Evidence map›Paper›PMID 37839707›Full record

Trial reportThe American journal of clinical nutrition2023

Effects of prenatal docosahexaenoic acid supplementation on offspring cardiometabolic health at 11 years differs by maternal single nucleotide polymorphism rs174602: follow-up of a randomized controlled trial in Mexico.

Sonia Tandon Wimalasena, Claudia Ivonne Ramirez-Silva, Ines Gonzalez Casanova, Aryeh D Stein, Yan V Sun, Juan A Rivera, Hans Demmelmair, Berthold Koletzko, Usha Ramakrishnan

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00646360 (Effects of Prenatal DHA Supplements on Infant Development), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.3field-weighted citation impact, top 11% 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.

NCT00646360 nacompletednot on this map

Effects of Prenatal DHA Supplements on Infant Development

TypeinterventionalSponsorEmory UniversityRan2005 to 2014Enrolled1,094ConditionsPregnancyArmsDHA, Placebo
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

9 authors at 4 institutions in 3 countries.

Sonia Tandon WimalasenaDoctoral Program in Nutrition and Health Sciences, Laney Graduate School, Emory University, Atlanta, GA, United States.
Claudia Ivonne Ramirez-SilvaNational Institute of Public Health, Cuernavaca, Mexico.
Ines Gonzalez CasanovaIndiana University Bloomington School of Public Health, Bloomington, IN, United States.
Aryeh D SteinDoctoral Program in Nutrition and Health Sciences, Laney Graduate School, Emory University, Atlanta, GA, United States; Hubert Department of Global Health, Emory University, Atlanta, GA, United States.
Yan V SunDepartment of Epidemiology, Emory University, Atlanta, GA, United States.
Juan A RiveraNational Institute of Public Health, Cuernavaca, Mexico.
Hans DemmelmairLMU-Ludwig Maximilians Universität, Department of Pediatrics, LMU University Hospitals, Munich, Germany.
Berthold KoletzkoLMU-Ludwig Maximilians Universität, Department of Pediatrics, LMU University Hospitals, Munich, Germany.
Usha RamakrishnanDoctoral Program in Nutrition and Health Sciences, Laney Graduate School, Emory University, Atlanta, GA, United States; Hubert Department of Global Health, Emory University, Atlanta, GA, United States. Electronic address: ramakr@emory.edu.
Emory University · USInstituto Nacional de Salud Pública · MXLMU Klinikum · DEIndiana University Bloomington · US

Funding

Effect of Prenatal DHA Supplements on Infant DevelopmentR01HD043099 · NICHD · EMORY UNIVERSITY · PI RAMAKRISHNAN, USHA · 2004 to 2012
$4.1M
KINASE REGULATION OF L TYPE CALCIUM CHANNELSR01HL040399 · NHLBI · UNIVERSITY OF NEVADA RENO · PI KEEF, KATHLEEN D · 1991 to 2002
$593k
The role of FADS genotype on prenatal DHA supplementation and child growth and developmentR03HD087606 · NICHD · EMORY UNIVERSITY · PI RAMAKRISHNAN, USHA · 2017 to 2018
$156k
Maternal and offspring FADS polymorphisms, dietary LC-PUFAs, and adolescent cardiometabolic healthF31HD106748 · NICHD · EMORY UNIVERSITY · PI TANDON, SONIA · 2022 to 2023
$72k
NHLBI NIH HHS R01 HL040399NICHD NIH HHS F31 HD106748NICHD NIH HHS R01 HD043099NICHD NIH HHS R03 HD087606
6 · The paper itself

Abstract

backgroundThere is limited evidence regarding long-term effects of prenatal docosahexaenoic acid (DHA) supplementation on offspring cardiometabolic health (CMH). Inconsistent results may be attributable to variants of fatty acid desaturase (FADS) genes.

objectiveWe aimed to evaluate the effect of prenatal DHA supplementation on offspring CMH and investigate effect modification by maternal FADS2 single nucleotide polymorphism (SNP) rs174602.

methodsWe used follow-up data from a double-blind, randomized controlled trial in Mexico in which pregnant females received 400 mg/d of algal DHA or placebo from midgestation until delivery. The study sample included 314 offspring with data at age 11 y and maternal FADS genetic data (DHA: n = 160; Placebo: n = 154). We derived a Metabolic Syndrome (MetS) score from body mass index, HDL, triglycerides, fasting glucose concentrations, and systolic blood pressure. Generalized linear models were used to evaluate the effect of the intervention on offspring MetS score and test interactions between treatment group and genotype, adjusting for maternal, offspring, and household factors.

resultsOffspring MetS score did not differ significantly by treatment group. We observed evidence of effect modification by maternal SNP rs174602 (P = 0.001); offspring of maternal TT genotype who received DHA had lower MetS score relative to the placebo group (DHA (mean ± standard error of the mean (SEM)): -0.21 ± 0.11, n = 21; Placebo: 0.05 ± 0.11, n = 23; Δ= -0.26 (95% CI: -0.55, 0.04), P = 0.09); among CC maternal genotype carriers, offspring of mothers who received DHA had higher MetS score (0.18 ± 0.06, n = 62) relative to the placebo group (-0.05 ± 0.06, n = 65, Δ=0.24 (0.06, 0.41), P < 0.01).

conclusionThe effect of prenatal DHA supplementation on offspring MetS score differed by maternal FADS SNP rs174602. These findings further support incorporating genetic analysis of FADS polymorphisms in DHA supplementation trials. CLINICAL TRIAL DETAILS: This trial was registered at clinicaltrials.gov as NCT00646360.

Indexed as

Cardiovascular DiseasesDocosahexaenoic AcidsChildChild DevelopmentDietary SupplementsDouble-Blind MethodFemaleFollow-Up StudiesHumansMexicoPolymorphism, Single NucleotidePregnancyPrenatal CareVitaminsDocosahexaenoic AcidsVitaminscardiometabolic healthDHAFADSgene-nutrient interactionsMexicoprenatal supplementation

Identifiers

PMID37839707
PMCPMC10797513
OpenAlexW4387642814

What Socratic holds

Textmetadata
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.