Evidence map›Paper›PMID 38641792›Full record

ArticleBMC public health2024

Which aspects of education are health protective? a life course examination of early education and adulthood cardiometabolic health in the 30-year study of early child care and Youth Development (SECCYD).

Maria E Bleil, Glenn I Roisman, Deven T Hamilton, Sophia W Magro, Bradley M Appelhans, Steven E Gregorich, Cathryn Booth-LaForce, Robert C Pianta

Abstract read
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In one paragraph

Article in BMC public health, 2024. 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
–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

3 citing papers in PubMed.

  1. 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

8 authors.

Maria E BleilDepartment of Child, Family, & Population Health Nursing, University of Washington, 98195, Seattle, WA, Box 357262, USA. mbleil@uw.edu.
Glenn I RoismanInstitute of Child Development, University of Minnesota, Minneapolis, MN, USA.
Deven T HamiltonCenter for Studies in Demography & Ecology, University of Washington, Seattle, WA, USA.
Sophia W MagroInstitute of Child Development, University of Minnesota, Minneapolis, MN, USA.
Bradley M AppelhansDepartment of Family and Preventive Medicine, Rush University Medical Center, Chicago, IL, USA.
Steven E GregorichDepartment of Medicine, University of California San Francisco, San Francisco, CA, USA.
Cathryn Booth-LaForceDepartment of Child, Family, & Population Health Nursing, University of Washington, 98195, Seattle, WA, Box 357262, USA.
Robert C PiantaSchool of Education & Human Development, University of Virginia, Charlottesville, VA, USA.

Funding

Scientific/Technical CoreP2CHD042828 · NICHD · UNIVERSITY OF WASHINGTON · PI SARA R. CURRAN · 2017 to 2026
$6.3M
THE NICHD STUDY OF EARLY CHILD CARE--PHASE 3U10HD025447 · NICHD · UNIVERSITY OF WASHINGTON · PI BOOTH-LAFORCE, CATHRYN L · 1990 to 2007
$5.1M
Early Life Adversity and Adulthood Health: The Role of Pubertal DevelopmentR01HL130103 · NHLBI · UNIVERSITY OF WASHINGTON · PI BLEIL, MARIA E. · 2016 to 2020
$3.8M
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
NHLBI NIH HHS R01 HL130103NHLBI NIH HHS R01HL130103NICHD NIH HHS P2C HD042828NICHD NIH HHS R01 HD091132NICHD NIH HHS U10 HD025447
6 · The paper itself

Abstract

backgroundPast research describes robust associations between education and health, yet findings have generally been limited to the examination of education as the number of years of education or educational attainment. Little is known about the specific features or processes underpinning education that are health protective. The objective of the current study was to address this gap by examining specific aspects of early education pertaining to student characteristics and experiences, as well as features of the classroom environment, in predicting cardiometabolic health in adulthood.

methodsSubjects were 1364 participants in the NICHD Study of Early Child Care and Youth Development (SECCYD, 1991-2009) and recent SECCYD 30-year follow-up, the Study of Health in Early and Adult Life (SHINE, 2018-2022). Models examined individual education indicators (student social skills, student-teacher relationship quality, and classroom emotional and instructional quality in the period of elementary school and student academic performance between ages 54 months and 15 years) in relation to a composite of cardiometabolic risk in adulthood (ages 26-31), reflecting central adiposity, blood pressure, insulin resistance, inflammation, and dyslipidemia. Models were adjusted for key explanatory factors including socio-demographics, infant characteristics, parental socioeconomic status (SES), and child health status. Follow-up analyses were performed to test potential mediators of early education effects on adult health, including adult SES (educational attainment, household income) and health behaviors (diet quality, activity level, sleep duration, smoking).

resultsIn adjusted models, results showed greater student social skills, indexed by a mean of annual teacher ratings between kindergarten and 6th grade, predicted lower cardiometabolic risk in adulthood (β=-0.009, p <.05). In follow-up analyses, results showed the protective effect of student social skills on cardiometabolic risk may be mediated by adult income (β=-0.0014, p <.05) and diet quality (β=-0.0031, p <.05). Effects of the other early education indicators were non-significant (ps > 0.05).

conclusionsFindings point to the potential significance of early student social competence as a link to long-term health, possibly via the acquisition of resources needed for the maintenance of health, as well as through engagement in health behaviors supporting healthy eating. However, more research is needed to replicate these findings and to elaborate on the role of early student social competence and the pathways explaining its effects on cardiometabolic health in adulthood.

Indexed as

Cardiovascular DiseasesLife Change EventsAdolescentAdultChildChild CareEducational StatusHumansSchoolsAcademic achievementCardiometabolic healthCardiovascular risk factorsClassroom emotional qualityClassroom instructional qualityEducationHealth behaviorsHealth disparitiesIncomeLife courseSocial skillsSocioeconomic status (SES)Student-teacher relationshipStudy of early child care and Youth Development (SECCYD)

Identifiers

PMID38641792
PMCPMC11031877

What OpenQuestion holds

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LicenceCC BY
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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.