Evidence map›Paper›PMID 34426982›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2021

Increased Menopausal Age Reduces the Risk of Parkinson's Disease: A Mendelian Randomization Approach.

Cynthia D J Kusters, Kimberly C Paul, Aline Duarte Folle, Adrienne M Keener, Jeff M Bronstein, Lars Bertram, Johnni Hansen, Steve Horvath, Janet S Sinsheimer, Christina M Lill and 1 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Movement disorders : official journal of the Movement Disorder Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.4field-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

30 citing papers in PubMed, 46 citations in OpenAlex.

  1. Review
  2. The Neurology of Menopause.Current neurology and neuroscience reports · 2026
    Review
  3. Observational
  4. Differentiating between the impact of sex and gender in Parkinson's disease: utilising these to advance current understanding and care practices.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Update: Descriptive epidemiology of Parkinson disease.Parkinsonism & related disorders · 2024
    Review
  14. Article
  15. Article
  16. Among men, androgens are associated with a decrease in Alzheimer's disease risk.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
  17. X-Chromosome Association Study in Latin American Cohorts Identifies New Loci in Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2023
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 5 countries.

Cynthia D J KustersDepartment of Human Genetics, David Geffen School of Medicine, University of California, Los Angeles, California, USA.ORCID 0000-0001-8099-9026
Kimberly C PaulDepartment of Neurology, David Geffen School of Medicine, University of California, Los Angeles, California, USA.ORCID 0000-0002-4476-2352
Aline Duarte FolleDepartment of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, California, USA.
Adrienne M KeenerDepartment of Neurology, David Geffen School of Medicine, University of California, Los Angeles, California, USA.ORCID 0000-0003-1930-6619
Jeff M BronsteinDepartment of Neurology, David Geffen School of Medicine, University of California, Los Angeles, California, USA.
Lars BertramLübeck Interdisciplinary Platform for Genome Analytics, University of Lübeck, Lübeck, Germany.ORCID 0000-0002-0108-124X
Johnni HansenDanish Cancer Society Research Center, Danish Cancer Society, Copenhagen, Denmark.
Steve HorvathDepartment of Human Genetics, David Geffen School of Medicine, University of California, Los Angeles, California, USA.
Janet S SinsheimerDepartment of Human Genetics, David Geffen School of Medicine, University of California, Los Angeles, California, USA.
Christina M LillTranslational Epidemiology Group, Lübeck Interdisciplinary Platform for Genome Analytics, University of Lübeck, Lübeck, Germany.ORCID 0000-0002-1903-6762
Beate R RitzDepartment of Neurology, David Geffen School of Medicine, University of California, Los Angeles, California, USA.
University of California, Los Angeles · USDanish Cancer Society · DKInstitute for Integrative and Experimental Genomics · DEUniversity of Oslo · NOWest Los Angeles College · US

Funding

Translational Research Support CoreP30ES007048 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ROB S MCCONNELL · 1996 to 2026
$46.4M
UCLA CENTER FOR THE STUDY OF PARKINSON'S DISEASEP50NS038367 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CHESSELET, MARIE-FRANCOISE S · 1999 to 2011
$15.3M
UCLA clinical site for the investigation of undiagnosed disordersU01HG007703 · NHGRI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MARTINEZ-AGOSTO, JULIAN, NELSON, STANLEY F. · 2014 to 2022
$10.1M
STATISTICAL METHODS FOR GENE MAPPINGR01GM053275 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LANGE, KENNETH L · 1995 to 2019
$9.3M
Center for Gene-Environment Studies in Parkinson DiseaseU54ES012078 · NIEHS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CHESSELET, MARIE-FRANCOISE S · 2002 to 2006
$7.1M
Project 4: Pesticides and Genes In PD: Studies In HumansP01ES016732 · NIEHS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CHESSELET, MARIE-FRANCOISE S · 2008 to 2012
$6.7M
PARKINSON'S DISEASES SUSCEPTIBILITY GENES AND PESTICIDESR01ES010544 · NIEHS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RITZ, BEATE R. · 2000 to 2015
$5.7M
Registry Study of Parkinsons Disease in DenmarkR01ES013717 · NIEHS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RITZ, BEATE R. · 2006 to 2010
$4.5M
Microbiome, Pesticides and Parkinsons in LatinosR01ES031106 · NIEHS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RITZ, BEATE R. · 2020 to 2025
$3.8M
Validation and optimization of epigenetic clocksU01AG060908 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RITZ, BEATE R. · 2018 to 2022
$3.4M
Integrative approaches for mapping the genetic risk of complex traitsR01HG009120 · NHGRI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI PASANIUC, BOGDAN · 2017 to 2021
$2.3M
Alzheimer’s disease and related dementias in a diverse cohort of Asian AmericansR01AG063969 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MAYEDA, ELIZABETH ROSE · 2019 to 2022
$2.0M
NHGRI NIH HHS R01 HG009120NHGRI NIH HHS U01 HG007703NIA NIH HHS F32 AG063442NIA NIH HHS K01 AG072044NIA NIH HHS R01 AG063969NIA NIH HHS U01 AG060908NIEHS NIH HHS P01 ES016732NIEHS NIH HHS P30 ES007048NIEHS NIH HHS R01 ES010544NIEHS NIH HHS R01 ES013717NIEHS NIH HHS R01 ES023451NIEHS NIH HHS R01 ES031106NIEHS NIH HHS R21 ES028472NIEHS NIH HHS R21 ES030175NIEHS NIH HHS U54 ES012078NIGMS NIH HHS R01 GM053275NINDS NIH HHS P50 NS038367NINDS NIH HHS R21 NS099910
6 · The paper itself

Abstract

backgroundStudies of Parkinson's disease (PD) and the association with age at menarche or menopause have reported inconsistent findings. Mendelian randomization (MR) may address measurement errors because of difficulties accurately reporting the age these life events occur.

objectiveWe used MR to assess the association between age at menopause and age at menarche with PD risk.

methodsWe performed inverse variant-weighted (IVW) MR analysis using external genome-wide association study (GWAS) summary data from the United Kingdom biobank, and the effect estimates between genetic variants and PD among two population-based studies (Parkinson's disease in Denmark (PASIDA) study, Denmark, and Parkinson's Environment and Gene study [PEG], United States) that enrolled 1737 female and 2430 male subjects of European ancestry. We, then, replicated our findings for age at menopause using summary statistics from the PD consortium (19 773 women), followed by a meta-analysis combining all summary statistics.

resultsFor each year increase in age at menopause, the risk for PD decreased (odds ration [OR], 0.84; 95% confidence interval [CI], 0.73-0.98; P = 0.03) among women in our study, whereas there was no association among men (OR, 0.98; 95% CI, 0.85-1.11; P = 0.71). A replication using summary statistics from the PD consortium estimated an OR of 0.94 (95% CI, 0.90-0.99; P = 0.01), and we calculated a meta-analytic OR of 0.93 (95% CI, 0.89-0.98; P = 0.003). There was no indication for an association between age at menarche and PD (OR, 0.75; 95% CI, 0.44-1.29; P = 0.29).

conclusionsA later age at menopause was associated with a decreased risk of PD in women, supporting the hypothesis that sex hormones or other factors related to late menopause may be neuroprotective in PD. © 2021 International Parkinson and Movement Disorder Society.

Indexed as

Parkinson DiseaseFemaleGenome-Wide Association StudyHumansMaleMendelian Randomization AnalysisMenopausePolymorphism, Single NucleotideRisk FactorsfemalesmenarcheMendelian randomizationmenopauseParkinson's disease

Identifiers

PMID34426982
PMCPMC8530889
OpenAlexW3193514258

What OpenQuestion holds

Textmetadata
LicenceTDM
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.