Reproductive endocrinology

Association between premature ovarian insufficiency and biological aging

Eur J EndocrinolPublished Cross-sectional study

Authors' conclusion

This study showed that participants with POI had a significantly increased risk of biological aging compared with those without POI. Participants with POI who received MHT had a reduced risk of aging compared with those who did not.

Study context

Population
Participants aged ≥40 years in the UK Biobank (2006–2010) and NHANES (1999–2018)UK Biobank and NHANES
Participants
229,779 participants
Exposure
Premature ovarian insufficiency (POI) vs no POI; Menopausal hormone therapy (MHT) vs no MHT in POI
Outcome
Biological aging: Klemera-Doubal biological age acceleration >0
Methodological detailsUK Biobank (2006-2010) and NHANES (1999-2018)
  • UK Biobank (2006-2010) and NHANES (1999-2018)

Main finding

As reported in the abstract

Biological aging
POI vs Without POIOdds ratio (95% CI)
UK Biobank
1.50(1.24–1.82)
NHANES
1.20(1.07–1.34)

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
Biological aging in POI: MHT vs no MHTMHTvs No MHTUK Biobank0.63 (0.43–0.92)
Biological aging in POI: MHT vs no MHTMHTvs No MHTNHANES0.75 (0.61–0.92)
OutcomeDecrease (95% CI)
Leukocyte telomere length (UK Biobank)Lower with POI; UK Biobank0.0109 (0.0079–0.0109)

Original publication

Association between premature ovarian insufficiency and biological aging. Eur J Endocrinol. Published 9 June 2025. doi:10.1093/ejendo/lvaf102

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