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Aging Dec 2019Epidemiological studies have shown that increasing parity is associated with risk of hypertension and diabetes in parous women. However, the relationship between the...
BACKGROUND AND AIMS
Epidemiological studies have shown that increasing parity is associated with risk of hypertension and diabetes in parous women. However, the relationship between the parity degree with chronic kidney disease (CKD) is still unknown.
RESULTS
Parous women with higher parity had increased age, body mass index, waist circumference, systolic blood pressure, fasting plasma glucose, fasting insulin and decreased high-density lipoprotein cholesterol, eGFR and education levels. Compared with women with one-child birth, those with more than two-child births had greater prevalence of increased urinary albumin excretion (odds ratios [ORs] 1.53, 95% confidence intervals [CI], 1.03 - 2.28) and CKD (ORs 1.79, 95% CI, 1.24 - 2.58) after multiple adjustments. In dose-response analysis, a nonlinear relationship of parity degree with albuminuria and CKD was detected.
CONCLUSION
Parity is associated with higher prevalence of albuminuria and CKD in middle-aged and elderly Chinese women.
METHODS
We conducted a community-based study in 6,946 women to investigate the association of parity with albuminuria and CKD. Increased urinary albumin excretion was defined as albumin-to-creatinine ratio (ACR) greater or equal than 30 mg/g. CKD was defined as estimated glomerular filtration rate (eGFR) less than 60 mL/min per 1.73 m² or presence of albuminuria.
Topics: Aged; Albuminuria; Asian People; Female; Humans; Middle Aged; Parity; Pregnancy; Prevalence; Renal Insufficiency, Chronic; Retrospective Studies
PubMed: 31790364
DOI: 10.18632/aging.102507 -
The Lancet. Global Health Sep 2016
Topics: Democracy; Female; Parity; Pregnancy
PubMed: 27492821
DOI: 10.1016/S2214-109X(16)30153-X -
British Medical Journal Jul 1977
Topics: Birth Weight; Female; Humans; Infant, Low Birth Weight; Infant, Newborn; Parity
PubMed: 559525
DOI: No ID Found -
Journal of Dairy Science Jan 2023We conducted a retrospective meta-analysis based on individual cow data to assess the associations of parity, level of production, and pasture-based or intensively fed... (Meta-Analysis)
Meta-Analysis
We conducted a retrospective meta-analysis based on individual cow data to assess the associations of parity, level of production, and pasture-based or intensively fed systems with fertility. Our goal was to provide understandings of the role of parity in risks for removal and reproductive failure. Multilevel models were used to evaluate the fixed effects of parity, milk, milk solids, milk fat and protein percentage and yield, and production system [intensively fed (n = 28,675) or predominantly pasture fed (n = 4,108)] on reproductive outcomes. The outcomes were the hazard of not being bred (HNBRED), hazard of pregnancy (HPREG), pregnancy to first breeding (PREG1), and odds of becoming pregnant in a lactation (OPAL). The 32,783 cows were in 13 studies conducted in Australia (14.6% of cows), Canada (2.4% of cows), and the United States (83.0% of cows). There were 38.5% of cows in the sample in parity 1, 27.3% in parity 2, 16.7% in parity 3, 9.0% in parity 4, and 8.6% in parity ≥5. Compared with cows of parity 1, parity ≥5 cows had a greater HNBRED [hazard ratio (HR) = 2.45], lesser HPREG (HR = 0.73), and reduced OPAL (odds ratio = 0.36). However, the parity ≥5 cows had similar PREG1 to other parities except for parity 1. This suggests the possibility of a higher proportion of subfertile parity ≥5 cows than for other parities. Associations between parity and reproductive measures were influenced by the different milk production measures, indicating that milk yield and milk component percentages and yields modified the odds or hazards of successful reproduction. All milk production measures had quadratic associations with OPAL, indicating that either low or high production or concentration of solids within a cohort reduced OPAL. This reduced OPAL reflected a greater HNBRED for lower milk yield and milk protein and fat yielding cows. Both milk yield and milk protein percentage had quadratic associations with HPREG. When centered milk yield was categorized into quartiles, small differences in HPREG existed. A more marked association of milk protein percentage occurred with HPREG, with optimal HPREG at approximately 0.5% above group mean milk protein percentage. Milk fat percentage (HR = 0.901), fat yield (kg/d; HR = 0.78), protein yield (kg/d; HR = 0.71), and milk solids yield (kg/d; HR = 0.84) were all linearly associated with reduced HPREG. Difference in production systems did not have substantive effects on PREG1 but did for HNBRED, HPREG, and OPAL. Estimates of associations of parity with reproductive outcomes HNBRED, HPREG, and OPAL were influenced by milk and milk solids yield; older cows had markedly lower reproductive outcomes. Interestingly, for PREG1, there were few differences among parities and differences were less influenced by milk yield and constituent measures. The marked associations of parity with removal for all reasons, deaths and culling, and reductions in HNBRED, HPREG, and OPAL indicate a need to focus on the physiological changes with parity to produce better strategies to support optimal longevity of cows.
Topics: Pregnancy; Female; Cattle; Animals; Parity; Retrospective Studies; Reproduction; Lactation; Milk Proteins
PubMed: 36460503
DOI: 10.3168/jds.2021-21672 -
PloS One 2022Cervical dilatation curves are widely used to describe normal and abnormal labor progression for cephalic presentation. Labor curves for breech presentations have never...
BACKGROUND
Cervical dilatation curves are widely used to describe normal and abnormal labor progression for cephalic presentation. Labor curves for breech presentations have never been described.
OBJECTIVES
The aims of this study were to examine the pattern of labor progression in women with a breech presentation and to determine whether the type of breech or parity can influence the speed of cervical dilatation.
STUDY DESIGN
We analyzed the labor data from 349 women with a term, singleton, and breech fetus after spontaneous onset of labor in 2010-2018. Cesarean deliveries were excluded. The patterns of labor progression were described by examining the relationship between the elapsed times from the full dilatation and cervical dilatation stages. Average labor curves were developed using repeated-measures analysis with 3rd degree polynomial modeling. The results were interpreted according to parity and the type of breech.
RESULTS
The first stage of labor progression was divided into a latency phase from 0 to 5 cm of dilatation and an active phase from 5 to 10 cm. In the active phase, the median speed of cervical dilatation was 1.67 cm/h [1.25, 2.61] (2 cm/h for multipara and 1.54 cm/h for nullipara). The difference by parity was significant in the active phase (p< 0.05). The cervical dilatation rate from 3 cm to 10 cm did not significantly differ between the complete and frank breeches (1.56 cm/h vs 1.75 cm/h, p = 0.48). However, the median cervical dilatation rate from 8 cm to complete dilatation was faster for complete breeches (1.92 cm/h versus 1.33 cm/h, p = 0.045).
CONCLUSION
As with cephalic presentation, the first stage of labor progression for breech presentation can be divided into a latent and active phase. Labor progression should be interpreted with respect to parity, and women should be informed that the type of breech does not seem to influence the cervical dilatation rate when there is adequate management.
Topics: Breech Presentation; Cesarean Section; Female; Fetus; Humans; Labor Stage, First; Parity; Pregnancy; Retrospective Studies
PubMed: 35287161
DOI: 10.1371/journal.pone.0262002 -
Journal of Dairy Science Mar 2021The objective of this study was to estimate the cost of metritis in dairy herds. Data from 11,733 dairy cows from 16 different farms located in 4 different regions of...
The objective of this study was to estimate the cost of metritis in dairy herds. Data from 11,733 dairy cows from 16 different farms located in 4 different regions of the United States were compiled for up to 305 d in milk, and 11,581 cows (2,907 with and 8,674 without metritis) were used for this study. Metritis was defined as fetid, watery, red-brownish vaginal discharge that occurs ≤21 d in milk. Continuous outcomes such as 305-d milk production, milk sales ($/cow), cow sales ($/cow), metritis treatment costs ($/cow), replacement costs ($/cow), reproduction costs ($/cow), feeding costs ($/cow), and gross profit per cow ($/cow) were analyzed using mixed effect models using the MIXED procedure of SAS (SAS Institute Inc., Cary, NC). Gross profit was also compared using the Kruskal-Wallis test. Dichotomous outcomes such as pregnant and culling by 305 d in milk were analyzed using the GLIMMIX procedure of SAS. Time to pregnancy and culling were analyzed using the PHREG procedure of SAS. Models included the fixed effects of metritis, parity, and the interaction between metritis and parity, and farm as the random effect. Variables were considered significant when P ≤ 0.05. Metritis cost was calculated by subtracting the gross profit of cows with metritis from the gross profit of cows without metritis. A stochastic analysis was performed with 10,000 iterations using the observed results from each group. Milk yield and proportion of cows pregnant were lesser for cows with metritis than for cows without metritis, whereas the proportion of cows leaving the herd was greater for cows with metritis than for cows without metritis. Milk sales, feeding costs, residual cow value, and gross profit were lesser for cows with metritis than for cows without metritis. Cow sales and replacement costs were greater for cows with metritis than for cows without metritis. The mean cost of metritis from the study herds was $511 and the median was $398. The stochastic analysis showed that the mean cost of a case of metritis was $513, with 95% of the scenarios ranging from $240 to $884, and that milk price, treatment cost, replacement cost, and feed cost explained 59%, 19%, 12%, and 7%, respectively, of the total variation in cash flow differences. In conclusion, metritis caused large economic losses to dairy herds by decreasing milk production, reproduction, and survival in the herd.
Topics: Animals; Cattle; Cattle Diseases; Dairying; Female; Lactation; Milk; Parity; Pregnancy; Reproduction
PubMed: 33455790
DOI: 10.3168/jds.2020-19125 -
Journal of Dairy Science Dec 2021Fourier transform infrared spectroscopy (FTIR) allows for the determination of milk acetone (mACE) and β-hydroxybutyrate (mBHB) concentrations, providing a potential...
Fourier transform infrared spectroscopy (FTIR) allows for the determination of milk acetone (mACE) and β-hydroxybutyrate (mBHB) concentrations, providing a potential herd monitoring tool for hyperketolactia, defined as elevated milk ketone bodies. The study aim was to characterize mACE and mBHB concentration dynamics during early lactation in Polish Holstein-Friesian cows. Milk samples (n = 3,867,390) were collected within 6 to 60 days in milk (DIM) over a 4-yr period (April 1, 2013 to March 31, 2017) from approximately 21,300 dairy herds (average 38.7 cows/herd). Fixed effects of parity, DIM, and their interaction on mACE and mBHB concentrations were determined using a mixed model with a herd-year-season fixed effect and random cow effect. Published hyperketolactic mACE (≥0.15 mmol/L) and mBHB (≥0.10 mmol/L) threshold concentrations were used to classify study milk samples into ketolactia groups of normal (mACE <0.15 mmol/L and mBHB <0.10 mmol/L) and hyperketolactic (HYKL; either mACE ≥0.15 mmol/L or mBHB ≥0.10 mmol/L). Additionally, HYKL samples were categorized into subpopulations as having elevated mBHB and mACE (HYKL, mACE ≥0.15 mmol/L and mBHB ≥0.10 mmol/L), only elevated mBHB (HYKL; mACE <0.15 mmol/L and mBHB ≥0.10 mmol/L), or only elevated mACE (HYKL; mACE ≥0.15 mmol/L and mBHB <0.10 mmol/L). Effects of parity, DIM, ketolactia group or subpopulation, and their interactions on mACE and mBHB concentrations were also determined using the mixed model that included ketolactia group or subpopulation as an independent variable. Across all data, mACE and mBHB concentrations were influenced by effects of parity, DIM, and their interaction as well as parity, DIM, ketolactia group or subpopulation, and their interactions. For all samples, mACE and mBHB concentrations decreased with increasing DIM, with mACE concentration declining more rapidly compared with mBHB. In the data set, 68% and 32% of all samples were defined as normal or HYKL, respectively. Among HYKL samples, mACE was elevated soon after calving and declined over time. In contrast, mBHB started lower after calving and increased reaching peak concentrations around 30 DIM, and then decreased. Within HYKL samples, 50.8, 41.3, and 7.9% were categorized as HYKL, HYKL, and HYKL respectively. Between 6 and 21 DIM, 11.3% of HYKL were classified as HYKL. Primiparous cows had greater (14.8%) HYKL samples in this time period. In conclusion, this study has characterized mACE and mBHB concentrations during early lactation and determined effects of parity, DIM, and their interaction. Using published criteria interpreting mACE and mBHB concentrations, it was intriguing to identify a unique population of samples having elevated mACE without mBHB in early lactation, especially in primiparous cows. Further research is needed to determine if this sample population represents an unhealthy metabolic status that adversely affects cow health and performance.
Topics: 3-Hydroxybutyric Acid; Animals; Cattle; Cattle Diseases; Female; Lactation; Milk; Parity; Pregnancy
PubMed: 34538496
DOI: 10.3168/jds.2020-19734 -
PloS One 2016Although rates have declined, hysterectomy is still a frequent gynaecological procedure. To date, there has been no systematic quantification of the relationships... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
Although rates have declined, hysterectomy is still a frequent gynaecological procedure. To date, there has been no systematic quantification of the relationships between early/mid-life exposures and hysterectomy. We performed a systematic review and meta-analyses to quantify the associations between age at menarche, education level, parity and hysterectomy.
METHODS
Eligible studies were identified by searches in PubMed and Embase through March 2015. Study-specific estimates were summarised using random effects meta-analysis. Heterogeneity was explored using sub-group analysis and meta-regression.
RESULTS
Thirty-two study populations were identified for inclusion in at least one meta-analysis. Each year older at menarche was associated with lower risk of hysterectomy-summary hazard ratio 0.86 (95% confidence interval: 0.78, 0.95; I2 = 0%); summary odds ratio 0.88 (95% confidence interval: 0.82, 0.94; I2 = 61%). Low education levels conferred a higher risk of hysterectomy in the lowest versus highest level meta-analysis (summary hazard ratio 1.87 (95% confidence interval: 1.25, 2.80; I2 = 86%), summary odds ratio 1.51 (95% confidence interval: 1.35, 1.69; I2 = 90%)) and dose-response meta-analysis (summary odds ratio 1.17 (95% confidence interval: 1.12, 1.23; I2 = 85%) per each level lower of education). Sub-group analysis showed that the birth cohort category of study participants, the reference category used for level of education, the year the included article was published, quality of the study (as assessed by the authors) and control for the key variables accounted for the high heterogeneity between studies in the education level meta-analyses. In the meta-analyses of studies of parity and hysterectomy the results were not statistically significant.
CONCLUSIONS
The present meta-analyses suggest that the early life factors of age at menarche and lower education level are associated with hysterectomy, although this evidence should be interpreted with some caution due to variance across the included studies.
Topics: Adolescent; Adult; Child; Educational Status; Female; Humans; Hysterectomy; Menarche; Middle Aged; Parity; Risk Factors; Young Adult
PubMed: 26963512
DOI: 10.1371/journal.pone.0151398 -
BMC Veterinary Research Sep 2021Metabolic profile evaluation is a tool widely used in ruminant nutrition as metabolic cues that relate nutrition to physiology. Metabolic and hormonal traits change...
BACKGROUND
Metabolic profile evaluation is a tool widely used in ruminant nutrition as metabolic cues that relate nutrition to physiology. Metabolic and hormonal traits change during pre-partum and lactation according to parity in dairy cows, but studies of beef cows under grazing are scarce. The present study aimed to evaluate how metabolic and hormonal traits change over time, their relationship to performance, and determine if these factors differ according to the parity order of grazing beef cows. Thirty-six pregnant Nellore cows (12 nulliparous, 12 primiparous, and 12 multiparous) were used. The study started at 60 d prepartum until 203 d of lactation.
RESULTS
The initial body weight (BW) and final BW were higher for multiparous cows (P > 0.05). An interaction occurred between parity and day (P < .0001) for body condition score. Nulliparous and primiparous body condition score were reduced from - 60 prepartum to 30 postpartum, then stabilized 60 postpartum (P < 0.05), while multiparous maintained body condition score from - 60 days until 60 days postpartum (P > 0.05). Calf BW, final BW, and average daily gain did not differ between parities (P > 0.05). Effect of day (P < 0.05) was detected for non-esterified fatty acids, triglycerides, total cholesterol, LDL, VLDL, progesterone, and insulin. An interaction was observed between parity and days for glucose, HDL, β-hydroxybutyrate, creatinine and IGF-1 (P < 0.05). Parity affected serum urea nitrogen, total proteins, albumin, and globulins (P < 0.05). Parity and day relative to calving did not impact total T3 and T4 (P > 0.05).
CONCLUSIONS
Hormonal and metabolic profile is strongly influenced by the stage of lactation. Time effects (pre-partum and lactation period) were more pronounced in nulliparous since they displayed more unbalanced metabolic and hormonal traits and lowered BCS pre- and postpartum.
Topics: Animals; Body Weight; Cattle; Energy Metabolism; Female; Hormones; Lactation; Parity; Pregnancy
PubMed: 34563192
DOI: 10.1186/s12917-021-03019-0 -
Journal of Dairy Science Mar 2022This observational study described first-milking colostrum mineral concentrations and total yields, and evaluated its associations with cow serum mineral concentrations,...
First-milking colostrum mineral concentrations and yields: Comparison to second milking and associations with serum mineral concentrations, parity, and yield in multiparous Jersey cows.
This observational study described first-milking colostrum mineral concentrations and total yields, and evaluated its associations with cow serum mineral concentrations, parity, and first postpartum milking yield in 100 multiparous Jersey cows from a single herd fed a negative dietary cation-anion difference diet prepartum. Additionally, first- and second-milking colostrum mineral concentrations and total yields were compared in a subset of 65 cows. Serum minerals (Ca, P, Mg, Na, K, Zn, Fe, Cu) were assessed before first milking. Cows were milked at 9 h and 4 min ± 3 h and 32 min and at 21 h and 11 min ± 3 h and 43 min postpartum (± standard deviation); yields were recorded and samples collected for mineral concentrations assessment (Ca, P, Mg, Na, K, Zn, Fe, Cu). Linear regression was used to evaluate the associations between first-milking colostrum mineral concentrations and total yields and cows' serum mineral concentrations, parity, first-milking colostrum yield, and calving-to-milking interval. The most abundant minerals in first-milking colostrum were (least squares mean ± standard error of the mean) Ca (55.71 ± 13.52 mmol/L; 8.75 ± 5.74 g) and P (41.91 ± 13.01 mmol/L; 5.26 ± 3.72 g), followed by Na (39.65 ± 13.23 mmol/L; 3.08 ± 1.77 g), K (36.47 ± 7.57 mmol/L; 5.79 ± 4.20 g), Mg (13.43 ± 3.09 mmol/L; 1.25 ± 0.78 g), Zn (272.12 ± 113.34 μmol/L; 71.98 ± 55.34 mg), Fe (12.51 ± 3.79 μmol/L; 2.56 ± 1.55 mg), and Cu (3.34 ± 1.22 μmol/L; 0.77 ± 0.56 mg). Higher concentrations of Ca, Mg, Na, Zn, Fe, and Cu, and total yields of Mg, Zn, Fe, and Cu were observed at first- compared with second-milking colostrum. Serum and first-milking colostrum Cu concentrations were positively associated, but no significant associations were observed between other minerals' serum and first-milking colostrum concentrations or total yields. Parity was associated with first-milking colostrum Ca, P, K, and Fe concentrations and yields; younger multiparous cows had higher concentrations and total yields of these minerals. Linear (Fe), quadratic (P, Na, and K), and cubic (Mg, Zn, and Cu) associations were observed between first-milking colostrum mineral concentrations and yield. In all cases, mineral total yields were linearly associated with first-milking colostrum yield. In conclusion, variation in first-milking colostrum mineral concentrations and total yields across cows could be partially explained by cow parity and colostrum yield. Further research including primiparous and cows under different management settings is needed to expand the knowledge and understanding of colostrum mineral concentrations and total yields in dairy cows.
Topics: Animals; Colostrum; Female; Lactation; Milk; Minerals; Parity; Postpartum Period; Pregnancy
PubMed: 34998566
DOI: 10.3168/jds.2021-21069