Evidence mapPaperPMID 37049439Full record

ArticleNutrients2023

Gestational Vitamin E Status and Gestational Diabetes Mellitus: A Retrospective Cohort Study.

Huifeng Shi, Xiaoli Gong, Qing Sheng, Xiang Li, Ying Wang, Tianchen Wu, Yangyu Zhao, Yuan Wei

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2023. 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
1.2field-weighted citation impact, top 22% 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.

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, 5 citations in OpenAlex.

  1. Review
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 1 institution in 1 country.

Huifeng ShiDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China.ORCID 0000-0001-6150-8762
Xiaoli GongDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China.
Qing ShengDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China.
Xiang LiDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China.ORCID 0009-0002-3700-3435
Ying WangDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China.
Tianchen WuDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China.ORCID 0000-0003-2974-7928
Yangyu ZhaoDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China.ORCID 0000-0002-2558-7122
Yuan WeiDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China.ORCID 0000-0003-3387-7549
Peking University · CN

Funding

the National Key Research and Development Program of China 2021YFC2700700the National Natural Science Foundation of China 82171661
6 · The paper itself

Abstract

objectivesTo examine the association between vitamin E (VE) status and gestational diabetes mellitus (GDM).

methodsA retrospective cohort study was conducted by using data of 52,791 women at 137 hospitals across 22 provinces of China. A fasting plasma glucose (FPG) level of ≥5.1 mmol/L between the 24th and 40th weeks of gestation was used as the criteria for the diagnosis of GDM. Mean FPG level and GDM rate were calculated within each combination of the first-trimester VE concentration categories and gestational change categories. The associations of the first-trimester VE concentrations and gestational VE change with FPG and GDM were examined by employing generalized additive models (GAMs).

results7162 (13.57%) cases were diagnosed with GDM. The GDM rate was 22.44%, 11.50%, 13.41%, 12.87%, 13.17%, 13.44%, 12.64%, and 14.24% among women with the first-trimester VE concentrations of <7.2, 7.2-7.9, 8.0-9.3, 9.4-11.0, 11.1-13.2, 13.3-15.8, 15.9-17.7, and 17.8-35.9 mg/L, respectively. The GDM rate was 15.96%, 13.10%, 13.64%, and 12.87% among women with gestational VE change of <0, 0-0.19, 0.20-0.29, ≥0.30 mg/L per week, respectively. Multivariable adjusted GAM analyses found that the first-trimester VE concentration was associated with the FPG levels and GDM risk in an L-shaped pattern; the FPG levels and GDM risk decreased sharply to a threshold (around 7 mg/L), and then were keep flat. Gestational VE decreases when the first-trimester VE level was less than 11 mg/L were related to increased FPG levels and GDM risk.

conclusionsBoth low first-trimester VE levels and subsequent gestational VE decrease were related with increased risk of GDM. The findings suggest the necessity of having VE-rich foods and appropriate VE supplementation to prevent GDM for pregnant women with low baseline VE levels.

Indexed as

Diabetes, GestationalBlood GlucoseFemaleGlucose Tolerance TestHumansPregnancyPregnancy Trimester, FirstRetrospective StudiesBlood Glucosecohort studygestational diabetes mellitusvitamin E

Identifiers

PMID37049439
PMCPMC10096721
OpenAlexW4361011243

What Socratic 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 Socratic graph.