Evidence map›Paper›PMID 28721436›Full record

ArticleDiabetologia2017

Age at natural menopause and risk of type 2 diabetes: a prospective cohort study.

Taulant Muka, Eralda Asllanaj, Naim Avazverdi, Loes Jaspers, Najada Stringa, Jelena Milic, Symen Ligthart, M Arfan Ikram, Joop S E Laven, Maryam Kavousi and 2 more

Abstract read
In one paragraph

Article in Diabetologia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Position Statement on Cardiometabolic Health Across the Woman's Life Course - 2025.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025
    Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Taulant MukaDepartment of Epidemiology, Erasmus University Medical Center, Dr. Molewaterplein 50, Office NA29-14, PO Box 2040, 3000 CA, Rotterdam, the Netherlands. t.muka@erasmusmc.nl.
Eralda AsllanajDepartment of Epidemiology, Erasmus University Medical Center, Dr. Molewaterplein 50, Office NA29-14, PO Box 2040, 3000 CA, Rotterdam, the Netherlands.
Naim AvazverdiDepartment of Epidemiology, Erasmus University Medical Center, Dr. Molewaterplein 50, Office NA29-14, PO Box 2040, 3000 CA, Rotterdam, the Netherlands.
Loes JaspersDepartment of Epidemiology, Erasmus University Medical Center, Dr. Molewaterplein 50, Office NA29-14, PO Box 2040, 3000 CA, Rotterdam, the Netherlands.
Najada StringaDepartment of Epidemiology, Erasmus University Medical Center, Dr. Molewaterplein 50, Office NA29-14, PO Box 2040, 3000 CA, Rotterdam, the Netherlands.
Jelena MilicDepartment of Epidemiology, Erasmus University Medical Center, Dr. Molewaterplein 50, Office NA29-14, PO Box 2040, 3000 CA, Rotterdam, the Netherlands.
Symen LigthartDepartment of Epidemiology, Erasmus University Medical Center, Dr. Molewaterplein 50, Office NA29-14, PO Box 2040, 3000 CA, Rotterdam, the Netherlands.
M Arfan IkramDepartment of Epidemiology, Erasmus University Medical Center, Dr. Molewaterplein 50, Office NA29-14, PO Box 2040, 3000 CA, Rotterdam, the Netherlands.
Joop S E LavenDivision of Reproductive Medicine, Department of Obstetrics and Gynaecology, Erasmus University Medical Center, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Maryam KavousiDepartment of Epidemiology, Erasmus University Medical Center, Dr. Molewaterplein 50, Office NA29-14, PO Box 2040, 3000 CA, Rotterdam, the Netherlands.
Abbas DehghanDepartment of Epidemiology, Erasmus University Medical Center, Dr. Molewaterplein 50, Office NA29-14, PO Box 2040, 3000 CA, Rotterdam, the Netherlands.
Oscar H FrancoDepartment of Epidemiology, Erasmus University Medical Center, Dr. Molewaterplein 50, Office NA29-14, PO Box 2040, 3000 CA, Rotterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisIn this study, we aimed to examine the association between age at natural menopause and risk of type 2 diabetes, and to assess whether this association is independent of potential mediators.

methodsWe included 3639 postmenopausal women from the prospective, population-based Rotterdam Study. Age at natural menopause was self-reported retrospectively and was treated as a continuous variable and in categories (premature, <40 years; early, 40-44 years; normal, 45-55 years; and late menopause, >55 years [reference]). Type 2 diabetes events were diagnosed on the basis of medical records and glucose measurements from Rotterdam Study visits. HRs and 95% CIs were calculated using Cox proportional hazards models, adjusted for confounding factors; in another model, they were additionally adjusted for potential mediators, including obesity, C-reactive protein, glucose and insulin, as well as for levels of total oestradiol and androgens.

resultsDuring a median follow-up of 9.2 years, we identified 348 individuals with incident type 2 diabetes. After adjustment for confounders, HRs for type 2 diabetes were 3.7 (95% CI 1.8, 7.5), 2.4 (95% CI 1.3, 4.3) and 1.60 (95% CI 1.0, 2.8) for women with premature, early and normal menopause, respectively, relative to those with late menopause (p CONCLUSIONS/

interpretationEarly onset of natural menopause is an independent marker for type 2 diabetes in postmenopausal women.

Indexed as

AdultAge FactorsDiabetes Mellitus, Type 2FemaleHumansIncidenceMenopauseMiddle AgedPostmenopauseProspective StudiesRiskDiabetesEarly menopauseMenopauseType 2 diabetesWomen

Identifiers

PMID28721436
PMCPMC6448832

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.