Evidence map›Paper›PMID 32271383›Full record

ArticleThe Journal of clinical endocrinology and metabolism2020

The Joint Associations of Maternal BMI and Glycemia with Childhood Adiposity.

Jami L Josefson, Patrick M Catalano, William L Lowe, Denise M Scholtens, Alan Kuang, Alan R Dyer, Lynn P Lowe, Boyd E Metzger

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.2field-weighted citation impact, top 6% 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

34 citing papers in PubMed, 62 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Jami L JosefsonDepartment of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Patrick M CatalanoMother Infant Research Institute, Tufts University School of Medicine, Boston, Massachusetts.
William L LoweDepartment of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Denise M ScholtensDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Alan KuangDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Alan R DyerDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Lynn P LoweDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Boyd E MetzgerDepartment of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Northwestern University · USTufts University · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Hyperglycemia and Pregnancy Outcome(HAPO)Follow Up StudyU01DK094830 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI METZGER, BOYD E · 2012 to 2016
$18.6M
Hyperglycemia and Adverse Pregnancy Outcome (HAPO)R01HD034243 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI METZGER, BOYD E · 1999 to 2010
$16.2M
HAPO: DATA COORDINATING CENTERR01HD034242 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DYER, ALAN R · 1999 to 2007
$3.0M
NCATS NIH HHS UL1 TR001422NCATS NIH HHS UL1 TR002548NICHD NIH HHS R01 HD034242NICHD NIH HHS R01 HD034243NIDDK NIH HHS U01 DK094830
6 · The paper itself

Abstract

contextAn obesogenic perinatal environment contributes to adverse offspring metabolic health. Previous studies have been limited by lack of direct adiposity measurements and failure to account for potential confounders.

objectiveExamine the joint associations of maternal midpregnancy body mass index (BMI) and glycemia with direct adiposity measures in 10-14 year old offspring. DESIGN AND

settingInternational, epidemiological study: Hyperglycemia and Adverse Pregnancy Outcome (HAPO) and HAPO Follow-up Study, conducted between 2000-2006 and 2013-2016, respectively. PARTICIPANTS AND

main outcome measuresIn 4832 children, adiposity measures for body mass index (BMI), body fat with air displacement plethysmography, skinfold thickness, and waist circumference were obtained at mean age 11.4 years.

resultsMaternal BMI and glucose, as continuous and categorical variables, were the primary predictors. In fully adjusted models controlling for child age, sex, field center, and maternal characteristics, maternal BMI had significant, positive associations with all childhood adiposity outcomes, while maternal glycemia had significant, positive associations with childhood adiposity outcomes except BMI. In joint analyses, and compared with a nonobese, nongestational diabetes mellitus (GDM) reference group, maternal obesity and GDM were associated with higher odds (maternal obesity odds ratio; OR [95% confidence interval; CI], GDM OR [95% CI]; combined OR [95% CI]) of childhood overweight/obese BMI (3.00 [2.42-3.74], 1.39 [1.14-1.71], 3.55 [2.49-5.05]), obese BMI (3.54 [2.70-4.64], 1.73 [1.29-2.30], 6.10 [4.14-8.99]), percent body fat >85th percentile (2.15 [1.68-2.75], 1.33 [1.03-1.72], 3.88 [2.72-5.55]), sum of skinfolds >85th percentile (2.35 [1.83-3.00], 1.75 [1.37-2.24], 3.66 [2.55-5.27]), and waist circumference >85th percentile (2.52 [1.99-3.21], 1.39 [1.07-1.80], 4.18 [2.93-5.96]).

conclusionsMidpregnancy maternal BMI and glycemia are independently and additively associated with direct adiposity measures in 10-14 year old children. The combination of maternal obesity and GDM is associated with the highest odds of childhood adiposity.

Indexed as

Body Mass IndexAdiposityAdolescentAdultBlood GlucoseChildFemaleFollow-Up StudiesHumansMalePediatric ObesityPregnancyPregnancy OutcomePrenatal Exposure Delayed EffectsSkinfold ThicknessWaist CircumferenceBlood Glucoseadipositychildhood obesitymaternal BMImaternal hyperglycemiaoffspring bodyfat

Identifiers

PMID32271383
PMCPMC7229988
OpenAlexW3015390945

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.