Evidence map›Paper›PMID 35575613›Full record

ArticleThe American journal of clinical nutrition2022

Pre-pregnancy fat intake in relation to hypertensive disorders of pregnancy.

Mariel Arvizu, Lidia Minguez-Alarcon, Siwen Wang, Makiko Mitsunami, Jennifer J Stuart, Janet W Rich-Edwards, Bernard Rosner, Jorge E Chavarro

Abstract read
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Article in The American journal of clinical nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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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

6 citing papers in PubMed.

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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

8 authors.

Mariel ArvizuDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.ORCID 0000-0003-1860-7276
Lidia Minguez-AlarconDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Siwen WangDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.ORCID 0000-0002-5605-2016
Makiko MitsunamiDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Jennifer J StuartDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Janet W Rich-EdwardsChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Bernard RosnerDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA.ORCID 0000-0001-6907-0056
Jorge E ChavarroDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.ORCID 0000-0002-4436-9630

Funding

ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI MARTIN TORRIANI · 1994 to 2026
$31.6M
Transgenic CoreP30DK046200 · NIDDK · TUFTS MEDICAL CENTER · PI GREENBERG, ANDREW S, PERISSI, VALENTINA · 1992 to 2021
$25.0M
Life Course Cancer Epidemiology Cohort in WomenU01CA176726 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI ELIASSEN, A. HEATHER, WILLETT, WALTER C. · 2018 to 2025
$22.4M
Integrating lifecourse approaches, biologic and digital phenotypes in support of heart and lung disease epidemiologic researchU01HL145386 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI CHAVARRO, JORGE EDUARDO, MANSON, JOANN ELISABETH · 2019 to 2025
$17.8M
Maternal Exposure to Air Pollution and Early Pregnancy OutcomesR00ES026648 · NIEHS · EMORY UNIVERSITY · PI GASKINS, AUDREY JANE · 2019 to 2021
$730k
Female-Specific Risk Factors for CVD: The Impact of Adverse Pregnancy Outcomes on Subsequent Mental Health and CVD RiskK01HL159281 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI STUART, JENNIFER JACQUELINE · 2022 to 2024
$348k
NCI NIH HHS U01 CA176726NHLBI NIH HHS K01 HL159281NHLBI NIH HHS U01 HL145386NIDDK NIH HHS P30 DK040561NIDDK NIH HHS P30 DK046200NIEHS NIH HHS R00 ES026648
6 · The paper itself

Abstract

backgroundMany studies have linked intakes of fat and of specific fatty acids during pregnancy with preeclampsia; however, information on the association of intake before pregnancy with hypertensive disorders of pregnancy (HDP) is scant.

objectivesWe evaluated the associations of intakes of major and specific types of fat before pregnancy with the risks of HDP, including preeclampsia and gestational hypertension (GHTN).

methodsWe followed 11,535 women without chronic disease participating in the Nurses' Health Study II from 1991 and 2009. Pre-pregnancy dietary fat was assessed by an FFQ. Intakes of total fat, saturated fat, trans fatty acid (TFA), MUFAs, PUFAs, and fat subtypes (omega-3 and omega-6) were categorized into quintiles of intake. HDP were self-reported. The RRs (95% CIs) of HDP were estimated by log-binomial generalized estimating equation regression models, with an exchangeable correlation matrix to account for repeated pregnancies while adjusting for potential confounders.

resultsDuring 19 years of follow-up, there were 495 cases of preeclampsia (2.9%) and 561 (3.3%) cases of GHTN in 16,892 singleton pregnancies. The mean age at pregnancy was 34.6 years (SD, 3.9 years). Among major fat types, only pre-pregnancy TFA was related to a higher risk of HDP (RR, 1.32; 95% CI: 1.05-1.66), and only for preeclampsia (RR, 1.50; 95% CI: 1.07-2.10) but not for GHTN (RR, 1.21; 95% CI: 0.87-1.70). Among specific types of PUFAs, intake of arachidonic acid was positively related with GHTN (RR, 1.43; 95% CI: 1.00-2.04) but not preeclampsia (RR, 1.08; 95% CI: 0.75-1.57). In analyses restricted to pregnancies 1 year after the diet assessment, women with the highest intake of long-chain omega-3 fatty acids had a 31% lower risk of HDP (95% CI: 3%-51%), which was driven by preeclampsia (RR, 0.55; 95% CI: 0.33-0.92).

conclusionsPre-pregnancy intakes of total fat, saturated fat, and MUFA were unrelated to HDP, whereas TFA was positively related to HDP. These findings highlight the importance of ongoing efforts to eliminate TFA from the global food supply.

Indexed as

Fatty Acids, Omega-3Hypertension, Pregnancy-InducedPre-EclampsiaTrans Fatty AcidsDietary FatsFatty AcidsFatty Acids, MonounsaturatedFemaleHumansPregnancyDietary FatsFatty AcidsFatty Acids, MonounsaturatedFatty Acids, Omega-3Trans Fatty Acidsgestational hypertensionhypertensive disorders of pregnancymonounsaturated fatpolyunsaturated fatpreeclampsiapre-pregnancy dietsaturated fattotal fattrans fat

Identifiers

PMID35575613
PMCPMC9437979

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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.