4.6 Article

Risks associated with premature ovarian failure in Han Chinese women

Journal

REPRODUCTIVE BIOMEDICINE ONLINE
Volume 30, Issue 4, Pages 401-407

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.rbmo.2014.12.013

Keywords

lifestyle; medical history; premature ovarian failure; risk factors

Funding

  1. National Basic Research Program of China (973 program) [2012CB944700]
  2. National Natural Science Foundation of China [81270662, 81370687, 81370692]
  3. Foundation for the Author of National Excellent Doctoral Dissertation of the People's Republic of China [201078]
  4. Independent Innovation Foundation of Shandong University (IIFSDU) [2012TS130]

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In this retrospective study, the relationship between demographic characteristics, past medical history, general lifestyle habits and susceptibility of premature ovarian failure (POF) in Han Chinese population was investigated. Five hundred and fifty-three patients with POF and 400 women with normal ovarian function were recruited. A questionnaire was designed to gather information from responders. Logistic regression was carried out to calculate odds ratios (OR), 95% confidence intervals (95% CI) and P-values. History of pelvic surgery, mumps, having relatives with menstrual abnormalities and exposure to chemical agents were significantly associated with increased risk of POF (OR 5.53 [2.15 to 14.23]; 3.26 [2.38 to 4.47]; 28.12 [8.84 to 89.46]; 4.47 [2.09 to 9.58]). Vegetarian diet, tea and mineral water consumption reduced the risk of POF (OR 0.27 [0.19 to 0.37]; 0.04 [0.03 to 0.07]; 0.63 [0.47 to 0.85], respectively). Heredity, pelvic surgery, mumps and exposure to chemical agents were identified as risk factors for POF, whereas vegetarian diet, tea consumption and mineral water drinking were protective. Therefore, genetic consultation could help those women whose relatives manifested an early or premature menopause to avoid the consequences of possible premature ovarian function cessation. Avoidance of exposure to endocrine disrupters and flavonoids intake should be considered. (C) 2014 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

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