Evidence map›Paper›PMID 42219426›Full record

ReviewMolecular and cellular pediatrics2026

Intersectionality of early developmental risks and resilience after preterm birth.

Julia Jäkel, Janika Ludwig, Britta Hüning, Ursula Felderhoff-Müser, Christoph Härtel

Abstract readReview
In one paragraph

Review in Molecular and cellular pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Julia JäkelKlinik für Kinderheilkunde I, University Hospital Essen, University Duisburg-Essen, Essen, Germany. julia.jaekel@uk-essen.de.ORCID http://orcid.org/0000-0001-6123-3375
Janika LudwigKlinik für Kinderheilkunde I, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Britta HüningKlinik für Kinderheilkunde I, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Ursula Felderhoff-MüserKlinik für Kinderheilkunde I, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Christoph HärtelDepartment of Pediatrics, University of Würzburg, Würzburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The period from conception through preschool age represents a critical developmental window for both microbiome and brain. During this time, several modifiable factors may influence development via the gut-brain axis, including the mode of delivery, exposure to antibiotics, maternal nutrition, breastfeeding, and sensitive, emotionally responsive caregiving. Infants born preterm (<37 weeks gestation) face numerous challenges that can perturb their developing gut microbiome as well as neurobehavioral trajectories. Biological and medical risks are exacerbated by stressful social context conditions. Understanding the complex mechanisms shaping the gut-brain axis and identifying modifiable protective factors is key to help define specific target groups and critical windows for individualized prevention of adverse outcomes after preterm birth. Today, a large knowledge gap exists on (a) how gut, brain, and behavioral development interact over time, and (b) which social and modifiable factors are key drivers of this interaction that could be harnessed for treatment and intervention. Translational research on the gut-brain axis after preterm birth is critically needed. Future studies should consider intentional sampling for variation in social factors such as level of education and immigrant background to identify populations that are susceptible to microbiome modifications and provide more evidence of how interventions might optimize long-term outcomes.

Identifiers

PMID42219426
PMCPMC13222915

What OpenQuestion holds

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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.