Evidence map›Paper›PMID 31023245›Full record

ArticleBMC pregnancy and childbirth2019

Age at menarche and risk of gestational diabetes mellitus: a population-based study in Xiamen, China.

Liying Wang, Bing Yan, Xiulin Shi, Haiqu Song, Weijuan Su, Bingkun Huang, Yuxian Zhang, Shunhua Wang, Fuping Lv, Mingzhu Lin and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.4field-weighted citation impact, top 6% of its field
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

14 citing papers in PubMed, 21 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Liying WangXiamen Diabetes Institute, Xiamen, China.
Bing YanXiamen Diabetes Institute, Xiamen, China.
Xiulin ShiXiamen Diabetes Institute, Xiamen, China.
Haiqu SongXiamen Diabetes Institute, Xiamen, China.
Weijuan SuXiamen Diabetes Institute, Xiamen, China.
Bingkun HuangXiamen Diabetes Institute, Xiamen, China.
Yuxian ZhangXiamen Diabetes Institute, Xiamen, China.
Shunhua WangXiamen Diabetes Institute, Xiamen, China.
Fuping LvXiamen Diabetes Institute, Xiamen, China.
Mingzhu LinXiamen Diabetes Institute, Xiamen, China.
Xuejun LiXiamen Diabetes Institute, Xiamen, China. xmlixuejun@163.com.ORCID http://orcid.org/0000-0001-6940-3180
First Affiliated Hospital of Xiamen University · CNXiamen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been reported that earlier age at menarche is associated with a higher risk for type 2 diabetes mellitus. However, the relationship between age at menarche and gestational diabetes mellitus is inconsistent across studies. We hypothesized that an earlier age at menarche would predict the gestational diabetes mellitus risk.

methodsThis was a population-based, retrospective cohort study of 70,041 women aged 18 to 53 years old, conducted between 2011 and 2018. The subjects were recruited from the Medical Birth Registry in Xiamen, China. Age at menarche was categorized as 8-12, 13, 14, 15, 16-19 years old. Logistic regression analysis and spline analysis was used to assess the risk of the menarche age group for gestational diabetes mellitus. Linear regression analysis was performed to evaluate independent associations between age at menarche and fasting plasma glucose and blood glucose 1 hour and 2 hours after a 75-g of glucose load between 24 and 28 weeks' gestation.

resultsThe overall prevalence of GDM was 17.6%. After adjustment for family history of diabetes, earlier age at menarche (8-12, and 13 years old) was associated with increased odds for GDM (OR, 1.08; 95% CI, 1.02-1.15, and OR, 1.07; 95% CI, 1.03-1.14, respectively) compared with average age at menarche (14 years old). With further adjustment for pre-pregnancy body mass index, blood pressure, educational level, age at delivery, and hepatitis B surface antigen status, this association was attenuated (OR, 0.93, and OR, 1.02, respectively). Multivariable-adjusted spline regression models showed a linear dose-response association between age at menarche and GDM (P for nonlinearity, 0.203; P for linearity, 0.006). On linear regression analysis, earlier age at menarche was significantly associated with increased blood glucose one and 2 hours after a glucose load but not with the fasting plasma glucose.

conclusionsAs expected, early age at menarche was found to be associated with an increased risk of gestational diabetes mellitus. However, this association may be mediated by potential confounding factors other than age. An additional finding was that earlier menarche was significantly related with elevated pregnancy glucose concentrations after a glucose load.

Indexed as

MenarcheAdolescentAdultBlood GlucoseChinaCohort StudiesDiabetes, GestationalDiabetes Mellitus, Type 2FemaleHumansMiddle AgedPregnancyRetrospective StudiesRisk FactorsYoung AdultBlood GlucoseBody mass indexGestational diabetes mellitusMenarchePregnancyWoman

Identifiers

PMID31023245
PMCPMC6482560
OpenAlexW2945906915

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LicenceCC BY
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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.