Evidence map›Paper›PMID 31402978›Full record

ArticleEvolution, medicine, and public health2019

Iron and fecundity among Tsimane' women of Bolivia.

Elizabeth M Miller, Maie Khalil

Open access · goldAbstract read
In one paragraph

Article in Evolution, medicine, and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 90% 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

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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

2 citing papers in PubMed, 13 citations in OpenAlex.

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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

2 authors at 1 institution in 1 country.

Elizabeth M MillerDepartment of Anthropology, University of South Florida, 4202 East Fowler Ave, SOC107, Tampa, FL, USA.ORCID 0000-0002-5046-380X
Maie KhalilDepartment of Anthropology, University of South Florida, 4202 East Fowler Ave, SOC107, Tampa, FL, USA.
University of South Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesIron is critical for women's reproduction, and iron-deficiency anemia is a global health problem for mothers. While public health programs have aimed to correct iron deficiency in reproductive-aged women with supplementation, a small group of studies have shown that too much iron also has negative effects on birth outcomes. We hypothesize that women's iron levels evolved within a narrow optimum, and predict that hemoglobin (Hb) levels would be associated with women's fecundity. METHODOLOGY: We used the publicly available, longitudinal Tsimane' Amazonian Panel Study to test the association between -Hb levels and hazard of having a next birth (a measure of fecundity) among 116 parous, reproductive-aged Tsimane' women of Bolivia. A Cox proportional hazards model was used to model Hb level and other predictors against the event of next birth across the observation period, which began at each woman's previous birth.

resultsThe higher the Hb level, the lower the hazard of a woman giving birth within the study observation period (hazard ratio=0.82, CONCLUSIONS AND IMPLICATIONS: These results demonstrate that high Hb influences women's fecundity. These results supports the growing body of literature showing that iron metabolism is critical for understanding the evolution of women's reproduction. More work is needed to determine the evolved optimal range of iron levels for reproductive-aged women. LAY SUMMARY: Lower chance of pregnancy among Tsimane' women with high Hb levels, suggesting evolved optimal Hb levels in women.

Indexed as

hemoglobiniron-deficiency anemialife history theorymaternal healthreproductive ecology

Identifiers

PMID31402978
PMCPMC6682707
OpenAlexW2954419908

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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.