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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticlePediatrics
Open Access

Maternal Obesity during Pregnancy is Associated with Lower Cortical Thickness in the Neonate Brain

X. Na, N.E. Phelan, M.R. Tadros, Z. Wu, A. Andres, T.M. Badger, C.M. Glasier, R.R. Ramakrishnaiah, A.C. Rowell, L. Wang, G. Li, D.K. Williams and X. Ou
American Journal of Neuroradiology December 2021, 42 (12) 2238-2244; DOI: https://doi.org/10.3174/ajnr.A7316
X. Na
aFrom the Department of Radiology (X.N., C.M.G., R.R.R., A.C.R., X.O.)
eArkansas Children’s Nutrition Center (X.N., A.A., T.M.B., X.O.), Little Rock, Arkansas
fArkansas Children’s Research Institute (X.N., A.A., T.M.B., X.O.), Little Rock, Arkansas
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  • ORCID record for X. Na
N.E. Phelan
bCollege of Medicine (N.E.P., M.R.T.)
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M.R. Tadros
bCollege of Medicine (N.E.P., M.R.T.)
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Z. Wu
gDepartment of Radiology (Z.W., L.W., G.L.), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
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A. Andres
cDepartments of Pediatrics (A.A., T.M.B., C.M.G., R.R.R., X.O.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
eArkansas Children’s Nutrition Center (X.N., A.A., T.M.B., X.O.), Little Rock, Arkansas
fArkansas Children’s Research Institute (X.N., A.A., T.M.B., X.O.), Little Rock, Arkansas
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T.M. Badger
cDepartments of Pediatrics (A.A., T.M.B., C.M.G., R.R.R., X.O.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
eArkansas Children’s Nutrition Center (X.N., A.A., T.M.B., X.O.), Little Rock, Arkansas
fArkansas Children’s Research Institute (X.N., A.A., T.M.B., X.O.), Little Rock, Arkansas
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  • ORCID record for T.M. Badger
C.M. Glasier
aFrom the Department of Radiology (X.N., C.M.G., R.R.R., A.C.R., X.O.)
cDepartments of Pediatrics (A.A., T.M.B., C.M.G., R.R.R., X.O.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
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R.R. Ramakrishnaiah
aFrom the Department of Radiology (X.N., C.M.G., R.R.R., A.C.R., X.O.)
cDepartments of Pediatrics (A.A., T.M.B., C.M.G., R.R.R., X.O.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
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A.C. Rowell
aFrom the Department of Radiology (X.N., C.M.G., R.R.R., A.C.R., X.O.)
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L. Wang
gDepartment of Radiology (Z.W., L.W., G.L.), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
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G. Li
gDepartment of Radiology (Z.W., L.W., G.L.), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
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D.K. Williams
dBiostatistics (D.K.W.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
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X. Ou
aFrom the Department of Radiology (X.N., C.M.G., R.R.R., A.C.R., X.O.)
cDepartments of Pediatrics (A.A., T.M.B., C.M.G., R.R.R., X.O.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
eArkansas Children’s Nutrition Center (X.N., A.A., T.M.B., X.O.), Little Rock, Arkansas
fArkansas Children’s Research Institute (X.N., A.A., T.M.B., X.O.), Little Rock, Arkansas
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  • FIG 1.
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    FIG 1.

    The anatomic locations for the 3 brain cortical regions that showed significant differences (FDR-corrected P ≤ .05) in mean cortical thickness between neonates born to normal-weight-versus-obese women: the left pars opercularis (LPO) gyrus (A), the left pars triangularis (LPT) gyrus (B), and the left rostral middle frontal (LFMF) gyrus (C). The comparison of mean cortical thickness for these 3 regions in these groups of neonates is illustrated in D.

  • FIG 2.
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    FIG 2.

    Partial correlation analysis showed significant negative correlations (P < .05) between maternal body fat mass percentage measured at ∼12 weeks of pregnancy and neonate brain mean cortical thickness measured at ∼2 weeks’ postnatal age in the left pars opercularis (LPO) gyrus, left pars triangularis (LPT) gyrus, and left rostral middle frontal (LRMF) gyrus.

Tables

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  • Demographic information of the study participants

    Normal Weight (n = 28)Obese (n = 16)P Value
    Maternal BMI (kg/m2)22.2 (SD, 1.9)33.2 (SD, 1.5)<.001
    Maternal fat mass (%)28.8 (SD, 4.2)44.0 (SD, 3.9)<.001
    Maternal age at pregnancy (yr)28.7 (SD, 2.9)30.7 (SD, 5.0).19
    Maternal IQ107 (SD, 9.2)106.6 (SD, 8.3).50
    Gestational age (day)275.1 (SD, 6.7)274.7 (SD, 6.4).96
    Neonate sex (boy/girl)15/138/8.83
    Birth weight (kg)3.5 (SD, 0.5)3.6 (SD, 0.5).38
    Birth length (cm)50.6 (SD, 2.8)50.5 (SD, 2.5).89
    Head circumference (cm)36.2 (SD, 1.1)36.0 (SD, 0.8).25
    Neonate age at MR imaging (day)14.3 (SD, 1.6)14.3 (SD, 1.7)1
    Postmenstrual age at MR imaging (day)289.4 (SD, 6.4)289 (SD, 6.3).93
    Neonate race
     White/African American/American Indian/other)22/2/1/310/5/1/0.18
    Mother’s education
     No college/some college/graduate degree3/17/80/9/7.30
    Father’s education
     NA/no college/some college/graduate degree)1/24/3/02/10/4/0.20
    Mother’s income (US dollar)
     NA/ ≤ 20k/20–50k/>50k)6/6/12/41/3/9/3.57
    Father’s income (US dollar)
     NA/≤ 20k/20–50k/>50k)1/0/14/133/0/6/7.23
    • Note:—NA indicates not applicable.

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American Journal of Neuroradiology: 42 (12)
American Journal of Neuroradiology
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Cite this article
X. Na, N.E. Phelan, M.R. Tadros, Z. Wu, A. Andres, T.M. Badger, C.M. Glasier, R.R. Ramakrishnaiah, A.C. Rowell, L. Wang, G. Li, D.K. Williams, X. Ou
Maternal Obesity during Pregnancy is Associated with Lower Cortical Thickness in the Neonate Brain
American Journal of Neuroradiology Dec 2021, 42 (12) 2238-2244; DOI: 10.3174/ajnr.A7316

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Maternal Obesity during Pregnancy is Associated with Lower Cortical Thickness in the Neonate Brain
X. Na, N.E. Phelan, M.R. Tadros, Z. Wu, A. Andres, T.M. Badger, C.M. Glasier, R.R. Ramakrishnaiah, A.C. Rowell, L. Wang, G. Li, D.K. Williams, X. Ou
American Journal of Neuroradiology Dec 2021, 42 (12) 2238-2244; DOI: 10.3174/ajnr.A7316
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