Evidence map›Paper›PMID 35910867›Full record

ArticleFrontiers in public health2022

Non-linear Relationship of Maternal Age With Risk of Spontaneous Abortion: A Case-Control Study in the China Birth Cohort.

Man Zhang, Bo-Yi Yang, Yongqing Sun, Zhengmin Qian, Pamela K Xaverius, Hannah E Aaron, Xiaoting Zhao, Zheng Zhang, Ruixia Liu, Guang-Hui Dong and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% of its field
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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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

12 authors at 4 institutions in 2 countries.

Man ZhangCentral Laboratory, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China.
Bo-Yi YangGuangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment, Guangdong Provincial Engineering Technology Research Center of Environmental and Health Risk Assessment, Department of Preventive Medicine, School of Public Health, Sun Yat-sen University, Guangzhou, China.
Yongqing SunBeijing Maternal and Child Health Care Hospital, Beijing, China.
Zhengmin QianDepartment of Epidemiology and Biostatistics, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, United States.
Pamela K XaveriusDepartment of Epidemiology and Biostatistics, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, United States.
Hannah E AaronDepartment of Epidemiology and Biostatistics, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, United States.
Xiaoting ZhaoCentral Laboratory, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China.
Zheng ZhangBeijing Maternal and Child Health Care Hospital, Beijing, China.
Ruixia LiuCentral Laboratory, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China.
Guang-Hui DongGuangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment, Guangdong Provincial Engineering Technology Research Center of Environmental and Health Risk Assessment, Department of Preventive Medicine, School of Public Health, Sun Yat-sen University, Guangzhou, China.
Chenghong YinBeijing Maternal and Child Health Care Hospital, Beijing, China.
Wentao YueCentral Laboratory, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China.
Capital Medical University · CNBeijing Obstetrics and Gynecology Hospital · CNSaint Louis University · USSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Spontaneous abortion is one of the prevalent adverse reproductive outcomes, which seriously threatens maternal health around the world. Objective: The current study is aimed to evaluate the association between maternal age and risk for spontaneous abortion among pregnant women in China. Methods: This was a case-control study based on the China Birth Cohort, we compared 338 cases ending in spontaneous abortion with 1,352 controls resulting in normal live births. The main exposure indicator and outcome indicator were maternal age and spontaneous abortion, respectively. We used both a generalized additive model and a two-piece-wise linear model to determine the association. We further performed stratified analyses to test the robustness of the association between maternal age and spontaneous abortion in different subgroups. Results: We observed a J-shaped relationship between maternal age and spontaneous abortion risk, after adjusting for multiple covariates. Further, we found that the optimal threshold age was 29.68 years old. The adjusted odds ratio (95% confidence interval) of spontaneous abortion per 1 year increase in maternal age were 0.97 (0.90-1.06) on the left side of the turning point and 1.25 (1.28-1.31) on the right side. Additionally, none of the covariates studied modified the association between maternal age and spontaneous abortion ( Conclusions: Advanced maternal age (>30 years old) was significantly associated with increased prevalence of spontaneous abortion, supporting a J-shaped association between maternal age and spontaneous abortion.

Indexed as

Abortion, SpontaneousAdultBirth CohortCase-Control StudiesChinaFemaleHumansMaternal AgePregnancycase-controlChina Birth Cohortmaternal agenon-linear relationshipspontaneous abortion

Identifiers

PMID35910867
PMCPMC9330030
OpenAlexW4285388114

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.