ling Loy, Elaine K H Tham, Fabian K P Yap, Keith M Godfrey, Peter D Gluckman, Lynette P C Shek, Oon Hoe Teoh, Daniel Y T Goh and 6 more

Abstract read
In one paragraph

Article in Journal of affective disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
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

16 authors at 8 institutions in 5 countries.

Linde van LeeSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore, Singapore.
Shirong CaiDepartment of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore, Singapore.
See Ling LoyDepartment of Reproductive Medicine, KK Women's and Children's Hospital, Singapore, Singapore; Duke-NUS Medical School, Singapore, Singapore.
Elaine K H ThamSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore, Singapore.
Fabian K P YapDepartment of Reproductive Medicine, KK Women's and Children's Hospital, Singapore, Singapore; Duke-NUS Medical School, Singapore, Singapore; Department of Pediatrics, KK Women's and Children's Hospital, Singapore, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, 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.
Peter D GluckmanSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore, Singapore; Liggins Institute, University of Auckland, Auckland, New Zealand.
Lynette P C ShekSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore, Singapore; Department of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore, Singapore.
Oon Hoe TeohDepartment of Pediatrics, KK Women's and Children's Hospital, Singapore, Singapore.
Daniel Y T GohDepartment of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore, Singapore.
Kok Hian TanDuke-NUS Medical School, Singapore, Singapore; Department of Obstetrics, KK Women's and Children's Hospital, Singapore, Singapore.
Yap Seng ChongSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore, Singapore; Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore, Singapore.
Michael J MeaneyDepartment of Psychiatry, McGill University Faculty of Medicine, Montreal, Canada.
Helen ChenDuke-NUS Medical School, Singapore, Singapore; Department of Psychological Medicine, KK Women's and Children's Hospital, Singapore, Singapore.
Birit F P BroekmanSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore, Singapore; Department of Psychiatry, VU Medical Centre, Amsterdam, The Netherlands.
Mary F F ChongSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore, Singapore; Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore; Clinical Nutrition Research Center, Agency for Science, Technology and Research, Singapore, Singapore. Electronic address: ephmcff@nus.edu.sg.
Duke-NUS Medical School · SGNational University Health System · SGSingapore Institute for Clinical Sciences · SGNational University of Singapore · SGAgency for Science, Technology and Research · SGKK Women's and Children's Hospital · SGMcGill University · CAUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

Medical Research Council MC_U147574222Medical Research Council MC_U147574226Medical Research Council MC_UP_A620_1017Medical Research Council MC_UU_12011/4Medical Research Council MR/J000094/1
6 · The paper itself

Abstract

backgroundEvidence suggests a relation between plasma tryptophan concentrations and sleep and mental well-being. As no studies have been performed in pregnant women, we studied the relation of plasma tryptophan concentrations during pregnancy with sleep quality, and mood during and after pregnancy.

methodsPregnant women (n = 572) from the Growing Up in Singapore Towards healthy Outcomes study completed the Pittsburgh Sleep Quality Index (PSQI), the Edinburgh Postnatal Depression Scale (EPDS) and the State-Trait Anxiety Inventory (STAI) at 26-28 weeks gestation and three months post-delivery. Plasma tryptophan concentrations were measured at 26-28 weeks gestation. Poisson regressions estimated prevalence ratios (PR) for the association between tryptophan and poor sleep quality (PSQI global score > 5), probable antenatal depression (EPDS ≥ 15) and probable anxiety (STAI-state ≥ 41) were calculated adjusting for covariates.

resultsMean plasma tryptophan concentrations was 48.0µmol/L (SD: 8.09). Higher plasma tryptophan concentrations were associated with a lower prevalence of antenatal poor sleep quality adjusting for covariates [PR: 0.88 (95% CI 0.80, 0.97) per 10µmol/L], especially in those participants who also suffered from anxiety symptoms [PR: 0.80 (95% CI 0.67, 0.95)]. No associations were observed between tryptophan concentrations during pregnancy and postnatal sleep quality or mental well-being. LIMITATION: Subjective measures were used to assess sleep and mental well-being.

conclusionsWe observed that higher plasma tryptophan concentrations were associated with a 12% lower prevalence of poor sleep quality during pregnancy, in particular among those with anxiety symptoms. These findings suggest the importance of having adequate tryptophan concentrations during pregnancy.

Indexed as

AdultAffectCohort StudiesFemaleGestational AgeHumansMental HealthPersonality InventoryPregnancyPregnant PeoplePrevalencePsychiatric Status Rating ScalesSingaporeSleepTryptophanTryptophanMental well-beingNutritional statusPeripartum periodPregnancy depressionSleepTryptophan

Identifiers

PMID28866296
PMCPMC5667743
OpenAlexW2749342055

What OpenQuestion holds

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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.