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• W2836578072 abstract "Abstract Objective: Early menopause, the cessation of ovarian function before age 45, has consequences for fertility and cardiovascular health. Evidence from studies of women with autoimmune conditions and genetic studies supports a role for inflammation in early menopause, but the association of inflammatory markers and risk has not been directly evaluated. Methods: We assessed the relation of the soluble fraction of tumor necrosis factor alpha receptor 2 (sTNFR2), C-reactive protein, interleukin-6 (IL6) levels with incident early menopause among Nurses’ Health Study II participants who provided a premenopausal blood sample in 1996 to 1999. Cases ( n = 328) were women reporting natural menopause between blood collection and age 45. Controls ( n = 492) included (1) 328 women with menopause after age 47, matched 1:1 with cases on age at blood collection and other factors; and (2) 164 additional women with menopause after age 45. Results: In multivariable models comparing cases and n = 492 controls, we observed a significant association of sTNFR2 levels and risk of early menopause ( P = 0.002). Compared with women with the lowest sTNFR2 levels, odds ratios (95% CIs) for quartiles 2 to 4 were 0.60 (0.38-0.95), 0.93 (0.61-1.43), and 1.40 (0.93-2.11). Results further adjusting for antimüllerian hormone levels were similar in magnitude, as were results from sensitivity analyses of matched cases and controls ( n = 328 pairs), nonsmokers, and leaner women. C-reactive protein and IL6 levels were unrelated to risk. Conclusions: The observation of lower risk of early menopause among women with moderate sTNFR2 levels compared with women with lower and higher levels warrants further prospective study." @default.
• W2836578072 created "2018-07-19" @default.
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• W2836578072 date "2019-01-01" @default.
• W2836578072 modified "2023-10-18" @default.
• W2836578072 title "A prospective study of inflammatory biomarker levels and risk of early menopause" @default.
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• W2836578072 doi "https://doi.org/10.1097/gme.0000000000001162" @default.
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