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Stöckl, D. ; Peters, A. ; Thorand, B. ; Heier, M. ; Koenig, W.* ; Seissler, J. ; Thiery, J.* ; Rathmann, W.* ; Meisinger, C.

Reproductive factors, intima media thickness and carotid plaques in a cross-sectional study of postmenopausal women enrolled in the population-based KORA F4 study.

BMC Womens Health 14:17 (2014)
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Background: Reproductive events may affect the onset of chronic diseases. We examined the possible association between reproductive parameters and intima media thickness (IMT) or carotid plaques in the common carotid artery in a population-based sample.Methods: This cross-sectional study analysed data of 800 postmenopausal women aged 50 to 81 years of the population-based KORA F4 study, conducted between 2006 and 2008 in Southern Germany. Reproductive parameters were obtained by standardised interviews.Results: Age at menarche below 12 years compared to 12-15 years was significantly associated with carotid plaques (age-adjusted OR 2.23, 95% CI 1.13-4.43, p-value 0.018, multivariable adjusted 2.11, 1.05-4.26, 0.037), but not with IMT. Ever use of hormone replacement therapy was inversely associated with carotid plaques (age-adjusted 0.60, 0.44-0.81, p = 0.001, multivariable-adjusted 0.62, 0.45-0.86, 0.003) and IMT in the age-adjusted model (mean 0.89, 95% CI 0.88-0.90, p = 0.033) but not in the multivariable-adjusted model (mean 0.89, 95% CI 0.88-0.90, p = 0.075). Parity, age at menopause, time since menopause, duration of fertile period, current use of hormone replacement therapy, ever use of oral contraceptives, hysterectomy, bilateral oophorectomy, hot flashes and depressive mood in relation to the menopausal transition were not associated with carotid plaques or IMT.Conclusion: Our study showed, that there may be an independent association between the reproductive parameters age at menarche and ever use of hormone replacement therapy with carotid plaques in the common carotid artery, but not with IMT. Further research, especially in studies with prospective population-based study design, is necessary to assess in detail what events in women's life lead to increased IMT or CP.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Schlagwörter Atherosclerosis ; Cardiovascular Disease ; Gender Studies ; Intima Media Thickness ; Reproductive Factors ; Women; Coronary-artery Calcification; Cardiovascular Risk-factors; Disease; Association; Menopause; Therapy; Events; Atherosclerosis; Adiposity; Menarche
Sprache englisch
Veröffentlichungsjahr 2014
HGF-Berichtsjahr 2014
e-ISSN 1472-6874
Zeitschrift BMC Women's Health
Quellenangaben Band: 14, Heft: 1, Seiten: , Artikelnummer: 17 Supplement: ,
Verlag Biomed Central Ltd
Verlagsort London
Begutachtungsstatus Peer reviewed
Institut(e) Institute of Epidemiology (EPI)
Institute of Experimental Genetics (IEG)
CCG Nutrigenomics and Type 2 Diabetes (KKG-KDN)
POF Topic(s) 30202 - Environmental Health
30201 - Metabolic Health
90000 - German Center for Diabetes Research
Forschungsfeld(er) Genetics and Epidemiology
PSP-Element(e) G-504000-006
G-504000-002
G-521500-002
G-501900-701
G-504090-001
PubMed ID 24456930
Scopus ID 84893162877
Erfassungsdatum 2014-02-17