Association of menopausal characteristics and risk of coronary heart disease: A pan-European case-cohort analysis

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Association of menopausal characteristics and risk of coronary heart disease : A pan-European case-cohort analysis

Dam, Veerle (författare): Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispostnr. STR 6.131, GA Utrecht, Netherlands; Netherlands Heart Institute, Utrecht, Netherlands

Van Der Schouw, Yvonne T. (författare): Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispostnr. STR 6.131, GA Utrecht, Netherlands

Onland-Moret, N. Charlotte (författare): Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispostnr. STR 6.131, GA Utrecht, Netherlands

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Groenwold, Rolf H. H. (författare): Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispostnr. STR 6.131, GA Utrecht, Netherlands

Peters, Sanne A. E. (författare): George Institute for Global Health, University of Oxford, Oxford, United Kingdom

Burgess, Stephen (författare): MRC Biostatistics Unit, University of Cambridge, Cambridge, United Kingdom; Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom

Wood, Angela M. (författare): Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom

Chirlaque, Maria-Dolores (författare): Department of Epidemiology, Regional Health Authority, IMIB-Arraxaca, Murcia University, Murcia, Spain; Department of Epidemiology, CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain,CIBER Epidemiology and Public Health (CIBERESP)

Moons, Karel G. M. (författare): Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispostnr. STR 6.131, GA Utrecht, Netherlands,International Agency for Research on Cancer, World Health Organization,Cancer Research and Prevention Institute (ISPO),University of Turin

Oliver-Williams, Clare (författare): Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom; Homerton College, Cambridge, United Kingdom

Schuit, Ewoud (författare): Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispostnr. STR 6.131, GA Utrecht, Netherlands

Tikk, Kaja (författare): Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany; German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany

Weiderpass, Elisabete (författare): Karolinska Institutet,Karolinska Institute,UiT The Arctic University of Norway, Tromsø,Folkhälsan Research Center,Cancer Registry of Norway, Institute of Population-Based Cancer Research

Holm, Marianne (författare): Department of Diet Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark

Tjønneland, Anne (författare): Department of Diet Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark

Kühn, Tilman (författare): Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany

Fortner, Renée T. (författare): Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany

Trichopoulou, Antonia (författare): 2nd Pulmonary Medicine Department, Hellenic Health Foundation, Athens, Greece; Department of Hygiene Epidemiology and Medical Statistics, WHO Collaborating Center for Nutrition and Health, Unit of Nutritional Epidemiology and Nutrition in Public Health, Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian, University of Athens, Athens, Greece

Karakatsani, Anna (författare): 2nd Pulmonary Medicine Department, Hellenic Health Foundation, Athens, Greece; 2nd Pulmonary Medicine Department, School of Medicine, National, Kapodistrian University of Athens, ATTIKON' University Hospital, Haidari, Greece

La Vecchia, Carlo (författare): 2nd Pulmonary Medicine Department, Hellenic Health Foundation, Athens, Greece; Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy

Ferrari, Pietro (författare): International Agency for Research on Cancer, Lyon, France,International Agency for Research on Cancer, World Health Organization

Gunter, Marc (författare): International Agency for Research on Cancer, Lyon, France

Masala, Giovanna (författare): Cancer Risk Factors and Life-Style Epidemiology Unit, Cancer Research and Prevention Institute, ISPO, Florence, Italy

Sieri, Sabina (författare): Epidemiology and Prevention Unit, Fondazione IRCCS Instituto Nazionale Dei Tumori, Milan, Italy

Tumino, Rosario (författare): Cancer Registry and Histopathology Department, 'Civic-M.P.Arezzo' Hospital, ASP Ragusa, Ragusa, Italy

Panico, Salvatore (författare): Dipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy

Boer, Jolanda M. A. (författare): Center for Nutrition Prevention and Health Services, National Institute for Public Health and the Environment (RIVM), Bilthoven, Netherlands

Monique Verschuren, W.M. (författare): Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispostnr. STR 6.131, GA Utrecht, Netherlands; Center for Nutrition Prevention and Health Services, National Institute for Public Health and the Environment (RIVM), Bilthoven, Netherlands

Salamanca-Fernández, Elena (författare): Department of Epidemiology, CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Escuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria Ibs, Hospitales Universitarios de Granada, Universidad de Granada, Granada, Spain,Andalusian School Of Public Health (EASP),CIBER Epidemiology and Public Health (CIBERESP)

Arriola, Larraitz (författare): Department of Epidemiology, CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Public Health Division of Gipuzkoa, Instituto BIO-Donostia, Basque Government, Donostia, Spain,CIBER Epidemiology and Public Health (CIBERESP)

Moreno-Iribas, Conchi (författare): Instituto de Salud Pública de Navarra, IdiSNA, Navarre Institute for Health Research, Pamplona, Spain; Red de Servicios de Salud Orientados A Enfermedades Crónicas, REDISSEC, Pamplona, Spain

Engström, Gunnar (författare): Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups

Melander, Olle (författare): Lund University,Lunds universitet,Kardiovaskulär forskning - hypertoni,Forskargrupper vid Lunds universitet,Cardiovascular Research - Hypertension,Lund University Research Groups

Nordendahl, Maria (författare): Umeå University,Umeå universitet,Allmänmedicin

Wennberg, Patrik, 1972- (författare): Umeå University,Umeå universitet,Allmänmedicin

Key, Timothy J. (författare): Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom

Colorado-Yohar, Sandra (författare): Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain; Research Group on Demography and Health, National Faculty of Public Health, University of Antioquia, Medellín, Colombia

Matullo, Giuseppe (författare): Department of Medical Sciences, University of Torino, Turin, Italy; Department Medical Sciences, Italian Institute for Genomic Medicine -IIGM/HuGeF, Turin, Italy

Overvad, Kim (författare): Department of Public Health, Section for Epidemiology, Aarhus University, Aarhus, Denmark

Clavel-Chapelon, Francoise (författare): INSERM, Centre for Research in Epidemiology and Population Health (CESP), U1018, Nutrition, Hormones, and Women's Health Team, Institut Gustave Roussy, Villejuif, France

Boeing, Heiner (författare): Department of Epidemiology, German Institute of Human Nutrition (DIfE), Potsdam-Rehbrücke, Germany

Ramon Quiros, J. (författare): Public Health Direct., Asturias, Spain,Public Health Directorate

Di Angelantonio, Emanuele (författare): MRC Biostatistics Unit, University of Cambridge, Cambridge, United Kingdom

Langenberg, Claudia (författare): MRC Epidemiology Unit, University of Cambridge, School of Clinical Medicine, Cambridge, United Kingdom

Sweeting, Michael J. (författare): MRC Biostatistics Unit, University of Cambridge, Cambridge, United Kingdom

Riboli, Elio (författare): Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom

Wareham, Nicholas J. (författare): MRC Epidemiology Unit, University of Cambridge, School of Clinical Medicine, Cambridge, United Kingdom

Danesh, John (författare): MRC Epidemiology Unit, University of Cambridge, School of Clinical Medicine, Cambridge, United Kingdom

Butterworth, Adam (författare): Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom; Department of Medical Statistics, London School of Hygiene and Tropical Medicine, London, United Kingdom

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Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispostnr STR 6.131, GA Utrecht, Netherlands; Netherlands Heart Institute, Utrecht, Netherlands Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispostnr. STR 6.131, GA Utrecht, Netherlands (creator_code:org_t)

2019-02-22
2019
Engelska.
Ingår i: International Journal of Epidemiology. - : Oxford University Press. - 0300-5771 .- 1464-3685. ; 48:4, s. 1275-1285

Relaterad länk:: https://doi.org/10.1...; visa fler...; https://umu.diva-por... (primary) (Raw object); https://doi.org/10.1...; http://dx.doi.org/10... (free); https://urn.kb.se/re...; https://doi.org/10.1...; https://lup.lub.lu.s...; http://kipublication...; visa färre...

Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

Stäng

Background: Earlier age at menopause has been associated with increased risk of coronary heart disease (CHD), but the shape of association and role of established cardiovascular risk factors remain unclear. Therefore, we examined the associations between menopausal characteristics and CHD risk; the shape of the association between age at menopause and CHD risk; and the extent to which these associations are explained by established cardiovascular risk factors.Methods: We used data from EPIC-CVD, a case-cohort study, which includes data from 23 centres from 10 European countries. We included only women, of whom 10 880 comprise the randomly selected sub-cohort, supplemented with 4522 cases outside the sub-cohort. We conducted Prentice-weighted Cox proportional hazards regressions with age as the underlying time scale, stratified by country and adjusted for relevant confounders.Results: After confounder and intermediate adjustment, post-menopausal women were not at higher CHD risk compared with pre-menopausal women. Among post-menopausal women, earlier menopause was linearly associated with higher CHD risk [HRconfounder and intermediate adjusted per-year decrease = 1.02, 95% confidence interval (CI) = 1.01-1.03, p = 0.001]. Women with a surgical menopause were at higher risk of CHD compared with those with natural menopause (HRconfounder-adjusted = 1.25, 95% CI = 1.10-1.42, p < 0.001), but this attenuated after additional adjustment for age at menopause and intermediates (HR = 1.12, 95% CI = 0.96-1.29, p = 0.15). A proportion of the association was explained by cardiovascular risk factors.Conclusions: Earlier and surgical menopause were associated with higher CHD risk. These associations could partially be explained by differences in conventional cardiovascular risk factors. These women might benefit from close monitoring of cardiovascular risk factors and disease.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Nyckelord

ageing
coronary disease
Epidemiology
Menopause
risk factors
women
ageing
coronary disease
Epidemiology
Menopause
risk factors
women

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Av författaren/redakt...: Dam, Veerle; Van Der Schouw, ...; Onland-Moret, N. ...; Groenwold, Rolf ...; Peters, Sanne A. ...; Burgess, Stephen; visa fler...; Wood, Angela M.; Chirlaque, Maria ...; Moons, Karel G. ...; Oliver-Williams, ...; Schuit, Ewoud; Tikk, Kaja; Weiderpass, Elis ...; Holm, Marianne; Tjønneland, Anne; Kühn, Tilman; Fortner, Renée T ...; Trichopoulou, An ...; Karakatsani, Ann ...; La Vecchia, Carl ...; Ferrari, Pietro; Gunter, Marc; Masala, Giovanna; Sieri, Sabina; Tumino, Rosario; Panico, Salvator ...; Boer, Jolanda M. ...; Monique Verschur ...; Salamanca-Fernán ...; Arriola, Larrait ...; Moreno-Iribas, C ...; Engström, Gunnar; Melander, Olle; Nordendahl, Mari ...; Wennberg, Patrik ...; Key, Timothy J.; Colorado-Yohar, ...; Matullo, Giusepp ...; Overvad, Kim; Clavel-Chapelon, ...; Boeing, Heiner; Ramon Quiros, J.; Di Angelantonio, ...; Langenberg, Clau ...; Sweeting, Michae ...; Riboli, Elio; Wareham, Nichola ...; Danesh, John; Butterworth, Ada ...; visa färre...

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