Evidence map›Paper›PMID 41000565›Full record

ArticleO&G open2025

Parity, Age at Childbirth, and Later-Life Maternal Cardiovascular Disease in Postmenopausal Women in the Women's Health Initiative Study.

Zailing Xing, Russell S Kirby, Henian Chen, Mary Ashley Cain, Amy C Alman

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Article in O&G open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Zailing XingCollege of Public Health and the Morsani College of Medicine, University of South Florida, Tampa, Florida.
Russell S KirbyCollege of Public Health and the Morsani College of Medicine, University of South Florida, Tampa, Florida.
Henian ChenCollege of Public Health and the Morsani College of Medicine, University of South Florida, Tampa, Florida.
Mary Ashley CainCollege of Public Health and the Morsani College of Medicine, University of South Florida, Tampa, Florida.
Amy C AlmanCollege of Public Health and the Morsani College of Medicine, University of South Florida, Tampa, Florida.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the associations of parity and age at childbirth with maternal cardiovascular disease (CVD).

methodsThe data were from the Women's Health Initiative (1993-2022), involving postmenopausal women aged 49-81 years without existing CVD. The exposures were parity, age at first childbirth, and age at last childbirth, all referring to pregnancy lasting at least 6 months. The outcome was

resultsCompared with parity of two, there was no significant association between other parity levels and later-life maternal CVD. Compared with age at first childbirth of 25-29 years, the HRs (95% CIs) for the association between CVD and age at first childbirth was 1.32 (1.22-1.44) for individuals younger than age 20 years, 1.11 (1.05-1.17) for those aged 20-24 years, 1.03 (0.93-1.13) for those aged 30-34 years, and 0.93 (0.79-1.11) for those aged 35 years or older. When age at last childbirth was younger than 25 years, 30-34 years, 35-39 years, and 40 years or older, the HRs (95% CIs) for CVD were 1.02 (0.94-1.10), 1.05 (0.99-1.10), 1.10 (1.03-1.18), and 1.09 (0.96-1.24), respectively. In multiple mediation analyses, we identified the potential mediation pathway of age at first childbirth younger than 25 years→premature menopause→hypertension→CVD.

conclusionYoung age at first childbirth was associated with increased maternal CVD risk. Preventing premature menopause and hypertension may be important ways to lower the risk for postmenopausal women.

Identifiers

PMID41000565
PMCPMC12456564

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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.