Evidence map›Paper›PMID 34482586›Full record

ArticleThe journal of obstetrics and gynaecology research2021

Cardiovascular risk factors before and during pregnancy: Does pregnancy unmask or initiate risk?

Emily W Harville, Carrie E Crook, Lydia A Bazzano, Jessica G Woo, Trudy L Burns, Olli Raitakari, Elaine M Urbina, Alison Venn, David R Jacobs, Julia Steinberger and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in The journal of obstetrics and gynaecology research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pregnancy as a Window for Hypertension and Cardiovascular Prevention in Women: A Life-Course Perspective Based on the 2025 ESC Guidelines.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. [Retrospective analysis of 35 burn patients in different stages of pregnancy].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2022
    Observational
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 at 8 institutions in 4 countries.

Emily W HarvilleDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, USA.
Carrie E CrookTulane University School of Medicine, New Orleans, Louisiana, USA.ORCID https://orcid.org/0000-0002-1866-5444
Lydia A BazzanoDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, USA.
Jessica G WooDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Trudy L BurnsDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa, USA.
Olli RaitakariResearch Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.
Elaine M UrbinaThe Heart Institute, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Alison VennMenzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia.
David R JacobsDivision of Epidemiology and Community Health, University of Minnesota, School of Public Health, Minneapolis, Minnesota, USA.
Julia SteinbergerDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Alan SinaikoDivision of Epidemiology and Community Health, University of Minnesota, School of Public Health, Minneapolis, Minnesota, USA.
Terence DwyerGeorge Institute for Global Health, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0002-2091-7663
Markus JuonalaDepartment of Medicine, University of Turku and Division of Medicine, Turku University Hospital, Turku, Finland.
i3C Consortium
Tulane University · USCincinnati Children's Hospital Medical Center · USUniversity of Minnesota · USUniversity of Turku · FIThe George Institute for Global Health · GBUniversity of Iowa · USUniversity of Minnesota Medical Center · USUniversity of Tasmania · AU

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Leigh Lamonica · 2012 to 2026
$69.1M
Childhood CV Risk and Adult CVD Outcomes: an International Long-term Follow-upR01HL121230 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI BURNS, TRUDY L, CHEN, WEI · 2015 to 2019
$13.3M
Long-Term Burden of Maternal Cardiovascular Risk Factors and Birth OutcomesR01HD069587 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI HARVILLE, EMILY WHEELER · 2012 to 2015
$2.1M
Academy of FinlandEunice Kennedy Shriver National Institute of Child Health and Human Development R01HD069587NHLBI NIH HHS R01 HL121230NHLBI NIH HHS R01HL121230NICHD NIH HHS R01 HD069587NIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

objectivesTo understand if pregnancy unmasks previously silent cardiovascular (CV) adverse factors, or initiates lasting injury.

methodsPre-pregnancy and during pregnancy CV risk factors (blood pressure, fasting lipids, and glucose) from 296 women belonging to studies in the International Childhood Cardiovascular Cohort (i3C) Consortium, a group of studies assessing the relationship between child and adolescent CV risk factors and adult outcomes, were used. Correlation coefficients between the pre- and during pregnancy measures were calculated, and the mean difference between the measures was modeled with adjustment for age, body mass index, race, smoking, and study.

resultsMeasures were strongly correlated at pre- and during-pregnancy visits (p < 0.01), with r of between 0.30 and 0.55. In most cases, the difference between pre-pregnancy and during-pregnancy did not differ significantly from 0 after adjustment for confounders. Stratification by gestational age indicated stronger correlations with measurements obtained during the first and second trimesters than the third. The correlation did not differ by the time elapsed between the pre-pregnancy and pregnancy visits.

conclusionsPre- and during-pregnancy CV risk factors are moderately well correlated. This may indicate that susceptible women enter pregnancy with higher risk rather than pregnancy inducing new vascular or metabolic effects.

Indexed as

Cardiovascular DiseasesAdolescentAdultBlood PressureBody Mass IndexChildFemaleHeart Disease Risk FactorsHumansPregnancyRisk Factorsblood pressurecholesterolglucosepregnancy

Identifiers

PMID34482586
PMCPMC8924930
OpenAlexW3197888443

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.