Evidence map›Paper›PMID 28490476›Full record

SynthesisJournal of epidemiology and community health2017

Socioeconomic status in childhood and C reactive protein in adulthood: a systematic review and meta-analysis.

Richard S Liu, Allison E Aiello, Fiona K Mensah, Constantine E Gasser, Kuna Rueb, Billie Cordell, Markus Juonala, Melissa Wake, David P Burgner

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of epidemiology and community health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

44 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Socioeconomic Status and Obesity.Journal of the Endocrine Society · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Systemic Inflammation Contributes to the Association Between Childhood Socioeconomic Disadvantage and Midlife Cardiometabolic Risk.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023
    Article
  20. PTSD, Immune System, and Inflammation.Advances in experimental medicine and biology · 2023
    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

9 authors.

Richard S LiuMurdoch Childrens Research Institute, Parkville, Victoria, Australia.ORCID 0000-0002-0949-9229
Allison E AielloDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Fiona K MensahMurdoch Childrens Research Institute, Parkville, Victoria, Australia.
Constantine E GasserMurdoch Childrens Research Institute, Parkville, Victoria, Australia.
Kuna RuebMurdoch Childrens Research Institute, Parkville, Victoria, Australia.
Billie CordellMurdoch Childrens Research Institute, Parkville, Victoria, Australia.
Markus JuonalaDepartment of Medicine, University of Turku, Turku, Finland.
Melissa WakeMurdoch Childrens Research Institute, Parkville, Victoria, Australia.
David P BurgnerMurdoch Childrens Research Institute, Parkville, Victoria, Australia.

Funding

Social-biological predictors of heterogeneity in CVD risk in African AmericansP60MD002249 · NIMHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DIEZ ROUX, ANA VICTORIA · 2007 to 2016
$15.0M
Carolina Population CenterR24HD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, SAMUEL PHILIP · 2005 to 2014
$10.0M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Life Course Socioeconomics, Acculturation, & Type-2 Diabetes Risk Among LatinosR01DK087864 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI AIELLO, ALLISON E · 2012 to 2015
$2.6M
NICHD NIH HHS P2C HD050924NICHD NIH HHS R24 HD050924NIDDK NIH HHS R01 DK087864NIMHD NIH HHS P60 MD002249
6 · The paper itself

Abstract

backgroundInflammation plays a central role in cardiometabolic disease and may represent a mechanism linking low socioeconomic status (SES) in early life and adverse cardiometabolic health outcomes in later life. Accumulating evidence suggests an association between childhood SES and adult inflammation, but findings have been inconsistent.

methodsWe conducted a systematic review and meta-analysis of observational studies to quantify the association between childhood (age <18 years) SES and the inflammatory marker C reactive protein (CRP) in adulthood. Studies were identified in Medline and Embase databases, and by reviewing the bibliographies of articles published from 1946 to December 2015. Study-specific estimates were combined into meta-analyses using random-effects models.

results15 of 21 eligible studies (n=43 629) were ultimately included in two separate meta-analyses. Compared with those from the most advantaged families, participants from the least advantaged families had 25% higher CRP levels (ratio change in geometric mean CRP: 1.25; 95% CI 1.19 to 1.32) in minimally adjusted analyses. This finding was attenuated by the inclusion of adult body mass index (BMI) in adjusted models, suggesting BMI has a strong mediating role in CRP levels.

conclusionsWe observed an inverse association between childhood SES and adulthood CRP, potentially mediated through BMI. Investigating how childhood SES is associated with childhood BMI and CRP would provide insight into the effective timing of social and clinical interventions to prevent cardiometabolic disease.

Indexed as

Social ClassAdolescentAdultAgedBiomarkersChildC-Reactive ProteinFemaleHumansMaleMiddle AgedYoung AdultBiomarkersC-Reactive ProteinCardiovascular diseaseOBESITYSocial and life-course epidemiologySOCIAL INEQUALITIES

Identifiers

PMID28490476
PMCPMC5843476

What OpenQuestion holds

Textmetadata
LicenceTDM
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.