Evidence map›Paper›PMID 36198521›Full record

ArticleJournal of atherosclerosis and thrombosis2023

Female Reproductive Events and Subclinical Atherosclerosis of the Brain and Carotid Arteriopathy: the Ohasama Study.

Wakana Sato, Kyoko Nomura, Michihiro Satoh, Azusa Hara, Megumi Tsubota-Utsugi, Takahisa Murakami, Kei Asayama, Yukako Tatsumi, Yuki Kobayashi, Takuo Hirose and 8 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Self-measured home blood pressure highlights cardiovascular risk in women: the HOMED-BP study.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    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

18 authors at 7 institutions in 2 countries.

Wakana SatoDepartment of Cardiovascular Medicine, Akita University Graduate School of Medicine.
Kyoko NomuraDepartment of Environmental Health Science and Public Health, Akita University Graduate School of Medicine.
Michihiro SatohDivision of Public Health, Hygiene and Epidemiology, Faculty of Medicine, Tohoku Medical and Pharmaceutical University.
Azusa HaraDivision of Drug Development and Regulatory Science, Faculty of Pharmacy, Keio University.
Megumi Tsubota-UtsugiDepartment of Hygiene and Public Health, Teikyo University School of Medicine.
Takahisa MurakamiDivision of Public Health, Hygiene and Epidemiology, Faculty of Medicine, Tohoku Medical and Pharmaceutical University.
Kei AsayamaDepartment of Hygiene and Public Health, Teikyo University School of Medicine.
Yukako TatsumiDepartment of Hygiene and Public Health, Teikyo University School of Medicine.
Yuki KobayashiDepartment of Environmental Health Science and Public Health, Akita University Graduate School of Medicine.
Takuo HiroseDepartment of Endocrinology and Applied Medical Science, Tohoku University Graduate School of Medicine.
Ryusuke InoueDepartment of Medical Information Technology Center, Tohoku University Hospital.
Tomoko TotsuneInstitute of Development, Aging and Cancer, Tohoku University.
Masahiro KikuyaDepartment of Hygiene and Public Health, Teikyo University School of Medicine.
Atsushi HozawaDepartment of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University.
Hirohito MetokiDivision of Public Health, Hygiene and Epidemiology, Faculty of Medicine, Tohoku Medical and Pharmaceutical University.
Yutaka ImaiTohoku Institute for Management of Blood Pressure.
Hiroyuki WatanabeDepartment of Cardiovascular Medicine, Akita University Graduate School of Medicine.
Takayoshi OhkuboDepartment of Hygiene and Public Health, Teikyo University School of Medicine.
Teikyo University · JPAkita University · JPTohoku University · JPTohoku Medical and Pharmaceutical University · JPKeio University · JPTohoku Medical Megabank Organization · JPTohoku University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsFew studies have investigated the subclinical atherosclerotic changes in the brain and carotid artery, and in East Asian populations. We sought to investigate whether gravidity, delivery, the age at menarche and menopause and estrogen exposure period are associated with subclinical atherosclerosis of the brain and carotid arteriopathy.

methodsThis cross-sectional study formed part of a cohort study of Ohasama residents initiated in 1986. Brain atherosclerosis and carotid arteriopathy were diagnosed as white matter hyperintensity (WMH) and lacunae evident on brain magnetic resonance imaging (MRI) and carotid intimal media thickness (IMT) or plaque revealed by ultrasound, respectively. The effect of the reproductive events on brain atherosclerosis and carotid arteriopathy was investigated using logistic regression and general linear regression models after adjusting for covariates.

resultsAmong 966 women aged ≥ 55 years in 1998, we identified 622 and 711 women (mean age: 69.2 and 69.7 years, respectively) who underwent either MRI or carotid ultrasound between 1992-2008 or 1993-2018, respectively. The highest quartile of gravidity (≥ 5 vs. 3) and delivery (≥ 4 vs. 2), and the highest and second highest (3 vs. 2) quartiles of delivery were associated with an increased risk of WMH and carotid artery plaque, respectively. Neither of age at menarche, menopause, and estrogen exposure period estimated by subtracting age at menarche from age at menopause was associated with atherosclerotic changes of brain and carotid arteries.

conclusionsHigher gravidity and delivery are associated with subclinical atherosclerosis of the brain and carotid plaque.

Indexed as

AtherosclerosisCarotid Artery DiseasesPlaque, AtheroscleroticAgedBrainCarotid ArteriesCarotid Intima-Media ThicknessCohort StudiesCross-Sectional StudiesEstrogensFemaleHumansMiddle AgedRisk FactorsEstrogensCarotid plaqueDeliveryGravidityLacunarMenarcheMenopausePlaqueReproductive eventsWhite matter hyperintensity

Identifiers

PMID36198521
PMCPMC10406647
OpenAlexW4302763306

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.