Evidence map›Paper›PMID 32077839›Full record

ArticleJournal of developmental origins of health and disease2021

Mediation of the association between maternal pre-pregnancy overweight/obesity and childhood overweight/obesity by birth anthropometry.

Danielle R Stevens, Brian Neelon, James R Roberts, Sarah N Taylor, Roger B Newman, John E Vena, Kelly J Hunt

Abstract read
In one paragraph

Article in Journal of developmental origins of health and disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Article
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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

7 authors.

Danielle R StevensDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC29425, USA.ORCID 0000-0002-4321-8355
Brian NeelonDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC29425, USA.
James R RobertsDepartment of Pediatrics, Medical University of South Carolina, Charleston, SC29425, USA.
Sarah N TaylorDepartment of Pediatrics, Yale School of Medicine, New Haven, CT06520, USA.
Roger B NewmanDepartment of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC29425, USA.
John E VenaDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC29425, USA.
Kelly J HuntDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC29425, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
Exposome Contributors to Child Health Originating from National Fetal Growth Study (ECCHO-NFGS)UG3OD023316 · OD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI HUNT, KELLY J, WAPNER, RONALD · 2016 to 2017
$10.8M
South Carolina Clinical & Translational Research Institute (SCTR)TL1TR001451 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI FEGHALI-BOSTWICK, CAROL A. · 2015 to 2024
$4.6M
NCATS NIH HHS TL1 TR001451NCATS NIH HHS UL1 TR001450NCATS NIH HHS UL1 TR001863NIH HHS UG3 OD023316
6 · The paper itself

Abstract

The mechanism through which developmental programming of offspring overweight/obesity following in utero exposure to maternal overweight/obesity operates is unknown but may operate through biologic pathways involving offspring anthropometry at birth. Thus, we sought to examine to what extent the association between in utero exposure to maternal overweight/obesity and childhood overweight/obesity is mediated by birth anthropometry. Analyses were conducted on a retrospective cohort with data obtained from one hospital system. A natural effects model framework was used to estimate the natural direct effect and natural indirect effect of birth anthropometry (weight, length, head circumference, ponderal index, and small-for-gestational age [SGA] or large-for-gestational age [LGA]) for the association between pre-pregnancy maternal body mass index (BMI) category (overweight/obese vs normal weight) and offspring overweight/obesity in childhood. Models were adjusted for maternal and child socio-demographics. Three thousand nine hundred and fifty mother-child dyads were included in analyses (1467 [57.8%] of mothers and 913 [34.4%] of children were overweight/obese). Results suggest that a small percentage of the effect of maternal pre-pregnancy BMI overweight/obesity on offspring overweight/obesity operated through offspring anthropometry at birth (weight: 15.5%, length: 5.2%, head circumference: 8.5%, ponderal index: 2.2%, SGA: 2.9%, and LGA: 4.2%). There was a small increase in the percentage mediated when gestational diabetes or hypertensive disorders were added to the models. Our study suggests that some measures of birth anthropometry mediate the association between maternal pre-pregnancy overweight/obesity and offspring overweight/obesity in childhood and that the size of this mediated effect is small.

Indexed as

AdolescentAdultBirth WeightBody HeightChildChild, PreschoolFemaleHumansMaleMaternal Nutritional Physiological PhenomenaModels, BiologicalMothersOverweightPediatric ObesityPregnancyPregnancy in ObesityChildhood obesitydevelopmental programmingdirect effectsindirect effectsmaternal obesitymediationpregnancy

Identifiers

PMID32077839
PMCPMC7438242

What OpenQuestion holds

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Registered trials

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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.