Evidence map›Paper›PMID 30980448›Full record

ArticleAmerican journal of human biology : the official journal of the Human Biology Council2019

Regulation of inflammation during gestation and birth outcomes: Inflammatory cytokine balance predicts birth weight and length.

Haley B Ragsdale, Christopher W Kuzawa, Judith B Borja, Josephine L Avila, Thomas W McDade

Open access · greenAbstract read
In one paragraph

Article in American journal of human biology : the official journal of the Human Biology Council, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.7field-weighted citation impact, top 6% 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

29 citing papers in PubMed, 50 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Review
  8. In Search of Environmental Factors Associated With Global Differences in Birth Weight and BMI.American journal of human biology : the official journal of the Human Biology Council · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Lower Socioeconomic Status Predicts Increased Proinflammatory Signaling in Late Pregnancy: Evidence From a Filipino Cohort.American journal of human biology : the official journal of the Human Biology Council · 2024
    Article
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

5 authors at 3 institutions in 3 countries.

Haley B RagsdaleDepartment of Anthropology, Northwestern University, Evanston, Illinois.
Christopher W KuzawaDepartment of Anthropology, Northwestern University, Evanston, Illinois.ORCID 0000-0002-0649-8677
Judith B BorjaUSC-Office of Population Studies Foundation, Inc., University of San Carlos, Cebu City, Philippines.
Josephine L AvilaUSC-Office of Population Studies Foundation, Inc., University of San Carlos, Cebu City, Philippines.
Thomas W McDadeDepartment of Anthropology, Northwestern University, Evanston, Illinois.ORCID 0000-0001-5829-648X
Northwestern University · USUniversity of San Carlos · PHCanadian Institute for Advanced Research · CA

Funding

Modeling the Developmental Origins of Adult Disease Risk FactorsR01HD054501 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ADAIR, LINDA S · 2008 to 2012
$2.0M
Pathways linking social disparities, inflammation, and health across generationsR01HD074765 · NICHD · NORTHWESTERN UNIVERSITY · PI MC DADE, THOMAS W · 2013 to 2013
$316k
Division of Behavioral and Cognitive Sciences BCS-0746320Division of Behavioral and Cognitive Sciences BCS-1440564Eunice Kennedy Shriver National Institute of Child Health and Human Development 1R01 HD054501NICHD NIH HHS R01 HD054501NICHD NIH HHS R01 HD074765
6 · The paper itself

Abstract

objectivesThe maternal environment during gestation influences offspring health at birth and throughout the life course. Recent research has demonstrated that endogenous immune processes such as dysregulated inflammation adversely impact birth outcomes, increasing the risk for preterm birth and restricted fetal growth. Prior analyses examining this association suggest a relationship between maternal C-reactive protein (CRP), a summary measure of inflammation, and offspring anthropometric outcomes. This study investigates pro- and anti-inflammatory cytokines, and their ratio, to gain deeper insight into the regulation of inflammation during pregnancy.

methodsIL6, IL10, TNFɑ, and CRP were quantified in dried blood spots collected in the early third trimester (mean = 29.9 weeks) of 407 pregnancies in Metropolitan Cebu, Philippines. Relationships between these immune markers and offspring anthropometrics (birth weight, length, head circumference, and sum of skinfold thicknesses) were evaluated using multivariate regression analyses. Ratios of pro- to anti-inflammatory cytokines were generated.

resultsHigher maternal IL6 relative to IL10 was associated with reduced offspring weight and length at birth. Individual cytokines did not predict birth outcomes.

conclusionsConsistent with the idea that the relative balance of cytokines with pro- and anti-inflammatory effects is a key regulator of inflammation in pregnancy, the IL6:IL10 ratio, but neither cytokine on its own, predicted offspring birth outcomes. Our findings suggest that prior reports of association between CRP and fetal growth may reflect, in part, the balance between pro- and anti-inflammatory cytokines, and that the gestational environment is significantly shaped by cytokine imbalance.

Indexed as

AdultBirth WeightBody HeightCytokinesFemaleHumansInflammationPhilippinesPregnancyPregnancy Trimester, ThirdCytokines

Identifiers

PMID30980448
PMCPMC6522319
OpenAlexW2939326337

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.