Age of natural menopause and atrial fibrillation

The Framingham Heart Study

Jared W. Magnani, Carlee B. Moser, Joanne M. Murabito, Kerrie P. Nelson, Joao Daniel T. Fontes, Steven A. Lubitz, Lisa M. Sullivan, Patrick T. Ellinor, Emelia J. Benjamin

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Early menopausal age is associated with risk of cardiovascular events including myocardial infraction, stroke, and increased mortality. Relations between menopausal age and atrial fibrillation (AF) have not been investigated. We examined the association between menopausal age and AF. Methods: Framingham Heart Study women ≥ 60 years old without prevalent AF and natural menopause were followed up for 10 years or until incident AF. Menopausal age was modeled as a continuous variable and by categories (<45, 45-53, and >53 years). We used Cox proportional hazards regression to determine associations between menopausal age and AF risk. Results: In 1,809 Framingham women (2,662 person-examinations, mean baseline age 71.4 ± 7.6 years, menopausal age 49.8 ± 3.6 years), there were 273 unique participants with incident AF. We did not identify a significant association between the SD of menopausal age (3.6 years) and AF (hazard ratio [HR] per SD 0.94, 95% CI 0.83-1.06; P =.29). In a multivariable model with established risk factors for AF, menopausal age was not associated with incident AF (HR per SD 0.97, 95% CI 0.86-1.09; P =.60). Examining categorical menopausal age, earlier menopausal age (<45 years) was not significantly associated with increased AF risk compared with older menopausal age >53 years (HR 1.20, 95% CI 0.74-1.94; P =.52) or menopausal age 45 to 53 years (HR 1.38, 95% CI 0.93-2.04; P =.11). Conclusion: In our moderate-sized, community-based sample, we did not identify menopausal age as significantly increasing AF risk. However, future larger studies will need to examine whether there is a small effect of menopausal age on AF risk.

Original languageEnglish (US)
Pages (from-to)729-734
Number of pages6
JournalAmerican Heart Journal
Volume163
Issue number4
DOIs
StatePublished - Apr 2012
Externally publishedYes

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Menopause
Atrial Fibrillation
Stroke
Mortality

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Magnani, J. W., Moser, C. B., Murabito, J. M., Nelson, K. P., Fontes, J. D. T., Lubitz, S. A., ... Benjamin, E. J. (2012). Age of natural menopause and atrial fibrillation: The Framingham Heart Study. American Heart Journal, 163(4), 729-734. https://doi.org/10.1016/j.ahj.2012.01.010

Age of natural menopause and atrial fibrillation : The Framingham Heart Study. / Magnani, Jared W.; Moser, Carlee B.; Murabito, Joanne M.; Nelson, Kerrie P.; Fontes, Joao Daniel T.; Lubitz, Steven A.; Sullivan, Lisa M.; Ellinor, Patrick T.; Benjamin, Emelia J.

In: American Heart Journal, Vol. 163, No. 4, 04.2012, p. 729-734.

Research output: Contribution to journalArticle

Magnani, JW, Moser, CB, Murabito, JM, Nelson, KP, Fontes, JDT, Lubitz, SA, Sullivan, LM, Ellinor, PT & Benjamin, EJ 2012, 'Age of natural menopause and atrial fibrillation: The Framingham Heart Study', American Heart Journal, vol. 163, no. 4, pp. 729-734. https://doi.org/10.1016/j.ahj.2012.01.010
Magnani, Jared W. ; Moser, Carlee B. ; Murabito, Joanne M. ; Nelson, Kerrie P. ; Fontes, Joao Daniel T. ; Lubitz, Steven A. ; Sullivan, Lisa M. ; Ellinor, Patrick T. ; Benjamin, Emelia J. / Age of natural menopause and atrial fibrillation : The Framingham Heart Study. In: American Heart Journal. 2012 ; Vol. 163, No. 4. pp. 729-734.
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abstract = "Background: Early menopausal age is associated with risk of cardiovascular events including myocardial infraction, stroke, and increased mortality. Relations between menopausal age and atrial fibrillation (AF) have not been investigated. We examined the association between menopausal age and AF. Methods: Framingham Heart Study women ≥ 60 years old without prevalent AF and natural menopause were followed up for 10 years or until incident AF. Menopausal age was modeled as a continuous variable and by categories (<45, 45-53, and >53 years). We used Cox proportional hazards regression to determine associations between menopausal age and AF risk. Results: In 1,809 Framingham women (2,662 person-examinations, mean baseline age 71.4 ± 7.6 years, menopausal age 49.8 ± 3.6 years), there were 273 unique participants with incident AF. We did not identify a significant association between the SD of menopausal age (3.6 years) and AF (hazard ratio [HR] per SD 0.94, 95{\%} CI 0.83-1.06; P =.29). In a multivariable model with established risk factors for AF, menopausal age was not associated with incident AF (HR per SD 0.97, 95{\%} CI 0.86-1.09; P =.60). Examining categorical menopausal age, earlier menopausal age (<45 years) was not significantly associated with increased AF risk compared with older menopausal age >53 years (HR 1.20, 95{\%} CI 0.74-1.94; P =.52) or menopausal age 45 to 53 years (HR 1.38, 95{\%} CI 0.93-2.04; P =.11). Conclusion: In our moderate-sized, community-based sample, we did not identify menopausal age as significantly increasing AF risk. However, future larger studies will need to examine whether there is a small effect of menopausal age on AF risk.",
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