Evidence map›Paper›PMID 30770543›Full record

ArticleThe Journal of nutrition2019

Umbilical Cord Serum Ferritin Concentration is Inversely Associated with Umbilical Cord Hemoglobin in Neonates Born to Adolescents Carrying Singletons and Women Carrying Multiples.

Katherine M Delaney, Ronnie Guillet, Robert E Fleming, Yuan Ru, Eva K Pressman, Francoise Vermeylen, Elizabeta Nemeth, Kimberly O O'Brien

3 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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.

NCT01019902 completednot on this map

Impact of Maternal Iron Status on Neonatal Iron Status and Auditory Brainstem Response in the Newborn

TypeobservationalSponsorCornell UniversityRan2008 to 2013Enrolled144ConditionsAnemia
NCT01582802 unknown statusnot on this map

Determinants of Neonatal Iron Homeostasis in Women Carrying Multiples

TypeobservationalSponsorCornell UniversityRan2011 to 2023Enrolled350ConditionsAnemia
NCT06871917 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

The Relation of Maternal Iron Deficiency and/or Iron Deficiency Anemia to Neonatal Hemoglobin Concentration and Iron Stores

TypeobservationalSponsorAssiut UniversityRan2025 to 2027Enrolled370ConditionsRelation, Mother-Child
3 · Its place in the literature

Who cites it

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

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  5. Serum ferritin values in neonates <29 weeks' gestation are highly variable and do not correlate with reticulocyte hemoglobin content.Journal of perinatology : official journal of the California Perinatal Association · 2023
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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 4 institutions in 2 countries.

Katherine M DelaneyDivision of Nutritional Sciences, Cornell University, Ithaca, NY.
Ronnie GuilletDepartment of Pediatrics Division of Neonatology, The University of Rochester School of Medicine, Rochester, NY.
Robert E FlemingDivision of Neonatal-Perinatal Medicine, Saint Louis School of Medicine, St. Louis, MO.
Yuan RuSchool of Public Health, Zhejiang University, Hangzhou, China.
Eva K PressmanDepartment of Obstetrics and Gynecology, The University of Rochester School of Medicine, Rochester, NY.
Francoise VermeylenCornell Statistical Consulting Unit, Cornell University, Ithaca, NY.
Elizabeta NemethDepartment of Medicine, University of California Los Angeles, Los Angeles, CA.
Kimberly O O'BrienDivision of Nutritional Sciences, Cornell University, Ithaca, NY.
Cornell University · USUniversity of Rochester · USUniversity of California, Los Angeles · USZhejiang University · CN

Funding

NUTRITION TRAININGT32DK007158 · NIDDK · CORNELL UNIVERSITY ITHACA · PI PATRICIA A CASSANO, Julia L. Finkelstein · 1986 to 2026
$7.4M
Ferroportin Structure and functionR01DK107309 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI JORMAKKA, MIKA, MACKENZIE, BRYAN · 2015 to 2019
$3.0M
NIDDK NIH HHS R01 DK107309NIDDK NIH HHS T32 DK007158
6 · The paper itself

Abstract

backgroundIt has been proposed that the fetus prioritizes iron for hemoglobin production over delivery to tissues. However, few studies have evaluated the interrelations between hemoglobin and multiple iron status biomarkers in umbilical cord blood. A full understanding is needed of how these parameters influence each other within cord blood to fully interpret iron and hematologic status at birth.

objectivesWe evaluated the determinants of neonatal hemoglobin and assessed the interrelations between hemoglobin, serum iron status indicators, and serum iron regulatory hormones in healthy neonates.

methodsThis was an observational study that assessed umbilical cord hemoglobin (Hb), serum ferritin (SF), erythropoietin (EPO), soluble transferrin receptor (sTfR), serum iron, hepcidin, vitamin B-12, folate, IL-6, and CRP measured in 234 neonates born to adolescents or to women carrying multiples. Correlations between these indicators were evaluated and mediation models consistent with the observed significant determinants of cord Hb concentrations were developed.

resultsA highly significant inverse association was found between cord SF and Hb concentrations that was not attributable to neonatal or maternal inflammation (as measured by IL-6 and CRP). The inverse association was present in the combined cohort, as well as in the adolescent and multiples cohorts independently. Mediation analyses found that EPO and hepcidin had significant indirect effects on cord Hb, associations that are explicable by mediation through SF and sTfR.

conclusionIn contrast to observations made in older infants, a highly significant inverse association between Hb and SF, as well positive associations between Hb and both sTfR and EPO, were observed in umbilical cord blood from neonates born to adolescents or women carrying multiples. These findings, combined with review of the published literature, indicate a need for analysis of the relations between multiple parameters to assess iron and hematologic status at birth. These clinical trials were registered at clinicaltrials.gov as NCT01582802 (https://clinicaltrials.gov/ct2/show/NCT01582802) and NCT01019902 (https://clinicaltrials.gov/ct2/show/NCT01019902).

Indexed as

Iron DeficienciesPregnancy, MultipleAdolescentAdultBiomarkersFemaleFerritinsFetal BloodHemoglobinsHumansInfant, NewbornInflammationMalePregnancyBiomarkersFerritinsHemoglobinsanemiaerythropoietinhepcidinironmultiple birthsneonatestransferrin receptor

Identifiers

PMID30770543
PMCPMC6398393
OpenAlexW2911582679

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.