Observational studyJournal of diabetes research2026
Associations Between Prepregnancy Menstrual Characteristics, Age at Menarche, and the Risk of Gestational Diabetes Mellitus: A Matched Case-Control Study.
Observational study in Journal of diabetes research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
8 authors.
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Abstract
Background: Inconsistencies exist in the literature regarding the associations among age at menarche (AAM), prepregnancy menstrual characteristics, and the risk of gestational diabetes mellitus (GDM). These discrepancies may be attributable to variations in population demographics. The aim of this study was to investigate the impact of prepregnancy menstrual characteristics and AAM on the likelihood of developing GDM among Chinese women. Methods: A 1:1 age-matched case-control study was conducted that included 2289 patients with GDM and 2289 normoglycemic pregnant women as controls at Wuhan Union Hospital from September 2020 to August 2022. Fasting blood samples were collected during 24-28 weeks of gestation. AAM and menstrual cycle characteristics were categorized and incorporated into a conditional logistic regression model that was adjusted for potential confounders. Additionally, restricted cubic spline curves were employed to assess the trend in GDM risk associated with AAM. Results: The final analysis included 4578 participants. The AAM in the GDM group presented significantly earlier than that in the normoglycemic group ( Conclusion: Early AAM, irregular menstrual cycles, and prolonged menstrual cycle length were associated with an increased risk of GDM. Among women with menarche occurring before the age of 13, there was an association with a higher risk of GDM. These indicators may help identify women at high risk and facilitate preconception interventions to prevent GDM. Trial Registration: ClinicalTrials.gov identifier: ChiCTR2200063189.
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