Evidence map›Paper›PMID 38717898›Full record

ArticleThe Journal of clinical endocrinology and metabolism2025

Moderate Associations Between the Use of Levonorgestrel-releasing Intrauterine Device and Metabolomics Profile.

Elena Toffol, Oskari Heikinheimo, Pekka Jousilahti, Lara Lehtoranta, Anni Joensuu, Timo Partonen, Iris Erlund, Jari Haukka

Abstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
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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.

Elena ToffolDepartment of Public Health, Clinicum, Faculty of Medicine, University of Helsinki, 00014 Helsinki, Finland.ORCID 0000-0001-6757-7355
Oskari HeikinheimoDepartment of Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, 00014 Helsinki, Finland.ORCID 0000-0002-8671-130X
Pekka JousilahtiDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, FI-00271 Helsinki, Finland.
Lara LehtorantaDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, FI-00271 Helsinki, Finland.ORCID 0000-0001-8325-2411
Anni JoensuuDepartment of Knowledge Brokers, Finnish Institute for Health and Welfare, FI-00271 Helsinki, Finland.ORCID 0000-0002-7547-7458
Timo PartonenDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, FI-00271 Helsinki, Finland.ORCID 0000-0003-1951-2455
Iris ErlundDepartment of Government Services, Finnish Institute for Health and Welfare, FI-00271 Helsinki, Finland.ORCID 0000-0002-0083-1256
Jari HaukkaDepartment of Public Health, Clinicum, Faculty of Medicine, University of Helsinki, 00014 Helsinki, Finland.ORCID 0000-0003-1450-6208

Funding

Finnish Cultural Foundation #00211101Jane and Aatos Erkko Foundation #170062
6 · The paper itself

Abstract

contextUse of a levonorgestrel-releasing intrauterine device (LNG-IUD) has become common irrespective of age and parity. To date, only a few studies have examined its possible metabolic changes and large-scale biomarker profiles in detail and in a longitudinal design.

objectiveTo apply the metabolomics technique to examine the metabolic profile associated with the use of LNG-IUD both in a cross-sectional and a longitudinal design.

designThe study consists of cross-sectional and longitudinal analyses of a population-based survey (Health 2000) and its 11-year follow-up (Health 2011). All participants aged 18 to 49 years with available information on hormonal contraceptive use and metabolomics data (n = 1767) were included. Altogether 212 metabolic measures in LNG-IUD users (n = 341) were compared to those in non-users of hormonal contraception (n = 1426) via multivariable linear regression models. Participants with complete longitudinal information (n = 240) were divided into continuers, stoppers, starters, and never-user groups, and 11-year changes in levels of each metabolite were compared.

resultsAfter adjustment for covariates, levels of 102 metabolites differed in LNG-IUD current users compared to non-users of hormonal contraception (median difference in biomarker concentration: -0.12 SD): lower levels of fatty acids concentrations and ratios, cholesterol, triglycerides and other lipids, as well as particle concentration, cholesterol, total lipids, and phospholipids in lipoproteins. The 11-year metabolic changes did not differ in relation to changes in LNG-IUD use.

conclusionThe use of LNG-IUD was associated with several moderate metabolic changes, mostly suggestive of a reduced arterial cardiometabolic risk. Changes in LNG-IUD use were not related to long-term metabolic changes.

Indexed as

Contraceptive Agents, FemaleIntrauterine Devices, MedicatedLevonorgestrelMetabolomeAdolescentAdultBiomarkersCross-Sectional StudiesFemaleFollow-Up StudiesHumansLongitudinal StudiesMetabolomicsMiddle AgedYoung AdultBiomarkersContraceptive Agents, FemaleLevonorgestrelcardiometabolic riskfertile-agedlevonorgestrel-releasing intrauterine devicelongitudinalmetabolic changesmetabolites

Identifiers

PMID38717898
PMCPMC11913106

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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.