Evidence map›Paper›PMID 27834746›Full record

ArticleStroke2016

Menopausal Hot Flashes and Carotid Intima Media Thickness Among Midlife Women.

Rebecca C Thurston, Yuefang Chang, Emma Barinas-Mitchell, J Richard Jennings, Doug P Landsittel, Nanette Santoro, Roland von Känel, Karen A Matthews

Open access · bronzeAbstract read
In one paragraph

Article in Stroke, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Evidence of APOE4-related brain vulnerabilities in verbal memory systems in midlife women.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  9. Lifetime trauma exposure and accelerated epigenetic aging among midlife women.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
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  10. Article
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  14. Article
  15. Reproductive hormones in relation to white matter hyperintensity volumes among midlife women.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  16. Review
  17. Menopausal vasomotor symptoms and plasma Alzheimer disease biomarkers.American journal of obstetrics and gynecology · 2024
    Article
  18. Vasomotor symptoms and cardiovascular health: findings from the SWAN and the MsHeart/MsBrain studies.Climacteric : the journal of the International Menopause Society · 2024
    Review
  19. Article
  20. Carotid intima media thickness and white matter hyperintensity volume among midlife women.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Rebecca C ThurstonFrom the Department of Psychiatry (R.C.T., J.R.J., K.A.M.), Department of Neurosurgery (Y.C.), and Department of Medicine (D.P.L.), University of Pittsburgh School of Medicine, PA; Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, PA (R.C.T., E.B.-M., K.A.M.); Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Denver (N.S.); and Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Switzerland (R.v.K.). thurstonrc@upmc.edu.
Yuefang ChangFrom the Department of Psychiatry (R.C.T., J.R.J., K.A.M.), Department of Neurosurgery (Y.C.), and Department of Medicine (D.P.L.), University of Pittsburgh School of Medicine, PA; Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, PA (R.C.T., E.B.-M., K.A.M.); Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Denver (N.S.); and Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Switzerland (R.v.K.).
Emma Barinas-MitchellFrom the Department of Psychiatry (R.C.T., J.R.J., K.A.M.), Department of Neurosurgery (Y.C.), and Department of Medicine (D.P.L.), University of Pittsburgh School of Medicine, PA; Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, PA (R.C.T., E.B.-M., K.A.M.); Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Denver (N.S.); and Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Switzerland (R.v.K.).
J Richard JenningsFrom the Department of Psychiatry (R.C.T., J.R.J., K.A.M.), Department of Neurosurgery (Y.C.), and Department of Medicine (D.P.L.), University of Pittsburgh School of Medicine, PA; Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, PA (R.C.T., E.B.-M., K.A.M.); Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Denver (N.S.); and Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Switzerland (R.v.K.).
Doug P LandsittelFrom the Department of Psychiatry (R.C.T., J.R.J., K.A.M.), Department of Neurosurgery (Y.C.), and Department of Medicine (D.P.L.), University of Pittsburgh School of Medicine, PA; Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, PA (R.C.T., E.B.-M., K.A.M.); Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Denver (N.S.); and Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Switzerland (R.v.K.).
Nanette SantoroFrom the Department of Psychiatry (R.C.T., J.R.J., K.A.M.), Department of Neurosurgery (Y.C.), and Department of Medicine (D.P.L.), University of Pittsburgh School of Medicine, PA; Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, PA (R.C.T., E.B.-M., K.A.M.); Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Denver (N.S.); and Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Switzerland (R.v.K.).
Roland von KänelFrom the Department of Psychiatry (R.C.T., J.R.J., K.A.M.), Department of Neurosurgery (Y.C.), and Department of Medicine (D.P.L.), University of Pittsburgh School of Medicine, PA; Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, PA (R.C.T., E.B.-M., K.A.M.); Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Denver (N.S.); and Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Switzerland (R.v.K.).
Karen A MatthewsFrom the Department of Psychiatry (R.C.T., J.R.J., K.A.M.), Department of Neurosurgery (Y.C.), and Department of Medicine (D.P.L.), University of Pittsburgh School of Medicine, PA; Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, PA (R.C.T., E.B.-M., K.A.M.); Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Denver (N.S.); and Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Switzerland (R.v.K.).
University of Colorado Denver · USUniversity of Pittsburgh · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Mechanisms linking hot flashes to cardiovascular riskR01HL105647 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI THURSTON, REBECCA C · 2011 to 2015
$3.2M
Interdisciplinary Mentoring and Research in Womens Cardiovascular HealthK24HL123565 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI THURSTON, REBECCA C · 2014 to 2023
$1.0M
NCATS NIH HHS UL1 TR000005NHLBI NIH HHS K24 HL123565NHLBI NIH HHS R01 HL105647
6 · The paper itself

Abstract

background and purposeThere has been a longstanding interest in the role of menopause and its correlates in the development of cardiovascular disease (CVD) in women. Menopausal hot flashes are experienced by most midlife women; emerging data link hot flashes to CVD risk indicators. We tested whether hot flashes, measured via state-of-the-art physiologic methods, were associated with greater subclinical atherosclerosis as assessed by carotid ultrasound. We considered the role of CVD risk factors and estradiol concentrations in these associations.

methodsA total of 295 nonsmoking women free of clinical CVD underwent ambulatory physiologic hot flash assessments; a blood draw; and carotid ultrasound measurement of intima media thickness and plaque. Associations between hot flashes and subclinical atherosclerosis were tested in regression models controlling for CVD risk factors and estradiol.

resultsMore frequent physiologic hot flashes were associated with higher carotid intima media thickness (for each additional hot flash: β [SE]=0.004 [0.001]; P=0.0001; reported hot flash: β [SE]=0.008 [0.002]; P=0.002, multivariable) and plaque (eg, for each additional hot flash, odds ratio [95% confidence interval] plaque index ≥2=1.07 [1.003-1.14]; P=0.04, relative to no plaque, multivariable] among women reporting daily hot flashes; associations were not accounted for by CVD risk factors or by estradiol. Among women reporting hot flashes, hot flashes accounted for more variance in intima media thickness than most CVD risk factors.

conclusionsAmong women reporting daily hot flashes, frequent hot flashes may provide information about a woman's vascular status beyond standard CVD risk factors and estradiol. Frequent hot flashes may mark a vulnerable vascular phenotype among midlife women.

Indexed as

Carotid Intima-Media ThicknessAtherosclerosisCardiovascular DiseasesFemaleHot FlashesHumansMiddle AgedPerimenopausePostmenopauseRisk Factorsatherosclerosiscardiovascular diseaseshot flashesintima media thicknessmenopausevasomotor symptomswomen

Identifiers

PMID27834746
PMCPMC5134903
OpenAlexW2554315140

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.