Evidence map›Paper›PMID 36915869›Full record

ArticleClinical epidemiology2023

The Mediating Role of Body Mass Index in the Association Between Age at First Childbirth and Lung Function Among Chinese Postmenopausal Women.

Gaili Wang, Huizi Tian, Kai Kang, Shixian Feng, Weihao Shao, Xiaorui Chen, Caifang Zheng, Bowen Zhang, Pei Pei, Weidong Zhang

Open access · goldAbstract read
In one paragraph

Article in Clinical epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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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3 · Its place in the literature

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0 citing papers in PubMed, 0 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Gaili WangDepartment of Epidemiology, School of Public Health, Zhengzhou University, Zhengzhou, Henan, 450001, People's Republic of China.
Huizi TianHenan Provincial Center for Disease Control and Prevention, Zhengzhou, Henan, 450016, People's Republic of China.
Kai KangHenan Provincial Center for Disease Control and Prevention, Zhengzhou, Henan, 450016, People's Republic of China.
Shixian FengHenan Provincial Center for Disease Control and Prevention, Zhengzhou, Henan, 450016, People's Republic of China.
Weihao ShaoDepartment of Epidemiology, School of Public Health, Zhengzhou University, Zhengzhou, Henan, 450001, People's Republic of China.ORCID 0000-0003-0362-6474
Xiaorui ChenDepartment of Epidemiology, School of Public Health, Zhengzhou University, Zhengzhou, Henan, 450001, People's Republic of China.
Caifang ZhengDepartment of Epidemiology, School of Public Health, Zhengzhou University, Zhengzhou, Henan, 450001, People's Republic of China.
Bowen ZhangDepartment of Epidemiology, School of Public Health, Zhengzhou University, Zhengzhou, Henan, 450001, People's Republic of China.
Pei PeiPeking University Center for Public Health and Epidemic Preparedness & Response, Beijing, 100191, People's Republic of China.
Weidong ZhangDepartment of Epidemiology, School of Public Health, Zhengzhou University, Zhengzhou, Henan, 450001, People's Republic of China.ORCID 0000-0002-0314-7820
Zhengzhou University · CNHenan Provincial Center for Disease Control and Prevention · CNPeking University · CN

Funding

Wellcome Trust
6 · The paper itself

Abstract

Objective: Little is known about the effect of age at first childbirth on lung function. We aimed to investigate the association between age at first childbirth and lung function in Chinese women and further test whether this association is mediated by body mass index (BMI). Methods: This cross-sectional study is a partial survey of the China Kadoorie Biobank (CKB) which was conducted in Xinxiang City, Henan Province between 2004 and 2008. A total of 16,584 postmenopausal women aged 30-79 years were enrolled. Multiple linear and logistic regression were used to investigate the association between age at first childbirth and lung function and overweight/obesity. The mediation analysis was performed using the PROCESS procedure for SPSS. Results: The mean (SD) age at first childbirth was 23.1 (2.7) years. Women with first childbirth aged ≤19 years and 20-22 years had lower lung function than women who gave first childbirth aged 23-25 years. Per 1-year increase in the age at first childbirth was associated with a 3.31 mL increase in FEV1 (95% CI = 1.27-5.35), 3.91 mL increase in FVC (95% CI = 1.63-6.18), 0.15% increase in FEV1, % predicted (95% CI = 0.05-0.24) and 0.14% increase in FVC, % predicted (95% CI = 0.05-0.22). There was no clear association between age at first childbirth and FEV1/FVC ratio. BMI played a contribution to the association between age at first childbirth and FEV1 and the proportion was 16.4% (indirect effect: β = 0.65, 95% CI = 0.46-0.89; total effect: β = 3.96, 95% CI = 1.92-5.99). Similarly, the proportion to FVC, FEV1, % predicted, and FVC, % predicted was 25.0%, 16.6%, and 25.0%, respectively. Conclusion: Early age at first childbirth was associated with lower lung function and BMI mediated the association. It is important to test lung function and popularize the knowledge of weight control in women who gave first childbirth at an early age.

Indexed as

body mass indexfirst childbirthlung functionmediationpostmenopausal women

Identifiers

PMID36915869
PMCPMC10007999
OpenAlexW4323360569

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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.