Evidence map›Paper›PMID 36337853›Full record

ArticleFrontiers in human neuroscience2022

Association of prenatal modifiable risk factors with attention-deficit hyperactivity disorder outcomes at age 10 and 15 in an extremely low gestational age cohort.

David M Cochran, Elizabeth T Jensen, Jean A Frazier, Isha Jalnapurkar, Sohye Kim, Kyle R Roell, Robert M Joseph, Stephen R Hooper, Hudson P Santos, Karl C K Kuban and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in human neuroscience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
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  6. Article
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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

12 authors at 7 institutions in 1 country.

David M CochranEunice Kennedy Shriver Center, UMass Chan Medical School, Worcester, MA, United States.
Elizabeth T JensenDepartment of Epidemiology and Prevention, Wake Forest University School of Medicine, Winston-Salem, NC, United States.
Jean A FrazierEunice Kennedy Shriver Center, UMass Chan Medical School, Worcester, MA, United States.
Isha JalnapurkarEunice Kennedy Shriver Center, UMass Chan Medical School, Worcester, MA, United States.
Sohye KimEunice Kennedy Shriver Center, UMass Chan Medical School, Worcester, MA, United States.
Kyle R RoellDepartment of Environmental Sciences and Engineering, Institute for Environmental Health Solutions, University of North Carolina School, Chapel Hill, NC, United States.
Robert M JosephDepartment of Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA, United States.
Stephen R HooperDepartment of Health Sciences, University of North Carolina School of Medicine, Chapel Hill, NC, United States.
Hudson P SantosSchool of Nursing and Health Studies, University of Miami, Coral Gables, FL, United States.
Karl C K KubanDivision of Neurology (Pediatric Neurology), Department of Pediatrics, Boston Medical Center and Boston University, Boston, MA, United States.
Rebecca C FryDepartment of Environmental Sciences and Engineering, Institute for Environmental Health Solutions, University of North Carolina School, Chapel Hill, NC, United States.
T Michael O'SheaDepartment of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, NC, United States.
University of Massachusetts Chan Medical School · USUniversity of North Carolina at Chapel Hill · USBoston Medical Center · USBoston University · USEunice Kennedy Shriver Center · USUniversity of Miami · USWake Forest University · US

Funding

University of Massachusetts Center for Clinical and Translational ScienceKL2TR001455 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KIEFE, CATARINA I. · 2015 to 2024
$5.0M
Imaging Biomarkers of Social Cognition and Pharmacologic Target Engagement in ASDK23MH113008 · NIMH · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI COCHRAN, DAVID M. · 2017 to 2020
$756k
NCATS NIH HHS KL2 TR001455NIMH NIH HHS K23 MH113008
6 · The paper itself

Abstract

Background: The increased risk of developing attention-deficit hyperactivity disorder (ADHD) in extremely preterm infants is well-documented. Better understanding of perinatal risk factors, particularly those that are modifiable, can inform prevention efforts. Methods: We examined data from the Extremely Low Gestational Age Newborns (ELGAN) Study. Participants were screened for ADHD at age 10 with the Child Symptom Inventory-4 ( Results: Elevated maternal BMI and maternal diabetes were each associated with a 55-65% increase in risk of ADHD, with evidence of both additive and multiplicative interactions between the two exposures. MSDP and HDP were not associated with the risk of ADHD outcomes. There was some evidence for association of ADHD outcomes with high levels of inflammatory proteins or moderate levels of neurotrophic proteins, but there was no evidence that these mediated the risk associated with maternal BMI or diabetes. Conclusion: Contrary to previous population-based studies, MSDP and HDP did not predict ADHD outcomes in this extremely preterm cohort, but elevated maternal pre-pregnancy BMI, maternal diabetes, and perinatal inflammatory markers were associated with increased risk of ADHD at age 10 and/or 15, with positive interaction between pre-pregnancy BMI and maternal diabetes.

Indexed as

attention-deficit hyperactivity disordermaternal hypertensionmaternal obesitymaternal smokingpreterm

Identifiers

PMID36337853
PMCPMC9630552
OpenAlexW4306946697

What OpenQuestion holds

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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.