Evidence map›Paper›PMID 34215722›Full record

ArticleTranslational psychiatry2021

Maternal psychosocial risk factors and child gestational epigenetic age in a South African birth cohort study.

Nastassja Koen, Meaghan J Jones, Raymond T Nhapi, Marilyn T Lake, Kirsten A Donald, Whitney Barnett, Nadia Hoffman, Julia L MacIsaac, Alexander M Morin, David T S Lin and 4 more

Abstract read
In one paragraph

Article in Translational psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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.

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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

14 authors.

Nastassja KoenDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa. nastassja.koen@uct.ac.za.ORCID 0000-0002-1119-8142
Meaghan J JonesBiochemistry and Medical Genetics, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada.ORCID 0000-0003-1593-997X
Raymond T NhapiDepartment of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.
Marilyn T LakeDepartment of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.
Kirsten A DonaldNeuroscience Institute, University of Cape Town, Cape Town, South Africa.ORCID 0000-0002-0276-9660
Whitney BarnettDepartment of Paediatrics & Child Health and SAMRC Unit on Child and Adolescent Health, University of Cape Town, Cape Town, South Africa.
Nadia HoffmanDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Julia L MacIsaacDepartment of Medical Genetics, Centre for Molecular Medicine and Therapeutics, BC Children's Hospital Research Institute, University of British Columbia, Vancouver, Canada.
Alexander M MorinDepartment of Medical Genetics, Centre for Molecular Medicine and Therapeutics, BC Children's Hospital Research Institute, University of British Columbia, Vancouver, Canada.
David T S LinDepartment of Medical Genetics, Centre for Molecular Medicine and Therapeutics, BC Children's Hospital Research Institute, University of British Columbia, Vancouver, Canada.ORCID 0000-0001-5695-9446
Michael S KoborDepartment of Medical Genetics, Centre for Molecular Medicine and Therapeutics, BC Children's Hospital Research Institute, University of British Columbia, Vancouver, Canada.
Karestan C KoenenDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Heather J ZarDepartment of Paediatrics & Child Health and SAMRC Unit on Child and Adolescent Health, University of Cape Town, Cape Town, South Africa.
Dan J SteinDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.ORCID 0000-0001-7218-7810

Funding

Maternal Traumatic Stress and Child Development: Epigenetic LinksR21HD085849 · NICHD · HARVARD SCHOOL OF PUBLIC HEALTH · PI KOENEN, KARESTAN C, STEIN, DAN JOSEPH · 2015 to 2016
$323k
Bill and Melinda Gates Foundation (Bill & Melinda Gates Foundation) OPP 1017641National Research Foundation (NRF) 105865NICHD NIH HHS R21 HD085849South African Medical Research Council (SAMRC) SAMRC National Health Scholars programmeSouth African Medical Research Council (SAMRC) Self-Initiated Research GrantU.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) R21HD085849U.S. Department of Health & Human Services | NIH | Fogarty International Center (FIC) R21HD085849
6 · The paper itself

Abstract

Accelerated epigenetic aging relative to chronological age has been found to be associated with higher risk of mortality in adults. However, little is known about whether and how in utero exposures might shape child gestational epigenetic age (EA) at birth. We aimed to explore associations between maternal psychosocial risk factors and deviation in child gestational EA at birth (i.e., greater or lower EA relative to chronological age) in a South African birth cohort study-the Drakenstein Child Health Study. Maternal psychosocial risk factors included trauma/stressor exposure; posttraumatic stress disorder (PTSD); depression; psychological distress; and alcohol/tobacco use. Child gestational EA at birth was calculated using an epigenetic clock previously devised for neonates; and gestational EA deviation was calculated as the residuals of the linear model between EA and chronological gestational age. Bivariate linear regression was then used to explore unadjusted associations between maternal/child risk factors and child gestational EA residuals at birth. Thereafter, a multivariable regression method was used to determine adjusted associations. Data from 271 maternal-child dyads were included in the current analysis. In the multivariable regression model, maternal PTSD was significantly and negatively associated with child gestational EA residuals at birth (β = -1.95; p = 0.018), controlling for study site, sex of the child, head circumference at birth, birthweight, mode of delivery, maternal estimated household income, body mass index (BMI) at enrolment, HIV status, anaemia, psychological distress, and prenatal tobacco or alcohol use. Given the novelty of this preliminary finding, and its potential translational relevance, further studies to delineate underlying biological pathways and to explore clinical implications of EA deviation are warranted.

Indexed as

Epigenesis, GeneticAdultBirth WeightChildCohort StudiesFemaleGestational AgeHumansInfant, NewbornPregnancyRisk Factors

Identifiers

PMID34215722
PMCPMC8253754

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.