Evidence map›Paper›PMID 30610099›Full record

Trial reportPediatrics2019

Patterns of Prenatal Alcohol Use That Predict Infant Growth and Development.

Gretchen Bandoli, Claire D Coles, Julie A Kable, Wladimir Wertelecki, Lyubov Yevtushok, Natalya Zymak-Zakutnya, Alan Wells, Irina V Granovska, Alla O Pashtepa, Christina D Chambers and 1 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
10.2field-weighted citation impact, top 2% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  11. Prenatal Substance Exposure.Annual review of developmental psychology · 2023
    Article
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  13. Review
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  15. Review
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  18. Journal of nutritional science · 2022
    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

11 authors at 3 institutions in 2 countries.

Gretchen BandoliDepartments of Pediatrics and gbandoli@ucsd.edu.
Claire D ColesDepartments of Psychiatry and Pediatrics, School of Medicine, Emory University, Atlanta, Georgia.
Julie A KableDepartments of Psychiatry and Pediatrics, School of Medicine, Emory University, Atlanta, Georgia.
Wladimir WerteleckiDepartments of Pediatrics and.
Lyubov YevtushokOmni-Net for Children International Charitable Fund and Rivne Regional Medical Diagnostic Center, Rivne, Ukraine.
Natalya Zymak-ZakutnyaOmni-Net for Children International Charitable Fund and Rivne Regional Medical Diagnostic Center, Rivne, Ukraine.
Alan WellsDepartments of Pediatrics and.
Irina V GranovskaOmni-Net for Children International Charitable Fund and Rivne Regional Medical Diagnostic Center, Rivne, Ukraine.
Alla O PashtepaOmni-Net for Children International Charitable Fund and Khmelnytsky Perinatal Center, Khmelnytskyi, Ukraine.
Christina D ChambersDepartments of Pediatrics and.
CIFASD
Rivne State University of Humanities · UAEmory University · USUniversity of California, San Diego · US

Funding

Whole Body Effects of PAE Across the Life Span: Early Markers of & Clinical Interventions for Children and Adolescents in UkraineU01AA014835 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CHRISTINA CHAMBERS · 2003 to 2026
$12.1M
NIAAA NIH HHS U01 AA014835
6 · The paper itself

Abstract

backgroundPrevious studies have had inconsistent findings regarding the quantity and frequency of prenatal alcohol exposure (PAE) that lead to deficits in growth and neurodevelopment. This may be due to imprecise methods of exposure classification. Our objective in this study was to employ longitudinal trajectory modeling of maternal drinking patterns associated with infant growth or neurodevelopmental deficits to a homogenous sample of mothers and infants.

methodsFrom a sample of 471 pregnant women prospectively enrolled in a longitudinal study in the Ukraine, we performed a longitudinal cluster analysis of drinking patterns across gestation. We employed multivariable regression analyses to determine if each trajectory group was associated with infant weight, length, or head circumference at birth or psychomotor or mental deficits in infancy.

resultsWe identified 5 distinct PAE trajectory groups: minimal or no PAE throughout gestation, low-to-moderate PAE with discontinuation early in gestation, low-to-moderate PAE sustained across gestation, moderate-to-high PAE with reduction early in gestation, and high PAE sustained across gestation. The highest-trajectory group was associated with deficits in infant weight and length at birth and deficits in psychomotor and mental performance at 6 to 12 months of age. Although confidence intervals overlapped, low-to-moderate sustained use was more strongly associated with most negative infant outcomes than moderate-to-high PAE with early reduction.

conclusionsWith these findings, we confirm that high, sustained PAE confers the highest risk for adverse infant outcomes but demonstrate that even low-to-moderate PAE continued across gestation is associated with certain deficits. This approach may be used to help clinicians identify high-risk infants for targeted early intervention.

Indexed as

AdultAlcohol DrinkingBirth WeightChild DevelopmentDevelopmental DisabilitiesFemaleFollow-Up StudiesForecastingHumansInfantLongitudinal StudiesMalePregnancyPrenatal Exposure Delayed EffectsProspective StudiesUkraine

Identifiers

PMID30610099
PMCPMC6361345
OpenAlexW2907879318

What OpenQuestion holds

Textmetadata
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.