Evidence map›Paper›PMID 40330614›Full record

ReviewTemperature (Austin, Tex.)2025

Effects of menopause on temperature regulation.

Marie Gombert-Labedens, Kristine Vesterdorf, Andrea Fuller, Shane K Maloney, Fiona C Baker

Abstract readReview
In one paragraph

Review in Temperature (Austin, Tex.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

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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

5 authors.

Marie Gombert-LabedensCenter for Health Sciences, SRI International, Menlo Park, CA, USA.ORCID https://orcid.org/0000-0003-0577-215X
Kristine VesterdorfSchool of Human Sciences, The University of Western Australia, Perth, Australia.ORCID https://orcid.org/0000-0002-7893-4810
Andrea FullerBrain Function Research Group, School of Physiology, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0001-6370-8151
Shane K MaloneySchool of Human Sciences, The University of Western Australia, Perth, Australia.ORCID https://orcid.org/0000-0002-5878-2266
Fiona C BakerCenter for Health Sciences, SRI International, Menlo Park, CA, USA.ORCID https://orcid.org/0000-0001-9602-6165

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Changes in thermoregulation, notably the emergence of hot flashes, occur during the menopause transition in association with reproductive hormonal changes. Hot flashes constitute the most characteristic symptom of menopause (prevalence of 50-80%), and have a substantial negative effect on quality of life. Here, we review the endocrine changes associated with menopause and the thermoregulatory system and its sensitivity to female sex hormones. We then review current knowledge on the underlying neural mechanisms of hot flashes and how the reproductive and thermoregulatory systems interact in females. We consider the kisspeptin-neurokinin B-dynorphin (KNDy) neuron complex, which becomes hyperactive when estradiol levels decrease. KNDy neurons project from the arcuate nucleus to thermoregulatory areas within the hypothalamic preoptic area, where heat loss mechanisms are triggered, including cutaneous vasodilation and sweating - characteristics of the hot flash. We describe the physiology and measurement of hot flashes and discuss the mixed research findings about thresholds for sweating in symptomatic individuals. We consider the unique situation of hot flashes that arise during sleep, and discuss the relationships between the environment, exercise, and body mass index with hot flashes. We also discuss the unique situation of surgical menopause (with oophorectomy) and cancer therapy, conditions that are associated with frequent, severe, hot flashes. We then provide an overview of treatments of hot flashes, including hormone therapy and targeted neurokinin B-antagonists, recently developed to target the neural mechanism of hot flashes. Finally, we highlight gaps in knowledge about menopausal thermoregulation and hot flashes and suggest future directions for research.

Indexed as

estradiolhot flasheshypothalamusKNDy neuronsMenopausemenopause transitionthermoregulationvasomotor symptomswomen

Identifiers

PMID40330614
PMCPMC12051537

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.