Evidence map›Paper›PMID 30671711›Full record

ArticleJournal of urban health : bulletin of the New York Academy of Medicine2019

Allostatic Load: Importance, Markers, and Score Determination in Minority and Disparity Populations.

Erik J Rodriquez, Edward N Kim, Anne E Sumner, Anna M Nápoles, Eliseo J Pérez-Stable

Registry-linked trialAbstract read
In one paragraph

Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06864260 (Cancer PRevention Through Enhanced EnvironMenT), which is not on this map. Cited by 97 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 4 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.

NCT06864260 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Cancer PRevention Through Enhanced EnvironMenT

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2024 to 2028Enrolled300ConditionsCancer RiskArmsBuilt Environment, Social Environment
3 · Its place in the literature

Who cites it

97 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Allostatic Load and Cardiovascular Disease: A Systematic Review.American journal of preventive medicine · 2025
    Pooled it
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  5. Review
  6. Comorbid Conditions of Ehlers-Danlos Syndromes and Vulvodynia: A Latent Class Analysis.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2026
    Article
  7. Article
  8. Review
  9. Allostatic Load, Multimorbidity, and Overall and Cancer-Specific Survival among Older Adults in the United States.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
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37 more citing papers are in PubMed but not listed here.

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.

Erik J RodriquezDivision of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, 3 Center Drive, Room 5W21, Bethesda, MD, 20892-0311, USA. erik.rodriquez@nih.gov.
Edward N KimDivision of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, 3 Center Drive, Room 5W21, Bethesda, MD, 20892-0311, USA.
Anne E SumnerSection of Ethnicity and Health, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD, USA.
Anna M NápolesOffice of the Scientific Director, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, USA.
Eliseo J Pérez-StableDivision of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, 3 Center Drive, Room 5W21, Bethesda, MD, 20892-0311, USA.

Funding

Heart Disease Risk Factors In African AmericansZIADK047023 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI SUMNER, ANNE · 2009 to 2025
$16.3M
6 · The paper itself

Abstract

Allostatic load is a physiological measure of the cumulative burden of stress on the body assessed by markers of physiological dysregulation. It is a multisystem construct that quantifies biological risk which leads to poor health and maladaptive trajectories. In this overview, which is based on a presentation made at the Flip the Script: Understanding African American Women's Resilience in the Face of Allostatic Load meeting at Ohio State University in August 2018, we build upon previous reviews by discussing four key aspects of allostatic load, specifically its: (1) importance, (2) operationalization, (3) use in minority health and health disparities research, and (4) value in such research. Operationalized in various ways, allostatic load is composed of 10 original markers and additional markers deriving from research among minority and disparity populations. The markers represent four biological systems: (1) cardiovascular, (2) metabolic, (3) inflammatory, and (4) neuroendocrine. System-specific racial/ethnic and sex-based differences have been observed. An overall score can be determined using sample-generated or empirically derived clinically relevant cut points. In summary, allostatic load provides an overall and a body system-specific mechanistic link between exposures to stressors and health outcomes that may help explain health disparities among minority populations.

Indexed as

Health Status DisparitiesAdultAgedAged, 80 and overAllostasisBiomarkersBlack or African AmericanEthnicityFemaleHumansMiddle AgedMinority GroupsOhioStress, PsychologicalUnited StatesBiomarkersAfrican AmericansAllostasisEpidemiologic measurementsHispanic AmericansStress

Identifiers

PMID30671711
PMCPMC6430278

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.