PMID- 35055839 OWN - NLM STAT- MEDLINE DCOM- 20220225 LR - 20220225 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 19 IP - 2 DP - 2022 Jan 17 TI - Association between Reproductive Factors and Type 2 Diabetes: A Cross-Sectional Study. LID - 10.3390/ijerph19021019 [doi] LID - 1019 AB - (1) Introduction: The available studies on the association between type 2 diabetes mellitus (T2DM) and menopause report conflicting results. (2) Objective: This study aimed to investigate the association of menopausal status, age at menopause, and length of the reproductive period with T2DM. (3) Methods: This cross-sectional study is part of the 'China Eastern Cohort Study', which is a community-based cohort study. Multistage, stratified, clustered sampling was used to recruit the study participants in Shanghai, China. Age at menarche and menopause was recorded, and reproductive period was calculated. Weighted logistic regression was used to calculate the prevalence ratios (PRs) with 95% confidence intervals (CIs) of T2DM. Restricted cubic splines were used to assess the relationship between age at menopause, reproductive period, and T2DM. (4) Results: A total of 20,128 women were included. The prevalence of T2DM was 13.7%. Postmenopausal women exhibited a higher prevalence of T2DM than premenopausal women (p < 0.001) and an unfavorable metabolic profile, including higher body mass index, hypertension, and hyperlipidemia. A higher risk of T2DM was observed in postmenopausal women (PR2.12, 95%CI: 1.79-2.51, p < 0.001) compared with premenopausal women, independently of confounding factors. After adjustment for confounding factors, age at menopause and reproductive period were not significantly associated with T2DM. (5) Conclusions: Postmenopausal status is associated with T2DM, while menopausal age and reproductive period are not associated with T2DM. Menopausal status should be considered during T2DM screening. FAU - Yu, Yuting AU - Yu Y AUID- ORCID: 0000-0001-8113-1851 AD - Key Laboratory of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China. FAU - Li, Jing AU - Li J AD - Zhongshan Community Health Center, Shanghai 201613, China. FAU - Jiang, Yonggen AU - Jiang Y AD - Songjiang District Center for Disease Control and Prevention, Shanghai 201600, China. FAU - Zaid, Maryam AU - Zaid M AD - Key Laboratory of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China. FAU - Zhao, Qi AU - Zhao Q AUID- ORCID: 0000-0003-0140-3920 AD - Key Laboratory of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China. FAU - Wang, Na AU - Wang N AUID- ORCID: 0000-0003-0806-4247 AD - Key Laboratory of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China. FAU - Liu, Xing AU - Liu X AD - Key Laboratory of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China. FAU - Qiu, Yun AU - Qiu Y AD - Key Laboratory of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China. FAU - Zhu, Junjie AU - Zhu J AUID- ORCID: 0000-0002-7662-4915 AD - Key Laboratory of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China. FAU - Tong, Xin AU - Tong X AD - Key Laboratory of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China. FAU - Cui, Shuheng AU - Cui S AD - Key Laboratory of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China. FAU - Wu, Yiling AU - Wu Y AD - Songjiang District Center for Disease Control and Prevention, Shanghai 201600, China. FAU - Yu, Jianguo AU - Yu J AD - Zhongshan Community Health Center, Shanghai 201613, China. FAU - Zhao, Genming AU - Zhao G AD - Key Laboratory of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220117 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - Age Factors MH - China/epidemiology MH - Cohort Studies MH - Cross-Sectional Studies MH - *Diabetes Mellitus, Type 2/epidemiology MH - Female MH - Humans MH - Menopause MH - Risk Factors PMC - PMC8775663 OTO - NOTNLM OT - cross-sectional study OT - menopause OT - reproductive period OT - type 2 diabetes OT - woman health COIS- All authors certify that they have no affiliations with or involvement in any organization or entity with any financial or non-financial interest in the subject matter or materials discussed in this manuscript. EDAT- 2022/01/22 06:00 MHDA- 2022/02/26 06:00 PMCR- 2022/01/17 CRDT- 2022/01/21 01:12 PHST- 2021/12/13 00:00 [received] PHST- 2022/01/14 00:00 [revised] PHST- 2022/01/15 00:00 [accepted] PHST- 2022/01/21 01:12 [entrez] PHST- 2022/01/22 06:00 [pubmed] PHST- 2022/02/26 06:00 [medline] PHST- 2022/01/17 00:00 [pmc-release] AID - ijerph19021019 [pii] AID - ijerph-19-01019 [pii] AID - 10.3390/ijerph19021019 [doi] PST - epublish SO - Int J Environ Res Public Health. 2022 Jan 17;19(2):1019. doi: 10.3390/ijerph19021019.