Evidence map›Paper›PMID 30516025›Full record

ArticleObesity (Silver Spring, Md.)2019

Neighborhood Typology and Cardiometabolic Pregnancy Outcomes in the Maternal Adiposity Metabolism and Stress Study.

Irene Headen, Barbara Laraia, Kimberly Coleman-Phox, Cassandra Vieten, Nancy Adler, Elissa Epel

Abstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
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  4. Chicago Neighborhood Context and Racial/Ethnic Disparities in Maternal Diabetes.Journal of racial and ethnic health disparities · 2025
    Article
  5. Article
  6. Review
  7. Article
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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

6 authors.

Irene HeadenUrban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-3728-4652
Barbara LaraiaCommunity Health Sciences, Berkeley School of Public Health, University of California, Berkeley, California, USA.
Kimberly Coleman-PhoxDepartment of Obstetrics and Gynecology, San Francisco School of Medicine, University of California, San Francisco, California, USA.
Cassandra VietenInstitute of Noetic Sciences, Petaluma, California, USA.
Nancy AdlerDepartment of Psychiatry, San Francisco School of Medicine, University of California, San Francisco, California, USA.
Elissa EpelDepartment of Psychiatry, San Francisco School of Medicine, University of California, San Francisco, California, USA.

Funding

UCSF Nutrition Obesity Research CenterP30DK098722 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ALKA M. KANAYA · 2015 to 2026
$14.6M
Novel interventions to reduce stress induced non-homeostatic eatingU01HL097973 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ADLER, NANCY E, EPEL, ELISSA S. · 2009 to 2014
$5.7M
Dev-Core-001P2CHD073964 · NICHD · UNIVERSITY OF CALIFORNIA BERKELEY · PI JOSHUA R. GOLDSTEIN · 2019 to 2026
$2.9M
HRSA HHS T76MC00002NHLBI NIH HHS U01 HL097973NICHD NIH HHS P2C HD073964NIDDK NIH HHS P30 DK098722
6 · The paper itself

Abstract

objectiveThis study aimed to assess associations between neighborhood typologies classified across multiple neighborhood domains and cardiometabolic pregnancy outcomes and determine variation in effectiveness of a mindfulness-based stress-reduction intervention on outcomes across neighborhood types.

methodsNeighborhoods of participants in the Maternal Adiposity Metabolism and Stress (MAMAS) intervention (n = 208) were classified across dimensions of socioeconomic, food, safety, and service/resource environments using latent class analysis. The study estimated associations between neighborhood type and three cardiometabolic pregnancy outcomes-glucose tolerance (GT) during pregnancy, excessive gestational weight gain, and 6-month postpartum weight retention (PPWR)-using marginal regression models. Interaction between neighborhood type and intervention was assessed.

resultsFive neighborhood types differing across socioeconomic, food, and resource environments were identified. Compared with poor, well-resourced neighborhoods, middle-income neighborhoods with low resources had higher risk of impaired GT (relative risk [RR]: 4.1; 95% confidence Interval [CI]: 1.1, 15.5), and wealthy, well-resourced neighborhoods had higher PPWR (beta: 3.9 kg; 95% CI: 0.3, 7.5). Intervention effectiveness varied across neighborhood type with wealthy, well-resourced and poor, moderately resourced neighborhoods showing improvements in GT scores. PPWR was higher in intervention compared with control groups within wealthy, well-resourced neighborhoods.

conclusionsConsideration of multidimensional neighborhood typologies revealed important nuances in intervention effectiveness on cardiometabolic pregnancy outcomes.

Indexed as

AdiposityObesityResidence CharacteristicsAdolescentAdultFemaleHumansMiddle AgedPregnancyPregnancy OutcomeYoung Adult

Identifiers

PMID30516025
PMCPMC6309242

What OpenQuestion holds

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Registered trials

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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.