2015
DOI: 10.1126/science.aac7902
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Helminth infection, fecundity, and age of first pregnancy in women

Abstract: Infection with intestinal helminths results in immunological changes that influence the odds of comorbid infections, and might also affect fecundity by inducing immunological states supportive of conception and pregnancy. Here we investigate associations between intestinal helminths and fertility in human females, utilizing nine years of longitudinal data from 986 Bolivian forger-horticulturalists, experiencing natural fertility and a 70% helminth prevalence. We find that different species of helminth are asso… Show more

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Cited by 87 publications
(108 citation statements)
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References 43 publications
(48 reference statements)
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“…The analyses herein focus on 109 older adult men (aged 40–89 years, median age=50 years) in a population of forager horticulturalists facing high pathogen burden (Gurven et al 2008). In this immunologically stressed population, we expect energetic trade-offs between testosterone and immune function to be stronger than that observed among energetically replete industrialized populations with lower infectious burden (Blackwell et al 2015; Gurven et al 2008). Additionally, industrialized populations have significantly higher levels of testosterone at younger ages compared to subsistence populations, and steeper age-related declines (Ellison et al 2002; Trumble et al 2012).…”
Section: Study Goals and Hypothesesmentioning
confidence: 76%
“…The analyses herein focus on 109 older adult men (aged 40–89 years, median age=50 years) in a population of forager horticulturalists facing high pathogen burden (Gurven et al 2008). In this immunologically stressed population, we expect energetic trade-offs between testosterone and immune function to be stronger than that observed among energetically replete industrialized populations with lower infectious burden (Blackwell et al 2015; Gurven et al 2008). Additionally, industrialized populations have significantly higher levels of testosterone at younger ages compared to subsistence populations, and steeper age-related declines (Ellison et al 2002; Trumble et al 2012).…”
Section: Study Goals and Hypothesesmentioning
confidence: 76%
“…With effects on energy balance, pathogen stress may counteract obesity. Inflammation may also be better regulated, as helminths and other parasites induce regulatory and T H 2 responses (McDade et al, 2012; Blackwell et al, 2015). …”
Section: Discussionmentioning
confidence: 99%
“…Characterisation of immune function in Amazonians is important both for documenting human biological diversity and for understanding and addressing the health challenges facing Amazonian peoples. Understanding how immune function responds to ecological conditions also bears on questions of human life history evolution, as immune responses and disease impact profiles of growth, reproduction, senescence and mortality (McDade, 2003; Blackwell et al, 2010, 2015; Pisor et al, 2013). …”
Section: Introductionmentioning
confidence: 99%
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“…WBCs also decline with age among Tsimane, particularly lymphocytes and eosinophils, suggesting increasing maintenance costs because older adults are not less likely to experience infection than younger adults (Gurven et al 2009). Systemic immunity shows many indications of chronic activation from infection with helminths, with 70% of Tsimane infected at any given time (Blackwell et al 2011; Blackwell et al 2013; Blackwell et al 2015; Blackwell et al 2016); coinfection is not uncommon (Blackwell et al 2013; Martin et al 2013). Serum immunoglobulins are two orders of magnitude higher than among US adults, especially for IgE (highly indicative of infection with helminths) (Blackwell et al 2011).…”
Section: Methodsmentioning
confidence: 99%