Age at menarche and lung function: a Mendelian randomization study.

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Title: Age at menarche and lung function: a Mendelian randomization study.
Authors: Gill, D
Sheehan, NA
Wielscher, M
Shrine, N
Amaral, AFS
Thompson, JR
Granell, R
Leynaert, B
Real, FG
Hall, IP
Tobin, MD
Auvinen, J
Ring, SM
Jarvelin, M-R
Wain, LV
Henderson, J
Jarvis, D
Minelli, C
Item Type: Journal Article
Abstract: A trend towards earlier menarche in women has been associated with childhood factors (e.g. obesity) and hypothesised environmental exposures (e.g. endocrine disruptors present in household products). Observational evidence has shown detrimental effects of early menarche on various health outcomes including adult lung function, but these might represent spurious associations due to confounding. To address this we used Mendelian randomization where genetic variants are used as proxies for age at menarche, since genetic associations are not affected by classical confounding. We estimated the effects of age at menarche on forced vital capacity (FVC), a proxy for restrictive lung impairment, and ratio of forced expiratory volume in one second to FVC (FEV1/FVC), a measure of airway obstruction, in both adulthood and adolescence. We derived SNP-age at menarche association estimates for 122 variants from a published genome-wide meta-analysis (N = 182,416), with SNP-lung function estimates obtained by meta-analysing three studies of adult women (N = 46,944) and two of adolescent girls (N = 3025). We investigated the impact of departures from the assumption of no pleiotropy through sensitivity analyses. In adult women, in line with previous evidence, we found an effect on restrictive lung impairment with a 24.8 mL increase in FVC per year increase in age at menarche (95% CI 1.8-47.9; p = 0.035); evidence was stronger after excluding potential pleiotropic variants (43.6 mL; 17.2-69.9; p = 0.001). In adolescent girls we found an opposite effect (-56.5 mL; -108.3 to -4.7; p = 0.033), suggesting that the detrimental effect in adulthood may be preceded by a short-term post-pubertal benefit. Our secondary analyses showing results in the same direction in men and boys, in whom age at menarche SNPs have also shown association with sexual development, suggest a role for pubertal timing in general rather than menarche specifically. We found no effect on airway obstruction (FEV1/FVC).
Issue Date: 17-Jun-2017
Date of Acceptance: 7-Jun-2017
ISSN: 0393-2990
Publisher: Springer Verlag
Start Page: 701
End Page: 710
Journal / Book Title: European Journal of Epidemiology
Volume: 32
Issue: 8
Copyright Statement: © 2017 The Author(s). Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Sponsor/Funder: Commission of the European Communities
Funder's Grant Number: 633212
Keywords: Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Mendelian randomization
Lung function
1117 Public Health And Health Services
Publication Status: Published
Appears in Collections:Infectious Disease Epidemiology
National Heart and Lung Institute
Faculty of Medicine
Epidemiology, Public Health and Primary Care

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