Evidence map›Paper›PMID 40504762›Full record

SynthesisJournal of global health2025

Adverse childhood experiences contribute to blood pressure changes in adulthood: a meta-analysis of over 750 000 adults.

Wenjing Li, Liping Pu, Yingtao Meng, Xiaoning Wang, Liang Dong, Yirong Yang, Hao Liu, Xinai Wang, Jingying Liu, Chenqi Wang and 2 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of global health, 2025. 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. Observational
  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

12 authors.

Wenjing Li *Cancer Hospital of Shandong First Medical University, Shandong, China.
Liping Pu *Suzhou Vocational Health College, Jiangsu, China.
Yingtao Meng *Cancer Hospital of Shandong First Medical University, Shandong, China.
Xiaoning WangRuijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Liang DongCancer Hospital of Shandong First Medical University, Shandong, China.
Yirong YangRuijin-Hainan Hospital, Shanghai Jiao Tong University School of Medicine, Hainan, China.
Hao LiuNursing Department of Tianjin People's Hospital, Tianjin, China.
Xinai WangTianjin Medical University Cancer Hospital, Tianjin, China.
Jingying LiuTianjin University of Traditional Chinese Medicine, Tianjin, China.
Chenqi WangTianjin University of Traditional Chinese Medicine, Tianjin, China.
Yaxuan WuTianjin University of Traditional Chinese Medicine, Tianjin, China.
Hongling XiaoZhejiang Chinese Medical University, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adverse childhood experiences (ACE) have been linked to various negative health outcomes in adulthood. However, their relationship with blood pressure remains inconclusive. We aimed to conduct a systematic review and meta-analysis to investigate this association. Methods: We conducted a comprehensive search of PubMed, Cochrane Library, Scopus, Web of Science, China National Knowledge Infrastructure, Wanfang Data, and VIP from the databases' inception until 1 July 2023. We assessed the quality of included cross-sectional and cohort studies using the Agency of Healthcare Research and Quality and Newcastle-Ottawa Scale criteria. We analysed the combined effect size for the diagnosis of hypertension and changes in systolic blood pressure and diastolic blood pressure from the included studies further explored these results based on geographical and age subgroups. Results: We included a total of 19 cohort and 23 cross-sectional studies, comprising 754 146 participants and investigating 24 types of ACE. In addition to parental divorce or separation and group violence, exposure to domestic violence, physical neglect, and physical abuse were associated with an increased risk of hypertension, with the risk increasing with the number of exposures. This association was prominent in Europe and North America and in adults. However, the relationship varied among Asian populations and minors due to the type and degree of ACE. Conclusions: Our results provide evidence supporting the association between ACE and elevated blood pressure, suggesting that ACE may contribute to the development of hypertension in adulthood. Future studies should explore potential gender differences in this association. Registration: PROSPERO: CRD42023442287.

Indexed as

Adverse Childhood ExperiencesBlood PressureHypertensionAdultChildCross-Sectional StudiesFemaleHumansMale

Identifiers

PMID40504762
PMCPMC12161486

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.