Evidence map›Paper›PMID 32104984›Full record

ArticleBirth defects research2020

Association between maternal periconceptional alcohol consumption and neural tube defects: Findings from the National Birth Defects Prevention Study, 1997-2011.

Adia R Louden, Jonathan Suhl, Vijaya Kancherla, Kristin M Caspers Conway, Jennifer Makelarski, Meredith M Howley, Adrienne T Hoyt, Richard S Olney, Andrew F Olshan, Paul A Romitti and 1 more

Abstract read
In one paragraph

Article in Birth defects research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  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

11 authors at 7 institutions in 2 countries.

Adia R LoudenDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Jonathan SuhlDepartment of Epidemiology, College of Public Health, The University of Iowa, Iowa City, Iowa.
Vijaya KancherlaDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.ORCID 0000-0002-2803-8030
Kristin M Caspers ConwayDepartment of Epidemiology, College of Public Health, The University of Iowa, Iowa City, Iowa.
Jennifer MakelarskiDepartment of Obstetrics and Gynecology, University of Chicago, Chicago, Illinois.
Meredith M HowleyCongenital Malformations Registry, New York State Department of Health, Albany, New York.ORCID 0000-0002-8420-5040
Adrienne T HoytDepartment of Health and Human Performance, University of Houston, Houston, Texas.ORCID 0000-0003-1605-9536
Richard S OlneyGenetic Disease Screening Program, California Department of Public Health, Richmond, California.
Andrew F OlshanDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0001-9115-5128
Paul A RomittiDepartment of Epidemiology, College of Public Health, The University of Iowa, Iowa City, Iowa.ORCID 0000-0001-5393-9984
National Birth Defects Prevention Study
University of Iowa · USEmory University · USCalifornia Department of Public Health · USHouston Health and Human Services Department · USNew York State Department of Health · USUniversity of Chicago · USUniversity of North Carolina at Chapel Hill · US

Funding

Iowa CBDRP: Component A BD-STEPS II CoreU01DD001223 · DD · UNIVERSITY OF IOWA · PI CONWAY, KRISTIN, ROMITTI, PAUL A · 2018 to 2022
$4.3M
New York State Component A: BD-STEPS II CoreU01DD001227 · DD · CENTER OF ENVIRONMENTAL HEALTH · PI HOWLEY, MEREDITH M · 2018 to 2022
$4.2M
Iowa CBDRP: Birth Defects Study To Evaluate Pregnancy exposureSU01DD001035 · DD · UNIVERSITY OF IOWA · PI ROMITTI, PAUL A · 2013 to 2017
$3.5M
CDC HHS FOA #DD09-001CDC HHS FOA #DD13-003CDC HHS NOFO #DD18-001CDC HHS PA #02081CDC HHS PA #96043EPA EP-D-18-001HSRD VA CDP 13-003NCBDD CDC HHS U01 DD001035NCBDD CDC HHS U01 DD001223NCBDD CDC HHS U01 DD001227
6 · The paper itself

Abstract

backgroundNeural tube defects (NTD)s are common birth defects with a multifactorial etiology. Findings from human studies examining environmental (non-inherited) exposures tend to be inconclusive. In particular, although animal studies of alcohol exposure and NTDs support its teratogenic potential, human studies are equivocal. Using data from the National Birth Defects Prevention Study (NBDPS), associations between maternal periconceptional (1 month before through 1 month after conception) alcohol consumption and NTDs in offspring were examined.

methodsNTD cases and unaffected live born singleton controls with expected dates of delivery from October 1997-December 2011 were enrolled in the NBDPS. Interview reports of alcohol consumption (quantity, frequency, variability, type) from 1,922 case and 11,251 control mothers were analyzed. Crude and adjusted odds ratios (aOR)s and 95% confidence intervals (CI)s for alcohol consumption and all NTDs combined and selected subtypes (spina bifida, anencephaly, encephalocele) were estimated using unconditional logistic regression analysis.

resultsAmong mothers in the NBDPS, 28% of NTD case and 35% of control mothers reported any periconceptional alcohol consumption. For each measure of alcohol consumption, inverse associations were observed for all NTDs combined (aORs = 0.6-1.0). Results for NTD subtypes tended to be similar, but CIs for spina bifida and encephalocele were more likely to include the null.

conclusionsThese findings suggest a lack of positive associations between maternal periconceptional alcohol consumption and NTDs. Future studies should continue to evaluate the association between maternal alcohol consumption and NTDs in offspring accounting for methodological limitations such as potential misclassification from self-reported alcohol consumption.

Indexed as

Alcohol DrinkingAnencephalyCase-Control StudiesEthanolFemaleHumansMaternal ExposureMothersNeural Tube DefectsOdds RatioPregnancyPrenatal Exposure Delayed EffectsRisk FactorsEthanolalcoholanencephalyneural tube defectspregnancyspina bifida

Identifiers

PMID32104984
PMCPMC7099604
OpenAlexW3007612215

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.