Evidence map›Paper›PMID 38102621›Full record

SynthesisBMC psychiatry2023

Maternal psychological stress during pregnancy and newborn telomere length: a systematic review and meta-analysis.

Reza Moshfeghinia, Ali Torabi, Sara Mostafavi, Shiva Rahbar, Mohammad Sanyar Moradi, Erfan Sadeghi, Jennifer Mootz, Hossein Molavi Vardanjani

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
7.5field-weighted citation impact, top 3% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  6. Review
  7. Observational
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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

8 authors at 3 institutions in 2 countries.

Reza MoshfeghiniaStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Ali TorabiStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Sara MostafaviStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Shiva RahbarIslamic Azad University, Shiraz Branch, Shiraz, Iran.
Mohammad Sanyar MoradiStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Erfan SadeghiResearch Consultation Center (RCC), Shiraz University of Medical Sciences, Shiraz, Iran.
Jennifer MootzDepartment of Psychiatry, Columbia University, New York, NYC, USA. Jennifer.Mootz@nyspi.columbia.edu.
Hossein Molavi VardanjaniMD-MPH Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. hosseinmolavi@ymail.com.
Shiraz University of Medical Sciences · IRColumbia University · USIslamic Azad University of Shiraz · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTelomeres protect the ends of chromosomes, and shorter leukocyte telomeres are associated with major group diseases. Maternal psychological stress may be related to the shortening of telomeres in infants. This systematic review and meta-analysis set out to consolidate the varying effect sizes found in studies of maternal psychological stress and telomere length (TL) in newborns and identify moderators of the relationship between stress during pregnancy and newborn TL.

methodsOur systematic review was registered in Prospero. Six databases (PubMed, Scopus, Embase, PsycINFO, Web of Science, and CINAHL Complete) were searched for records in English from inception to February 10, 2023. Observational studies were included that measured the relationship of psychological stress of the mother during pregnancy on the TL of the newborn. The Newcastle-Ottawa quality assessment scale was used to assess the quality of the included studies. A random-effect model was selected. Statistical analysis performed by Stata software version 17.

resultsEight studies were included for qualitative and four for quantitative analysis. There was an inverse statistically significant relationship between maternal stress and newborn TL; A one score increase in maternal psychological stress resulted in a 0.04 decrease in the TL of the newborn (B = -0.04, 95% CI = [-0.08, 0.00], p = 0.05). Selectivity analysis showed that the pooled effect size was sensitive to one study; After removing this study, the pooled effect size remained significant (B = -0.06, 95% CI = [-0. 10, -0.02], p < 0.001).

conclusionPhysiological and environmental factors can significantly affect the TL of newborns. Our results support a significant impact of maternal psychological stress on the TL of a newborn. This association demonstrates the significance of stress in influencing the telomere length, which can be a contributing factor in the infant's future. Therefore, recognizing this association is crucial for understanding and addressing potential health risks and necessitates the need for additional future studies to validate our findings.

Indexed as

MothersTelomereFemaleHumansInfantInfant, NewbornPregnancyResearch DesignStress, PsychologicalTelomere ShorteningMaternal stressNewbornPregnancyTelomereTelomere shortening

Identifiers

PMID38102621
PMCPMC10724935
OpenAlexW4389783477

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.