Menstrual and reproductive factors and type 2 diabetes risk: The Japan Public Health Center-based Prospective Study

被引：15

作者：

Nanri, Akiko ^{[1
,2
]}

Mizoue, Tetsuya ^{[2
]}

Noda, Mitsuhiko ^{[3
]}

Goto, Atsushi ^{[4
]}

Sawada, Norie ^{[4
]}

Tsugane, Shoichiro ^{[4
]}

Tsugane, S. ^{[5
]}

Sawada, N. ^{[5
]}

Iwasaki, M. ^{[5
]}

Inoue, M. ^{[5
]}

Yamaji, T. ^{[5
]}

Goto, A. ^{[5
]}

Shimazu, T. ^{[5
]}

Charvat, H. ^{[5
]}

Budhathoki, S. ^{[5
]}

Muto, M. ^{[5
]}

Suzuki, H. ^{[6
]}

Minamizono, T. ^{[7
]}

Kobayashi, Y. ^{[8
]}

Irei, M. ^{[9
]}

Doi, M. ^{[10
,12
]}

Katagiri, M. ^{[11
]}

Tagami, T. ^{[12
]}

Sou, Y. ^{[13
]}

Uehara, M. ^{[14
]}

Kokubo, Y. ^{[15
]}

Yamagishi ^{[16
]}

Noda, M.

Mizoue, T. ^{[17
]}

Kawaguchi, Y. ^{[18
]}

Nakamura, K. ^{[19
]}

Takachi, R.

Ishihara, J. ^{[20
]}

Iso, H. ^{[21
]}

Sobue, T. ^{[21
,46
]}

Saito, I. ^{[22
]}

Yasuda, N. ^{[23
]}

Mimura, M. ^{[24
]}

Sakata, K. ^{[25
]}

Hanaoka, T. ^{[5
]}

Hidaka, A. ^{[5
]}

Sasazuki, S. ^{[5
]}

Ogata, J. ^{[15
]}

Baba, S. ^{[15
]}

Mannami, T. ^{[15
]}

Okayama, A. ^{[15
]}

Miyakawa, K. ^{[6
]}

Saito, F. ^{[6
]}

Koizumi, A. ^{[6
]}

Sano, Y. ^{[6
]}

机构：

[1] Fukuoka Womens Univ, Int Coll Arts & Sci, Dept Food & Hlth Sci, Fukuoka, Fukuoka, Japan

[2] Natl Ctr Global Hlth & Med, Ctr Clin Sci, Dept Epidemiol & Prevent, Tokyo, Japan

[3] Saitama Med Univ, Dept Endocrinol & Diabet, Saitama, Japan

[4] Natl Canc Ctr, Ctr Publ Hlth Sci, Epidemiol & Prevent Grp, Tokyo, Japan

[5] Natl Canc Ctr, Tokyo, Japan

[6] Iwate Prefectural Ninohe Public Health, Ninohe, Iwate, Japan

[7] Akita Prefectural Yokote Publ Hlth Ctr, Akita, Japan

[8] Nagano Prefectural Saku Publ Hlth Ctr, Nagano, Japan

[9] Okinawa Prefectural Chubu Publ Hlth Ctr, Okinawa, Okinawa, Japan

[10] Ibaraki Prefectural Mito Publ Hlth Ctr, Ibaraki, Japan

[11] Niigata Prefectural Nagaoka Publ Hlth Ctr, Niigata, Japan

[12] Kochi Prefectural Chuohigashi Publ Hlth Ctr, Kochi, Japan

[13] Nagasaki Prefectural Kamigoto Publ Hlth Ctr, Nagasaki, Japan

[14] Okinawa Prefectural Miyako Publ Hlth Ctr, Okinawa, Okinawa, Japan

[15] Natl Cerebral and Cardiovasc Ctr, Osaka, Japan

[16] Univ Tsukuba, Ibaraki, Japan

[17] Natl Ctr Global Hlth & Med, Tokyo, Japan

[18] Tokyo Med & Dent Univ, Tokyo, Japan

[19] Niigata Univ, Niigata, Japan

[20] Azabu Univ, Sagamihara, Kanagawa, Japan

[21] Osaka Univ, Osaka, Japan

[22] Ehime Univ, Matsuyama, Ehime, Japan

[23] Kochi Univ, Kochi, Japan

[24] Keio Univ, Tokyo, Japan

[25] Iwate Med Univ, Morioka, Iwate, Japan

[26] Katsushika Publ Hlth Ctr, Tokyo, Japan

[27] Osaka Prefectural Suita Publ Hlth Ctr, Osaka, Japan

[28] Tohoku Univ, Sendai, Miyagi, Japan

[29] Res Inst Brain & Blood Vessels, Akita, Japan

[30] Natl Inst Environm Studies, Ibaraki, Japan

[31] Natl Inst Hlth & Nutr, Tokyo, Japan

[32] Tokyo Univ Agr, Tokyo, Japan

[33] Univ Tokyo, Tokyo, Japan

[34] Kyorin Univ, Tokyo, Japan

[35] Saku Gen Hosp, Nagano, Japan

[36] Hamamatsu Univ, Sch Med, Hamamatsu, Shizuoka, Japan

[37] Aichi Canc Ctr, Nagoya, Aichi, Japan

[38] Osaka Med Ctr Canc & Cardiovasc Dis, Osaka, Japan

[39] Chiba Prefectural Inst Publ Hlth, Chiba, Japan

[40] Nagoya Univ, Aichi, Japan

[41] Kagoshima Univ, Kagoshima, Japan

[42] Keio Univ, Tokyo, Japan

[43] Tokyo Gakugei Univ, Tokyo, Japan

[44] Sakihae Inst, Gifu, Japan

[45] Kyushu Univ, Fukuoka, Fukuoka, Japan

[46] Osaka Univ, Osaka, Japan

[47] Kobe Univ, Kobe, Hyogo, Japan

来源：

JOURNAL OF DIABETES INVESTIGATION | 2019年 / 10卷 / 01期

关键词：

Japanese; Parity; Type; 2; diabetes; AGE; MENOPAUSE; MELLITUS; METAANALYSIS; MENARCHE; WOMEN; OBESITY; DISEASE; LONG; JPHC;

D O I：

10.1111/jdi.12853

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims/Introduction Menstrual and reproductive factors, including age at menarche, parity and breast-feeding, have been linked to type 2 diabetes risk. We prospectively investigated the association between these factors and type 2 diabetes risk in a large Japanese cohort. Materials and Methods Participants were 37,511 women aged 45-75 years who participated in the baseline (1990-1993), second (1995-1998) and third surveys (2000-2003) of the Japan Public Health Center-based Prospective Study, and who had no history of diabetes at the second survey. Menstrual and reproductive history was ascertained using questionnaires at the baseline and second surveys. Odds ratios of self-reported, physician-diagnosed type 2 diabetes over the 5-year period from the second survey were estimated using logistic regression. Results At the third survey, 513 new cases of type 2 diabetes were self-reported. The odds ratios of type 2 diabetes tended to increase with the number of parity, after adjustment for covariates other than body mass index (P for trend = 0.029). The multivariable-adjusted odds ratios of type 2 diabetes for women with three or more births was 1.56 (95% confidence interval 0.96-2.53) compared with those who were nulliparous. The association between parity and type 2 diabetes risk was attenuated after additional adjustment for body mass index (P for trend = 0.12). No factors other than parity were significantly associated with type 2 diabetes risk. Conclusions Higher parity might be associated with an increased risk of type 2 diabetes among Japanese women, partly through increasing bodyweight.

引用

页码：147 / 153

页数：7

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