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Early menarche and blood pressure in adulthood: systematic review and meta-analysis

Bubach, S; Loret De Mola, C; Hardy, R; Dreyfus, J; Santos, AC; Horta, BL; (2017) Early menarche and blood pressure in adulthood: systematic review and meta-analysis. Journal of Public Health , 40 (3) pp. 476-484. 10.1093/pubmed/fdx118. Green open access

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Abstract

Background: It has been reported that early menarche is associated with high blood pressure and hypertension. However, some studies have failed to observe such association. We carried out a systematic review and meta-analysis on the association of early menarche with hypertension and high blood pressure in adulthood. / Methods: PUBMED, SciELO, Scopus and LILACS databases were searched. Studies that evaluated the association of early menarche with hypertension or high blood pressure, among women aged 20 years or more were included. Random effects models were used to pool the estimates. Meta-regression was used to evaluate the contribution of different co-variables to heterogeneity. / Results: We identified 17 studies with 18 estimates on the association of early menarche with hypertension and high blood pressure. The odds of hypertension/high blood pressure was higher among women with early menarche [pooled (OR):1.25; 95% confidence interval (CI): 1.17–1.34; P < 0.001]. In the meta-regression analysis, studies evaluating 1500 subjects or more had a higher pooled OR [1.27; 95%CI (1.19;1.36)] than those with less participants. Although funnel plots showed some asymmetry, Egger tests were not statistically significant. Therefore, it is unlikely that the observed association was to publication bias. / Conclusions: Early menarche is associated with hypertension among adult woman.

Type: Article
Title: Early menarche and blood pressure in adulthood: systematic review and meta-analysis
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/pubmed/fdx118
Publisher version: http://dx.doi.org/10.1093/pubmed/fdx118
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: blood pressure, hypertension, menarche, meta-analysis, puberty, review
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Research Institute
URI: https://discovery.ucl.ac.uk/id/eprint/10030597
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