Evidence map›Paper›PMID 30982872›Full record

SynthesisThe American journal of clinical nutrition2019

Infant milk-feeding practices and cardiovascular disease outcomes in offspring: a systematic review.

Darcy Güngör, Perrine Nadaud, Concetta C LaPergola, Carol Dreibelbis, Yat Ping Wong, Nancy Terry, Steve A Abrams, Leila Beker, Tova Jacobovits, Kirsi M Järvinen and 6 more

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in The American 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 27 citations in OpenAlex.

  1. Observational
  2. Article
  3. Review
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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

16 authors at 10 institutions in 1 country.

Darcy GüngörPanum Group, Bethesda, MD.
Perrine NadaudPanum Group, Bethesda, MD.
Concetta C LaPergolaPanum Group, Bethesda, MD.
Carol DreibelbisPanum Group, Bethesda, MD.
Yat Ping WongUSDA, Food and Nutrition Service, Alexandria, VA.
Nancy TerryNational Institutes of Health Library, Bethesda, MD.
Steve A AbramsDell Medical School at the University of Texas, Austin, TX.
Leila BekerUS Food and Drug Administration, contractor, College Park, MD.
Tova JacobovitsUS Food and Drug Administration, College Park, MD.
Kirsi M JärvinenUniversity of Rochester Medical Center, Rochester, NY.
Laurie A Nommsen-RiversUniversity of Cincinnati College of Allied Health Sciences, Cincinnati, OH.
Kimberly O O'BrienDivision of Nutritional Sciences, Cornell University, Ithaca, NY.
Emily OkenDivision of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA and Department of Nutrition, Harvard School of Public Health, Boston, MA.
Rafael Pérez-EscamillaDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT.
Ekhard E ZieglerDepartment of Pediatrics, The University of Iowa, Iowa City, IA.
Joanne M SpahnUSDA, Food and Nutrition Service, Alexandria, VA.
Food and Nutrition Service · USUnited States Food and Drug Administration · USCornell University · USHarvard University · USNational Institutes of Health · USThe University of Texas at Austin · USUniversity of Cincinnati Medical Center · USUniversity of Iowa · USUniversity of Rochester Medical Center · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring the Pregnancy and Birth to 24 Months Project, the US Departments of Agriculture and Health and Human Services initiated a review of evidence on diet and health in these populations.

objectivesThe aim of these systematic reviews was to examine the relation of 1) never versus ever feeding human milk, 2) shorter versus longer durations of any human milk feeding, 3) shorter versus longer durations of exclusive human milk feeding, and 4) lower versus higher intensities of human milk fed to mixed-fed infants with intermediate and endpoint cardiovascular disease (CVD) outcomes in offspring.

methodsThe Nutrition Evidence Systematic Review team conducted systematic reviews with external experts. We searched CINAHL, Cochrane, Embase, and PubMed for articles published January 1980-March 2016, dual-screened the results using predetermined criteria, extracted data from and assessed the risk of bias for each included study, qualitatively synthesized the evidence, developed conclusion statements, and graded the strength of the evidence.

resultsThe 4 systematic reviews included 13, 24, 6, and 0 articles, respectively. The evidence was insufficient to draw conclusions about endpoint CVD outcomes across all 4 systematic reviews. Limited evidence suggests that never versus ever being fed human milk is associated with higher blood pressure within a normal range at 6-7 y of age. Moderate evidence suggests there is no association between the duration of any human milk feeding and childhood blood pressure. Limited evidence suggests there is no association between the duration of exclusive human milk feeding and blood pressure or metabolic syndrome in childhood. Additional evidence about intermediate outcomes for the 4 systematic reviews was scant or inconclusive.

conclusionsThere is insufficient evidence to draw conclusions about the relationships between infant milk-feeding practices and endpoint CVD outcomes; however, some evidence suggests that feeding less or no human milk is not associated with childhood hypertension.

Indexed as

Cardiovascular DiseasesDietFeeding BehaviorInfant FormulaMilk, HumanBlood PressureBreast FeedingChildHumansInfantInfant, NewbornInfant Nutritional Physiological Phenomenablood pressurebreastfeedingcardiovascular diseasecholesterolhuman milkhypertensioninfant nutritionmetabolic syndromesystematic review

Identifiers

PMID30982872
PMCPMC6500930
OpenAlexW2937410695

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.