Evidence map›Paper›PMID 25437893›Full record

ArticleAtherosclerosis2015

Novel coronary heart disease risk factors at 60-64 years and life course socioeconomic position: the 1946 British birth cohort.

Rebecca Jones, Rebecca Hardy, Naveed Sattar, John E Deanfield, Alun Hughes, Diana Kuh, Emily T Murray, Peter H Whincup, Claudia Thomas, NSHD Scientific and Data Collection Teams

Open access · hybridAbstract read
In one paragraph

Article in Atherosclerosis, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Association Between Carotid Arterial Strain and Heart Rate Variability in Older Age.Journal of clinical hypertension (Greenwich, Conn.) · 2026
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  13. Baby Boomers and Birth Certificates: Early-Life Socioeconomic Status and Cancer Risk in Adulthood.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2017
    Article
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  16. Age-Related Change in Mobility: Perspectives From Life Course Epidemiology and Geroscience.The journals of gerontology. Series A, Biological sciences and medical sciences · 2016
    Review
  17. Sedentary Lifestyle and High-Carbohydrate Intake are Associated with Low-Grade Chronic Inflammation in Post-Menopause: A Cross-sectional Study.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2016
    Article
  18. Article
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 1 country.

Rebecca JonesPopulation Health Research Institute, St George's, University of London, London, United Kingdom.
Rebecca HardyMRC Unit for Lifelong Health and Ageing, Institute of Epidemiology and Health Care, University College London, London, United Kingdom.
Naveed SattarBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, United Kingdom.
John E DeanfieldVascular Physiology Unit, Institute of Cardiovascular Science, University College of London, United Kingdom.
Alun HughesNational Heart and Lung Institute, Imperial College Academic Health Sciences Centre, London, United Kingdom.
Diana KuhBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, United Kingdom.
Emily T MurrayPopulation Health Research Institute, St George's, University of London, London, United Kingdom.
Peter H WhincupPopulation Health Research Institute, St George's, University of London, London, United Kingdom. Electronic address: pwhincup@sgul.ac.uk.
Claudia ThomasPopulation Health Research Institute, St George's, University of London, London, United Kingdom.
NSHD Scientific and Data Collection Teams
St George's, University of London · GBBritish Heart Foundation · GBMRC Unit for Lifelong Health and Ageing · GBUniversity College London · GB

Funding

Medical Research Council G1001143Medical Research Council MC_UU_12019/1Medical Research Council MC_UU_12019/2Medical Research Council MR/K006584/1Medical Research Council U1200632239
6 · The paper itself

Abstract

Social disadvantage across the life course is associated with a greater risk of coronary heart disease (CHD) and with established CHD risk factors, but less is known about whether novel CHD risk factors show the same patterns. The Medical Research Council National Survey of Health and Development was used to investigate associations between occupational socioeconomic position during childhood, early adulthood and middle age and markers of inflammation (C-reactive protein, interleukin-6), endothelial function (E-selectin, tissue-plasminogen activator), adipocyte function (leptin, adiponectin) and pancreatic beta cell function (proinsulin) measured at 60-64 years. Life course models representing sensitive periods, accumulation of risk and social mobility were compared with a saturated model to ascertain the nature of the relationship between social class across the life course and each of these novel CHD risk factors. For interleukin-6 and leptin, low childhood socioeconomic position alone was associated with high risk factor levels at 60-64 years, while for C-reactive protein and proinsulin, cumulative effects of low socioeconomic position in both childhood and early adulthood were associated with higher (adverse) risk factor levels at 60-64 years. No associations were observed between socioeconomic position at any life period with either endothelial marker or adiponectin. Associations for C-reactive protein, interleukin-6, leptin and proinsulin were reduced considerably by adjustment for body mass index and, to a lesser extent, cigarette smoking. In conclusion, socioeconomic position in early life is an important determinant of several novel CHD risk factors. Body mass index may be an important mediator of these relationships.

Indexed as

Social ClassAdipocytesAdiponectinBiomarkersBody Mass IndexCoronary DiseaseC-Reactive ProteinEndotheliumE-SelectinFemaleHumansInflammationInsulinInterleukin-6LeptinMaleAdiponectinBiomarkersC-Reactive ProteinE-SelectinInsulinInterleukin-6LeptinProinsulinTissue Plasminogen ActivatorAdipocyteBirth cohortEndothelialInflammationLife courseProinsulinSocioeconomic position

Identifiers

PMID25437893
PMCPMC4286122
OpenAlexW2087152202

What OpenQuestion 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 OpenQuestion graph.