Evidence map›Paper›PMID 30514789›Full record

ArticleThorax2019

Maternal history of miscarriages and measures of fertility in relation to childhood asthma.

Maria Christine Magnus, Øystein Karlstad, Christine Louise Parr, Christian M Page, Per Nafstad, Per Magnus, Stephanie J London, Allen J Wilcox, Wenche Nystad, Siri Eldevik Håberg

Open access · hybridAbstract read
In one paragraph

Article in Thorax, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Infertility treatment associated with childhood asthma and atopy.Human reproduction (Oxford, England) · 2022
    Article
  8. Observational
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 4 countries.

Maria Christine MagnusCentre for Fertility and Health (CeFH), Norwegian Institute of Public Health, Oslo, Norway.
Øystein KarlstadDivision for Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.
Christine Louise ParrDivision for Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.ORCID 0000-0002-4690-0085
Christian M PageCentre for Fertility and Health (CeFH), Norwegian Institute of Public Health, Oslo, Norway.
Per NafstadDivision for Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.
Per MagnusCentre for Fertility and Health (CeFH), Norwegian Institute of Public Health, Oslo, Norway.
Stephanie J LondonEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, North Carolina, USA.
Allen J WilcoxEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, North Carolina, USA.
Wenche NystadDivision for Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.
Siri Eldevik HåbergCentre for Fertility and Health (CeFH), Norwegian Institute of Public Health, Oslo, Norway.
Norwegian Institute of Public Health · NONational Institutes of Health · USOslo University Hospital · NO

Funding

Gene-Environment Interactions in an Autism Birth CohortU01NS047537 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LIPKIN, W. IAN · 2003 to 2013
$27.0M
PEDIATRIC ONCOLOGY RESEARCH TRAINING PROGRAMT32CA009351 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Elizabeth R Lawlor, SOHEIL MESHINCHI · 1985 to 2026
$7.0M
Genetic And Environmental Factors In Childhood Respiratory HealthZIAES049019 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI LONDON, STEPHANIE · 2009 to 2025
$6.8M
Medical Research Council MC/UU/12013/5Medical Research Council MC_UU_12013/5Medical Research Council MR/M009351/1NIEHS NIH HHS N01 ES075558NINDS NIH HHS U01 NS047537
6 · The paper itself

Abstract

backgroundIt remains unclear what underlies the greater risk of asthma reported among children conceived by assisted reproductive technologies (ART).

objectiveOur aim was to clarify the role of parental subfertility and unmeasured confounding on the association between ART and childhood asthma, and to examine the possibility for common mechanisms underlying parental subfertility and miscarriages influencing asthma pathogenesis.

methodsWe used data from national Norwegian health registries (n=474 402) and the Norwegian Mother and Child Cohort Study (MoBa) (n=75 797). We used log-linear regression to estimate overall associations, and fixed-effects logistic regression to estimate associations within siblings.

resultsART offspring had greater asthma risk, the adjusted relative risk (aRR) was 1.20 (95% CI 1.09 to 1.32) in the registry-based cohort, and 1.42 (95% CI 1.14 to 1.76) in MoBa. The sibling analysis yielded similar associations, although the CI included the null value. The elevated asthma risk among ART offspring was attenuated when they were compared with spontaneously conceived offspring with time to conception >12 months, aRR 1.22 (95% CI 0.95 to 1.57). Asthma risk also increased with maternal history of early miscarriages (≤12 weeks), with an aRR of 1.07 (95% CI 1.03 to 1.11) for one, aRR 1.18 (95% CI 1.10 to 1.26) for two and aRR 1.24 (95% CI 1.12 to 1.37) for three or more.

conclusionOur findings indicate that both parental subfertility and characteristics related to the ART procedure itself might increase offspring asthma risk, although this needs to be confirmed in future studies, and further suggest that common mechanisms underlying parental subfertility and recurrent miscarriages might influence offspring asthma pathogenesis.

Indexed as

Abortion, SpontaneousAdultAsthmaChildCohort StudiesFemaleFertilityHumansInfertilityMaleMothersNorwayPregnancyRegistriesReproductive Techniques, AssistedRisk Factorsasthma epidemiology

Identifiers

PMID30514789
PMCPMC6467238
OpenAlexW2902561473

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.