Evidence map›Paper›PMID 39648751›Full record

ArticleStress (Amsterdam, Netherlands)2024

Cumulative maternal lifetime stress & child asthma: effect modification by BMI.

Nicole B Ramsey, Yueh-Hsiu Mathilda Chiu, Hsiao-Hsien Leon Hsu, Michelle Bosquet Enlow, Brent A Coull, Rosalind J Wright, Kecia N Carroll

Abstract read
In one paragraph

Article in Stress (Amsterdam, Netherlands), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Parental autoimmune diseases and offspring's allergic disease: A systematic review and meta-analysis.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Pooled it
  2. Risk Factors and Mechanisms Leading to Preschool Recurrent Wheeze and Asthma.The journal of allergy and clinical immunology. In practice · 2025
    Review
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.

Nicole B RamseyThe Kravis Children's Hospital, Jack and Lucy Clark Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Yueh-Hsiu Mathilda ChiuDepartment of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Hsiao-Hsien Leon HsuDepartment of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Michelle Bosquet EnlowDepartment of Psychiatry and Behavioral Sciences, Boston Children's Hospital and Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Brent A CoullDepartment of Biostatistics, Harvard TH Chan School of Public Health, Harvard University, Boston, MA, USA.
Rosalind J WrightThe Kravis Children's Hospital, Jack and Lucy Clark Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Kecia N CarrollThe Kravis Children's Hospital, Jack and Lucy Clark Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Funding

Conduits: Mount Sinai Health System Translational Science HubUL1TR004419 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Rosalind J Wright · 2022 to 2026
$46.4M
Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
The Mount Sinai Transdisciplinary Center on Early Environmental ExposuresP30ES023515 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Chris Gennings · 2014 to 2026
$21.3M
Maternal Traumatic Stress, Oxidative Stress, Antioxidant Exposures, and Child Asthma and Lung FunctionR01HL132338 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CARROLL, KECIA NICOLE, WRIGHT, ROSALIND J · 2017 to 2021
$3.8M
Prenatal metal mixtures and neurodevelopment: Role of placental extracellular microRNAsR01ES030302 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI LU, QUAN, WRIGHT, ROSALIND J · 2019 to 2023
$3.2M
Perinatal Programming of Infant Stress Reactivity and the Atopic PhenotypeR01HL095606 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BOSQUET ENLOW, MICHELLE A, WRIGHT, ROSALIND J · 2010 to 2013
$3.1M
Associations among maternal lifetime psychosocial stress, prenatal systemic and placental oxidative stress mixtures, and child asthmaR01HL164775 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KECIA Nicole CARROLL · 2023 to 2026
$2.9M
Prenatal stress and epigenetic programming of the HPA axis and autonomic balanceR01HL114396 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI WRIGHT, ROSALIND J · 2012 to 2015
$2.8M
Scholars in Environmental Pediatrics, Reproductive Health, and Life Course ScienceK12ES033594 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Rosalind J Wright · 2022 to 2026
$2.3M
Midcareer Investigator Award in Patient-Oriented Research in Pediatric AsthmaK24HL150312 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KECIA Nicole CARROLL · 2020 to 2026
$805k
Prenatal diet, PM2.5 and programming of the infant autonomic responseR21ES021318 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI WRIGHT, ROSALIND J · 2012 to 2014
$502k
Advancing use of hair and salivary cortisol in stress-asthma researchR21HD080359 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI WRIGHT, ROSALIND J · 2015 to 2016
$455k
NCATS NIH HHS UL1 TR004419NHLBI NIH HHS K24 HL150312NHLBI NIH HHS R01 HL095606NHLBI NIH HHS R01 HL114396NHLBI NIH HHS R01 HL132338NHLBI NIH HHS R01 HL164775NICHD NIH HHS R21 HD080359NIEHS NIH HHS K12 ES033594NIEHS NIH HHS P30 ES000002NIEHS NIH HHS P30 ES023515NIEHS NIH HHS R01 ES030302NIEHS NIH HHS R21 ES021318
6 · The paper itself

Abstract

backgroundInvestigations of maternal psychosocial stress and child asthma have produced mixed findings, which may reflect inconsistent consideration of modifying factors.

objectiveTo examine associations between maternal lifetime stress and child asthma, and to assess effect modification by maternal pre-pregnancy body mass index and race/ethnicity in a prenatal cohort of mother-child dyads.

methodsMaternal lifetime stress was assessed using the Life Stressor Checklist-Revised, administered during pregnancy and child asthma was ascertained by parent-report in study follow-up visits. In the overall group and stratified by race/ethnicity, we used multivariable logistic regression and varying coefficient modeling to investigate the association between maternal stress and child asthma, assessing for effect modification by pre-pregnancy body mass index.

resultsWomen were predominately Black (Black/Hispanic-Black 44.5%) or non-Black Hispanic (37.6%), with elevated pre-pregnancy body mass index (25.1% overweight, 29.8% obese); 17% of children had asthma. Higher maternal stress was associated with increased relative odds of child asthma only in dyads with women in the obese (≥30 kilograms/meters squared) category (odds ratio 1.84, 95% confidence interval 1.27-2.67). Varying coefficient models demonstrated stronger positive associations between increased maternal lifetime stress and child asthma in women with higher pre-pregnancy body mass index; the strongest association was observed in the Black group.

conclusionMaternal pre-pregnancy body mass index modified the association between maternal lifetime stress and child asthma. These findings underscore the need to consider complex interactions to fully elucidate intergenerational stress effects on early childhood asthma.

Indexed as

AsthmaBody Mass IndexMothersStress, PsychologicalAdultBlack or African AmericanChildChild, PreschoolFemaleHispanic or LatinoHumansLogistic ModelsMaleObesityPregnancyPrenatal Exposure Delayed Effectsbody mass indexchildhood asthmamaternal lifetime psychosocial stresspregnancy cohortprenatalrace/ethnicity

Identifiers

PMID39648751
PMCPMC11960430

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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.