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At least 19 recordsLinked to original sources
PubMed2005

The relationship between parity and bone mineral density in women characterized by a homogeneous lifestyle and high parity.

CONTEXT: We reported previously that Old Order Amish (OOA) women have fewer hip fractures and higher bone mineral density (BMD) than non-Amish Caucasian women. OBJECTIVE: The objective of this study was to determine whether the high parity characteristic of OOA women contributes to their relative bone health. Previous data on the long-term effects of parity on BMD have yielded conflicting results with few data from very high parity populations. This observational study included participants in the Amish Family Osteoporosis Study, begun in 1997 to identify genetic and clinical determinants of osteoporosis in the OOA. We measured BMD by dual-energy x-ray absorptiometry at the spine, hip, and distal radius in 424 parous OOA women aged 40 and older (mean age, 57.7 +/- 12 yr; mean parity, 7.6 +/- 2.9). RESULTS: Increasing parity was associated with later menopause (P = 0.001) and modestly, but not significantly, higher body mass index (BMI) (P = 0.09). Increasing parity was associated with higher BMD at the total hip and trochanter (age-adjusted P = 0.02 and 0.03), no longer statistically significant after accounting for BMI. Among women aged 50-59 yr, parity was strongly associated with BMD even after accounting for age and BMI (age-adjusted P = 0.02), although this was not true for women younger than 50 or at least 60 yr old. CONCLUSIONS: We conclude that high parity is associated with increased hip BMD in OOA women, largely mediated by higher BMI. The parity-hip BMD association remained statistically significant after accounting for age and BMI only in women aged 50-59 yr, partially explained by a later menopausal age with high parity. The benefit of high parity on BMD appeared to be lost soon after the menopausal transition, and, therefore, these data provide evidence of neither a detrimental nor beneficial effect of high parity on long-term bone health.

Age Distribution↗
PubMed2006

The impact of parity on major depression treatment quality in the Federal Employees' Health Benefits Program after parity implementation.

BACKGROUND: Since the 1990s, parity laws have been implemented to reduce inequities in mental health coverage compared with that for general medical conditions. It is unclear if parity under managed care is associated with improvements in mental health treatment quality. Major depressive disorder (MDD) is a prevalent but often undetected and undertreated and thus could potentially benefit from parity implementation. OBJECTIVE: The objective of this study was to examine the association between parity implementation and changes in MDD treatment quality in the Federal Employees' Health Benefits (FEHB) Program. METHODS: We conducted retrospective analyses of insurance claims data. Logistic regression models estimated quality changes for MDD-diagnosed enrollees from pre- to postparity. SUBJECTS: Subjects included MDD-diagnosed FEHB insured enrollees, aged 18-64, across multiple states and 6 FEHB plans before (1999-2000) and after (2001-2002) parity implementation. MEASURES: Measures included receipt of any antidepressant or psychotherapy within a given calendar year of diagnosis; receipt of appropriate psychotherapy frequency/intensity and duration; and pharmacotherapy duration during acute-phase treatment episodes. RESULTS: Postparity, several plans improved significantly in the likelihood of receiving antidepressant medication. In the acute-phase episodes, the greatest improvement was seen in the likelihood of follow up >or=4 months. Few or no other changes were observed in the acute-phase treatment intensity or duration quality measures. CONCLUSIONS: Parity under managed care was associated with modest improvements. The observed improvements were consistent with secular trends in MDD treatment. Whereas mental health parity is an important policy goal, these results highlight its limitations: improving the financing of care may not be sufficient to improve quality.

Adolescent↗
PubMed2006

Impact of biological and economic variables on optimal parity for replacement in swine breed-to-wean herds.

Voluntary and involuntary culling practices determine the average parity when sows are replaced in a herd. Underlying these practices is the economic effect of replacing a sow at different parities. A dynamic programming model was used to find the optimal parity and net present value in breed-to-wean swine herds. The model included income and costs per parity weighted by the discount rate and sow removal rate. Three scenarios that reflect a wide range of cases were considered: low removal rates per parity with no salvage value (LRNS), high removal rates per parity with no salvage value (HRNS), and high removal rates per parity with a percentage of the sows having a salvage value (HRYS). The optimal parity of replacement for the base biological and economic conditions was 4 and 5 parities in the high and low removal scenarios, respectively. Sensitivity analyses identified the variables influencing the optimal replacement parity. Optimal parity of replacement ranged from 3 to 7 parities in the low replacement scenario, compared with 1 to 5 parities in the high replacement scenarios. Sow replacement cost and salvage value had the greatest impact on optimal parity of replacement followed by revenues per piglet weaned. The discount rate and number of parities per year generally had little influence on optimal parity. For situations with high sow costs, low salvage values, and low revenues per piglet, the optimal parity at removal was as high as 6 to 10 parities, and for situations with low sow cost, high salvage values, and high revenues per piglet, the optimal parity at removal was as low as 1 to 2 parities depending on removal rates. The modified internal rate of return suggested that, for most LRNS and HRYS scenarios considered, investment in a swine breed-to-wean enterprise was favored over other investments involving a similar risk profile. Our results indicate that in US breeding herds, sows are culled on average near the optimal parity of 4. However, the optimization process should be a dynamic one that adapts to changes in replacement rates, salvage value, replacement cost, and revenues per piglet.

Agriculture↗
PubMed2004

Urogenital diseases and their effect on reproductive performance in high-parity sows.

UNLABELLED: In a Slowakian indoor pig production unit (2423 sows), from June to December 2002 all culled sows with excessive vulval discharge at culling, and with vulval discharge and periparturient disease in their previous history were subjected to retrospective lifetime production analysis. The sows were assigned to nine groups according to parity (parity 1-9). Average total litter size, average live-born litter size, average stillbirth rate, average mummy rate, and average litter weaning weight were evaluated retrospectively for all births. Non-culled sows represented the control animals. The percentage of animals with periparturient disease and vulval discharge in their history differed between parities. Parity 2, 3, and 4 sows had a significantly lower percentage of vulval discharge and periparturient disease in their history than sows of other parities. Compared to parity 1-6 sows, parity 7-9 sows had significantly lower (P < .001) conception rates, farrowing rates, and adjusted farrowing rates. Compared to parity 1-2 and 7-9 sows, parity 3-6 sows had a significantly larger (P < .001) lifetime average total born and live-born litter size. Compared to parity 1-3 and 7-9 sows, parity 4-6 sows had a significantly lower (P < .001) rate of stillbirths over all parities. No differences in mummy rates were detected between the sows of different parities. Compared to parity 1-2 and 7-9 sows, parity 3-6 sows had significantly higher (P < .001) weaning litter weights over all parities. Sows without a history of vulval discharge and periparturient disease had higher (P < .001) production levels in parity 7-9. IMPLICATIONS: The present results indicate that parity markedly influences the production level of sows that have a history of periparturient disease and vulval discharge.

Animals↗
PubMed1998

Relationship of gestation protein and feed intake level over a five-parity period using a high-producing sow genotype.

High-producing Landrace-Large White crossbred gilts (n = 50) involving 198 farrowings were used to evaluate dietary gestation protein (13 vs 16% CP) and gestation feed intakes (Control vs High), and their interaction, over a five-parity period on sow reproductive performance. Gestation feed intake for Control was 1.81 kg/d during parity 1, increasing by .09 kg for each successive parity. The daily feed intake for High was greater by .13 kg or approximately 450 kcal ME at each respective parity. The experiment was a 2 x 2 in a randomized complete block design conducted in two replicates with parity nested within sow groups. Sow weights and backfat thickness were determined at various intervals. A lactation diet containing .90% lysine in parity 1 and .80% lysine during parities 2 to 5 was fed to all sows from farrowing to weaning (21 d). Sow and pig weights, feed intakes, and colostrum and 21-d milk samples were collected during each lactation. The High feed intake and the 13% protein diet resulted in greater (P < .01) backfat thicknesses, and the effects were additive. Backfat thickness declined quadratically (P < .01) by parity and from late gestation to the rebreeding period of the following parity. The High feed intake resulted in a larger litter size (P < .01), whereas dietary gestation protein concentration had no effect on parturition performance. Sows in each parity consumed more (P < .01) feed from 0 to 7 d postpartum and for the overall 21-d lactation period (P < .01) for parity 1 when the 16% gestation protein had been fed. Gestation feed intake regimens did not affect lactation feed intake. Neither gestation variable affected colostrum or 21-d milk fat, but concentrations declined (P < .01) in all groups after parity 2. Parity 1 litters were heavier at 14 and 21 d, with larger litter gains from 0 to 14 and 0 to 21 d when gestating sows had been fed the 16% protein and the High feed intake combination compared to the other sow treatment groups. From parity 2 to 5, litter weights and gains were similar for all treatment groups. This resulted in a three-way interaction response (P < .05) for these variables. These results suggest that primiparous sows required a greater gestation protein concentration and greater feed intake than generally recommended, but the 13% CP diet at the High feed intake was effective in older sows.

Adipose Tissue↗
PubMed1993

Relationship of parity and body condition score to pregnancy rates in Florida beef cattle.

Pregnancy rates, determined by per rectum palpation, were analyzed with respect to cow parity (range 1 to >8 calvings) and body condition score (BCS, 1=thin to 9=fat) at pregnancy examination for 3734 beef cattle females on 3 commercial beef operations (8 herds) in 3 Florida counties in 1989 and 1990. The means and standard deviations for the herds were the following: pregnancy rate, 81.3 +/- 39% (range 62.1 to 91.5%); BCS, 4.7 +/- 0.6 (range 4.3 to 4.9); and parity, 3.9 +/- 2.3 (range 2.8 to 4.8). Significant associations were found between pregnancy rate, parity, BCS and herd (P < 0.001); and between the variable interactions, parity with BCS, herd with BCS, and herd with parity (P < 0.001). Cows with a BCS </=4 had a pregnancy rate of 59%; those with a BCS >/=5 had a pregnancy rate of 90%. Cows having a parity of <4 had a PR of 80%, while cows having a parity >/=4 had a PR of 85%. The interaction of parity with BCS was significant, resulting in pregnancy rates as follows; parity <4 and BCS </= 4 was 51%; parity < 4 and BCS >/= 5 was 88%; parity >/=4 and BCS </= 4 was 66%; and parity >/=5 and BCS >/= 5 was 93%. Body condition, parity, and the interaction of body condition and parity play important roles in the reproductive performance of commercial beef cows in Florida.

Journal Article↗
PubMed2003

Effect of parity on bone mineral density in female rhesus macaques from Cayo Santiago.

This cross-sectional study investigates the relationship between parity, bone mineral density, and spontaneous osteopenia/osteoporosis in a large skeletal population of female rhesus macaques (Macaca mulatta) from the free-ranging colony of Cayo Santiago, Puerto Rico. The sample consists of 119 mature female monkeys aged 4.0-22.2 years at time of death. The data consist of measurements of bone mineral content (BMC) and bone mineral density (BMD), obtained from dual-energy X-ray absorptiometry (DEXA) of the last lumbar vertebra. After controlling for age, there is a significant increase in BMD of the spine with increasing parity (P = 0.0006), up to a parity of 7 offspring. Thus, high parity initially has a positive effect on BMD in female rhesus monkeys, but this positive effect disappears with parities that are greater than 7 offspring. After controlling for parity, however, age has a negative (P = 0.015) effect on BMD, beginning several years after the attainment of peak BMD (age 9.5 years). Thus, it appears that parity initially mitigates the effects of aging, but the positive effect of parity on BMD is eventually overwhelmed by the aging process. Mean BMC and BMD values are higher in parous females compared to nulliparous females in the same age range. Similarly, females with low parity have significantly lower mean BMD values than do age-matched high-parity controls, and the frequency of osteopenia and osteoporosis is greater in low-parity females. Forty-three percent (43%) of the osteopenic/osteoporotic females in the sample are members of the low-parity group, even though it composes only 13% (16/119) of the entire sample. This study demonstrates that the free-ranging female rhesus monkeys from Cayo Santiago are a good nonhuman primate model for the study of bone mineral density, parity, osteopenia, and osteoporosis.

Absorptiometry, Photon↗
PubMed2000

Genetic parameters for direct and maternal calving ability over parities in Piedmontese cattle.

Estimates of heritabilities and genetic correlations for calving ease over parities were obtained for the Italian Piedmontese population using animal models. Field data were calving records of 50,721 first- and 44,148 second-parity females and 142,869 records of 38,213 cows of second or later parity. Calving ability was scored in five categories and analyzed using either a univariate or a bivariate linear model, treating performance over parities as different traits. The bivariate model was used to investigate the genetic relationship between first- and second- or between first- and third-parity calving ability. All models included direct and maternal genetic effects, which were assumed to be mutually correlated. (Co)variance components were estimated using restricted maximum likelihood procedures. In the univariate analyses, the heritability for direct effects was .19 +/- .01, .10 +/- .01, and .08 +/- .004 for first, second, and second and later parities, respectively. The heritability for maternal effects was .09 +/- .01, .11 +/- .01, and .05 +/- .01, respectively. All genetic correlations between direct and maternal effects were negative, ranging from -.55 to -.43. Approximated standard errors of genetic correlations between direct and maternal effects ranged from .041 to .062. For multiparous cows, the fraction of total variance due to the permanent environment was greater than the maternal heritability. With bivariate models, direct heritability for first parity was smaller than the corresponding univariate estimate, ranging from .18 to .14. Maternal heritabilities were slightly higher than the corresponding univariate estimates. Genetic correlation between first and second parity was .998 +/- .00 for direct effects and .913 +/- .01 for maternal effects. When the bivariate model analyzed first- and third-parity calving ability, genetic correlation was .907 +/- .02 for direct effects and .979 +/- .01 for maternal effects. Residual correlations were low in all bivariate analyses, ranging from .13 for analysis of first and second parity to .07 for analysis of first and third parity. In conclusion, estimates of genetic correlations for calving ease in different parities obtained in this study were very high, but variance components and heritabilities were clearly heterogeneous over parities.

Animals↗