Evidence map›Paper›PMID 32492526›Full record

ArticleEarly human development2020

Inflammatory predictors of neurobehavior in very preterm infants.

Marliese Dion Nist, Rita H Pickler, Tondi M Harrison, Deborah K Steward, Abigail B Shoben

Open access · greenAbstract read
In one paragraph

Article in Early human development, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Associations of human milk lactoferrin with measures of physical growth in very preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. The association ofFrontiers in neurology · 2022
    Article
  10. 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

5 authors at 1 institution in 1 country.

Marliese Dion NistThe Ohio State University, College of Nursing, 1585 Neil Avenue, Columbus, OH 43210, USA. Electronic address: nist.10@osu.edu.
Rita H PicklerThe Ohio State University, College of Nursing, 1585 Neil Avenue, Columbus, OH 43210, USA. Electronic address: pickler.1@osu.edu.
Tondi M HarrisonThe Ohio State University, College of Nursing, 1585 Neil Avenue, Columbus, OH 43210, USA. Electronic address: harrison.473@osu.edu.
Deborah K StewardThe Ohio State University, College of Nursing, 1585 Neil Avenue, Columbus, OH 43210, USA. Electronic address: steward.20@osu.edu.
Abigail B ShobenThe Ohio State University, College of Public Health, Division of Biostatistics, 1841 Neil Avenue, Columbus, OH 43210, USA. Electronic address: shoben.1@osu.edu.
The Ohio State University · US

Funding

Training in the Science of Health DevelopmentT32NR014225 · NINR · OHIO STATE UNIVERSITY · PI MARY E HAPP, Rita H Pickler · 2013 to 2026
$2.6M
Inflammatory Mediators of Stress Exposure and Neurodevelopment in Very Preterm InfantsF31NR017321 · NINR · OHIO STATE UNIVERSITY · PI NIST, MARLIESE D · 2017 to 2018
$74k
NINR NIH HHS F31 NR017321NINR NIH HHS T32 NR014225
6 · The paper itself

Abstract

backgroundPreterm infants are at risk for impaired neurodevelopment. Inflammation may be an important modifiable mediator of preterm birth and neurodevelopmental impairment, but few studies have examined longitudinal measures of inflammation.

objectiveTo determine the relationship between longitudinal measures of inflammation and neurobehavior in very preterm infants. STUDY

designNon-experimental, repeated measures cohort study.

methodsVery preterm infants were enrolled between October 2017 and December 2018. Blood was collected weekly until 35 weeks post-menstrual age for the quantification of plasma cytokines. Neurobehavior was assessed at 35 weeks post-menstrual age using the cluster scores for motor development and vigor and alertness/orientation from the Neurobehavioral Assessment of the Preterm Infant. Multiple linear regression models with robust standard errors were used to analyze the data. Average levels of individual cytokines, cytokine trends, and composite scores were used as measures of inflammation.

resultsSeventy-three infants were enrolled in the study. Interleukin-1 receptor antagonist was associated with motor development and vigor scores. Interleukin-6 was associated with alertness/orientation scores. Tumor necrosis factor-alpha and composite scores of inflammation were associated with motor development and vigor and alertness/orientation scores. There were interactions with post-menstrual age at birth and infant sex.

conclusionInflammation may be an important predictor of short-term neurobehavior in preterm infants. Interleukin-1 receptor antagonist, interleukin-6, and tumor necrosis factor-alpha are key cytokines for studies of preterm infants, but composite scores may be a better measure of inflammation than individual cytokines. Inflammation can be damaging to the immature brain and may be a specific target for future interventions to improve outcomes.

Indexed as

Infant BehaviorBiomarkersCytokinesDevelopmental DisabilitiesFemaleHumansInfant, Extremely PrematureInfant, NewbornMaleBiomarkersCytokinesCytokineInflammationNeurobehaviorNeurodevelopmentPreterm infant

Identifiers

PMID32492526
PMCPMC7363528
OpenAlexW3027750784

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.