Evidence map›Paper›PMID 29168294›Full record

ArticlePediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology2018

Association of prenatal folate status with early childhood wheeze and atopic dermatitis.

A Roy, M Kocak, T J Hartman, S Vereen, M Adgent, C Piyathilake, F A Tylavsky, K N Carroll

Abstract read
In one paragraph

Article in Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
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  5. Article
  6. Review
  7. Scientific opinion on the tolerable upper intake level for folate.EFSA journal. European Food Safety Authority · 2023
    Article
  8. The association between prenatal FFree radical biology & medicine · 2022
    Article
  9. The association between duration of breastfeeding and childhood asthma outcomes.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2022
    Article
  10. Article
  11. Review
  12. S3 guideline Allergy Prevention.Allergologie select · 2022
    Article
  13. Review
  14. Review
  15. Gestational diabetes and childhood asthma in a racially diverse US pregnancy cohort.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2021
    Article
  16. Article
  17. Article
  18. Prenatal vitamin D levels and child wheeze and asthma.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2021
    Article
  19. Article
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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

8 authors at 5 institutions in 1 country.

A RoyDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
M KocakDepartment of Preventive Medicine, University of Tennessee Health Sciences Center, Memphis, TN, USA.
T J HartmanDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
S VereenDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
M AdgentDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
C PiyathilakeDepartment of Nutritional Sciences, University of Alabama at Birmingham, Birmingham, AL, USA.
F A TylavskyDepartment of Preventive Medicine, University of Tennessee Health Sciences Center, Memphis, TN, USA.
K N CarrollDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID 0000-0002-6646-1374
Vanderbilt University Medical Center · USUniversity of Tennessee Health Science Center · USEmory University · USUniversity of Alabama at Birmingham · USUniversity of South Florida · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
Pregnancy Folate Status & Early Childhood Respiratory & Atopic Disease OutcomesR01HL109977 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CARROLL, KECIA NICOLE · 2011 to 2015
$3.4M
NHLBI NIH HHS R01 HL109977NIH HHS RO1 HL109977NIH HHS UL1RR024975
6 · The paper itself

Abstract

backgroundPrenatal folic acid supplementation is recommended to prevent birth defects. Some foods are fortified in the USA to ensure sufficient intake among reproductive-aged women. However, high prenatal folate exposure may be a risk factor for childhood atopic diseases. We investigated associations between prenatal folate and early childhood wheeze and atopic dermatitis in a US cohort.

methodsWe studied 858 mother-child dyads, enrolled prenatally. Folate was measured in 2nd and 3rd trimester maternal plasma. Parents reported current wheeze (previous 12 months) and healthcare provider diagnosis of atopic dermatitis at 3 years. We examined associations using logistic regression, modeling folate continuously and dichotomously (< or ≥20 ng/mL), a level often considered supraphysiologic.

resultsOver half of women were African American and on Medicaid. Median (interquartile range) folate levels were 22.6 (15.9-30.0) and 23.1 (16.1-30.0) ng/mL for 2nd and 3rd trimesters, respectively. Current wheeze and atopic dermatitis were reported for 20.4% and 26.8% of children, respectively. Second trimester folate as a continuous exposure was not significantly associated with outcomes. Decreased odds of current wheeze were observed in children born to mothers who had 2nd trimester folate ≥20 ng/mL (adjusted odds ratios = 0.67, 95% confidence interval = 0.46, 0.97) compared to children with maternal levels <20 ng/mL. Third trimester folate was not associated with outcomes.

conclusionsHigh plasma folate in mid-pregnancy was associated with decreased odds of current wheeze at age 3. Our findings do not support harmful effects of high prenatal folate levels on childhood atopic diseases in this setting.

Indexed as

AdolescentAdultChild, PreschoolDermatitis, AtopicFemaleFolic AcidHumansMalePregnancyPrenatal Exposure Delayed EffectsProspective StudiesRespiratory SoundsRisk FactorsUnited StatesYoung AdultFolic Acidasthmaatopic dermatitisatopychildfolatefolic acidprenatalwheeze

Identifiers

PMID29168294
PMCPMC6087709
OpenAlexW2768590983

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.