Evidence map›Paper›PMID 30250133›Full record

ArticleEuropean journal of clinical nutrition2019

Maternal glycemic index and glycemic load in pregnancy and offspring metabolic health in childhood and adolescence-a cohort study of 68,471 mother-offspring dyads from the Danish National Birth Cohort.

Ekaterina Maslova, Susanne Hansen, Louise Groth Grunnet, Marin Strøm, Anne Ahrendt Bjerregaard, Line Hjort, Freja Bach Kampmann, Camilla Møller Madsen, A C Baun Thuesen, Bodil Hammer Bech and 4 more

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Article in European journal of clinical nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.6field-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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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  19. Metabolic flexibility during late pregnancy is associated with neonatal adiposity.Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme · 2021
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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

14 authors at 5 institutions in 6 countries.

Ekaterina MaslovaCentre for Fetal Programming, Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark. kmv@ssi.dk.ORCID http://orcid.org/0000-0001-5415-8119
Susanne HansenCentre for Fetal Programming, Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
Louise Groth GrunnetDepartment of Endocrinology - Diabetes and Metabolism, Rigshospitalet, Copenhagen, Denmark.
Marin StrømCentre for Fetal Programming, Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
Anne Ahrendt BjerregaardCentre for Fetal Programming, Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
Line HjortDanish Diabetes Academy, Odense, Denmark.
Freja Bach KampmannDanish Diabetes Academy, Odense, Denmark.
Camilla Møller MadsenDepartment of Endocrinology - Diabetes and Metabolism, Rigshospitalet, Copenhagen, Denmark.
A C Baun ThuesenDepartment of Endocrinology - Diabetes and Metabolism, Rigshospitalet, Copenhagen, Denmark.
Bodil Hammer BechFaculty of Food Science and Nutrition, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Thorhallur I HalldorssonCentre for Fetal Programming, Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
Allan A VaagDepartment of Endocrinology - Diabetes and Metabolism, Rigshospitalet, Copenhagen, Denmark.
Cuilin ZhangDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Sjurdur F OlsenCentre for Fetal Programming, Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
Statens Serum Institut · DKRigshospitalet · DKUniversity of Copenhagen · DKHarvard University · USUniversity of Iceland · IS

Funding

Strategiske Forskningsråd (Danish Council for Strategic Research) 09-067124Strategiske Forskningsråd (Danish Council for Strategic Research) 09-075611
6 · The paper itself

Abstract

backgroundHigh glycemic index (GI) and glycemic load (GL) as indicators of carbohydrate quality and quantity have been found to increase risk of metabolic outcomes in adults. Whether carbohydrate quality may influence metabolic programming already in early life is unknown. We examined the association of maternal GI and GL with offspring body mass index (BMI) in the first 7 years of life among 68,471 mother-offspring dyads from the Danish National Birth Cohort (DNBC). In a sub-cohort of offspring with clinical data (n = 1234) that included 608 dyads exposed to gestational diabetes mellitus (GDM), we also examined the relation to metabolic health at 9-16 years.

methodsMaternal GI and GL were quantified using a mid-pregnancy food frequency questionnaire. We used birth weight and length to calculate offspring's ponderal index. Age- and sex-specific BMI z scores at 5 mo, 12 mo, and 7 y were standardized against WHO reference data. In the clinical cohort, we quantified body composition, HOMA-IR, and HOMA-B. We used multivariable mixed linear and Poisson regression to model the associations.

resultsMedian (IQR) of GI and GL were 83 (63-111) and 241 (180-333) g/day, respectively. We found that GI (Q4 vs. Q1:1.09, 95%CI: 1.03, 1.15) and GL (Q4 vs. Q1:1.10, 95%CI: 1.05, 1.16) modestly increased the relative risk of large-for gestational age (LGA). In the clinical sub-cohort, we observed a potential increase in offspring HOMA-IR, adiposity, and metabolic syndrome z score with higher maternal GI and GI. These associations were stronger among the GDM-exposed offspring, but the CI included the null value.

conclusionWe found associations of GI and GL in pregnancy with offspring LGA. Potential long-term benefits to offspring exposed to GDM need to be confirmed in larger, well-powered studies.

Indexed as

Glycemic IndexGlycemic LoadMothersPrenatal Exposure Delayed EffectsAdolescentAdultChildChild, PreschoolCohort StudiesDenmarkDiabetes, GestationalFemaleHumansInfantInfant, NewbornMaternal Nutritional Physiological Phenomena

Identifiers

PMID30250133
OpenAlexW2889573442

What OpenQuestion holds

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Registered trials

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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.