Evidence map›Paper›PMID 29140440›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2018

Cord Metabolic Profiles in Obese Pregnant Women: Insights Into Offspring Growth and Body Composition.

Nashita Patel, Christian Hellmuth, Olaf Uhl, Keith Godfrey, Annette Briley, Paul Welsh, Dharmintra Pasupathy, Paul T Seed, Berthold Koletzko, Lucilla Poston and 1 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
5.7field-weighted citation impact, top 5% 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

43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
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  14. Early Prediction of Fetal Macrosomia Through Maternal Lipid Profiles.International journal of molecular sciences · 2025
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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

11 authors at 5 institutions in 2 countries.

Nashita PatelDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, St. Thomas' Hospital, London, United Kingdom.
Christian HellmuthLudwig-Maximilians-Universität München, Dr. von Haunersches Kinderspital, Division of Metabolic and Nutritional Medicine, University of Munich Medical Centre, München, Germany.
Olaf UhlLudwig-Maximilians-Universität München, Dr. von Haunersches Kinderspital, Division of Metabolic and Nutritional Medicine, University of Munich Medical Centre, München, Germany.
Keith GodfreyMRC Lifecourse Epidemiology Unit and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.
Annette BrileyDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, St. Thomas' Hospital, London, United Kingdom.
Paul WelshInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom.
Dharmintra PasupathyDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, St. Thomas' Hospital, London, United Kingdom.
Paul T SeedDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, St. Thomas' Hospital, London, United Kingdom.
Berthold KoletzkoLudwig-Maximilians-Universität München, Dr. von Haunersches Kinderspital, Division of Metabolic and Nutritional Medicine, University of Munich Medical Centre, München, Germany.
Lucilla PostonDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, St. Thomas' Hospital, London, United Kingdom.
UPBEAT Consortium
Ludwig-Maximilians-Universität München · DESt Thomas' Hospital · GBKing's College London · GBUniversity of Glasgow · GBUniversity of Southampton · GB

Funding

Arthritis Research UK 17702British Heart Foundation PG/14/33/30827British Heart Foundation RG/07/009/23120British Heart Foundation RG/15/17/31749Department of Health RP-PG-0407-10452Department of Health SOUDIBRU-2008-1Medical Research Council G0400491Medical Research Council MC_U147574222Medical Research Council MC_U147574226Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UP_A620_1017Medical Research Council MC_UU_12011/1Medical Research Council MC_UU_12011/4Medical Research Council MR/J000094/1Medical Research Council MR/L002477/1
6 · The paper itself

Abstract

Context: Offspring exposed in utero to maternal obesity have an increased risk of later obesity; however, the underlying mechanisms remain unknown. Objective: To assess the effect of an antenatal lifestyle intervention in obese women on the offspring's cord blood metabolic profile and to examine associations of the cord blood metabolic profile with maternal clinical characteristics and offspring anthropometry at birth and age 6 months. Design: Randomized controlled trial and cohort study. Setting: The UK Pregnancies Better Eating and Activity Trial. Participants: Three hundred forty-four mother-offspring pairs. Intervention: Antenatal behavioral lifestyle (diet and physical activity) intervention. Main Outcome Measures: Targeted cord blood metabolic profile, including candidate hormone and metabolomic analyses. Results: The lifestyle intervention was not associated with change in the cord blood metabolic profile. Higher maternal glycemia, specifically fasting glucose at 28 weeks gestation, had a linear association with higher cord blood concentrations of lysophosphatidylcholines (LPCs) 16.1 (β = 0.65; 95% confidence interval: 0.03 to 0.10) and 18.1 (0.52; 0.02 to 0.80), independent of the lifestyle intervention. A principal component of cord blood phosphatidylcholines and LPCs was associated with infant z scores of birth weight (0.04; 0.02 to 0.07) and weight at age 6 months (0.05; 0.00 to 0.10). Cord blood insulin growth factor (IGF)-1 and adiponectin concentrations were positively associated with infant weight z score at birth and at 6 months. Conclusions: Concentrations of LPCs and IGF-1 in cord blood are related to infant weight. These findings support the hypothesis that susceptibility to childhood obesity may be programmed in utero, but further investigation is required to establish whether these associations are causally related.

Indexed as

Body CompositionMetabolomeAdultAnthropometryBiomarkersBirth WeightCohort StudiesDietFemaleFetal BloodFollow-Up StudiesHumansInfant, NewbornLife StyleObesityPediatric ObesityBiomarkers

Identifiers

PMID29140440
PMCPMC5761489
OpenAlexW2768194049

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.