Evidence map›Paper›PMID 40982685›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2025

Childhood allostatic load predicts cardiometabolic health in adulthood.

Elena Hinz, Alexander J Vitali, Guangyu Tong, Herman Pontzer, William E Copeland

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Elena HinzDepartment of Evolutionary Anthropology, Duke University, Durham, NC 27708.ORCID 0000-0002-7867-1336
Alexander J VitaliDepartment of Psychiatry, University of Vermont, Burlington, VT 05401.ORCID 0009-0006-9616-1344
Guangyu TongDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT 06510.
Herman PontzerDepartment of Evolutionary Anthropology, Duke University, Durham, NC 27708.ORCID 0000-0003-2397-6543
William E CopelandDepartment of Psychiatry, University of Vermont, Burlington, VT 05401.ORCID 0000-0002-1348-7781

Funding

STALLARD Admin Supp: Predicting Future Care Needs and Costs for Individual Medicare Enrollees with Incident Suspected Alzheimer's DiseaseP30AG034424 · NIA · DUKE UNIVERSITY · PI SCOTT M. LYNCH · 2009 to 2026
$12.2M
Vulnerability to Drug Abuse:Pathways to RecoveryR01DA011301 · NIDA · DUKE UNIVERSITY · PI COSTELLO, ELIZABETH JANE · 1997 to 2015
$7.3M
Intervention Impacts on Child Wellbeing and Parenting across GenerationsR01HD093651 · NICHD · DUKE UNIVERSITY · PI KENNETH A DODGE, Jennifer E Lansford · 2017 to 2026
$6.1M
Science CoreP2CHD065563 · NICHD · DUKE UNIVERSITY · PI James Moody · 2015 to 2026
$5.7M
Prepubertal Comordity: Gender &Developmental HeterotypyR01MH063671 · NIMH · DUKE UNIVERSITY · PI COSTELLO, ELIZABETH JANE · 2001 to 2005
$2.3M
Growing Up Violent in Rural AmericaR01MH063970 · NIMH · DUKE UNIVERSITY · PI COSTELLO, ELIZABETH JANE · 2002 to 2006
$1.6M
Gene-Environment Interplay, Development, and Emotional DisordersK23MH080230 · NIMH · DUKE UNIVERSITY · PI COPELAND, WILLIAM · 2008 to 2012
$707k
SERVICE USE FOR ADM COMORBIDITY IN RURAL ADOLESCENTSR01MH048085 · NIMH · DUKE UNIVERSITY · PI COSTELLO, ELIZABETH J · 1991 to 1996
–
HHS | NIH | National Institute of Mental Health (NIMH) 63970 63671 48085 080230HHS | NIH | National Institute on Drug Abuse (NIDA) 11301NIA NIH HHS P30 AG034424NICHD NIH HHS P2C HD065563NICHD NIH HHS R01 HD093651NIDA NIH HHS R01 DA011301NIMH NIH HHS K23 MH080230NIMH NIH HHS R01 MH048085NIMH NIH HHS R01 MH063671NIMH NIH HHS R01 MH063970UKRI | Economic and Social Research Council (ESRC) 003593/1
6 · The paper itself

Abstract

Allostatic load (AL) measures multisystem physiological functioning to reflect the cumulative burden of chronic stress. Incurring AL during sensitive developmental periods such as childhood may affect health outcomes later in life, but longitudinal measures to test these life course effects are lacking. This study tested associations between childhood AL and adult cardiometabolic health in a large sample of youth repeatedly measured across ages 9 to 16, and their adult cardiometabolic health at age 30. AL scores were calculated at each age by summing across sex- and age-standardized values for biomarkers representing immune (C-Reactive Protein, Epstein-Barr Virus antibodies), neuroendocrine (cortisol, DHEA-s), and cardiometabolic indicators (body mass index; BMI). Adult cardiometabolic health was measured using a composite sum score of sex-standardized systolic and diastolic blood pressure, BMI, and waist-to-hip ratio. Multiple approaches aggregating repeated AL scores were tested, including mean, maximum, oldest available AL score across childhood, and a version omitting BMI from the index. Childhood AL was significantly associated with adult cardiometabolic health (

Indexed as

AllostasisCardiovascular DiseasesAdolescentAdultBiomarkersBlood PressureBody Mass IndexCardiometabolic Risk FactorsChildC-Reactive ProteinFemaleHumansHydrocortisoneLongitudinal StudiesMaleStress, PsychologicalBiomarkersC-Reactive ProteinHydrocortisoneallostatic loadcardiometabolic healthchildhood

Identifiers

PMID40982685
PMCPMC12501187

What OpenQuestion holds

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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.