Evidence map›Paper›PMID 29738416›Full record

ArticleMenopause (New York, N.Y.)2018

Design and protocol of Estrogenic Regulation of Muscle Apoptosis (ERMA) study with 47 to 55-year-old women's cohort: novel results show menopause-related differences in blood count.

Vuokko Kovanen, Pauliina Aukee, Katja Kokko, Taija Finni, Ina M Tarkka, Tuija Tammelin, Urho M Kujala, Sarianna Sipilä, Eija K Laakkonen

Abstract read
In one paragraph

Article in Menopause (New York, N.Y.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–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

36 citing papers in PubMed.

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  9. Body composition and functional capacity as determinants of physical activity in middle-aged and older adults: a cross-sectional analysis.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2025
    Article
  10. Article
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  13. Metabolic syndrome and epigenetic aging: a twin study.International journal of obesity (2005) · 2024
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  14. Article
  15. Article
  16. Systemic circulating microRNA landscape in Lynch syndrome.International journal of cancer · 2023
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  17. Article
  18. Article
  19. Article
  20. Physical Performance During the Menopausal Transition and the Role of Physical Activity.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
    Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors.

Vuokko KovanenFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Pauliina AukeeDepartment of Obstetrics and Gynecology, Pelvic Floor Research and Therapy Unit, Central Finland Central Hospital, Jyväskylä, Finland.
Katja KokkoFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Taija FinniFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Ina M TarkkaFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Tuija TammelinLIKES Research Centre for Physical Activity and Health, Jyväskylä, Finland.
Urho M KujalaFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Sarianna SipiläFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Eija K LaakkonenFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe multidisciplinary Estrogenic Regulation of Muscle Apoptosis (ERMA) study was designed to reveal how hormonal differences over the menopausal stages affect the physiological and psychological functioning of middle-aged women. This paper describes the protocol and nonrespondent analysis of ERMA and novel findings on menopausal differences in blood count variables and their association with female sex hormones.

methodsWomen aged 47 to 55 years were assigned to pre, early peri, late peri, and postmenopausal groups based on follicle-stimulating hormone (FSH) and bleeding diary. Multivariate linear regression models were constructed to estimate the association of 17β-estradiol (E2) and FSH with the blood count variables.

resultsIn all, 3,064 women returned the prequestionnaire (ERMA phase one), 1,393 donated blood samples and were assigned to the relevant menopausal group (phase two), and 914 completed phase three, which included physiological and psychological measurements. Nonrespondents were more likely than respondents to be obese, whereas the menopausal groups showed no mean differences in body mass index. Blood count variables, while being within clinical reference values, showed significant differences between groups. E2 and FSH were associated with the white blood cell (WBC) count and neutrophil-to-lymphocyte ratio.

conclusionsThe ERMA study was successful in recruiting and characterizing the menopausal status of a cohort sample of middle-aged women. The significant group differences found in the blood count variables and their associations with E2 and FSH verifies menopause-associated changes in WBC composition potentially being an early sign of low-grade inflammation that may develop later in life.

Indexed as

Analysis of VarianceChi-Square DistributionCross-Sectional StudiesEstradiolFemaleFollicle Stimulating HormoneFollow-Up StudiesHumansLinear ModelsLongitudinal StudiesLymphocyte CountMenopauseMenstruationMiddle AgedMultivariate AnalysisNeutrophilsEstradiolFollicle Stimulating Hormone

Identifiers

PMID29738416
PMCPMC6110369

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.