Evidence map›Paper›PMID 41885886›Full record

SynthesisHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2026

Dimensions of early life adversity and cardiometabolic health in adulthood: A systematic review and meta-analysis.

Meredith A Gruhn, Debbie Bitran, Lucy A Lurie, Gina Cusing, Teresa Seeman, Christine Power, Jeanne Brooks-Gunn, Margaret A Sheridan, Katie A McLaughlin

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

9 authors.

Meredith A GruhnDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center.ORCID 0000-0002-5523-8871
Debbie BitranDepartment of Psychology, University of Pittsburgh.ORCID 0000-0001-6304-9547
Lucy A LurieDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill.ORCID 0000-0002-4895-9988
Gina CusingDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill.
Teresa SeemanDepartment of Medicine, Division of Geriatrics, University of California.ORCID 0000-0001-8583-4239
Christine PowerUCL Great Ormond Street Institute of Child Health.ORCID 0000-0002-7846-9218
Jeanne Brooks-GunnTeachers College, Columbia University.ORCID 0000-0001-9493-8400
Margaret A SheridanDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill.ORCID 0000-0002-8909-7501
Katie A McLaughlinDepartment of Psychology, Harvard University.ORCID 0000-0002-1362-2410

Funding

Neurodevelopmental Mechanisms Underlying Stress Vulnerability during AdolescenceR37MH119194 · NIMH · HARVARD UNIVERSITY · PI Katie McLaughlin · 2020 to 2026
$10.6M
Postdoctoral Research in Neurodevelopmental DisordersT32HD040127 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BENJAMIN D PHILPOT, Mark D Shen · 2001 to 2026
$8.5M
Child Trauma and the Development of Neural Systems Underlying Emotion RegulationR01MH103291 · NIMH · UNIVERSITY OF WASHINGTON · PI MCLAUGHLIN, KATIE · 2014 to 2018
$3.8M
Deprivation and Threat: Dimensions of Early Experience and Neural DevelopmentR01MH106482 · NIMH · UNIVERSITY OF WASHINGTON · PI MCLAUGHLIN, KATIE · 2016 to 2020
$3.1M
Neurodevelopmental Mechanisms Underlying Stress Vulnerability during AdolescenceR56MH119194 · NIMH · HARVARD UNIVERSITY · PI MCLAUGHLIN, KATIE · 2019 to 2019
$1.5M
Interdisciplinary Research Network on Early Adversity & Later Life ReversibilityU24AG047867 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI GODFREY, KEITH, MCEWEN, BRUCE S. · 2014 to 2018
$954k
The Impact of Adversity on Neurobiological and Psychosocial Dimensions of the Stress Response SystemK23MH134136 · NIMH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Meredith Gruhn · 2024 to 2026
$557k
NIA NIH HHS U24 AG047867NICHD NIH HHS T32 HD040127NIMH NIH HHS K23 MH134136NIMH NIH HHS R01 MH103291NIMH NIH HHS R01 MH106482NIMH NIH HHS R37 MH119194NIMH NIH HHS R56 MH119194
6 · The paper itself

Abstract

objectiveEarly life adversity (ELA) has been associated with increased cardiometabolic disease risk in adulthood. This systematic review and meta-analysis evaluated whether cardiometabolic health outcomes differ based on adversity type (threat, deprivation, or cumulative exposure) and assessed the moderating role of sex and race.

methodA comprehensive search of PsycINFO, PubMed, and Web of Science identified 90 studies (82 independent samples) reporting associations between ELA and cardiometabolic outcomes in adults. Inclusion criteria required peer-reviewed, empirical studies linking ELA to disease biomarkers (e.g., cholesterol, hypertension, and atherosclerosis) and health events (e.g., cardiovascular disease, stroke, and diabetes). Random-effects meta-analyses were conducted using Comprehensive Meta-Analysis version 4. Publication bias and study heterogeneity were evaluated using Egger's tests and trim-and-fill procedures.

resultsResults indicated that greater exposure to ELA, aggregated across all forms, was associated with increased total cardiometabolic health problems (

conclusionsFindings underscore the importance of cumulative ELA as a correlate of adult cardiometabolic health, while also highlighting emerging evidence for differential effects of cumulative adversity compared with threat and deprivation. Results highlight the potential value of comprehensive adversity assessment for identifying at-risk populations and for guiding mechanistic and preventive research. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Indexed as

Adverse Childhood ExperiencesCardiovascular DiseasesAdultCardiometabolic Risk FactorsHumans

Identifiers

PMID41885886
PMCPMC13317812

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.