Evidence map›Paper›PMID 37339859›Full record

SynthesisArchives of disease in childhood2023

Effects of size at birth on health, growth and developmental outcomes in children up to age 18: an umbrella review.

Zeina Jamaluddine, Eman Sharara, Vanessa Helou, Nadine El Rashidi, Gloria Safadi, Nehmat El-Helou, Hala Ghattas, Miho Sato, Hannah Blencowe, Oona M R Campbell

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Archives of disease in childhood, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
10.5field-weighted citation impact, top 2% 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

15 citing papers in PubMed, 18 citations in OpenAlex.

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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

10 authors at 4 institutions in 4 countries.

Zeina JamaluddineFaculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK zeina.jamaluddine@lshtm.ac.uk.ORCID 0000-0003-2074-9329
Eman ShararaCenter for Research On Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Vanessa HelouFaculty of Medicine, American University of Beirut, Beirut, Lebanon.ORCID 0000-0003-4826-1659
Nadine El RashidiCenter for Research On Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Gloria SafadiCenter for Research On Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Nehmat El-HelouCenter for Research On Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Hala GhattasCenter for Research On Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.ORCID 0000-0001-8864-3374
Miho SatoSchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
Hannah BlencoweFaculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Oona M R CampbellFaculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0002-9311-0115
American University of Beirut · LBUniversity of London · GBUniversity of Nagasaki · JPUniversity of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSize at birth, an indicator of intrauterine growth, has been studied extensively in relation to subsequent health, growth and developmental outcomes. Our umbrella review synthesises evidence from systematic reviews and meta-analyses on the effects of size at birth on subsequent health, growth and development in children and adolescents up to age 18, and identifies gaps.

methodsWe searched five databases from inception to mid-July 2021 to identify eligible systematic reviews and meta-analyses. For each meta-analysis, we extracted data on the exposures and outcomes measured and the strength of the association.

findingsWe screened 16 641 articles and identified 302 systematic reviews. The literature operationalised size at birth (birth weight and/or gestation) in 12 ways. There were 1041 meta-analyses of associations between size at birth and 67 outcomes. Thirteen outcomes had no meta-analysis.Small size at birth was examined for 50 outcomes and was associated with over half of these (32 of 50); continuous/post-term/large size at birth was examined for 35 outcomes and was consistently associated with 11 of the 35 outcomes. Seventy-three meta-analyses (in 11 reviews) compared risks by size for gestational age (GA), stratified by preterm and term. Prematurity mechanisms were the key aetiologies linked to mortality and cognitive development, while intrauterine growth restriction (IUGR), manifesting as small for GA, was primarily linked to underweight and stunting.

interpretationFuture reviews should use methodologically sound comparators to further understand aetiological mechanisms linking IUGR and prematurity to subsequent outcomes. Future research should focus on understudied exposures (large size at birth and size at birth stratified by gestation), gaps in outcomes (specifically those without reviews or meta-analysis and stratified by age group of children) and neglected populations. PROSPERO REGISTRATION NUMBER: CRD42021268843.

Indexed as

Fetal Growth RetardationPregnancy OutcomeAdolescentBirth WeightChildFemaleGrowth DisordersHumansInfant, NewbornInfant, Small for Gestational AgePregnancyChild DevelopmentChild HealthGrowthMental healthMortality

Identifiers

PMID37339859
PMCPMC11474254
OpenAlexW4381328497

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.