Evidence map›Paper›PMID 34510805›Full record

ArticleJournal of diabetes investigation2022

Pregestational diabetes mediates the association between maternal obesity and the risk of congenital heart defects.

Xiao-Xia Wu, Ru-Xiu Ge, Le Huang, Fu-Ying Tian, Yi-Xuan Chen, Lin-Lin Wu, Jian-Min Niu

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 14 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

7 authors at 1 institution in 1 country.

Xiao-Xia WuDepartment of Obstetrics, Cheeloo College of Medicine, Shenzhen Maternity and Child Healthcare Hospital, Shandong University, Shenzhen, Guangdong, China.
Ru-Xiu GeDepartment of Obstetrics, Cheeloo College of Medicine, Shenzhen Maternity and Child Healthcare Hospital, Shandong University, Shenzhen, Guangdong, China.ORCID https://orcid.org/0000-0001-8767-5120
Le HuangDepartment of Obstetrics, Cheeloo College of Medicine, Shenzhen Maternity and Child Healthcare Hospital, Shandong University, Shenzhen, Guangdong, China.
Fu-Ying TianDepartment of Obstetrics, Cheeloo College of Medicine, Shenzhen Maternity and Child Healthcare Hospital, Shandong University, Shenzhen, Guangdong, China.
Yi-Xuan ChenDepartment of Obstetrics, Cheeloo College of Medicine, Shenzhen Maternity and Child Healthcare Hospital, Shandong University, Shenzhen, Guangdong, China.
Lin-Lin WuDepartment of Obstetrics, Cheeloo College of Medicine, Shenzhen Maternity and Child Healthcare Hospital, Shandong University, Shenzhen, Guangdong, China.
Jian-Min NiuDepartment of Obstetrics, Cheeloo College of Medicine, Shenzhen Maternity and Child Healthcare Hospital, Shandong University, Shenzhen, Guangdong, China.ORCID https://orcid.org/0000-0002-1182-5994
Shandong University · CN

Funding

National Natural Science Foundation of China 81771611National Natural Science Foundation of China 81830041Sanming Project of Medicine in Shenzhen SZSM201512023Sanming Project of Medicine in Shenzhen SZSM201612035Shenzhen Science and Technology Innovation Committee Special Funding for Future Industry JCYJ20170412140326739
6 · The paper itself

Abstract

AIMS/

introductionWe aimed to explore whether the association between obesity and congenital heart defects (CHDs) can be mediated by maternal pregestational diabetes (PGDM). MATERIALS AND

methodsWe included 53,708 mother-infant pairs with deliveries between 2017 and 2019 from the Birth Cohort in Shenzhen. Mothers were categorized into four groups: the underweight group (body mass index [BMI] <18.5), normal weight group (18.5 ≤ BMI < 24), overweight group (24 ≤ BMI < 28) and obesity group (BMI ≥28). Multivariable logistic regression models were used to evaluate the association between BMI and CHDs. Mediation analysis was used to confirm the effect of PGDM on the association between maternal obesity and CHDs.

resultsThe proportion of obese individuals in the Birth Cohort in Shenzhen was 2.11%. Overall, 372 (0.69%) infants were diagnosed with CHDs. Maternal obesity was associated with an increased risk of CHDs (odds ratio 1.97, 95% confidence interval 1.14-3.41). The mediation effect of PGDM on the association between maternal obesity and CHDs was significant (odds ratio 1.18, 95% confidence interval 1.06-1.32). The estimated mediation proportion was 24.83%.

conclusionsMaternal obesity was associated with increased risk for CHDs, and PGDM partially mediated the association between maternal obesity and CHDs.

Indexed as

Diabetes, GestationalHeart Defects, CongenitalPregnancy in ObesityBody Mass IndexFemaleHumansInfantPregnancyRisk FactorsCongenital heart defectObesityPregestational diabetes

Identifiers

PMID34510805
PMCPMC8847144
OpenAlexW3199413287

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.