Evidence map›Paper›PMID 30513117›Full record

ArticlePloS one2018

Relationship between maximal respiratory pressures and multiple childbearing in Brazilian middle-aged and older women: A cross-sectional community-based study.

Ingrid Guerra Azevedo, Saionara Maria Aires da Câmara, Catherine McLean Pirkle, Álvaro Campos Cavalcanti Maciel, Elizabel de Souza Ramalho Viana

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 18 citations in OpenAlex.

  1. Observational
  2. Article
  3. 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

5 authors at 2 institutions in 2 countries.

Ingrid Guerra AzevedoPhysiotherapy Department, Universidade Federal do Rio Grande do Norte, Natal Rio Grande do Norte, Brazil.ORCID 0000-0001-7305-7583
Saionara Maria Aires da CâmaraFaculdade de Ciências da Saúde do Trairi, Universidade Federal do Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil.
Catherine McLean PirkleOffice of Public Health Studies, University of Hawai'i at Mānoa, Honolulu, Hawai'i, United States of America.
Álvaro Campos Cavalcanti MacielPhysiotherapy Department, Universidade Federal do Rio Grande do Norte, Natal Rio Grande do Norte, Brazil.
Elizabel de Souza Ramalho VianaPhysiotherapy Department, Universidade Federal do Rio Grande do Norte, Natal Rio Grande do Norte, Brazil.
Universidade Federal do Rio Grande do Norte · BRUniversity of Hawaiʻi at Mānoa · US

Funding

Life-course pathways linking adolescent childbearing to chronic conditions: A pilot study to reinforce research and health system capacity in Northeast BrazilR21TW010466 · FIC · UNIVERSITY OF HAWAII AT MANOA · PI CAMARA, SAIONARA M A, PIRKLE, CATHERINE MCLEAN · 2016 to 2017
$321k
FIC NIH HHS R21 TW010466
6 · The paper itself

Abstract

objectivePrevious studies show that multiparity and a number of chronic conditions are correlated among women. Also, low respiratory muscle strength has been associated to adverse health outcomes such as chronic lung disease and early mortality. This study aimed to investigate associations between the number of lifetime pregnancies and maximal inspiratory/expiratory pressures.

methodsIn a cross-sectional study, 204 women ages 41-80 years-old, from the rural community of Santa Cruz, Brazil, provided data regarding demographics, socioeconomic characteristics, health behaviors, and number of lifetime pregnancies (≤3, 4-6 or ≥7). Maximal respiratory pressures were measured with a digital manometer. Multiple linear regression analysis was used to examine the association of multiple childbearing on maximal respiratory pressures.

resultsOf the participants, 44.1% had ≤3 pregnancies, 30.4% had 4-6 pregnancies and 25.5% had >7 pregnancies. In the unadjusted analyses, maximal inspiratory and expiratory pressures varied significantly according to multiple childbearing categories. After adjustment, the values remained statistically significant only for maximal expiratory pressure. Compared to women with ≤3 lifetime pregnancies, those who had ≥7 pregnancies had significantly lower maximal expiratory pressure values (β = -18.07, p = 0.01).

conclusionMultiple childbearing appears to be negatively associated with maximal respiratory pressures; women with a higher number of lifetime pregnancies had lower values of maximal respiratory pressures when compared to those with fewer pregnancies. This association may be due to biomechanical changes in the respiratory muscles promoted by multiple lifetime pregnancies. This finding indicates a need to motivate women, from the prenatal to postpartum period, to safely exercise their respiratory muscles, including abdominal muscle exercises as well as respiratory muscle training.

Indexed as

Maximal Respiratory PressuresAdultAgedAged, 80 and overBrazilCross-Sectional StudiesFemaleHumansMiddle AgedMuscle StrengthParityPregnancyReproductive HistoryResidence CharacteristicsRespiratory Muscles

Identifiers

PMID30513117
PMCPMC6279230
OpenAlexW2902721260

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.