Abstract:
OBJECTIVES:This systematic review and meta-analysis provides a quantitative summary of the literature exploring the relationship between maternal diet quality during pregnancy and child cognitive and affective outcomes. We investigate whether there are indications for robust associations and aim to identify methodological strengths and challenges of the current research to provide suggestions of improvement for future research. DESIGN AND PARTICIPANTS:Relevant studies were identified through a systematic literature search in relevant databases. All studies investigating maternal diet quality during pregnancy in relation to child cognitive or affective functioning in children of elementary school age or younger were assessed for inclusion. RESULTS:18 relevant studies, comprising 63 861 participants were identified. The results indicated a small positive association between better maternal diet quality during pregnancy and child functioning. We observed publication bias and significant heterogeneity between studies, where type of diet classification, publication year and outcome domain together accounted for about 30% of this heterogeneity. Trim and fill analysis substantiated the presence of publication bias for studies in the affective domain and showed an adjusted effect size of Hedge's g=0.088 (p=0.0018) (unadjusted g=0.093 (p=0.03)). We observed no publication bias in the cognitive domain, where results indicated a slightly larger effect size (g=0.14 (p<0.0001)) compared with that of the affective domain. The overall summary effect size was g=0.075 (p<0.0001) adjusted for publication bias (unadjusted g=0.112 (p=0.0001)). Child diet was not systematically controlled for in the majority of the studies. CONCLUSION:The results indicated that a better maternal diet quality during pregnancy has a small positive association with child neurodevelopment, with more reliable results seen for cognitive development. These results warrant further research on the association between maternal diet quality during pregnancy and cognitive and affective aspects of child neurodevelopment, whereby it is crucial that future studies account for child diet in the analysis.
journal_name
BMJ Openjournal_title
BMJ openauthors
Borge TC,Aase H,Brantsæter AL,Biele Gdoi
10.1136/bmjopen-2017-016777subject
Has Abstractpub_date
2017-09-24 00:00:00pages
e016777issue
9issn
2044-6055pii
bmjopen-2017-016777journal_volume
7pub_type
杂志文章,meta分析,评审相关文献
BMJ Open文献大全abstract:OBJECTIVE:Outpatient parenteral antimicrobial therapy (OPAT) provides opportunities for improved cost savings, but in the UK, implementation is patchy and a variety of service models are in use. The slow uptake in the UK and Europe is due to a number of clinical, financial and logistical issues, including concern about...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019099
更新日期:2018-01-10 00:00:00
abstract:OBJECTIVE:Recent data on sustained hypertension and obesity among school-going children and adolescents in India are limited. This study evaluates the prevalence of sustained hypertension and obesity and their risk factors among urban and rural adolescents in northern India. SETTING:A school-based, cross-sectional sur...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027134
更新日期:2019-09-08 00:00:00
abstract:INTRODUCTION:People living with and beyond cancer are vulnerable to a number of physical, functional and psychological issues. Undertaking a holistic needs assessment (HNA) is one way to support a structured discussion of patients' needs within a clinical consultation. However, there is little evidence on how HNA impac...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2014-006840
更新日期:2015-05-11 00:00:00
abstract:BACKGROUND:Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a condition characterised by severe and persistent fatigue, neurological disturbances, autonomic and endocrine dysfunctions and sleep difficulties that have a pronounced and significant impact on individuals' lives. Current National Institute for...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001079
更新日期:2012-11-19 00:00:00
abstract:OBJECTIVES:The study aims to compare the risk of chronic kidney diseases (CKDs) between patients with schizophrenia using first and second-generation antipsychotics. SETTING:Datasets of 2000-2013 National Health Insurance in Taiwan were used. PARTICIPANTS:The National Health Insurance reimbursement claims data have b...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019868
更新日期:2018-05-24 00:00:00
abstract:INTRODUCTION:Over 5 billion people in the world do not have access to safe, affordable surgical and anaesthesia care when needed. In order to improve health outcomes in patients with surgical conditions, both access to care and the quality of care need to be improved. A recent commission on high-quality health systems ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036615
更新日期:2020-05-30 00:00:00
abstract:OBJECTIVES:Record review is the most used method to quantify patient safety. We systematically reviewed the reliability and validity of adverse event detection with record review. DESIGN:A systematic review of the literature. METHODS:We searched PubMed, EMBASE, CINAHL, PsycINFO and the Cochrane Library and from their...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2016-011078
更新日期:2016-08-22 00:00:00
abstract:INTRODUCTION:Bladder cancer (BC) is the 10th common cancer worldwide and ranks seventh in Nigeria. This scoping review aims to identify the gaps in clinical care and research of BC in Nigeria as part of the development of a larger national research programme aiming to improve outcomes and care of BC. METHODS AND ANALY...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041894
更新日期:2021-01-31 00:00:00
abstract:INTRODUCTION:The association between long-chain omega-3 polyunsaturated fatty acids (PUFAs), brain health, cognitive function and mood has been the subject of intensive research. Marine-derived omega-3 PUFAs, such as docosahexaenoic acid and eicosapentaenoic acid, are highly concentrated in neuronal membranes and affec...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027167
更新日期:2019-06-22 00:00:00
abstract:INTRODUCTION:Chronic obstructive pulmonary disease (COPD) exacerbations progress the course of disease and impair lung function. Inhaled maintenance therapy reduces exacerbations. It is not yet established which inhaled therapy combination is best to reduce exacerbations, lung function decline and symptom burden. METH...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025048
更新日期:2019-02-20 00:00:00
abstract:OBJECTIVES:To evaluate the risk profile, achievement of cardiometabolic goals, and frequency and optimal use of cardiovascular preventive therapies among nonagenarians with type 2 diabetes mellitus (T2DM). To investigate possible sex differences. DESIGN AND SETTING:A cross-sectional population study of 11 645 persons ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030344
更新日期:2019-09-20 00:00:00
abstract:OBJECTIVE:To compare the prevalence of work-related potential traumatic events (PTEs), support protocols and mental health symptoms across Dutch gynaecologists, orthopaedic surgeons and paediatricians. DESIGN:Cross-sectional study, supplementary analysis of combined data. SETTING:Nationwide survey between 2014 and 20...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033816
更新日期:2020-09-02 00:00:00
abstract:OBJECTIVE:The Chief Nurse National Health Service Wales initiated a national survey of acute and community hospital patients in Wales to identify the prevalence of pressure ulcers and incontinence-associated dermatitis. METHODS:Teams of two nurses working independently assessed the skin of each inpatient who consented...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-015616
更新日期:2017-08-21 00:00:00
abstract::Background Mini-sternotomy for isolated aortic valve replacement aims to reduce operative trauma hastening recovery and improving the cosmetic outcome of cardiac surgery. The short-term clinical benefits from the mini-sternotomy are presumed to arise because the incision is less extensive and the lower half of the che...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000266
更新日期:2011-11-24 00:00:00
abstract:OBJECTIVE:The aim of this study was to assess the knowledge and practice of health workers about multidrug-resistant tuberculosis (MDR-TB) prevention and control. STUDY DESIGN AND SETTINGS:A cross-sectional study was conducted at Gondar University Referral Hospital and Felege Hiwot Referral Hospital. PARTICIPANTS:Ran...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-022948
更新日期:2019-02-19 00:00:00
abstract:OBJECTIVES:The Severe Respiratory Insufficiency (SRI) questionnaire is the best assessment tool for health-related quality of life in patients with chronic obstructive pulmonary disease (COPD) receiving non-invasive positive pressure ventilation (NIPPV). This study aimed to translate the SRI Questionnaire into Chinese ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-017712
更新日期:2017-08-28 00:00:00
abstract:OBJECTIVES:Liver disease is a major cause of morbidity and mortality in sub-Saharan Africa, but its prevalence, distribution and aetiology have not been well characterised. We therefore set out to examine liver function tests (LFTs) and liver fibrosis scores in a rural African population. DESIGN:We undertook a cross-s...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032890
更新日期:2020-03-31 00:00:00
abstract:OBJECTIVE:Psychological distress is generally associated with poor dietary intake, but this has never been investigated among residents after a major disaster. We attempted to reveal the associations between dietary intake and non-specific mental health distress as well as traumatic symptoms among evacuees after the Gr...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011534
更新日期:2016-07-05 00:00:00
abstract:BACKGROUND:Mild traumatic brain injury (mTBI) is a common injury among military personnel serving in Iraq or Afghanistan. The impact of repeated episodes of combat mTBI is unknown. OBJECTIVE:To evaluate relationships among mTBI, post-traumatic stress disorder (PTSD) and neurological deficits (NDs) in US veterans who s...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000312
更新日期:2012-03-18 00:00:00
abstract:INTRODUCTION:Bladder cancer (BC) (including renal pelvis, ureter and urethra) is one of the most common urogenital cancers and the fourth most frequent cancer in men in the USA. In Norway, the incidence of BC has increased over the last decades. The age-standardised incidence rates per 100 000 for 2011-2015 were 53.7 i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019309
更新日期:2018-03-30 00:00:00
abstract:OBJECTIVES:Low-income and middle-income countries are undergoing epidemiological transition, however, progression is varied. Bangladesh is simultaneously experiencing continuing burden of communicable diseases and emerging burden of non-communicable diseases (NCDs). For effective use of limited resources, an increased ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026722
更新日期:2019-10-28 00:00:00
abstract:OBJECTIVE:New electronic devices offer an opportunity within routine primary care settings for improving the detection of atrial fibrillation (AF), which is a common cardiac arrhythmia and a modifiable risk factor for stroke. We aimed to assess the performance of a modified blood pressure (BP) monitor and two single-le...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-004565
更新日期:2014-05-02 00:00:00
abstract:INTRODUCTION:Injecting drug use is the primary driver of hepatitis C virus (HCV) infection in Europe. Despite the need for more engagement with care, people who inject drugs (PWID) are hard to reach with HCV testing and treatment. We initiated a study to evaluate the efficacy for testing and linkage to care among PWID ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039724
更新日期:2020-11-09 00:00:00
abstract:INTRODUCTION:Total mesorectal excision (TME) is the highly effective standard treatment for rectal cancer but is associated with significant morbidity and may be overtreatment for low-risk cancers. This study is designed to determine the feasibility of international recruitment in a study comparing organ-saving approac...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-019474
更新日期:2017-12-28 00:00:00
abstract:OBJECTIVES:The main purpose of the present study was to explore the associations between sleep quality and insufficient physical activity. DESIGN:Cross-sectional. SETTING:Faculties in Croatia. PARTICIPANTS:2100 university students (1049 men and 1051 women) aged 18-24 years were recruited. PRIMARY OUTCOME:To assess ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-021902
更新日期:2018-07-13 00:00:00
abstract:OBJECTIVE:Making the diagnosis of asthma is challenging. Guidelines recommend that clinicians identify a group at 'high probability' of asthma. High probability, however, is not numerically defined giving rise to uncertainty. The aim of this work was to build consensus on what constitutes a high probability of asthma i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034559
更新日期:2020-04-20 00:00:00
abstract:OBJECTIVES:To assess medical care and costs of the 3 highest prevalence lumbar disorders-non-specific low back pain (nLBP), intervertebral disc disorder (IDD) and spinal stenosis (SS)-from national billing data to provide basic information for standards of appropriate management. DESIGN:Retrospective analysis of Natio...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012432
更新日期:2016-09-12 00:00:00
abstract:OBJECTIVES:The detailed course of mental disorders at the acute and subacute stages of mild traumatic brain injury (mTBI), especially with regard to recovery from sleep disturbances, has not been well characterised. The aim of this study was to determine the course of depression, anxiety and sleep disturbance, followin...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-004205
更新日期:2014-01-23 00:00:00
abstract:OBJECTIVE:To establish the reliability and validity of the translated version of the Safety Attitudes Questionnaire (SAQ) by evaluating its psychometric properties and to determine possible differences among nurses and physicians regarding safety attitudes. DESIGN:A cross-sectional study utilising the Albanian version...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006528
更新日期:2015-04-15 00:00:00
abstract:INTRODUCTION:Among preterm infants, mother's own milk feeding reduces neonatal morbidity and decreases the length of hospital stay. However, breastfeeding rates and duration are lower than among term infants. It is reported that peer counselling is effective in increasing breast feeding in term infants in low-income an...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032910
更新日期:2020-01-30 00:00:00