Reproductive endocrinology

Reproductive lifespan in relation to diabetes mellitus and metabolic syndrome in a nationally representative population

BMJ Open Diabetes Res CarePublished Cross-sectional study

Main finding · DiabetesResult — go to the resultOdds ratio 2.23 95% CI 1.05–4.73

Authors' conclusion

A relatively short RLS may be associated with higher odds of diabetes, although this association did not follow a clear dose-response pattern.

Study context

Population
Postmenopausal women, US National Health and Nutrition Examination Survey 2007–2018; mean age 54.1 years; mean reproductive lifespan (RLS) 38.5 years
Participants
868 women
Exposure
Quartiles of reproductive lifespan vs reference quartile
Outcome
Diabetes and metabolic syndrome
Methodological detailsnationally representative, weighted logistic regression accounting for complex survey design
  • Nationally representative
  • Weighted logistic regression accounting for complex survey design

Main finding

Diabetes

Odds ratio

2.23

95% CI 1.05–4.73

36-39 yearsvs 40-42 years
OR 2.23 (95% CI 1.05–4.73)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Metabolic syndrome

No robust association between RLS and metabolic syndrome

Sensitivity analyses

Findings consistent when including surgical menopause and further adjusting for dietary factors

Original publication

Reproductive lifespan in relation to diabetes mellitus and metabolic syndrome in a nationally representative population. BMJ Open Diabetes Res Care. Published 7 September 2026. doi:10.1136/bmjdrc-2026-005990

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