Evidence map›Paper›PMID 36241052›Full record

ArticleThe Journal of pediatrics2023

Association of Gestation and Fetal Growth Restriction on Cardiovascular Health in Preterm-Born Children.

Christopher W Course, Sarah J Kotecha, Michael Cousins, Kylie Hart, John Lowe, W John Watkins, Sailesh Kotecha

Open access · hybridAbstract read
In one paragraph

Article in The Journal of pediatrics, 2023. 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
2.3field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 7 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 2 institutions in 1 country.

Christopher W CourseDepartment of Child Health, Cardiff University School of Medicine, Cardiff, United Kingdom.
Sarah J KotechaDepartment of Child Health, Cardiff University School of Medicine, Cardiff, United Kingdom.
Michael CousinsDepartment of Child Health, Cardiff University School of Medicine, Cardiff, United Kingdom; Department of Paediatrics, Cardiff and Vale University Health Board, Cardiff, United Kingdom.
Kylie HartDepartment of Paediatrics, Cardiff and Vale University Health Board, Cardiff, United Kingdom.
John LoweDepartment of Child Health, Cardiff University School of Medicine, Cardiff, United Kingdom.
W John WatkinsDepartment of Child Health, Cardiff University School of Medicine, Cardiff, United Kingdom.
Sailesh KotechaDepartment of Child Health, Cardiff University School of Medicine, Cardiff, United Kingdom. Electronic address: kotechas@cardiff.ac.uk.
Cardiff University · GBCardiff and Vale University Health Board · GB

Funding

Medical Research Council MR/M022552/1
6 · The paper itself

Abstract

objectivesTo prospectively evaluate the associations of early and current life factors, including gestational age and fetal growth restriction in preterm-born subjects, on cardiovascular health including measures of central and peripheral blood pressure and arterial stiffness and assess cardiovascular changes before and after acute exercise in preterm- and term-born school-aged children. STUDY

designFrom 240 children, aged 7-12 years, 204 (141 preterm-born and 63 term-born) had satisfactory data. An oscillometric device recorded cardiovascular measures before and after cycle ergometer exercise testing. Data were analyzed with multivariable linear regression and mediation.

resultsCentral systolic blood pressure (SBP) was 6.4 mmHg (95% CI, 1.2, 11.6) higher in preterm-born children with fetal growth restriction and 3.4 mmHg (0.02, 6.8) higher in those without fetal growth restriction when compared with term controls. Augmentation index was 4.1% (0.7, 7.4) higher in the preterm fetal growth restriction group when compared with those without fetal growth restriction but was similar between the latter group and term controls. Regression modelling showed gestational age, female sex, and antenatal smoking, but not fetal growth restriction, were significantly associated with SBP. In contrast, fetal growth restriction and fat mass index, but not gestation, were significantly associated with augmentation index. Cardiovascular exercise responses were similar between all 3 groups studied.

conclusionsOur data show the differential associations of prematurity and fetal growth restriction on central SBP and augmentation index. Cardiovascular responses to exercise were similar in all 3 groups. Preterm-born children with and without fetal growth restriction are at an increased risk of cardiovascular disease in adult life.

trial registrationURL: https://www.clinicaltrialsregister.eu/ctr-search/trial/2015-003712-20/GB: RHiNO, EudraCT: 2015-003712-20.

Indexed as

Fetal Growth RetardationInfant, PrematureAdultBlood PressureChildFemaleGestational AgeHumansInfant, NewbornPregnancyRisk Factors

Identifiers

PMID36241052
PMCPMC7614853
OpenAlexW4304783144

What OpenQuestion holds

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LicenceCC BY
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.