Evidence map›Paper›PMID 42741143›Full record

ArticleFrontiers in medicine2026

Reproductive lifespan and cardiovascular health in postmenopausal women: a non-linear, behavior-driven association with cross-population validation.

Jie Chen, Jia-Yu Shi, Qian Guo, Shi-Min Wu, Gu-Quan Ma, Xiao-Wei Zhao, Yong Tan, Ying-Hao Pei

Abstract read
In one paragraph

Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Jie Chen *Department of Gynecology, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Jia-Yu Shi *Nanjing University of Chinese Medicine, Nanjing, China.
Qian GuoDepartment of Gynecology, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Shi-Min WuDepartment of Gynecology, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Gu-Quan MaDepartment of Rheumatology, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Xiao-Wei ZhaoDepartment of Gynecology, The People's Hospital of Dazu, Chongqing, China.
Yong TanDepartment of Gynecology, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Ying-Hao PeiDepartment of Intensive Care Unit, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Reproductive lifespan (RLS), the interval from menarche to natural menopause, has been associated with cardiovascular disease (CVD) risk. However, most prior studies have assumed a linear relationship, and the potential non-linearity of this association, as well as the underlying behavioral and biological mechanisms, remain largely unexplored. Methods: This cross-sectional study included 1,673 naturally postmenopausal women (weighted Results: RLS exhibited a significant inverted U-shaped association with LS7 (P for non-linearity = 0.025). In the ascending segment (RLS ≤ 37 years), each additional year of RLS was associated with a higher LS7 score (β = 0.038, Conclusion: In naturally postmenopausal women, RLS showed an inverted U-shaped association with cardiovascular health, peaking at approximately 37 years. This association was partially mediated by NLR and driven entirely by behavioral components. These findings support incorporating reproductive history into cardiometabolic risk assessment and highlight behavioral interventions for women with shorter reproductive lifespans.

Indexed as

cardiovascular healthLife’s Simple 7mediation analysisneutrophil-to-lymphocyte ratioNHANESnon-linear associationreproductive lifespan

Identifiers

PMID42741143
PMCPMC13572729

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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.