Evidence map›Paper›PMID 40714954›Full record

ArticleClinical and translational allergy2025

Maternal Dietary Inflammatory Status and Serum Neopterin During Pregnancy: Influence on Infantile Atopic Eczema in the Offspring.

Sarah El-Heis, Sarah R Crozier, Evelyn X Loo, Elizabeth H Tham, Nicholas C Harvey, Hazel M Inskip, Southampton Women's Survey Study Group, Keith M Godfrey

Registry-linked trialAbstract read
In one paragraph

Article in Clinical and translational allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04715945 (Southampton Women's Survey - a Study of Non-pregnant Women and Follow-up of Offspring Through Pregnancy and Childhood), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

NCT04715945 active not recruitingnot on this map

Southampton Women's Survey - a Study of Non-pregnant Women and Follow-up of Offspring Through Pregnancy and Childhood

TypeobservationalSponsorUniversity of SouthamptonRan1998 to 2028Enrolled12,583ConditionsChild Development, Child Obesity, Child Behavior, Nutritional and Metabolic Diseases
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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.

Sarah El-HeisMedical Research Council Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.ORCID https://orcid.org/0000-0003-4277-7187
Sarah R CrozierMedical Research Council Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.ORCID https://orcid.org/0000-0002-9524-1127
Evelyn X LooSingapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.ORCID https://orcid.org/0000-0001-7690-3191
Elizabeth H ThamDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0003-1037-6143
Nicholas C HarveyMedical Research Council Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.ORCID https://orcid.org/0000-0002-8194-2512
Hazel M InskipMedical Research Council Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.ORCID https://orcid.org/0000-0001-8897-1749
Southampton Women's Survey Study Group
Keith M GodfreyMedical Research Council Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.ORCID https://orcid.org/0000-0002-4643-0618

Funding

Arthritis Research UK 17702BBSRC BB/P028179/1BBSRC HDHL-BiomarkersBupa FoundationEarlyNutrition and ODIN 289346EarlyNutrition and ODIN 613977European Union Erasmus++ Programme ImpENSA 598488-EPP-1-2018-1-DE-EPPKA2-CBHE-JPEuropean Union's Seventh Framework Programme FP7/2007-2013Horizon 696295Medical Research Council 4050502589; MC_PC_21003; MC_PC_21001National Institute for Health Research NIHR Senior Investigator (NF-SI-0515-10042)National Institute for Health Research Southampton Biomedical Research CentreNIHR Oxford Biomedical Research CentreNIHR Southampton Biomedical Research Centre IS-BRC-1215-20004UK Medical Research Council; MC_UU_12011/4University Hospital Southampton NHS Foundation TrustUniversity of Southampton
6 · The paper itself

Abstract

backgroundA protective influence of maternal inflammatory status on infantile atopic eczema risk has been proposed, but few studies have investigated these potential links. We examined the associations between energy-adjusted dietary inflammatory index (E-DII) scores indicative of an inflammatory dietary pattern, maternal serum neopterin levels, a biomarker elevated in Th1 immune activation, and infantile risk of atopic eczema.

methodsWithin the UK Southampton Women's Survey, mothers' diets were recorded using questionnaires at preconception, early and late pregnancy and E-DII scores derived. 3006 deliveries of live born infants with no major congenital growth abnormalities who were assessed for atopic eczema at 6 or 12 months (ascertained using the UK Working Party Diagnostic Criteria [n = 2955 and 2871, respectively]). A sub-sample of 497 mothers had serum neopterin measured in late pregnancy.

resultsUnadjusted analyses showed that higher E-DII in preconception and late pregnancy was associated with a lower risk of eczema at ages 6 and 12 months. After adjusting for maternal BMI, age, parity, education, smoking during pregnancy, breastfeeding duration and sex, higher E-DII in late pregnancy was associated with reduced risks of eczema at age 6 and 12 months (OR 0.89 [95% CI 0.81, 0.99], p = 0.03 and OR 0.91 [0.82, 1.00], p = 0.05, respectively). Consistent with this, higher maternal serum neopterin was associated with a lower risk of eczema at ages 6 months (OR 0.72 [0.51, 1.01], p = 0.05) and 12 months (OR 0.71 [0.53, 0.96], p = 0.03).

conclusionThe findings suggest that a pro-inflammatory maternal diet and an inflammatory maternal environment during pregnancy may protect the developing infant from Th2 driven inflammation and lower the risk of infantile atopic eczema.

trial registrationNCT04715945.

Indexed as

infantile atopic eczemamaternal dietneopterinproinflammatory diet

Identifiers

PMID40714954
PMCPMC12410369

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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.