Evidence map›Paper›PMID 32470975›Full record

ArticleThe Journal of nutrition2020

Vitamin B-12 Supplementation during Pregnancy and Early Lactation Does Not Affect Neurophysiologic Outcomes in Children Aged 6 Years.

Krishnamachari Srinivasan, Susan Thomas, Shilpa Anand, Mahesh Jayachandra, Tinku Thomas, Tor Arne Strand, Anura V Kurpad, Christopher P Duggan

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00641862 (Randomized Trial of Vitamin B12 in Pregnant Indian Women), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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.

NCT00641862 nacompletednot on this map

Randomized Trial of Vitamin B12 in Pregnant Indian Women

TypeinterventionalSponsorHarvard School of Public Health (HSPH)Ran2008 to 2011Enrolled366ConditionsPregnancyArmsVitamin B12, Placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. 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 4 institutions in 3 countries.

Krishnamachari SrinivasanDivision of Mental Health and Neurosciences, St. John's Research Institute, Bengaluru, Karnataka, India.
Susan ThomasDivision of Mental Health and Neurosciences, St. John's Research Institute, Bengaluru, Karnataka, India.
Shilpa AnandDivision of Mental Health and Neurosciences, St. John's Research Institute, Bengaluru, Karnataka, India.
Mahesh JayachandraDivision of Mental Health and Neurosciences, St. John's Research Institute, Bengaluru, Karnataka, India.
Tinku ThomasDepartment of Biostatistics, St. John's Medical College, Bengaluru, Karnataka, India.
Tor Arne StrandInnlandet Hosptial Trust, Lillehammer, Norway.
Anura V KurpadDivision of Nutrition, St. John's Research Institute, Bengaluru, Karnataka, India.
Christopher P DugganDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, MA, USA.
Harvard University · USInnlandet Hospital Trust · NOSt.John's Medical College Hospital · INSt. John's National Academy of Health Sciences · IN

Funding

ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Elizabeth Austen Lawson, Takara Leah Stanley · 1994 to 2026
$31.6M
Patient-oriented Research in Pediatric Diarrheal DiseasesK24DK104676 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI DUGGAN, CHRISTOPHER P · 2015 to 2019
$903k
NIDDK NIH HHS K24 DK104676NIDDK NIH HHS P30 DK040561
6 · The paper itself

Abstract

backgroundDeficiency of vitamin B-12 is common in pregnant Indian women. Assessment of neurophysiological measures using event-related potentials (ERPs) may yield additional information on the effects of maternal B-12 supplementation on child brain function.

objectivesThe objective of the study was to evaluate the effects of vitamin B-12 supplementation (50 μg daily orally) during pregnancy on the childhood ERP measures of positive waveform ∼300 ms after stimulus (P300) and mismatch negativity.

methodsThis study was a follow-up of children born to pregnant women who received oral vitamin B-12 supplements (n = 62) compared with children of pregnant women who received placebo (n = 70) from a randomized controlled trial. The mean ± SD child age was 72 ± 1 mo. We used the Enobio system to assess the ERP measures P300 and mismatch negativity.

resultsThere were no significant differences in the primary outcomes, amplitudes, and latencies of the P300 results and the mismatch negativity between children in the supplementation and placebo groups. We combined the intervention and placebo groups for secondary analyses. On multiple variable regression analysis after adjusting for treatment group, intrauterine growth restriction, and home environment, P300 amplitude in children was significantly higher in the lowest tertile of third-trimester maternal methylmalonic acid (MMA) concentrations (β = 3034.04; 95% CI: 923.24, 5144.83) compared with the highest MMA tertile (β = 1612.12; 95% CI: -258.86, 3483.10, P = 0.005).

conclusionsWhile no significant effects of maternal vitamin B-12 supplementation on children's ERP measures were seen at 72 mo, elevated maternal MMA concentrations in the third trimester were negatively associated with P300 amplitude in children. It may be worthwhile to study the impact of maternal and infant vitamin B-12 supplementation on childhood brain structure and function in longer and larger trials. The parent trial was registered at clinicaltrials.gov as NCT00641862.

Indexed as

Breast FeedingMaternal Nutritional Physiological PhenomenaChildChild DevelopmentDietary SupplementsFemaleHumansInfantInfant, NewbornLactationPregnancyVitamin B 12Vitamin B 12 DeficiencyVitaminsVitamin B 12Vitaminschild ERP outcomematernalmismatch negativityP300Vitamin B-12 supplementation

Identifiers

PMID32470975
PMCPMC7330478
OpenAlexW3030840336

What OpenQuestion holds

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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.