Evidence map›Paper›PMID 36396611›Full record

ArticleThe journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians2023

Association of serum folate levels during pregnancy and prenatal depression.

Lyndsay A Avalos, Nerissa Nance, Bette Caan, Ayesha C Sujan, Janet Y Uriu-Adams, De-Kun Li, Charles P Quesenberry, Monique M Hedderson

Abstract read
In one paragraph

Article in The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Fermentative production of vitamin BFood science & nutrition · 2024
    Review
  3. 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

8 authors.

Lyndsay A AvalosKaiser Permanente Northern California Division of Research (KPNC-DOR), Oakland, CA, USA.ORCID 0000-0001-8748-0614
Nerissa NanceKaiser Permanente Northern California Division of Research (KPNC-DOR), Oakland, CA, USA.
Bette CaanKaiser Permanente Northern California Division of Research (KPNC-DOR), Oakland, CA, USA.
Ayesha C SujanKaiser Permanente Northern California Division of Research (KPNC-DOR), Oakland, CA, USA.
Janet Y Uriu-AdamsDepartment of Nutrition, University of California, Davis, Davis, CA, USA.
De-Kun LiKaiser Permanente Northern California Division of Research (KPNC-DOR), Oakland, CA, USA.
Charles P QuesenberryKaiser Permanente Northern California Division of Research (KPNC-DOR), Oakland, CA, USA.
Monique M HeddersonKaiser Permanente Northern California Division of Research (KPNC-DOR), Oakland, CA, USA.ORCID 0000-0003-1768-0412

Funding

Comparing the Effects of Prenatal Depression and its Treatment on Developmental Outcomes of the OffspringR01HD101483 · NICHD · KAISER FOUNDATION RESEARCH INSTITUTE · PI AVALOS, LYNDSAY AMMON · 2020 to 2024
$3.3M
The Impact of Folate, Obesity and Genetics on Maternal DepressionK01MH103444 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI AVALOS, LYNDSAY AMMON · 2014 to 2016
$615k
NICHD NIH HHS R01 HD101483NIMH NIH HHS K01 MH103444
6 · The paper itself

Abstract

objectiveTo evaluate the association between serum folate levels during pregnancy and prenatal depression and the extent to which obesity may modify this relationship.

methodsThis secondary data analysis leveraged data from a previous study of pregnant Kaiser Permanente Northern California participants who completed a survey and provided a serum sample between 2011 and 2013. Serum folate was assessed using the Center for Disease Control's Total Folate Serum/Whole Blood Microbiological Assay Method. A score of 15 or greater on the Center for Epidemiologic Studies Depression Scale was defined as prenatal depression. We used Poisson regression to estimate risk of prenatal depression given prenatal serum folate status (low/medium tertiles vs. high tertile) in the full sample and in subsamples of women with pre-pregnancy body mass index in the (a) normal range and (b) overweight/obese range.

resultsOf the sample, 13% had prenatal depression. Combined low/medium folate tertiles was associated with prenatal depression (adjusted relative risk [aRR] = 1.97, 95% confidence interval [CI]: 0.93-4.18), although results did not reach statistical significance. This relationship was stronger among women with overweight/obesity than women with normal weight (aRR: 2.61, 95% CI: 1.01-6.71 and aRR: 1.50, 95% CI: 0.34-6.66, respectively).

conclusionResults suggest an association between lower pregnancy folate levels and prenatal depression that may be stronger among women with overweight or obesity. Future studies need to clarify the temporal sequence of these associations.

Indexed as

DepressionOverweightBody Mass IndexFemaleFolic AcidHumansObesityPregnancyVitaminsFolic AcidVitaminsantenatal depressionbody mass indexnutritionobesityPerinatal depressionserum folate

Identifiers

PMID36396611
PMCPMC9997998

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.