Evidence map›Paper›PMID 42449280›Full record

ArticleBMC public health2026

The association between prenatal and early-life antibiotic use and obesity at 4-5 years in the Born in Bradford birth cohort.

Lila Goodwin, Ellena Badrick, Gillian Santorelli, Sergio Souza da Cunha, Emily Petherick, Sam Oddie, Neil Pearce, John Wright, Lucy Pembrey

Abstract read
In one paragraph

Article in BMC public health, 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

9 authors.

Lila GoodwinLondon School of Hygiene & Tropical Medicine, London, UK.
Ellena BadrickBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Gillian SantorelliBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Sergio Souza da CunhaBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Emily PetherickSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Sam OddieBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Neil PearceDepartment of Medical Statistics, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
John WrightBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Lucy PembreyDepartment of Medical Statistics, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK. Lucy.Pembrey@lshtm.ac.uk.

Funding

UK National Institute for Health and Care Research (NIHR) Health Technology Assessment Programme 16/150/06
6 · The paper itself

Abstract

backgroundThe prevalence of childhood obesity has quadrupled globally over the last 30 years highlighting the urgency for robust research on modifiable risk factors. This study investigates the association between prenatal and early-life (0-24 months) antibiotic use and obesity at 4-5 years within the Born in Bradford (BiB) cohort, and whether this differs by ethnicity or by sex.

methodsBiB is a large, multi-ethnic birth cohort of 13 858 children in Bradford, UK. Data for children and their mothers were obtained from a baseline questionnaire, linked electronic health records (including maternity records and general practitioner prescriptions), and anthropometric measurements at school. Logistic regression models were employed to estimate the associations between antibiotic exposure in pregnancy and early-life and the outcome, having obesity at age 4-5 years, adjusting for several confounders.

resultsIn this population, nearly a tenth of children had obesity, just over a third were exposed to antibiotics in pregnancy, and nearly three quarters were exposed in the first two years of life. The adjusted analysis revealed no clear evidence of an association between prenatal antibiotic use and having obesity at 4-5 years (aOR 1.09; 95% CI 0.94, 1.27; p = 0.247). There was strong evidence of an association between early-life antibiotic use and having childhood obesity (aOR 1.36; 95% CI 1.14, 1.62; p = 0.001), and increasing numbers of prescriptions were associated with higher odds of obesity (aOR 1.058; 95% CI 1.030, 1.088; p

conclusionThese findings support those found in previous experimental animal and epidemiological studies, highlighting the importance of further investigation into early-life antibiotic exposure, infection burden, and later obesity risk.

Indexed as

Anti-Bacterial AgentsPediatric ObesityPrenatal Exposure Delayed EffectsBirth CohortChild, PreschoolFemaleHumansInfantInfant, NewbornMalePregnancyRisk FactorsUnited KingdomAnti-Bacterial AgentsAntibiotic exposureBirth cohortBorn in BradfordChildhood obesityEarly-lifePregnancy

Identifiers

PMID42449280
PMCPMC13647895

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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.