Evidence map›Paper›PMID 29549348›Full record

ArticleInternational journal of obesity (2005)2018

Age at menarche and adult body mass index: a Mendelian randomization study.

Dipender Gill, Christopher F Brewer, Fabiola Del Greco M, Prasanthi Sivakumaran, Jack Bowden, Nuala A Sheehan, Cosetta Minelli

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Article in International journal of obesity (2005), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing 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

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

  1. Pooled it
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  12. Socioeconomic Status and Age at Menarche in Türkiye.American journal of human biology : the official journal of the Human Biology Council · 2025
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  17. Maternal Age at Menarche Genes Determines Fetal Growth Restriction Risk.International journal of molecular sciences · 2024
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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

7 authors.

Dipender GillDepartment of Clinical Pharmacology and Therapeutics, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK. dipender.gill@imperial.ac.uk.
Christopher F BrewerFaculty of Medicine, Imperial College London, Sir Alexander Fleming Building, London, UK.
Fabiola Del Greco MInstitute for Biomedicine, Eurac Research, Bolzano, Italy.
Prasanthi SivakumaranFaculty of Medicine, Imperial College London, Sir Alexander Fleming Building, London, UK.
Jack BowdenMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Nuala A SheehanDepartment of Health Sciences, University of Leicester, Leicester, UK.
Cosetta MinelliPopulation Health and Occupational Disease, NHLI, Imperial College London, London, UK.

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Medical Research Council MC_UU_00011/2
6 · The paper itself

Abstract

backgroundPubertal timing has psychological and physical sequelae. While observational studies have demonstrated an association between age at menarche and adult body mass index (BMI), confounding makes it difficult to infer causality.

methodsThe Mendelian randomization (MR) technique is not limited by traditional confounding and was used to investigate the presence of a causal effect of age at menarche on adult BMI. MR uses genetic variants as instruments under the assumption that they act on BMI only through age at menarche (no pleiotropy). Using a two-sample MR approach, heterogeneity between the MR estimates from individual instruments was used as a proxy for pleiotropy, with sensitivity analyses performed if detected. Genetic instruments and estimates of their association with age at menarche were obtained from a genome-wide association meta-analysis on 182,416 women. The genetic effects on adult BMI were estimated using data on 80,465 women from the UK Biobank. The presence of a causal effect of age at menarche on adult BMI was further investigated using data on 70,692 women from the GIANT Consortium.

resultsThere was evidence of pleiotropy among instruments. Using the UK Biobank data, after removing instruments associated with childhood BMI that were likely exerting pleiotropy, fixed-effect meta-analysis across instruments demonstrated that a 1 year increase in age at menarche reduces adult BMI by 0.38 kg/m

conclusionMR provides evidence to support the hypothesis that earlier age at menarche causes higher adult BMI. Complex hormonal and psychological factors may be responsible.

Indexed as

Body Mass IndexMenarcheAdultAgedCohort StudiesFemaleGenome-Wide Association StudyHumansMendelian Randomization AnalysisMeta-Analysis as TopicMiddle AgedPolymorphism, Single NucleotideUnited Kingdom

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Registered trials

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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.