Evidence map›Paper›PMID 29685923›Full record

Observational studyBMJ open2018

Maternal caffeine intake during pregnancy and childhood growth and overweight: results from a large Norwegian prospective observational cohort study.

Eleni Papadopoulou, Jérémie Botton, Anne-Lise Brantsæter, Margaretha Haugen, Jan Alexander, Helle Margrete Meltzer, Jonas Bacelis, Anders Elfvin, Bo Jacobsson, Verena Sengpiel

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Maternal Caffeine Consumption and Pregnancy Outcomes.Advances in experimental medicine and biology · 2026
    Review
  3. Review
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  10. Prenatal caffeine exposure: association with neurodevelopmental outcomes in 9- to 11-year-old children.Journal of child psychology and psychiatry, and allied disciplines · 2022
    Article
  11. Maternal caffeine intake and DNA methylation in newborn cord blood.The American journal of clinical nutrition · 2022
    Article
  12. Article
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  16. Review
  17. Article
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  20. Impacts of Caffeine during Pregnancy.Trends in endocrinology and metabolism: TEM · 2020
    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

10 authors.

Eleni PapadopoulouDivision of Infection Control and Environmental Health, Department of Environmental Exposure and Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.ORCID 0000-0001-7034-5897
Jérémie BottonEarly Determinants of the Child's Health and Development Team (ORCHAD), INSERM, UMR1153 Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), Paris, France.
Anne-Lise BrantsæterDivision of Infection Control and Environmental Health, Department of Environmental Exposure and Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.
Margaretha HaugenDivision of Infection Control and Environmental Health, Department of Environmental Exposure and Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.
Jan AlexanderDivision of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
Helle Margrete MeltzerDivision of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
Jonas BacelisDepartment of Obstetrics and Gynecology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Anders ElfvinDepartment of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Bo JacobssonDepartment of Obstetrics and Gynecology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Verena SengpielDepartment of Obstetrics and Gynecology, Sahlgrenska University Hospital, Gothenburg, Sweden.

Funding

Gene-Environment Interactions in an Autism Birth CohortU01NS047537 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LIPKIN, W. IAN · 2003 to 2013
$27.0M
NIEHS NIH HHS N01 ES075558NINDS NIH HHS U01 NS047537
6 · The paper itself

Abstract

objectivesTo study the association between maternal caffeine intake during pregnancy and the child's weight gain and overweight risk up to 8 years.

designProspective nationwide pregnancy cohort.

settingThe Norwegian Mother and Child Cohort Study.

participantsA total of 50 943 mothers recruited from 2002 to 2008 and their children, after singleton pregnancies, with information about average caffeine intake assessed at mid-pregnancy. OUTCOME MEASURE: Child's body size information at 11 age points from 6 weeks to 8 years. We defined excess growth in infancy as a WHO weight gain z-score of >0.67 from birth to age 1 year, and overweight according to the International Obesity Task Force. We used a growth model to assess individual growth trajectories.

resultsCompared with pregnant women with low caffeine intake (<50 mg/day, 46%), women with average (50-199 mg/day, 44%), high (≥200-299 mg/day, 7%) and very high (≥300 mg/day, 3%) caffeine intakes had an increased risk of their child experiencing excess growth in infancy, after adjustment for confounders (OR=1.15, 95% CI 1.09 to 1.22, OR=1.30, 95% CI 1.16 to 1.45, OR=1.66, 95% CI 1.42 to 1.93, respectively). In utero exposure to any caffeine was associated with higher risk of overweight at age 3 years and 5 years, while the association persisted at 8 years, only for very high exposures. Any caffeine intake was associated with increased body mass index from infancy to childhood. Children prenatally exposed to caffeine intake >200 mg/day had consistently higher weight. Very high caffeine exposures were associated with higher weight gain velocity from infancy to age 8 years.

conclusionAny caffeine consumption during pregnancy is associated with a higher risk of excess infant growth and of childhood overweight, mainly at preschool ages. Maternal caffeine intake may modify the overall weight growth trajectory of the child from birth to 8 years. This study adds supporting evidence for the current advice to reduce caffeine intake during pregnancy.

Indexed as

CaffeineChildChild DevelopmentChild, PreschoolCohort StudiesDiet RecordsEatingFemaleHumansInfantInfant, NewbornNorwayOverweightPregnancyPrenatal Exposure Delayed EffectsProspective StudiesCaffeineepidemiologypreventive medicinepublic healthsocial medicine

Identifiers

PMID29685923
PMCPMC5914784

What OpenQuestion holds

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LicenceCC BY-NC
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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.