Evidence map›Paper›PMID 41133963›Full record

ArticleThe International journal of eating disorders2026

Maternal Gestational Low-Grade Inflammation and the Risk of Anorexia Nervosa in Daughters.

Emma Saure, Pyry N Sipilä, Cynthia M Bulik, Elina Santti, Heljä-Marja Surcel, Antti Latvala, Anu Raevuori

Abstract read
In one paragraph

Article in The International journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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

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

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

7 authors.

Emma SaureDepartment of Psychiatry, Division of Adolescent Psychiatry, Helsinki University Hospital, Helsinki, Finland.ORCID https://orcid.org/0000-0002-4061-554X
Pyry N SipiläClinicum, Department of Public Health, University of Helsinki, Helsinki, Finland.ORCID https://orcid.org/0000-0003-4886-8151
Cynthia M BulikDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0001-7772-3264
Elina SanttiDepartment of Psychiatry, Division of Adolescent Psychiatry, Helsinki University Hospital, Helsinki, Finland.ORCID https://orcid.org/0009-0007-2637-0818
Heljä-Marja SurcelFaculty of Medicine, University of Oulu, Oulu, Finland.ORCID https://orcid.org/0000-0002-5770-1380
Antti LatvalaInstitute of Criminology and Legal Policy, University of Helsinki, Helsinki, Finland.ORCID https://orcid.org/0000-0001-5695-117X
Anu RaevuoriDepartment of Psychiatry, Division of Adolescent Psychiatry, Helsinki University Hospital, Helsinki, Finland.ORCID https://orcid.org/0000-0001-7704-9441

Funding

Finnish Medical FoundationHelsinki University Hospital Y221Päivikki and Sakari Sohlberg FoundationResearch Council of Finland 259764Swedish Research Council 538-2013-8864Yrjö Jahnsson Foundation
6 · The paper itself

Abstract

objectivePrenatal exposures have been suggested to have a programming effect on neural and metabolic development, which may affect the risk of eating disorders. We investigated the association between prospectively measured maternal gestational high-sensitivity C-reactive protein (hs-CRP), an established inflammatory biomarker, and subsequent risk of AN in daughters.

methodThis nested case-control study with sibling-comparison design used systematic sampling from a register-based cohort including all eating disorder patients in Finland born 1991-2000 and diagnosed in specialized health care. Final sample included 150 full triads of females with severe AN (ICD-10 code F50.0), age- and sex-matched population controls, and biological sister controls (total N = 450).

resultsMean gestational hs-CRP values were 4.10 mg/L (SD 5.22), 4.83 mg/L (SD 4.88), and 5.53 mg/L (SD 10.36), for individuals with AN, population controls, and sister controls, respectively. Higher hs-CRP was associated with decreased risk for AN when compared to sister controls (adjusted OR 0.68, 95% Cl 0.48-0.97, p = 0.03). Analyzing hs-CRP in tertiles, maternal hs-CRP in the highest tertile (≥ 5.13 mg/L) versus lowest tertile (≤ 1.94 mg/L) was associated with decreased risk for AN compared to sisters (adjusted OR 0.35, 95% Cl 0.15-0.80, p = 0.01), and to all controls combined (adjusted OR 0.52, 95% Cl 0.29-0.93, p = 0.03). DISCUSSION: We found no evidence that higher gestational CRP would increase the later risk of AN. On the contrary, lower maternal low-grade inflammation early in pregnancy was associated with an increased risk of AN in daughters.

Indexed as

Anorexia NervosaC-Reactive ProteinInflammationNuclear FamilyPrenatal Exposure Delayed EffectsAdolescentAdultBiomarkersCase-Control StudiesFemaleFinlandHumansPregnancyRisk FactorsSiblingsBiomarkersC-Reactive Proteinanorexia nervosabiomarkerseating disordersfeeding and eating disordersmaternal exposureprenatal exposure delayed effects

Identifiers

PMID41133963
PMCPMC12884243

What OpenQuestion holds

Textmetadata
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.