Evidence map›Paper›PMID 37584014›Full record

ArticleJACC. Advances2023

Associations of Physical Activity and Lactation Duration With Cardiometabolic Risk Factors: The CARDIA Study.

Abbi Lane, Kara M Whitaker, Muna Tahir, Bethany Barone Gibbs, Janet Catov, Mercedes Carnethon, Erica P Gunderson

Open access · diamondAbstract read
In one paragraph

Article in JACC. Advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Adverse pregnancy outcomes and renal-vascular function in the early years after delivery.American journal of physiology. Heart and circulatory physiology · 2024
    Article
  2. 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

7 authors at 5 institutions in 1 country.

Abbi LaneDepartment of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
Kara M WhitakerDepartment of Health and Human Physiology, Department of Epidemiology, University of Iowa, Iowa City, Iowa, USA.
Muna TahirICON plc, San Francisco, California, USA.
Bethany Barone GibbsDepartment of Epidemiology and Biostatistics, School of Public Health, University of West Virginia, Morgantown, West Virginia, USA.
Janet CatovDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Mercedes CarnethonDepartment of Preventive Medicine, Feinberg School of Medicine, Chicago, Illinois, USA.
Erica P GundersonDivision of Research, Kaiser Permanente of Northern California, Oakland, California, USA.
Kaiser Permanente · USUniversity of Iowa · USUniversity of Pittsburgh · USUniversity of South Carolina · USWest Virginia University · US

Funding

Young Adult and Midlife Transitions in Physical Activity and Sedentary Behavior with Heart Failure Risk and Progression: Coronary Artery Risk Development in Young Adults (CARDIA)R01HL149796 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GABRIEL, KELLEY PETTEE · 2020 to 2023
$5.6M
Lactation and Incidence of Diabetes Mellitus in CARDIA WomenR01DK090047 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GUNDERSON, ERICA PAULINE · 2011 to 2014
$2.7M
Pregnancy-Related Risk Factors and Glucose Intolerance in Women during MidlifeR01DK106201 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GUNDERSON, ERICA PAULINE · 2015 to 2018
$2.7M
Pregnancy and Risk Factors for CVD and Type 2 DiabetesK01DK059944 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GUNDERSON, ERICA PAULINE · 2002 to 2006
$640k
NHLBI NIH HHS HHSN268201800003INHLBI NIH HHS HHSN268201800004INHLBI NIH HHS HHSN268201800005INHLBI NIH HHS HHSN268201800006INHLBI NIH HHS HHSN268201800007INHLBI NIH HHS R01 HL149796NIDDK NIH HHS K01 DK059944NIDDK NIH HHS R01 DK090047NIDDK NIH HHS R01 DK106201
6 · The paper itself

Abstract

backgroundPhysical activity (PA) and lactation benefit cardiometabolic health.

objectivesThe purpose of this study was to describe the joint associations of PA and lactation with cardiometabolic risk.

methodsWe averaged PA across exams and summed lifetime lactation in Black and White parous women in the Coronary Artery Risk Development in Young Adults Study. Categories were created for PA (-PA: <median; +PA: ≥median) and lactation (-L: <3 months, +L: ≥3 months). Participants were assigned to one of 4 groups: -PA/-L, -PA/+L, +PA/-L, and +PA/+L (most favorable). Cardiometabolic risk factors at the year 30 exam were standardized into a risk score. We evaluated associations of groups with risk factors and risk score using linear regression. Covariates included age, race, study center, parity, education, smoking, medication use, alcohol consumption, and baseline body mass index, and diet quality.

resultsThe median PA was 256 exercise units and 54% reported lactation duration of ≥3 months. Of 1,068 participants, 303 were in the -PA/-L category, 231 in -PA/+L, 184 in +PA/-L, and 350 in +PA/+L. +PA/+L participants were older, had more years of education, lower body mass index, gained less weight, and less likely to be Black vs -PA/-L participants. Risk scores differed between categories except -PA/+L and +PA/-L (

conclusionsAbove average PA throughout adulthood combined with ≥3 months of lactation was associated with lower risk scores. Participants with either behavior had lower risk vs those with neither behavior. Attaining these levels of behaviors may reduce cardiometabolic risk in parous women.

Indexed as

cardiometabolic risklactationphysical activity

Identifiers

PMID37584014
PMCPMC10426753
OpenAlexW4382751374

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.