Evidence map›Paper›PMID 27633632›Full record

ArticleBMJ open2016

Small-for-gestational age and its association with maternal blood glucose, body mass index and stature: a perinatal cohort study among Chinese women.

Junhong Leng, John Hay, Gongshu Liu, Jing Zhang, Jing Wang, Huihuan Liu, Xilin Yang, Jian Liu

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04144595 (Association Between Low Plasma Glucose After Oral Glucose Tolerance Test in Pregnancy With Impaired Fetal Growth), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
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.

NCT04144595 completednot on this mapstarted 2019, after this paper: background citation

Association Between Low Plasma Glucose After Oral Glucose Tolerance Test in Pregnancy With Impaired Fetal Growth

TypeobservationalSponsorHospital Universitario Dr. Jose E. GonzalezRan2019 to 2019Enrolled300ConditionsOral Glucose Tolerance Test, Low Birth WeightArms2 hour 75 g Oral glucose tolerance test
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. An Observational Study of Maternal Hypoglycemia in Pregnancy.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026
    Article
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  5. Review
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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 at 3 institutions in 2 countries.

Junhong LengTianjin Women and Children's Health Center, Tianjin, China.
John HayBrock University, St. Catharines, Ontario, Canada.
Gongshu LiuTianjin Women and Children's Health Center, Tianjin, China.
Jing ZhangBrock University, St. Catharines, Ontario, Canada.
Jing WangTianjin Women and Children's Health Center, Tianjin, China.
Huihuan LiuBeichen Women and Children's Health Center, Tianjin, China.
Xilin YangTianjin Medical University, Tianjin, China.
Jian LiuBrock University, St. Catharines, Ontario, Canada.
Tianjin Children's Hospital · CNBrock University · CATianjin Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine whether maternal low blood glucose (BG), low body mass index (BMI) and small stature have a joint effect on the risk of delivery of a small-for-gestational age (SGA) infant.

designWomen from a perinatal cohort were followed up from receiving perinatal healthcare to giving birth.

settingBeichen District, Tianjin, China between June 2011 and October 2012.

participants1572 women aged 19-39 years with valid values of stature, BMI and BG level at gestational diabetes mellitus screening (gestational weeks 24-28), glucose challenge test <7.8 mmol/L and singleton birth (≥37 weeks' gestation).

main outcome measuresSGA was defined as birth weight <10th centile for gender separated gestational age of Tianjin singletons.

results164 neonates (10.4%) were identified as SGA. From multiple logistic regression models, the ORs (95% CI) of delivery of SGA were 0.84 (0.72 to 0.98), 0.61 (0.49 to 0.74) and 0.64 (0.54 to 0.76) for every 1 SD increase in maternal BG, BMI and stature, respectively. When dichotomises, maternal BG (<6.0 vs ≥6.0 mmol/L), BMI (<24 vs ≥24 kg/m(2)) and stature (<160.0 vs ≥160.0 cm), those with BG, BMI and stature all in the lower categories had ∼8 times higher odds of delivering an SGA neonate (OR (95% CI) 8.01 (3.78 to 16.96)) relative to the reference that had BG, BMI and stature all in the high categories. The odds for an SGA delivery among women who had any 2 variables in the lower categories were ∼2-4 times higher.

conclusionsLow maternal BG is associated with an increased risk of having an SGA infant. The risk of SGA is significantly increased when the mother is also short and has a low BMI. This may be a useful clinical tool to identify women at higher risk for having an SGA infant at delivery.

Indexed as

Birth WeightBody HeightBody Mass IndexInfant, Small for Gestational AgeMothersPregnancy OutcomeAdultBlood GlucoseBody WeightChinaCohort StudiesDiabetes, GestationalFemaleGestational AgeGlucose Tolerance TestHumansBlood Glucosebody mass indexgestational diabetes screeingmaternal staturesmall for gestational age

Identifiers

PMID27633632
PMCPMC5030608
OpenAlexW2520034534

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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 Socratic graph.