Evidence map›Paper›PMID 31920399›Full record

ArticleClinical epidemiology2019

Do Gestational Obesity and Gestational Diabetes Have an Independent Effect on Neonatal Adiposity? Results of Mediation Analysis from a Cohort Study in South India.

Giridhara R Babu, R Deepa, Melissa Glenda Lewis, Eunice Lobo, Anjaly Krishnan, Yamuna Ana, Jodie G Katon, Daniel A Enquobahrie, Onyebuchi A Arah, Sanjay Kinra and 1 more

Open access · goldAbstract read
In one paragraph

Article in Clinical epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 26 citations in OpenAlex.

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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 4 institutions in 3 countries.

Giridhara R BabuIndian Institute of Public Health-Bangalore, Public Health Foundation of India (PHFI), Bangalore, India.ORCID 0000-0003-4370-8933
R DeepaIndian Institute of Public Health-Bangalore, Public Health Foundation of India (PHFI), Bangalore, India.ORCID 0000-0002-3781-496X
Melissa Glenda LewisIndian Institute of Public Health-Hyderabad, Public Health Foundation of India (PHFI), Hyderabad, India.
Eunice LoboIndian Institute of Public Health-Bangalore, Public Health Foundation of India (PHFI), Bangalore, India.ORCID 0000-0002-0621-9295
Anjaly KrishnanIndian Institute of Public Health-Bangalore, Public Health Foundation of India (PHFI), Bangalore, India.ORCID 0000-0002-4048-9184
Yamuna AnaIndian Institute of Public Health-Bangalore, Public Health Foundation of India (PHFI), Bangalore, India.ORCID 0000-0002-6795-6846
Jodie G KatonHealth Services Research and Development Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA, USA.
Daniel A EnquobahrieDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA.
Onyebuchi A ArahDepartment of Epidemiology, Fielding School of Public Health, University of California, Los Angeles (UCLA), Los Angeles, CA, USA.ORCID 0000-0002-9067-1697
Sanjay KinraNon-communicable Disease Epidemiology , London School of Hygiene & Tropical Medicine and, University College London Hospital, London, UK.
Gvs MurthyIndian Institute of Public Health-Hyderabad, Public Health Foundation of India (PHFI), Hyderabad, India.ORCID 0000-0002-5695-866X
Institute of Public Health Bengaluru · INUniversity of Washington · USRoyal London Hospital · GBUniversity of California, Los Angeles · US

Funding

Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Martha Jane Bailey · 2016 to 2026
$6.9M
DBT-Wellcome Trust India Alliance IA/CPHI/14/1/501499NICHD NIH HHS P2C HD041022
6 · The paper itself

Abstract

purposeNeonates born to mothers with obesity or gestational diabetes mellitus (GDM) have an increased chance of various metabolic disorders later in life. In India, it is unclear whether maternal obesity or GDM is related to offspring adiposity. We aimed to understand the independent effect of maternal obesity and GDM with neonatal adiposity and whether GDM has a mediating effect between maternal obesity and neonatal adiposity.

methodsWe recruited a cohort of 1120 women (between April 2016 and February 2019) from the public hospitals in Bangalore, India, who voluntarily agreed to participate and provided written informed consent. The primary outcome was neonatal adiposity, defined as the sum of skinfold thickness >85

resultsWe found that maternal obesity (odds ratio (OR)=2.16, 95% CI 1.46, 3.18) and GDM (OR=2.21, 95% CI1.38, 3.52) have an independent effect on neonatal adiposity. GDM significantly mediates 25.2% of the total effect between maternal obesity and neonatal adiposity, (natural direct effect OR = 1.16 95% CI 1.04, 1.30) with significant direct effect of maternal obesity (natural direct effect OR = 1.90 95% CI 1.16, 3.10) and significant total effect (OR=2.20 95% CI 1.35, 3.58).

conclusionWe showed that maternal obesity and GDM are independently associated with offspring adiposity. Also, GDM mediates the association of maternal obesity on adiposity in children. Interventions focused on obesity prevention in women, and effective screening and management of GDM may contribute to reducing childhood obesity in India.

Indexed as

childhood obesityGDMmediation effectsobesity in pregnancyskinfold thickness

Identifiers

PMID31920399
PMCPMC6938184
OpenAlexW2997799576

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.