Evidence map›Paper›PMID 33420216›Full record

ArticleScientific reports2021

Early age at menarche and metabolic cardiovascular risk factors: mediation by body composition in adulthood.

Susana Bubach, Bernardo Lessa Horta, Helen Gonçalves, Maria Cecília Formoso Assunção

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
11.7field-weighted citation impact, top 1% 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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Review
  5. Observational
  6. Age at menarche and blood pressure in late adolescence: the role of body adiposity in a Brazilian birth cohort.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026
    Article
  7. Article
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  10. Cardio-metabolic risk among healthcare providers: A latent profile study.Journal of cardiovascular and thoracic research · 2025
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Study ofChildren (Basel, Switzerland) · 2024
    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

4 authors at 2 institutions in 1 country.

Susana BubachDepartment of Health Sciences, Federal University of Espírito Santo, São Mateus, 29932-540, Brazil. sbubach@gmail.com.
Bernardo Lessa HortaPost-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, 29932-540, Brazil.
Helen GonçalvesPost-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, 29932-540, Brazil.
Maria Cecília Formoso AssunçãoPost-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, 29932-540, Brazil.
Universidade Federal de Pelotas · BRUniversidade Federal do Espírito Santo · BR

Funding

Wellcome TrustWellcome Trust 086974/Z/08/Z
6 · The paper itself

Abstract

Evidence suggests that early menarche increases cardiometabolic risk, and adiposity would be a possible mediator of this association. We assessed the association between age at menarche and metabolic cardiovascular risk factors and estimated the indirect effect of body composition in adulthood. In 1982, all hospital births in the city of Pelotas/Brazil, were identified and live births were examined and have been prospectively followed. At 30 years, information on age at menarche and metabolic cardiovascular risk factors was available for 1680 women. Mediation analysis was performed using G-computation to estimate the direct effect of age at menarche and the indirect effect of body composition. The prevalence of age at menarche < 12 years was 24.5% and was associated with higher mean diastolic blood pressure [β: 1.98; 95% CI: 0.56, 3.40], total cholesterol (β: 8.28; 95% CI: 2.67, 13.88), LDL-cholesterol (β: 6.53; 95% CI: 2.00, 11.07), triglycerides (β: 0.11; 95% CI: 0.03, 0.19). For diastolic blood pressure, total cholesterol, LDL-cholesterol, triglycerides, body composition assessed by fat mass index captured from 43.8 to 98.9% of the effect of early menarche, except to systolic blood pressure, HDL-cholesterol, C-reactive-protein. Suggesting that the effect of menarche age < 12 years on some metabolic cardiovascular risk factors is mediated partially by body composition in adulthood.

Indexed as

Body CompositionAdolescentAdultAge FactorsBlood PressureBrazilCardiovascular DiseasesChildCholesterol, HDLCholesterol, LDLFemaleFollow-Up StudiesHumansMenarcheMetabolic SyndromeProspective StudiesCholesterol, HDLCholesterol, LDLTriglycerides

Identifiers

PMID33420216
PMCPMC7794383
OpenAlexW3120521675

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.