Age at Menopause, Reproductive Life Span, and Type 2 Diabetes Risk

被引:183
|
作者
Brand, Judith S. [1 ]
van der Schouw, Yvonne T. [1 ]
Onland-Moret, N. Charlotte [1 ]
Sharp, Stephen J. [2 ]
Ong, Ken K. [2 ]
Khaw, Kay-Tee [3 ]
Ardanaz, Eva [4 ,5 ]
Amiano, Pilar [5 ,6 ,7 ]
Boeing, Heiner [8 ]
Chirlaque, Maria-Dolores [5 ,9 ]
Clavel-Chapelon, Francoise [10 ]
Crowe, Francesca L. [11 ]
de Lauzon-Guillain, Blandine [10 ,12 ]
Duell, Eric J. [13 ]
Fagherazzi, Guy [10 ,12 ]
Franks, Paul W. [14 ,15 ]
Grioni, Sara [16 ]
Groop, Leif C. [17 ,18 ]
Kaaks, Rudolf [19 ]
Key, Timothy J. [11 ]
Nilsson, Peter M. [20 ]
Overvad, Kim [21 ,22 ]
Palli, Domenico [23 ]
Panico, Salvatore [24 ]
Quiros, J. Ramon [25 ]
Rolandsson, Olov [26 ]
Sacerdote, Carlotta [27 ,28 ]
Sanchez, Maria-Jose [5 ,29 ]
Slimani, Nadia [30 ]
Teucher, Birgit [19 ]
Tjonneland, Anne [31 ]
Tumino, Rosario [32 ,33 ]
van der A, Daphne L. [34 ]
Feskens, Edith J. M. [35 ]
Langenberg, Claudia
Forouhi, Nita G. [2 ]
Riboli, Elio [36 ]
Wareham, Nicholas J. [2 ]
机构
[1] Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands
[2] Addenbrookes Hosp, Med Res Council Epidemiol Unit, Inst Metab Sci, Cambridge, England
[3] Univ Cambridge, Addenbrookes Hosp, Dept Publ Hlth & Primary Care, Cambridge CB2 2QQ, England
[4] Navarre Publ Hlth Inst, Pamplona, Spain
[5] Consortium Biomed Res Epidemiol & Publ Hlth CIBER, Madrid, Spain
[6] Basque Govt, Publ Hlth Div Gipuzkoa, San Sebastian, Spain
[7] Basque Govt, Inst BIOdonostia, San Sebastian, Spain
[8] German Inst Human Nutr Potsdam Rehbrucke, Dept Epidemiol, Nuthetal, Germany
[9] Murcia Reg Hlth Council, Dept Epidemiol, Murcia, Spain
[10] Inst Gustave Roussy, INSERM, Ctr Res Epidemiol & Populat Hlth CESP, Nutr Hormones & Womens Hlth U1018, F-94805 Villejuif, France
[11] Univ Oxford, Nuffield Dept Clin Med, Canc Epidemiol Unit, Oxford, England
[12] Univ Paris 11, UMRS 1018, Villejuif, France
[13] Canc Epidemiol Res Program, Unit Nutr Environm & Canc, Barcelona, Spain
[14] Lund Univ, Malmo Gen Hosp, Dept Clin Sci, Clin Res Ctr, S-21401 Malmo, Sweden
[15] Umea Univ, Dept Publ Hlth & Clin Med, Umea, Sweden
[16] Fdn IRCCS Ist Nazl Tumori Milano, Milan, Italy
[17] Lund Univ, Dept Clin Sci Diabet & Endocrinol, Univ Hosp Scania, Malmo, Sweden
[18] Univ Helsinki, Insitute Mol Med Finland FIMM, Helsinki, Finland
[19] German Canc Res Ctr, Div Canc Epidemiol, Heidelberg, Germany
[20] Lund Univ, Dept Clin Sci, Univ Hosp Scania, Malmo, Sweden
[21] Aarhus Univ, Dept Epidemiol, Sch Publ Hlth, Aarhus, Denmark
[22] Aarhus Univ Hosp, Aalborg Hosp, Dept Cardiol, Aalborg, Denmark
[23] Canc Res & Prevent Inst, Mol & Nutr Epidemiol Unit, Florence, Italy
[24] Univ Naples Federico II, Dept Clin & Expt Med, Naples, Italy
[25] Publ Hlth Directorate, Oviedo, Spain
[26] Umea Univ, Dept Publ Hlth & Clin Med, Umea, Sweden
[27] Ctr Canc Prevent CPO Piemonte, Turin, Italy
[28] Human Genet Fdn, Turin, Italy
[29] Andalusian Sch Publ Hlth, Granada, Spain
[30] Int Agcy Res Canc, Dietary Exposure Assessment Grp, Lyon, France
[31] Danish Canc Soc Res Ctr, Strandboulevarden Copenh, Denmark
[32] Civile MP Arezzo Hosp, Canc Registry & Histopathol Unit, Ragusa, Italy
[33] Assoc Iblea Ric Epidemiol Onlus, Ragusa, Italy
[34] Natl Inst Publ Hlth & Environm, NL-3720 BA Bilthoven, Netherlands
[35] Wageningen Univ, Sect Nutr & Epidemiol, Div Human Nutr, NL-6700 AP Wageningen, Netherlands
[36] Univ London Imperial Coll Sci Technol & Med, Dept Epidemiol & Biostat, Sch Publ Hlth, London, England
基金
英国医学研究理事会; 瑞典研究理事会;
关键词
BODY-SIZE; BREAST-CANCER; WOMEN; DISEASE; REPRODUCIBILITY; ENDOMETRIAL; ESTROGENS; VALIDITY; MENARCHE; HORMONES;
D O I
10.2337/dc12-1020
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE-Age at menopause is an important determinant of future health outcomes, but little is known about its relationship with type 2 diabetes. We examined the associations of menopausal age and reproductive life span (menopausal age minus menarcheal age) with diabetes risk. RESEARCH DESIGN AND METHODS-Data were obtained from the InterAct study, a prospective case-cohort study nested within the European Prospective Investigation into Cancer and Nutrition. A total of 3,691 postmenopausal type 2 diabetic case subjects and 4,408 subcohort members were included in the analysis, with a median follow-up of 11 years. Prentice weighted Cox proportional hazards models were adjusted for age, known risk factors for diabetes, and reproductive factors, and effect modification by BMI, waist circumference, and smoking was studied. RESULTS-Mean (SD) age of the subcohort was 59.2 (5.8) years. After multivariable adjustment, hazard ratios (HRs) of type 2 diabetes were 1.32 (95% CI 1.04-1.69), 1.09 (0.90-1.31), 0.97 (0.86-1.10), and 0.85 (0.70-1.03) for women with menopause at ages <40, 40-44, 45-49, and >= 55 years, respectively, relative to those with menopause at age 50-54 years. The HR per SD younger age at menopause was 1.08 (1.02-1.14). Similarly, a shorter reproductive life span was associated with a higher diabetes risk (HR per SD lower reproductive life span 1.06 [ 1.01-1.12]). No effect modification by BMI, waist circumference, or smoking was observed (P interaction all > 0.05). CONCLUSIONS-Early menopause is associated with a greater risk of type 2 diabetes. Diabetes Care 36:1012-1019, 2013
引用
收藏
页码:1012 / 1019
页数:8
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