Evidence map›Paper›PMID 39994608›Full record

ArticleBMC public health2025

The association between reproductive factors and frailty risk: a population-based analysis from the UK biobank.

Tongmin Chang, Zengle Zhao, Xiaoyan Liu, Yuan Zhang, Xinjie Liu, Yuan Zhang, Ming Lu

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

7 authors.

Tongmin ChangClinical Epidemiology Unit, Qilu Hospital of Shandong University, 107 Wenhua West Road, Jinan, 250012, Shandong, China.
Zengle ZhaoSchool of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, Shandong, China.
Xiaoyan LiuDepartment of Gynecology and Obstetrics, Qilu Hospital of Shandong University, Jinan, 250012, Shandong, China.
Yuan ZhangSchool of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, Shandong, China.
Xinjie LiuSchool of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, Shandong, China.
Yuan ZhangClinical Epidemiology Unit, Qilu Hospital of Shandong University, 107 Wenhua West Road, Jinan, 250012, Shandong, China. zhangyuan@qiluhospital.com.
Ming LuClinical Epidemiology Unit, Qilu Hospital of Shandong University, 107 Wenhua West Road, Jinan, 250012, Shandong, China. lvming@sdu.edu.cn.

Funding

the ECCM Program of Clinical Research Center of Shandong University 2021SDUCRCE001the Shandong Provincial Medical Association YXH2022PT06001the TaiShan Scholars tstp20230654
6 · The paper itself

Abstract

backgroundPrevious studies have demonstrated that reproductive factors are associated with future frailty or frailty-related health issues in women. In view of the limited evidence, investigating the association between different reproductive factors and frailty in older women requires further exploration. The purpose of this study is to explore whether reproductive factors contribute to an increased risk of frailty in older women.

methodsThis study included 238,555 female participants from the UK Biobank. Reproductive factors and several frailty-related indicators were obtained through self-reported data. A binomial logistic regression analysis was used to assess the association between reproductive factors and frailty in older women, while adjusting for age, race, smoking and drinking status, body mass index (BMI), Townsend deprivation index, education, occupation, income level, history of oral contraceptive use, and history of hormone replacement therapy (HRT) use. Finally, stratified analysis and sensitivity analysis were performed to verify the robustness of our results.

resultsCompared with the menarche age of 12-13 years old, the risk of frailty was higher in those < 12 years old (OR: 1.118, 95%CI: 1.086-1.151). The age at menopause and reproductive lifespan is associated with frailty in a J-shaped dose-response manner. Women with the first live birth(AFB) younger than 21 years have an increased risk compared to those AFB aged 24-26 years (OR: 1.057, 95%CI: 1.011-1.106). Higher parity is associated with a reduced risk of frailty in older women (OR: 0.851, 95%CI: 0.807-0.898). In addition, no significant difference was observed between the risk of stillbirth and the risk of frailty.

conclusionsAccording to our research results, age at menarche, age at menopause, AFB, reproductive lifespan, number of miscarriages and parity are associated with frailty in old women.

Indexed as

FrailtyReproductive HistoryAdolescentAdultAgedAged, 80 and overAge FactorsBiological Specimen BanksChildFemaleHumansMenarcheMiddle AgedParityRisk FactorsUK BiobankFrailtyPregnancyReproductive factorsUK biobank

Identifiers

PMID39994608
PMCPMC11853312

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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.