Evidence map›Paper›PMID 30060670›Full record

ArticleAmerican journal of Alzheimer's disease and other dementias2018

Women's Pregnancy Life History and Alzheimer's Risk: Can Immunoregulation Explain the Link?

Molly Fox, Carlo Berzuini, Leslie A Knapp, Laura M Glynn

Open access · bronzeAbstract read
In one paragraph

Article in American journal of Alzheimer's disease and other dementias, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

30 citing papers in PubMed, 62 citations in OpenAlex.

  1. Article
  2. Women's midlife: the front line of Alzheimer prevention.The Journal of clinical investigation · 2026
    Review
  3. Article
  4. Biological Sex Disparities in Alzheimer's Disease.Current topics in behavioral neurosciences · 2025
    Review
  5. Article
  6. Higher Number of Children Is Associated With Increased Risk of Generalization Deficits in Older African American Women.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
    Article
  7. Connections between reproductive health and cognitive aging among women enrolled in the HCHS/SOL and SOL-INCA.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  8. Article
  9. Article
  10. Walking for Cognitive Health: Previous Parity Moderates the Relationship Between Self-Reported Walking and Cognition.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Article
  11. Frontiers in neuroscience · 2023
    Review
  12. Article
  13. Article
  14. Associations between reproductive history, hormone use,Frontiers in aging neuroscience · 2022
    Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

4 authors at 4 institutions in 2 countries.

Molly Fox1 Department of Anthropology, University of California, Los Angeles, Los Angeles, CA, USA.ORCID 0000-0001-9219-8971
Carlo Berzuini3 Centre for Biostatistics, University of Manchester, Manchester, United Kingdom.
Leslie A Knapp4 Department of Anthropology, University of Utah, Salt Lake City, UT, USA.
Laura M Glynn5 Department of Psychology, Chapman University, Orange, CA, USA.
Chapman University · USUniversity of California, Los Angeles · USUniversity of Manchester · GBUniversity of Utah · US

Funding

Effects of Acculturation on Gestational Biology in Mexican-American Pregnant WomenK01DK105110 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI FOX, MOLLY MAURER · 2015 to 2021
$782k
NIDDK NIH HHS K01 DK105110
6 · The paper itself

Abstract

backgroundPregnancy is associated with improvement in immunoregulation that persists into the geriatric phase. Impaired immunoregulation is implicated in Alzheimer's disease (AD) pathogenesis. Hence, we investigate the relationship between pregnancy and AD.

methodsCross-sectional cohort of British women (N = 95). Cox proportional hazards modeling assessed the putative effects of cumulative months pregnant on AD risk and the mutually adjusted effects of counts of first and third trimesters on AD risk.

resultsCumulative number of months pregnant, was associated with lower AD risk (β = -1.90, exp(β) = 0.15, P = .02). Cumulative number of first trimesters was associated with lower AD risk after adjusting for third trimesters (β = -3.83, exp(β) = 0.02, P < .01), while the latter predictor had no significant effect after adjusting for the former.

conclusionsOur observation that first trimesters (but not third trimesters) conferred protection against AD is more consistent with immunologic effects, which are driven by early gestation, than estrogenic exposures, which are greatest in late gestation. Results may justify future studies with immune biomarkers.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseAutoimmunityCross-Sectional StudiesFemaleHumansParityPregnancyPregnancy Trimester, FirstRisk FactorsTime FactorsUnited Kingdomadaptive immunityAlzheimer’s diseaseautoimmunityimmunoregulationparitypregnancyreproductive history

Identifiers

PMID30060670
PMCPMC6442681
OpenAlexW2886188602

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.