Loading…

Cardiometabolic health after first pregnancy: Associations with social determinants of health. A nuMoM2b-HHS study

This study sought to evaluate the associations between social determinants of health (SDOH) at the time of first pregnancy and subsequent cardiometabolic health, defined as the development of metabolic syndrome. nuMoM2b-HHS (Nulliparous Pregnancy Outcomes Study- Monitoring Mothers-to-Be-Heart Health...

Full description

Saved in:
Bibliographic Details
Published in:American heart journal plus 2022-01, Vol.13, p.100114, Article 100114
Main Authors: Bello, N.A., Moore, J., Miller, E.C., Tom, S.E., Merz, C.N. Bairey, Haas, D.M., Ferries-Rowe, E.A., Grobman, W.A., Greenland, P., Khan, S.S., Kim, J.K., Chung, J.H., Huynh, P.L.L., Varagic, J., McNeil, R.B., Parker, C.B., Wapner, R.
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c473t-c19f90c83c5e61c4aadd9dea2dce067d4c3d3b9ae679cabbef7373efaae0de2b3
container_end_page
container_issue
container_start_page 100114
container_title American heart journal plus
container_volume 13
creator Bello, N.A.
Moore, J.
Miller, E.C.
Tom, S.E.
Merz, C.N. Bairey
Haas, D.M.
Ferries-Rowe, E.A.
Grobman, W.A.
Greenland, P.
Khan, S.S.
Kim, J.K.
Chung, J.H.
Huynh, P.L.L.
Varagic, J.
McNeil, R.B.
Parker, C.B.
Wapner, R.
description This study sought to evaluate the associations between social determinants of health (SDOH) at the time of first pregnancy and subsequent cardiometabolic health, defined as the development of metabolic syndrome. nuMoM2b-HHS (Nulliparous Pregnancy Outcomes Study- Monitoring Mothers-to-Be-Heart Health Study) is an ongoing prospective cohort study. Eight academic medical centers enrolled and continue to follow participants. 4484 participants followed a mean of 3.2 years from the time of their first pregnancy. N/a. Unadjusted and adjusted Poisson regression models with robust standard errors were used to obtain relative risks and 95% confidence intervals estimating the risk of metabolic syndrome for each baseline SDOH. In secondary analyses we examined the associations between SDOH and incident hypertension, obesity, and diabetes mellitus. Metabolic syndrome developed in 13.6% of participants. Higher socioeconomic position at the time of pregnancy was associated with lower rates of metabolic syndrome [income > 200% poverty level aRR 0.55 (95% CI, 0.42–0.71), attainment of a bachelor's degree aRR 0.62 (0.46–0.84) or higher aRR 0.50 (0.35–0.71)], while being single [aRR 1.45 (95% CI, 1.18–1.77)] and having low health literacy were associated with a greater risk of metabolic syndrome [aRR 1.98 (95% CI, 1.28–3.07)]. Over a short interval following first pregnancy, participants accumulated high proportions of cardiovascular risk factors and metabolic syndrome, with some risk associated with SDOH. The impact of interventions addressing SDOH in pregnant people on cardiometabolic health should be tested as a means of reducing health inequities at the population level. Central illustration. Associations between social determinants of health at first pregnancy and future cardiometabolic health. Data shown are adjusted relative risks and associated 95% confidence intervals. Models are adjusted for age, self-reported race/ethnicity, body mass index, tobacco use, and physical activity at baseline. Bold type indicates p 
doi_str_mv 10.1016/j.ahjo.2022.100114
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_92073506425b492287d108159fb4f685</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S2666602222000313</els_id><doaj_id>oai_doaj_org_article_92073506425b492287d108159fb4f685</doaj_id><sourcerecordid>2808216439</sourcerecordid><originalsourceid>FETCH-LOGICAL-c473t-c19f90c83c5e61c4aadd9dea2dce067d4c3d3b9ae679cabbef7373efaae0de2b3</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhiMEolXpH-CAfOSSxR-JkyAktFoBW6kVB-BsTezJrqMkXmynaP893map2gsn2-PHj0fzZtlbRleMMvmhX8G-dytOOU8FyljxIrvkUspcptLLJ_uL7DqEnlLKSyaYrF9nF6JinNecXWZ-A95YN2KE1g1Wkz3CEPcEuoiedNaHSA4edxNM-viRrENw2kK0bgrkj03gw3kgBhM_2oTFQFx31qzImkzznbvjbb7d_iAhzub4JnvVwRDw-rxeZb--fvm52ea337_dbNa3uS4qEXPNmq6huha6RMl0AWBMYxC40UhlZQotjGgbQFk1GtoWu0pUAjsApAZ5K66ym8VrHPTq4O0I_qgcWPVQcH6nwEerB1QNp5UoqSx42RZNGk1lGK1Z2XRt0cm6TK7Pi-swtyOmDqboYXgmfX4z2b3auXuVshIFlTQZ3p8N3v2eMUQ12qBxGGBCNwfFa5oCkYVoEsoXVHsXgsfu8R9GT0KpenUKX53CV0v46dG7px0-PvkXdQI-LQCmmd9b9Cpoi5NGYz3qmIZi_-f_C-igwgk</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2808216439</pqid></control><display><type>article</type><title>Cardiometabolic health after first pregnancy: Associations with social determinants of health. A nuMoM2b-HHS study</title><source>PMC (PubMed Central)</source><source>Elsevier ScienceDirect Journals</source><creator>Bello, N.A. ; Moore, J. ; Miller, E.C. ; Tom, S.E. ; Merz, C.N. Bairey ; Haas, D.M. ; Ferries-Rowe, E.A. ; Grobman, W.A. ; Greenland, P. ; Khan, S.S. ; Kim, J.K. ; Chung, J.H. ; Huynh, P.L.L. ; Varagic, J. ; McNeil, R.B. ; Parker, C.B. ; Wapner, R.</creator><creatorcontrib>Bello, N.A. ; Moore, J. ; Miller, E.C. ; Tom, S.E. ; Merz, C.N. Bairey ; Haas, D.M. ; Ferries-Rowe, E.A. ; Grobman, W.A. ; Greenland, P. ; Khan, S.S. ; Kim, J.K. ; Chung, J.H. ; Huynh, P.L.L. ; Varagic, J. ; McNeil, R.B. ; Parker, C.B. ; Wapner, R. ; NHLBI nuMoM2b Heart Health Study Networks ; the NICHD nuMoM2b ; NICHD nuMoM2b, NHLBI nuMoM2b Heart Health Study Networks</creatorcontrib><description>This study sought to evaluate the associations between social determinants of health (SDOH) at the time of first pregnancy and subsequent cardiometabolic health, defined as the development of metabolic syndrome. nuMoM2b-HHS (Nulliparous Pregnancy Outcomes Study- Monitoring Mothers-to-Be-Heart Health Study) is an ongoing prospective cohort study. Eight academic medical centers enrolled and continue to follow participants. 4484 participants followed a mean of 3.2 years from the time of their first pregnancy. N/a. Unadjusted and adjusted Poisson regression models with robust standard errors were used to obtain relative risks and 95% confidence intervals estimating the risk of metabolic syndrome for each baseline SDOH. In secondary analyses we examined the associations between SDOH and incident hypertension, obesity, and diabetes mellitus. Metabolic syndrome developed in 13.6% of participants. Higher socioeconomic position at the time of pregnancy was associated with lower rates of metabolic syndrome [income &gt; 200% poverty level aRR 0.55 (95% CI, 0.42–0.71), attainment of a bachelor's degree aRR 0.62 (0.46–0.84) or higher aRR 0.50 (0.35–0.71)], while being single [aRR 1.45 (95% CI, 1.18–1.77)] and having low health literacy were associated with a greater risk of metabolic syndrome [aRR 1.98 (95% CI, 1.28–3.07)]. Over a short interval following first pregnancy, participants accumulated high proportions of cardiovascular risk factors and metabolic syndrome, with some risk associated with SDOH. The impact of interventions addressing SDOH in pregnant people on cardiometabolic health should be tested as a means of reducing health inequities at the population level. Central illustration. Associations between social determinants of health at first pregnancy and future cardiometabolic health. Data shown are adjusted relative risks and associated 95% confidence intervals. Models are adjusted for age, self-reported race/ethnicity, body mass index, tobacco use, and physical activity at baseline. Bold type indicates p &lt; 0.05. Referent groups are as follows: income (100–200% of federal poverty level), education (high school graduate or GED), social support (married), health insurance (commercial), REALM-SF (score = 7). [Display omitted]</description><identifier>ISSN: 2666-6022</identifier><identifier>EISSN: 2666-6022</identifier><identifier>DOI: 10.1016/j.ahjo.2022.100114</identifier><identifier>PMID: 37122821</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Diabetes mellitus ; Hypertension ; Metabolic syndrome ; Obesity ; Pregnancy ; Social determinants of health</subject><ispartof>American heart journal plus, 2022-01, Vol.13, p.100114, Article 100114</ispartof><rights>2022 The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c473t-c19f90c83c5e61c4aadd9dea2dce067d4c3d3b9ae679cabbef7373efaae0de2b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10134060/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S2666602222000313$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,3549,27924,27925,45780,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37122821$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bello, N.A.</creatorcontrib><creatorcontrib>Moore, J.</creatorcontrib><creatorcontrib>Miller, E.C.</creatorcontrib><creatorcontrib>Tom, S.E.</creatorcontrib><creatorcontrib>Merz, C.N. Bairey</creatorcontrib><creatorcontrib>Haas, D.M.</creatorcontrib><creatorcontrib>Ferries-Rowe, E.A.</creatorcontrib><creatorcontrib>Grobman, W.A.</creatorcontrib><creatorcontrib>Greenland, P.</creatorcontrib><creatorcontrib>Khan, S.S.</creatorcontrib><creatorcontrib>Kim, J.K.</creatorcontrib><creatorcontrib>Chung, J.H.</creatorcontrib><creatorcontrib>Huynh, P.L.L.</creatorcontrib><creatorcontrib>Varagic, J.</creatorcontrib><creatorcontrib>McNeil, R.B.</creatorcontrib><creatorcontrib>Parker, C.B.</creatorcontrib><creatorcontrib>Wapner, R.</creatorcontrib><creatorcontrib>NHLBI nuMoM2b Heart Health Study Networks</creatorcontrib><creatorcontrib>the NICHD nuMoM2b</creatorcontrib><creatorcontrib>NICHD nuMoM2b, NHLBI nuMoM2b Heart Health Study Networks</creatorcontrib><title>Cardiometabolic health after first pregnancy: Associations with social determinants of health. A nuMoM2b-HHS study</title><title>American heart journal plus</title><addtitle>Am Heart J Plus</addtitle><description>This study sought to evaluate the associations between social determinants of health (SDOH) at the time of first pregnancy and subsequent cardiometabolic health, defined as the development of metabolic syndrome. nuMoM2b-HHS (Nulliparous Pregnancy Outcomes Study- Monitoring Mothers-to-Be-Heart Health Study) is an ongoing prospective cohort study. Eight academic medical centers enrolled and continue to follow participants. 4484 participants followed a mean of 3.2 years from the time of their first pregnancy. N/a. Unadjusted and adjusted Poisson regression models with robust standard errors were used to obtain relative risks and 95% confidence intervals estimating the risk of metabolic syndrome for each baseline SDOH. In secondary analyses we examined the associations between SDOH and incident hypertension, obesity, and diabetes mellitus. Metabolic syndrome developed in 13.6% of participants. Higher socioeconomic position at the time of pregnancy was associated with lower rates of metabolic syndrome [income &gt; 200% poverty level aRR 0.55 (95% CI, 0.42–0.71), attainment of a bachelor's degree aRR 0.62 (0.46–0.84) or higher aRR 0.50 (0.35–0.71)], while being single [aRR 1.45 (95% CI, 1.18–1.77)] and having low health literacy were associated with a greater risk of metabolic syndrome [aRR 1.98 (95% CI, 1.28–3.07)]. Over a short interval following first pregnancy, participants accumulated high proportions of cardiovascular risk factors and metabolic syndrome, with some risk associated with SDOH. The impact of interventions addressing SDOH in pregnant people on cardiometabolic health should be tested as a means of reducing health inequities at the population level. Central illustration. Associations between social determinants of health at first pregnancy and future cardiometabolic health. Data shown are adjusted relative risks and associated 95% confidence intervals. Models are adjusted for age, self-reported race/ethnicity, body mass index, tobacco use, and physical activity at baseline. Bold type indicates p &lt; 0.05. Referent groups are as follows: income (100–200% of federal poverty level), education (high school graduate or GED), social support (married), health insurance (commercial), REALM-SF (score = 7). [Display omitted]</description><subject>Diabetes mellitus</subject><subject>Hypertension</subject><subject>Metabolic syndrome</subject><subject>Obesity</subject><subject>Pregnancy</subject><subject>Social determinants of health</subject><issn>2666-6022</issn><issn>2666-6022</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp9kU1v1DAQhiMEolXpH-CAfOSSxR-JkyAktFoBW6kVB-BsTezJrqMkXmynaP893map2gsn2-PHj0fzZtlbRleMMvmhX8G-dytOOU8FyljxIrvkUspcptLLJ_uL7DqEnlLKSyaYrF9nF6JinNecXWZ-A95YN2KE1g1Wkz3CEPcEuoiedNaHSA4edxNM-viRrENw2kK0bgrkj03gw3kgBhM_2oTFQFx31qzImkzznbvjbb7d_iAhzub4JnvVwRDw-rxeZb--fvm52ea337_dbNa3uS4qEXPNmq6huha6RMl0AWBMYxC40UhlZQotjGgbQFk1GtoWu0pUAjsApAZ5K66ym8VrHPTq4O0I_qgcWPVQcH6nwEerB1QNp5UoqSx42RZNGk1lGK1Z2XRt0cm6TK7Pi-swtyOmDqboYXgmfX4z2b3auXuVshIFlTQZ3p8N3v2eMUQ12qBxGGBCNwfFa5oCkYVoEsoXVHsXgsfu8R9GT0KpenUKX53CV0v46dG7px0-PvkXdQI-LQCmmd9b9Cpoi5NGYz3qmIZi_-f_C-igwgk</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Bello, N.A.</creator><creator>Moore, J.</creator><creator>Miller, E.C.</creator><creator>Tom, S.E.</creator><creator>Merz, C.N. Bairey</creator><creator>Haas, D.M.</creator><creator>Ferries-Rowe, E.A.</creator><creator>Grobman, W.A.</creator><creator>Greenland, P.</creator><creator>Khan, S.S.</creator><creator>Kim, J.K.</creator><creator>Chung, J.H.</creator><creator>Huynh, P.L.L.</creator><creator>Varagic, J.</creator><creator>McNeil, R.B.</creator><creator>Parker, C.B.</creator><creator>Wapner, R.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>202201</creationdate><title>Cardiometabolic health after first pregnancy: Associations with social determinants of health. A nuMoM2b-HHS study</title><author>Bello, N.A. ; Moore, J. ; Miller, E.C. ; Tom, S.E. ; Merz, C.N. Bairey ; Haas, D.M. ; Ferries-Rowe, E.A. ; Grobman, W.A. ; Greenland, P. ; Khan, S.S. ; Kim, J.K. ; Chung, J.H. ; Huynh, P.L.L. ; Varagic, J. ; McNeil, R.B. ; Parker, C.B. ; Wapner, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c473t-c19f90c83c5e61c4aadd9dea2dce067d4c3d3b9ae679cabbef7373efaae0de2b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Diabetes mellitus</topic><topic>Hypertension</topic><topic>Metabolic syndrome</topic><topic>Obesity</topic><topic>Pregnancy</topic><topic>Social determinants of health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bello, N.A.</creatorcontrib><creatorcontrib>Moore, J.</creatorcontrib><creatorcontrib>Miller, E.C.</creatorcontrib><creatorcontrib>Tom, S.E.</creatorcontrib><creatorcontrib>Merz, C.N. Bairey</creatorcontrib><creatorcontrib>Haas, D.M.</creatorcontrib><creatorcontrib>Ferries-Rowe, E.A.</creatorcontrib><creatorcontrib>Grobman, W.A.</creatorcontrib><creatorcontrib>Greenland, P.</creatorcontrib><creatorcontrib>Khan, S.S.</creatorcontrib><creatorcontrib>Kim, J.K.</creatorcontrib><creatorcontrib>Chung, J.H.</creatorcontrib><creatorcontrib>Huynh, P.L.L.</creatorcontrib><creatorcontrib>Varagic, J.</creatorcontrib><creatorcontrib>McNeil, R.B.</creatorcontrib><creatorcontrib>Parker, C.B.</creatorcontrib><creatorcontrib>Wapner, R.</creatorcontrib><creatorcontrib>NHLBI nuMoM2b Heart Health Study Networks</creatorcontrib><creatorcontrib>the NICHD nuMoM2b</creatorcontrib><creatorcontrib>NICHD nuMoM2b, NHLBI nuMoM2b Heart Health Study Networks</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>American heart journal plus</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bello, N.A.</au><au>Moore, J.</au><au>Miller, E.C.</au><au>Tom, S.E.</au><au>Merz, C.N. Bairey</au><au>Haas, D.M.</au><au>Ferries-Rowe, E.A.</au><au>Grobman, W.A.</au><au>Greenland, P.</au><au>Khan, S.S.</au><au>Kim, J.K.</au><au>Chung, J.H.</au><au>Huynh, P.L.L.</au><au>Varagic, J.</au><au>McNeil, R.B.</au><au>Parker, C.B.</au><au>Wapner, R.</au><aucorp>NHLBI nuMoM2b Heart Health Study Networks</aucorp><aucorp>the NICHD nuMoM2b</aucorp><aucorp>NICHD nuMoM2b, NHLBI nuMoM2b Heart Health Study Networks</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiometabolic health after first pregnancy: Associations with social determinants of health. A nuMoM2b-HHS study</atitle><jtitle>American heart journal plus</jtitle><addtitle>Am Heart J Plus</addtitle><date>2022-01</date><risdate>2022</risdate><volume>13</volume><spage>100114</spage><pages>100114-</pages><artnum>100114</artnum><issn>2666-6022</issn><eissn>2666-6022</eissn><abstract>This study sought to evaluate the associations between social determinants of health (SDOH) at the time of first pregnancy and subsequent cardiometabolic health, defined as the development of metabolic syndrome. nuMoM2b-HHS (Nulliparous Pregnancy Outcomes Study- Monitoring Mothers-to-Be-Heart Health Study) is an ongoing prospective cohort study. Eight academic medical centers enrolled and continue to follow participants. 4484 participants followed a mean of 3.2 years from the time of their first pregnancy. N/a. Unadjusted and adjusted Poisson regression models with robust standard errors were used to obtain relative risks and 95% confidence intervals estimating the risk of metabolic syndrome for each baseline SDOH. In secondary analyses we examined the associations between SDOH and incident hypertension, obesity, and diabetes mellitus. Metabolic syndrome developed in 13.6% of participants. Higher socioeconomic position at the time of pregnancy was associated with lower rates of metabolic syndrome [income &gt; 200% poverty level aRR 0.55 (95% CI, 0.42–0.71), attainment of a bachelor's degree aRR 0.62 (0.46–0.84) or higher aRR 0.50 (0.35–0.71)], while being single [aRR 1.45 (95% CI, 1.18–1.77)] and having low health literacy were associated with a greater risk of metabolic syndrome [aRR 1.98 (95% CI, 1.28–3.07)]. Over a short interval following first pregnancy, participants accumulated high proportions of cardiovascular risk factors and metabolic syndrome, with some risk associated with SDOH. The impact of interventions addressing SDOH in pregnant people on cardiometabolic health should be tested as a means of reducing health inequities at the population level. Central illustration. Associations between social determinants of health at first pregnancy and future cardiometabolic health. Data shown are adjusted relative risks and associated 95% confidence intervals. Models are adjusted for age, self-reported race/ethnicity, body mass index, tobacco use, and physical activity at baseline. Bold type indicates p &lt; 0.05. Referent groups are as follows: income (100–200% of federal poverty level), education (high school graduate or GED), social support (married), health insurance (commercial), REALM-SF (score = 7). [Display omitted]</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37122821</pmid><doi>10.1016/j.ahjo.2022.100114</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2666-6022
ispartof American heart journal plus, 2022-01, Vol.13, p.100114, Article 100114
issn 2666-6022
2666-6022
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_92073506425b492287d108159fb4f685
source PMC (PubMed Central); Elsevier ScienceDirect Journals
subjects Diabetes mellitus
Hypertension
Metabolic syndrome
Obesity
Pregnancy
Social determinants of health
title Cardiometabolic health after first pregnancy: Associations with social determinants of health. A nuMoM2b-HHS study
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T21%3A50%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cardiometabolic%20health%20after%20first%20pregnancy:%20Associations%20with%20social%20determinants%20of%20health.%20A%20nuMoM2b-HHS%20study&rft.jtitle=American%20heart%20journal%20plus&rft.au=Bello,%20N.A.&rft.aucorp=NHLBI%20nuMoM2b%20Heart%20Health%20Study%20Networks&rft.date=2022-01&rft.volume=13&rft.spage=100114&rft.pages=100114-&rft.artnum=100114&rft.issn=2666-6022&rft.eissn=2666-6022&rft_id=info:doi/10.1016/j.ahjo.2022.100114&rft_dat=%3Cproquest_doaj_%3E2808216439%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c473t-c19f90c83c5e61c4aadd9dea2dce067d4c3d3b9ae679cabbef7373efaae0de2b3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2808216439&rft_id=info:pmid/37122821&rfr_iscdi=true