Evidence map›Paper›PMID 34543890›Full record

Trial reportClinical nutrition (Edinburgh, Scotland)2021

Maternal FADS2 single nucleotide polymorphism modified the impact of prenatal docosahexaenoic acid (DHA) supplementation on child neurodevelopment at 5 years: Follow-up of a randomized clinical trial.

Ines Gonzalez Casanova, Meriah Schoen, Sonia Tandon, Aryeh D Stein, Albino Barraza Villarreal, Ann M DiGirolamo, Hans Demmelmair, Ivonne Ramirez Silva, Raquel Garcia Feregrino, Peter Rzehak and 6 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical nutrition (Edinburgh, Scotland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00646360 (Effects of Prenatal DHA Supplements on Infant Development), which is not on this map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 8% 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.

NCT00646360 nacompletednot on this map

Effects of Prenatal DHA Supplements on Infant Development

TypeinterventionalSponsorEmory UniversityRan2005 to 2014Enrolled1,094ConditionsPregnancyArmsDHA, Placebo
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Article
  7. Review
  8. Article
  9. Promising Sources of Plant-Derived Polyunsaturated Fatty Acids: A Narrative Review.International journal of environmental research and public health · 2023
    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

16 authors at 6 institutions in 3 countries.

Ines Gonzalez CasanovaDepartment of Applied Health Science, Indiana University Bloomington School of Public Health, Bloomington, IN, USA; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Meriah SchoenLaney Graduate School, Emory University, USA.
Sonia TandonLaney Graduate School, Emory University, USA.
Aryeh D SteinHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Albino Barraza VillarrealDepartment of Environmental Health, Population Health Research Center, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Ann M DiGirolamoGeorgia Health Policy Center, Georgia State University, Atlanta, GA, USA.
Hans DemmelmairDivision of Metabolic and Nutritional Medicine, Dept. Pediatrics, Dr. von Hauner Children's Hospital, Ludwig Maximilians Universität München (LMU), Munich, Germany.
Ivonne Ramirez SilvaCenter for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Raquel Garcia FeregrinoCenter for Research on Surveys and Evaluation, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Peter RzehakDivision of Metabolic and Nutritional Medicine, Dept. Pediatrics, Dr. von Hauner Children's Hospital, Ludwig Maximilians Universität München (LMU), Munich, Germany.
India StevensonHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Marie StandlInstitute of Epidemiology, Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany.
Lourdes SchnaasDivision of Research in Community Interventions, National Institute of Perinatology, Mexico City, Mexico.
Isabelle RomieuDepartment of Environmental Health, Population Health Research Center, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Berthold KoletzkoDivision of Metabolic and Nutritional Medicine, Dept. Pediatrics, Dr. von Hauner Children's Hospital, Ludwig Maximilians Universität München (LMU), Munich, Germany.
Usha RamakrishnanHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. Electronic address: uramakr@emory.edu.
Emory University · USInstituto Nacional de Salud Pública · MXLudwig-Maximilians-Universität München · DEGeorgia State University · USHelmholtz Zentrum München · DEInstituto Nacional de Perinatología · MX

Funding

Effect of Prenatal DHA Supplements on Infant DevelopmentR01HD043099 · NICHD · EMORY UNIVERSITY · PI RAMAKRISHNAN, USHA · 2004 to 2012
$4.1M
Effect of an Intensive Lifestyle Intervention on the Atrial Fibrillation SubstrateR01HL137338 · NHLBI · EMORY UNIVERSITY · PI ALONSO, ALVARO · 2018 to 2021
$2.8M
Omega fatty acid supplementation and allergic diseases in childrenR01HD058818 · NICHD · MEXICO NATIONAL INSTITUTE OF PUBLIC HLTH · PI ROMIEU, ISABELLE · 2009 to 2012
$768k
The role of FADS genotype on prenatal DHA supplementation and child growth and developmentR03HD087606 · NICHD · EMORY UNIVERSITY · PI RAMAKRISHNAN, USHA · 2017 to 2018
$156k
NHLBI NIH HHS R01 HL137338NICHD NIH HHS R01 HD043099NICHD NIH HHS R01 HD058818NICHD NIH HHS R03 HD087606
6 · The paper itself

Abstract

backgroundVariability in the FADS2 gene, which codifies the Delta-6 Desaturases and modulates the conversion of essential n-3 and n-6 fatty acids into long-chain polyunsaturated fatty acids, might modify the impact of prenatal supplementation with n-3 docosahexaenoic acid (DHA) on neurodevelopment.

objectiveTo assess if maternal FADS2 single nucleotide polymorphisms (SNPs) modified the effect of prenatal DHA on offspring development at 5 years.

designWe conducted a post-hoc interaction analysis of the POSGRAD randomized controlled trial (NCT00646360) of prenatal supplementation with algal-DHA where 1094 pregnant women originally randomized to 400 mg/day of preformed algal DHA or a placebo from gestation week 18-22 through delivery. In this analysis, we included offspring with information on maternal genotype and neurodevelopment at 5 years (DHA = 316; Control = 306) and used generalized linear models to assess interactions between FADS2 SNPs rs174602 or rs174575 and prenatal DHA on neurodevelopment at 5 years measured with McCarthy Scales of Children's Abilities (MSCA).

resultsMaternal and offspring characteristics were similar between groups. At baseline, mean (±standard deviation) maternal age was 26 ± 5 years and schooling was 12 ± 4 years. Forty-six percent (46%) of the children were female. Maternal minor allele frequencies were 0.37 and 0.33 for SNPs rs174602 and rs174575, respectively. There were significant variations by SNP rs174602 and intervention group (p for interactions <0.05) where children in the intervention group had higher MSCA scores on the quantitative (DHA: mean ± SEM = 22.6 ± 0.9 vs. Control = 19.1 ± 0.9, mean difference (Δ) = 3.45; p = 0.01) and memory (DHA = 27.9 ± 1.1 vs. Control = 23.7 ± 1.1, Δ = 4.26; p = 0.02) scales only among offspring of TT (minor allele homozygotes).

conclusionsMaternal FADS2 SNP rs174602 modified the effect of prenatal DHA on cognitive development at 5 years. Variations in the genetic make-up of target populations could be an important factor to consider for prenatal DHA supplementation interventions.

Indexed as

Dietary SupplementsPolymorphism, Single NucleotideAdultChild DevelopmentChild, PreschoolCognitionDocosahexaenoic AcidsFatty Acid DesaturasesFemaleFollow-Up StudiesHumansMaleMaternal Nutritional Physiological PhenomenaPrenatal CareYoung AdultDocosahexaenoic AcidsFADS2 protein, humanFatty Acid DesaturasesChild developmentDocosahexaenoic acidEssential fatty acidsFatty acid desaturasesGene–nutrient interactionsPrenatal supplementation

Identifiers

PMID34543890
PMCPMC10515274
OpenAlexW3201047789

What OpenQuestion holds

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Registered trials

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.