Evidence map›Paper›PMID 33358257›Full record

ReviewClinical therapeutics2021

Placental Impact of Dietary Supplements: More Than Micronutrients.

Aisha Rasool, Fernanda Alvarado-Flores, Perrie O'Tierney-Ginn

Abstract readReview
In one paragraph

Review in Clinical therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Nutraceuticals in Pregnancy: A Special Focus on Probiotics.International journal of molecular sciences · 2024
    Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
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

3 authors.

Aisha RasoolMother Infant Research Institute, Tufts Medical Center, Boston, MA, USA.
Fernanda Alvarado-FloresMother Infant Research Institute, Tufts Medical Center, Boston, MA, USA.
Perrie O'Tierney-GinnMother Infant Research Institute, Tufts Medical Center, Boston, MA, USA. Electronic address: potierneyginn@tuftsmedicalcenter.org.

Funding

Placental lipid metabolism impacts fetal adiposity and is programmed by the maternal metabolic milieu in early pregnancyR01HD091054 · NICHD · TUFTS MEDICAL CENTER · PI O'TIERNEY-GINN, PERRIE F · 2017 to 2022
$2.5M
Placental mRNA profiles associated with maternal insulin resistance and fetal adiposity: maternal-placental crosstalkR01HD091735 · NICHD · TUFTS MEDICAL CENTER · PI O'TIERNEY-GINN, PERRIE F · 2017 to 2020
$1.9M
Maternal obesity depresses essential fatty acid transport in the placentaR00HD062841 · NICHD · METROHEALTH MEDICAL CENTER · PI O'TIERNEY-GINN, PERRIE F · 2013 to 2015
$710k
NICHD NIH HHS R00 HD062841NICHD NIH HHS R01 HD091054NICHD NIH HHS R01 HD091735
6 · The paper itself

Abstract

purposeMaternal nutrition is a key modifier of fetal growth and development. However, many maternal diets in the United States do not meet nutritional recommendations. Dietary supplementation is therefore necessary to meet nutritional goals. The effects of many supplements on placental development and function are poorly understood. In this review, we address the therapeutic potential of maternal dietary supplementation on placental development and function in both healthy and complicated pregnancies.

methodsThis is a narrative review of original research articles published between February 1970 and July 2020 on dietary supplements consumed during pregnancy and placental outcomes (including nutrient uptake, metabolism and delivery, as well as growth and efficiency). Impacts of placental changes on fetal outcomes were also reviewed. Both human and animal studies were included.

findingsWe found evidence of a potential therapeutic benefit of several supplements on maternal and fetal outcomes via their placental impacts. Our review supports a role for probiotics as a placental therapeutic, with effects that include improved inflammation and lipid metabolism, which may prevent preterm birth and poor placental efficiency. Supplementation with omega-3 fatty acids (as found in fish oil) during pregnancy tempers the negative effects of maternal obesity but may have little placental impact in healthy lean women. The beneficial effects of choline supplementation on maternal health and fetal growth are largely attributable to its placental impacts. l-arginine supplementation has a potent provascularization effect on the placenta, which may underlie its fetal growth-promoting properties. IMPLICATIONS: The placenta is exquisitely sensitive to dietary supplements. Pregnant women should consult their health care practitioner before continuing or initiating use of a dietary supplement. Because little is known about impacts of many supplements on placental and long-term offspring health, more research is required before robust clinical recommendations can be made.

Indexed as

Dietary SupplementsAnimalsArginineFemaleFetal DevelopmentHumansMaternal Nutritional Physiological PhenomenaMicronutrientsPlacentaPregnancyPregnancy ComplicationsPremature BirthPrenatal CareArginineMicronutrientsdietary supplementgrowthnutrientsplacenta

Identifiers

PMID33358257
PMCPMC8026523

What OpenQuestion holds

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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.