Reproductive risk factors for cardiovascular disease mortality among postmenopausal women in Korea

Chang, Hoo Sun; Odongua, N.; Ohrr, Heechoul; Sull, Jae Woong; Nam, Chung Mo

doi:10.1097/gme.0b013e31821adb43

Cited by 53 publications

(74 citation statements)

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“…Some, but not all, have reported that early age at menarche was associated with increased risk of coronary heart disease incidence 5,6 or mortality. [7][8][9][10][11] Consistent with these reports, we found that early age at menarche was associated with increased risk of incident coronary heart disease. Although others have reported an increased coronary disease risk with early menarche among nonsmokers only, 9-11 we found similar associations among smokers and nonsmokers alike.…”

Section: Discussionsupporting

confidence: 81%

“…Previous studies have investigated the association of menarcheal age with cerebrovascular disease (Table VII in the online-only Data Supplement). Most of these studies reported no significant relationship between cerebrovascular disease risk and age at menarche, 6,[8][9][10][11]13 with only 1 study suggesting an increased risk of cerebrovascular disease associated with early menarche. 7 In our cohort, we found a significant increase in cerebrovascular disease risk not only with early (≤10 years) but also with late (≥17 years) menarche.…”

Section: Discussionmentioning

confidence: 99%

“…1 The timing of menarche has been reported to influence cardiovascular and metabolic health in adolescence and young adulthood, [2][3][4] but its long-term impact on vascular health in middle-age is unclear. Several studies have suggested that early menarche is associated with increased risk of coronary heart disease [5][6][7][8][9][10][11] or stroke, 7 but findings have been inconsistent. [11][12][13] Some studies have shown associations between early menarche and coronary heart disease only among nonsmokers, [9][10][11] whereas others have not adequately accounted for adult adiposity 6,7,9,12 which is known to be associated with early menarche.…”

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confidence: 99%

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Age at Menarche and Risks of Coronary Heart and Other Vascular Diseases in a Large UK Cohort

et al. 2015

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Background-Early menarche has been associated with increased risk of coronary heart disease (CHD), but most studies were relatively small and could not assess risk across a wide range of menarcheal ages; few have examined associations with other vascular diseases. We examined CHD, cerebrovascular disease, and hypertensive disease risks by age at menarche in a large prospective study of UK women. Methods and Results-In 1.2 million women (mean±SD age, 56±5 years) without previous heart disease, stroke, or cancer, menarcheal age was reported to be 13 years by 25%, ≤10 years by 4%, and ≥17 years by 1%. After 11.6 years of follow-up, 73 378 women had first hospitalization for or death from CHD, 25 426 from cerebrovascular disease, and 249 426 from hypertensive disease. Using Cox regression, we calculated relative risks for each vascular outcome by single year of menarcheal age. The relationship was U-shaped for CHD. Compared with women with menarche at 13 years, the adjusted relative risk for CHD for menarche at ≤10 years of age was 1.27 (95% confidence interval, 1.22-1.31; P<0.0001) and for menarche at ≥17 years of age was 1.23 (95% confidence interval, 1.16-1.30; P<0.0001). U-shaped relationships were also seen for cerebrovascular and hypertensive disease, although the magnitudes of these risks for early and late menarche were smaller than those for CHD. Conclusions-In this cohort, the relation of age at menarche to vascular disease risk was U shaped, with both early and late menarche being associated with increased risk. Associations were weaker for cerebrovascular and hypertensive disease than for CHD.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Age at Menarche and Risks of Coronary Heart and Other Vascular Diseases in a Large UK Cohort

et al. 2015

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“…La menarquia temprana es un factor de riesgo para algunos tipos de cáncer y otras enfermedades crónicas no transmisibles [15][16][17][18] , por lo que debiera constituir una preocupación en salud pública. Por otro lado, la menarquia temprana se asocia con sobrepeso en período pre-puberal y, también en el período de la adolescencia y adultez, aunque esta última asociación es controversial [19][20][21] .…”

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Edad de menarquia y ascendencia indígena: Un estudio poblacional en Chile

et al. 2012

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“…For women, most studies find a negative association between age at first birth (often defined categorically as 'on time' vs 'early' first birth) and mortality risk (Doblhammer 2000;Grundy 2009;Grundy & Kravdal 2008;Grundy & Tomassini 2005). This relationship has been reported also for cardiovascular disease mortality (Chang et al 2011), diabetes related mortality (Vandenheede et al 2012), and various other causes of death (Grundy & Kravdal 2010). Mirowsky (2002Mirowsky ( , 2005 finds an 'optimal' age at first birth for women's health in the early-thirties, and a negative linear relationship between age at first birth and mortality risk.…”

Section: Fertility History and Healthmentioning

confidence: 99%

Family formation patterns and physical health in Australia: a life course approach

O’Flaherty¹

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Social science has long studied the relationships between processes of family formation and health, although empirical patterns in this domain of study are often variable, and their interpretation uncertain. Constrained by lack of suitable data, analytic techniques, and conceptual tools, work in this area has until recently been largely static, focussed on documenting and interpreting crosssectional associations between occupancy of family roles and health. However, as data and methodology matured and developed economies continued their transition away from the once dominant 'male breadwinner' model of the family, more sophisticated approaches that acknowledge the dynamic relationships between family formation and health have become both more feasible and more urgent.This thesis applies a life course approach to the study of family formation and health in the (2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014), and form the primary material for four empirical chapters. The first empirical chapter utilizes multichannel sequence analysis and growth models to investigate how holistic patterns of family formation (incorporating both partnership and fertility trajectories from ages 18-50) are associated with trajectories of physical health at ages 51 and older. For men, family life course trajectories characterized by early family formation, failure to marry, or early divorce without subsequent remarriage are found to be predictive of poorer health outcomes, while for women only those who experienced high fertility paired with a disrupted marital history were found to be in poorer health than those who experienced a normatively 'standard' family life course.The second, third, and fourth empirical chapters focus on different aspects of the relationship between parental age at first birth and later life heath. The first of these contextualizes changes in first birth timing in historical context, presents a descriptive analysis of the characteristics of younger/older first time mothers and fathers, and uses multinomial logistic regression to assess the contribution of early-life family and socio-economic disadvantage, health, and cognitive and noncognitive skills to first birth timing. Consistent with prior research, background family disadvantage and age at school leaving was found to have strong effects on birth timing, in particular for women.ii There was also some evidence of health selection into early first birth, with the largest effects again found for women.The third empirical chapter considers the effect of first birth timing on long-term health outcomes (ages 41 and older). In addition to the primary issue of whether there is an effect of birth timing on health, the analysis pays particular attention to several research questions: first, which pre- as mechanisms, as changes at the time of the parenthood transition and in the years thereafter did not differ depending on age at first birth. Younger parents do experience potentially harmful changes in alcohol use and soc...

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Reproductive risk factors for cardiovascular disease mortality among postmenopausal women in Korea

Abstract: An inverse relationship between age at first childbirth and the risk of cardiovascular disease mortality exists. In addition, early menarche may be a reproductive risk factor for coronary heart disease mortality.

Cited by 53 publications

References 46 publications

Age at Menarche and Risks of Coronary Heart and Other Vascular Diseases in a Large UK Cohort

Age at Menarche and Risks of Coronary Heart and Other Vascular Diseases in a Large UK Cohort

Edad de menarquia y ascendencia indígena: Un estudio poblacional en Chile

Family formation patterns and physical health in Australia: a life course approach

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