Evidence map›Paper›PMID 31139766›Full record

ArticleCurrent developments in nutrition2019

Folic Acid Intake, Fetal Brain Growth, and Maternal Smoking in Pregnancy: A Randomized Controlled Trial.

Korede K Yusuf, Hamisu M Salihu, Roneé Wilson, Alfred Mbah, William Sappenfield, Karen Bruder, Usman J Wudil, Muktar H Aliyu

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Current developments in nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01248260 (Preventing Fetal Body and Brain Size Reduction in Low-income Smoking Mothers), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 38% 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.

NCT01248260 nacompletednot on this map

Preventing Fetal Body and Brain Size Reduction in Low-income Smoking Mothers: A Randomized Clinical Trial

TypeinterventionalSponsorHamisu SalihuRan2011 to 2016Enrolled495ConditionsFetal Body Size, Fetal Brain SizeArmsFolic Acid
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. 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

8 authors at 3 institutions in 1 country.

Korede K YusufCollege of Public Health, University of South Florida, Tampa, FL.
Hamisu M SalihuDepartment of Obstetrics and Gynecology, University of South Florida, Tampa, FL.
Roneé WilsonCollege of Public Health, University of South Florida, Tampa, FL.ORCID 0000-0002-2499-3487
Alfred MbahCollege of Public Health, University of South Florida, Tampa, FL.
William SappenfieldCollege of Public Health, University of South Florida, Tampa, FL.
Karen BruderDepartment of Obstetrics and Gynecology, University of South Florida, Tampa, FL.
Usman J WudilInstitute for Global Health, Vanderbilt University Medical Center, Nashville, TN.
Muktar H AliyuInstitute for Global Health, Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0001-9504-4679
University of South Florida · USVanderbilt University Medical Center · USBaylor College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFolic acid supplementation during pregnancy plays an important role in fetal growth and development. To our knowledge, no experimental study has examined the effect of folic acid on fetal brain growth in women who smoke cigarettes during pregnancy.

objectivesThe aim of this study was to investigate the efficacy of higher-dose compared with standard-dose folic acid supplementation on prenatal fetal brain growth, measured by head circumference, brain weight, and brain-body weight ratio (BBR).

designIn this randomly assigned, double-blind, controlled clinical trial, we recruited 345 smoking pregnant women attending a community health center in Tampa, FL between 2010 and 2014. Participants were randomly assigned in a 1:1 ratio to receive either 0.8 mg folic acid/d (standard of care at the study center) or 4 mg folic acid/d (higher strength). Participants were also enrolled in a smoking cessation program. A 2-level linear growth model was used to assess treatment effect and factors that predict intrauterine growth in head circumference over time. Multiple linear regression analyses were conducted to estimate the effect of higher-strength folic acid on head circumference at birth, fetal brain weight, and fetal BBRs.

resultsMothers who received the higher dose of folic acid had infants with a 1.18 mm larger mean head circumference compared with infants born to mothers who received the standard dose, but this difference was not statistically significant (

conclusionsInfants of smokers in pregnancy may benefit from higher-strength maternal folic acid supplementation. We noted a decrease in the proportion of infants with impaired BBR among those on higher-dose folic acid. This trial was registered at clinicaltrials.gov as NCT01248260.

Indexed as

brain growthbrain-to-body weight ratiofetal brain weightfolic acidhead circumferencesmokers

Identifiers

PMID31139766
PMCPMC6529553
OpenAlexW2926493617

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.