Evidence map›Paper›PMID 37568273›Full record

ArticleActa obstetricia et gynecologica Scandinavica2023

Former long-term use of combined hormonal contraception and glucose metabolism disorders in perimenopausal women: A prospective, population-based cohort study.

Maria-Elina Mosorin, Meri-Maija Ollila, Tanja Nordström, Jari Jokelainen, Terhi Piltonen, Juha Auvinen, Laure Morin-Papunen, Juha Tapanainen

Open access · diamondAbstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
7.2field-weighted citation impact, top 2% 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

5 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
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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

8 authors at 2 institutions in 1 country.

Maria-Elina MosorinDepartment of Obstetrics and Gynecology, Oulu University Hospital, Wellbeing Services County of North Ostrobothnia, University of Oulu, Oulu, Finland.ORCID 0000-0003-4723-080X
Meri-Maija OllilaDepartment of Obstetrics and Gynecology, Oulu University Hospital, Wellbeing Services County of North Ostrobothnia, University of Oulu, Oulu, Finland.ORCID 0000-0002-6794-0369
Tanja NordströmMedical Research Center, Oulu University Hospital, University of Oulu, Wellbeing Services County of North Ostrobothnia, Oulu, Finland.
Jari JokelainenMedical Research Center, Oulu University Hospital, University of Oulu, Wellbeing Services County of North Ostrobothnia, Oulu, Finland.
Terhi PiltonenDepartment of Obstetrics and Gynecology, Oulu University Hospital, Wellbeing Services County of North Ostrobothnia, University of Oulu, Oulu, Finland.
Juha AuvinenCenter for Life Course Health Research, University of Oulu, Wellbeing Services County of North Ostrobothnia, Oulu, Finland.
Laure Morin-PapunenDepartment of Obstetrics and Gynecology, Oulu University Hospital, Wellbeing Services County of North Ostrobothnia, University of Oulu, Oulu, Finland.
Juha TapanainenDepartment of Obstetrics and Gynecology, Oulu University Hospital, Wellbeing Services County of North Ostrobothnia, University of Oulu, Oulu, Finland.ORCID 0000-0002-3139-9128
Oulu University Hospital · FIUniversity of Helsinki · FI

Funding

Academy of FinlandERDF European Regional Development Fund Grant 539/2010 A31592Helsinki University Hospital Research FundsOulu University Hospital Grant 24301140Oulu University Hospital Research FundsOulu University Medical Research CenterSigrid Juselius foundationUniversity of Oulu Grant 24000692
6 · The paper itself

Abstract

introductionCurrent use of combined hormonal contraceptives worsens glucose tolerance and increases the risk of type 2 diabetes mellitus at late fertile age, but the impact of their former use on the risk of glucose metabolism disorders is still controversial. MATERIAL AND

methodsThis was a prospective, longitudinal birth cohort study with long-term follow-up consisting of 5889 women. The cohort population has been followed at birth, and at ages of 1, 14, 31 and 46. In total, 3280 (55.7%) women were clinically examined and 2780 also underwent a 2-h oral glucose tolerance test at age 46. Glucose metabolism indices were analyzed in former combined hormonal contraceptive users (n = 1371) and former progestin-only contraceptive users (n = 52) and in women with no history of hormonal contraceptive use (n = 253).

resultsCompared with women with no history of hormonal contraceptive use, those who formerly used combined hormonal contraceptives for over 10 years had an increased risk of prediabetes (odds ratio [OR] 3.9, 95% confidence interval [CI]: 1.6-9.2) but not of type 2 diabetes mellitus. Former progestin-only contraceptive use was not associated with any glucose metabolism disorders. The results persisted after adjusting for socioeconomic status, smoking, alcohol consumption, parity, body mass index and use of cholesterol-lowering medication.

conclusionsFormer long-term use of combined hormonal contraceptives was associated with a significantly increased risk of prediabetes in perimenopausal women, which potentially indicates a need of screening for glucose metabolism disorders in these women.

Indexed as

Diabetes Mellitus, Type 2Glucose Metabolism DisordersHormonal ContraceptionPrediabetic StateCohort StudiesContraceptionContraceptives, Oral, CombinedContraceptives, Oral, HormonalFemaleHumansInfant, NewbornMiddle AgedPerimenopauseProgestinsProspective StudiesContraceptives, Oral, CombinedContraceptives, Oral, HormonalProgestinscombined hormonal contraceptionglucose metabolism disordersOGTTprediabetesprogestin-only contraceptiontype 2 diabetes mellitus

Identifiers

PMID37568273
PMCPMC10577621
OpenAlexW4385778924

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.