Evidence map›Paper›PMID 33888539›Full record

ArticleBMJ open diabetes research & care2021

Neonatal amygdala microstructure mediates the relationship between gestational glycemia and offspring adiposity.

Shirong Cai, Izzuddin M Aris, Wen Lun Yuan, Kok Hian Tan, Keith M Godfrey, Peter D Gluckman, Lynette Pei-Chi Shek, Yap-Seng Chong, Fabian Yap, Marielle V Fortier and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open diabetes research & care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

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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

13 authors at 5 institutions in 5 countries.

Shirong CaiSingapore Institute for Clinical Sciences, Agency for Science Technology and Research, Singapore.
Izzuddin M ArisDivision of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA.ORCID 0000-0002-9239-7476
Wen Lun YuanDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID 0000-0002-7472-5042
Kok Hian TanDepartment of Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore.
Keith M GodfreyMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.ORCID 0000-0002-4643-0618
Peter D GluckmanSingapore Institute for Clinical Sciences, Agency for Science Technology and Research, Singapore.ORCID 0000-0002-5711-1655
Lynette Pei-Chi ShekSingapore Institute for Clinical Sciences, Agency for Science Technology and Research, Singapore.
Yap-Seng ChongSingapore Institute for Clinical Sciences, Agency for Science Technology and Research, Singapore.
Fabian YapDepartment of Pediatric Endocrinology, KK Women's and Children's Hospital, Singapore.
Marielle V FortierSingapore Institute for Clinical Sciences, Agency for Science Technology and Research, Singapore.
Michael J MeaneySingapore Institute for Clinical Sciences, Agency for Science Technology and Research, Singapore.
Yung Seng LeeSingapore Institute for Clinical Sciences, Agency for Science Technology and Research, Singapore.ORCID 0000-0002-1253-0557
Anqi QiuDepartment of Biomedical Engineering, National University of Singapore, Singapore bieqa@nus.edu.sg.ORCID 0000-0002-0215-6338
Agency for Science, Technology and Research · SGKK Women's and Children's Hospital · SGNational University of Singapore · SGHarvard University · USUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

British Heart Foundation RG/15/17/31749Medical Research Council MC_PC_21000Medical Research Council MC_PC_21001Medical Research Council MC_PC_21003Medical Research Council MC_UP_A620_1014Medical Research Council MC_UU_12011/4
6 · The paper itself

Abstract

introductionTo determine if variations in the neonatal amygdala mediate the association between maternal antenatal glycemia and offspring adiposity in early childhood. RESEARCH DESIGN AND

methods123 non-obese pregnant women with no pregnancy complications aside from gestational diabetes underwent a 75 g 2-hour oral glucose tolerance test at 26-28 weeks' gestation. Volume and fractional anisotropy (FA) of the neonatal amygdala (5-17 days old) were measured by MRI. The Body Mass Index (BMI) z-scores and sum of skinfold thickness (subscapular and triceps) of these children were tracked up to 60 months of age (18, 24, 36, 48, 54 and 60 months).

resultsMaternal fasting glucose levels were positively associated with the offspring's sum of skinfold thickness at age 48 months (β=3.12, 95% CI 0.18 to 6.06 mm) and 60 months (β=4.14, 95% CI 0.46 to 7.82 mm) and BMI z-scores at 48 months (β=0.94, 95% CI 0.03 to 1.85), 54 months (β=0.74, 95% CI 0.12 to 1.36) and 60 months (β=0.74, 95% CI 0.08 to 1.39). Maternal fasting glucose was negatively associated with the offspring's FA of the right amygdala (β=-0.019, 95% CI -0.036 to -0.003). Right amygdala FA was negatively associated with the sum of skinfold thickness in the offspring at age 48 months (β=-56.95, 95% CI -98.43 to -15.47 mm), 54 months (β=-46.18, 95% CI -88.57 to -3.78 mm), and 60 months (β=-53.69, 95% CI -105.74 to -1.64 mm). The effect sizes mediated by right amygdala FA between fasting glucose and sum of skinfolds were estimated at β=5.14 (95% CI 0.74 to 9.53) mm (p=0.022), β=4.40 (95% CI 0.08 to 8.72) (p=0.049) mm and β=4.56 (95% CI -0.17 to 9.29) mm (p=0.059) at 48, 54 and 60 months, respectively.

conclusionsIn the offspring of non-obese mothers, gestational fasting glucose concentration is negatively associated with neonatal right amygdala FA and positively associated with childhood adiposity. Neonatal right amygdala FA may be a potential mediator between maternal glycemia and childhood adiposity.

Indexed as

AdiposityBlood GlucoseAmygdalaChildChild, PreschoolFemaleGlucose Tolerance TestHumansInfantInfant, NewbornObesityPregnancyBlood Glucosebraindiabetesgestationalgrowth

Identifiers

PMID33888539
PMCPMC8070871
OpenAlexW3152764575

What OpenQuestion holds

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LicenceCC BY-NC
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.