Evidence map›Paper›PMID 34293381›Full record

ReviewPreventive medicine2021

Timing, duration, and differential susceptibility to early life adversities and cardiovascular disease risk across the lifespan: Implications for future research.

Shakira F Suglia, Allison A Appleton, Maria E Bleil, Rebecca A Campo, Shanta R Dube, Christopher P Fagundes, Nia J Heard-Garris, Sara B Johnson, Natalie Slopen, Catherine M Stoney and 1 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Early life adversity, educational attainment, and cardiometabolic risk among middle-aged and older adults in the United States.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
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  6. Observational
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  10. Eating behaviors as pathways from early childhood adversity to adolescent cardiometabolic risk.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024
    Article
  11. Article
  12. Article
  13. Connections between reproductive health and cognitive aging among women enrolled in the HCHS/SOL and SOL-INCA.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  14. Article
  15. 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

11 authors at 10 institutions in 1 country.

Shakira F SugliaDepartment of Epidemiology, Emory University, Atlanta, GA, United States of America. Electronic address: shakira.suglia@emory.edu.
Allison A AppletonDepartment of Epidemiology and Biostatistics, University at Albany School of Public Health, State University of New York, Albany, NY, United States of America.
Maria E BleilDepartment of Child, Family, and Population Health Nursing, University of Washington, Seattle, WA, United States of America.
Rebecca A CampoNational Institutes of Health, National Heart, Lung, and Blood Institute, Bethesda, MD, United States of America.
Shanta R DubePublic Health Program, Levine College of Health Sciences, Wingate University, Wingate, NC, United States of America.
Christopher P FagundesDepartment of Psychological Sciences, Rice University, Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Department of Psychiatry, Baylor College of Medicine, Houston, TX, United States of America.
Nia J Heard-GarrisDivision of Advanced General Pediatrics, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago and Northwestern University Feinberg School of Medicine, Mary Ann & J. Milburn Smith Child Health Research, Outreach, and Advocacy Center, Stanley Manne Children's Research Institute, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States of America.
Sara B JohnsonDivision of General Pediatrics, Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
Natalie SlopenDepartment of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA, United States of America.
Catherine M StoneyNational Institutes of Health, National Heart, Lung, and Blood Institute, Bethesda, MD, United States of America.
Sarah E WatamuraDepartment of Psychology, University of Denver, Denver, CO, United States of America.
National Institutes of Health · USAlbany State University · USBaylor College of Medicine · USEmory University · USHarvard University · USJohns Hopkins University · USLurie Children's Hospital · USUniversity of Denver · USUniversity of Washington · USWingate University · US

Funding

Social adversities, epigenetics, and the obesity epidemicR01MD011746 · NIMHD · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI HOYO, CATHRINE · 2017 to 2021
$4.4M
Childhood Adversity and Cardiovascular Health among Puerto Rican YouthR01HL125761 · NHLBI · EMORY UNIVERSITY · PI SUGLIA, SHAKIRA FRANCO · 2015 to 2020
$4.2M
Early Life Adversity and Adulthood Health: The Role of Pubertal DevelopmentR01HL130103 · NHLBI · UNIVERSITY OF WASHINGTON · PI BLEIL, MARIA E. · 2016 to 2020
$3.8M
Does the provision of postnatal parenting support in primary care improve cardiometabolic health in early childhood among at-risk-families?R01HL153136 · NHLBI · UNIVERSITY OF WASHINGTON · PI BLEIL, MARIA E., SPIEKER, SUSAN JOAN · 2021 to 2025
$3.7M
Stress, Epigenetics and AgingR01AG058704 · NIA · EMORY UNIVERSITY · PI SHELTON, RACHEL C, SUGLIA, SHAKIRA FRANCO · 2018 to 2022
$3.4M
Social Stress Epigenetics and Cardio-Metabolic Health Among LatinosR01MD013320 · NIMHD · EMORY UNIVERSITY · PI SUGLIA, SHAKIRA FRANCO · 2019 to 2023
$3.1M
The Effects of Early Psychosocial Deprivation on Cardiometabolic Risk in Early AdulthoodR01HL151848 · NHLBI · UNIV OF MARYLAND, COLLEGE PARK · PI SLOPEN, NATALIE · 2020 to 2024
$3.1M
Early Adversity, Childhood Educational Experiences, and Adulthood Physical HealthR01HD091132 · NICHD · UNIVERSITY OF WASHINGTON · PI BLEIL, MARIA E., ROISMAN, GLENN I · 2017 to 2022
$2.3M
K Administrative Supplement:ACHiP-ACEs and Cardiometabolic Health in Pediatrics: Using a Coping and Stress Reduction Intervention to Reduce Cardiometabolic Risk in Adolescents with AdversityK01HL147995 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI HEARD-GARRIS, NIA JENEE' · 2019 to 2023
$886k
NHLBI NIH HHS K01 HL147995NHLBI NIH HHS R01 HL125761NHLBI NIH HHS R01 HL130103NHLBI NIH HHS R01 HL151848NHLBI NIH HHS R01 HL153136NIA NIH HHS R01 AG058704NICHD NIH HHS R01 HD091132NIMHD NIH HHS R01 MD011746NIMHD NIH HHS R01 MD013320
6 · The paper itself

Abstract

Early life adversities (ELA), include experiences such as child maltreatment, household dysfunction, bullying, exposure to crime, discrimination, bias, and victimization, and are recognized as social determinants of cardiovascular disease (CVD). Strong evidence shows exposure to ELA directly impacts cardiometabolic risk in adulthood and emerging evidence suggests there may be continuity in ELA's prediction of cardiometabolic risk over the life course. Extant research has primarily relied on a cumulative risk framework to evaluate the relationship between ELA and CVD. In this framework, risk is considered a function of the number of risk factors or adversities that an individual was exposed to across developmental periods. The cumulative risk exposure approach treats developmental periods and types of risk as equivalent and interchangeable. Moreover, cumulative risk models do not lend themselves to investigating the chronicity of adverse exposures or consider individual variation in susceptibility, differential contexts, or adaptive resilience processes, which may modify the impact of ELA on CVD risk. To date, however, alternative models have received comparatively little consideration. Overall, this paper will highlight existing gaps and offer recommendations to address these gaps that would extend our knowledge of the relationship between ELA and CVD development. We focus specifically on the roles of: 1) susceptibility and resilience, 2) timing and developmental context; and 3) variation in risk exposure. We propose to expand current conceptual models to incorporate these factors to better guide research that examines ELA and CVD risk across the life course.

Indexed as

BullyingCardiovascular DiseasesChild AbuseSocial Determinants of HealthAdultChildHumansLife Change EventsLongevityRisk Factors

Identifiers

PMID34293381
PMCPMC8595689
OpenAlexW3185285610

What OpenQuestion holds

Textmetadata
LicenceTDM
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.