Evidence map›Paper›PMID 40412096›Full record

SynthesisClinics (Sao Paulo, Brazil)2025

The association between age at menarche and depression: A systematic review and meta-analysis with meta-regression.

Erfan Ghadirzadeh, Mahmood Moosazadeh, Kiarash Shakeriastani, Maryam Zarrinkamar, Mobina Gheibi, Forouzan Elyasi, Mojgan Geran

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinics (Sao Paulo, Brazil), 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.

  1. Article
  2. Observational
  3. Review
  4. Review
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.

Erfan GhadirzadehStudent Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran; Gastrointestinal Cancer Research Center, Non-Communicable Disease Institute, Mazandaran University of Medical Sciences, Sari, Iran. Electronic address: er.ghadirzadeh@gmail.com.
Mahmood MoosazadehPsychosomatic Research Center, Sari Imam Khomeini Hospital, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran; Gastrointestinal Cancer Research Center, Non-Communicable Disease Institute, Mazandaran University of Medical Sciences, Sari, Iran. Electronic address: mmoosazadeh1351@gmail.com.
Kiarash ShakeriastaniWake Forest Institute for Regenerative Medicine, Winston Salem, USA.
Maryam ZarrinkamarDepartment of Family Medicine, Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Mobina GheibiGastrointestinal Cancer Research Center, Non-Communicable Disease Institute, Mazandaran University of Medical Sciences, Sari, Iran; Department of Medical Laboratory Sciences, Razi Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
Forouzan ElyasiDepartment of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran.
Mojgan GeranDepartment of Family Medicine, Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran. Electronic address: moj1357geran@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe existing literature presents conflicting findings regarding the relationship between Age At Menarche (AAM) and depression. Thus, to address this gap, this systematic review and meta-analysis aimed to evaluate current evidence to clarify the association between AAM and depression.

methodsMedline (PubMed), Scopus, Embase, Web of Science, and Google Scholar were searched from 2000 until June 2024 to include cross-sectional, case-control, and cohort studies. The quality of the evidence was assessed using the Newcastle-Ottawa Scale (NOS) instrument. The odds ratio (OR) of depression and its 95 % Confidence Interval (95 % CI) were calculated using the random effects model and inverse variance method. The protocol is registered in PROSPERO, number CRD42024551838.

resultsFrom a total of 2175 search records, 13 studies were included comprising 434,838 participants with NOS scores ranging from 7 to 9. The present findings showed that early menarche is associated with significantly higher odds of depression compared to both normative AAM (OR = 1.36, 95 % CI: 1.20‒1.53) and late AAM (OR = 1.52, 95 % CI 1.22‒1.90). Also, females with later menarche had lower odds of depression compared to females with normal AAM (OR = 0.91, 95 % CI 0.76‒1.09); however, this association was not statistically significant.

conclusionThe present findings demonstrated that early menarche is associated with elevated odds of depression compared to females of both normative AAM and late AAM.

Indexed as

DepressionMenarcheAdolescentAge FactorsFemaleHumansRisk FactorsDepressionMenarcheMeta-analysisPrecocious pubertySystematic review

Identifiers

PMID40412096
PMCPMC12148817

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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.