Evidence map›Paper›PMID 33731834›Full record

ArticleInternational journal of obesity (2005)2021

Child physical activity as a modifier of the relationship between prenatal exposure to maternal overweight/obesity and neurocognitive outcomes in offspring.

Jasmin M Alves, Brendan C Angelo, Jennifer Zink, Ting Chow, Alexandra G Yunker, Kristi Clark, Shan Luo, Britni Ryan Belcher, Megan M Herting, Christina M Dieli-Conwright and 2 more

Open access · greenAbstract read
In one paragraph

Article in International journal of obesity (2005), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Structural and Functional Brain Changes in Children and Adolescents With Obesity.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Review
  2. 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

12 authors at 3 institutions in 1 country.

Jasmin M AlvesDivision of Endocrinology, Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90089, USA.ORCID http://orcid.org/0000-0002-0837-9858
Brendan C AngeloDivision of Endocrinology, Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90089, USA.
Jennifer ZinkDepartment of Preventive Medicine, University of Southern California, Los Angeles, CA, 90032, USA.
Ting ChowDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, 91101, USA.
Alexandra G YunkerDivision of Endocrinology, Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90089, USA.
Kristi ClarkDepartment of Neurology, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90089, USA.
Shan LuoDivision of Endocrinology, Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90089, USA.
Britni Ryan BelcherDepartment of Preventive Medicine, University of Southern California, Los Angeles, CA, 90032, USA.ORCID http://orcid.org/0000-0001-7965-7520
Megan M HertingDepartment of Preventive Medicine, University of Southern California, Los Angeles, CA, 90032, USA.
Christina M Dieli-ConwrightDivision of Population Sciences, Department of Medical Oncology, Dana-Farber Institute, Harvard Medical School, Boston, MA, 02215, USA.
Anny H Xiang *Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, 91101, USA.
Kathleen A Page *Division of Endocrinology, Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90089, USA. kpage@usc.edu.ORCID http://orcid.org/0000-0002-9083-6615
University of Southern California · USKaiser Permanente · USHarvard University · US

Funding

Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
Neuroendocrine Systems involved in Early-life Programming for Obesity and DiabetesR01DK116858 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI PAGE, KATHLEEN ALANNA, XIANG, ANNY H · 2019 to 2023
$3.5M
Neural Mechanisms of Overeating Among Children Exposed to Gestational Diabetes Mellitus In UteroK01DK115638 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI LUO, SHAN · 2018 to 2021
$758k
Neural mechanisms for obestity risk in children exposed to diabetes in uteroR03DK103083 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI PAGE, KATHLEEN ALANNA · 2014 to 2015
$165k
The effects of in utero exposure to gestational diabetes on hippocampal structure and functionF31MH115640 · NIMH · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ALVES, JASMIN · 2018 to 2019
$90k
NCATS NIH HHS UL1 TR001855NIDDK NIH HHS K01 DK115638NIDDK NIH HHS R01 DK116858NIDDK NIH HHS R03 DK103083NIMH NIH HHS F31 MH115640
6 · The paper itself

Abstract

BACKGROUND/

objectivesWith rising obesity rates among pregnant women, more children are exposed in utero to maternal obesity. In prior epidemiological studies, exposure to maternal obesity was associated with lower intelligence quotient (IQ) scores and worse cognitive abilities in offspring. Further studies have shown that offspring exposed to maternal obesity, exhibit differences in the white matter microstructure properties, fractional anisotropy (FA) and mean diffusivity (MD). In contrast, physical activity was shown to improve cognition and white matter microstructure during childhood. We examined if child physical activity levels modify the relationship between prenatal exposure to maternal obesity with IQ and white matter microstructure in offspring. SUBJECTS/

methodsOne hundred children (59% girls) age 7-11 years underwent brain magnetic resonance imaging and IQ testing. Maternal pre-pregnancy BMI was abstracted from electronic medical records. White matter was assessed using diffusion tensor imaging with the measures, global FA, MD. The 3-day physical activity recall was used to measure moderate-to-vigorous physical activity and vigorous physical activity (VPA). Linear regression was used to test for interactions between prenatal exposure to maternal overweight/obesity and child PA levels on child IQ and global FA/MD.

resultsThe relationship between prenatal exposure to maternal overweight/obesity and child IQ and global FA varied by child VPA levels. Children exposed to mothers with overweight/obesity who engaged in more VPA had higher IQ scores and global FA compared to exposed children who engaged in less VPA. Associations were independent of child age, sex, BMI Z-score and socioeconomic status. Children born to normal-weight mothers did not differ in either IQ or global FA by time in VPA.

conclusionsOur findings support findings in rodent models and suggest that VPA during childhood modifies the relationship between prenatal exposure to maternal obesity and child IQ and white matter microstructure.

Indexed as

ChildChild DevelopmentCognitionDiffusion Tensor ImagingExerciseFemaleHumansMalePregnancyPregnancy in ObesityPrenatal Exposure Delayed EffectsWhite Matter

Identifiers

PMID33731834
PMCPMC8164988
OpenAlexW3138172310

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.