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March 26, 2025
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Type II diabetes mellitus and menopause: a multinational study

Publicated to:Climacteric. 16 (6): 663-672 - 2013-12-01 16(6), DOI: 10.3109/13697137.2013.798272

Authors: Monterrosa-Castro, A; Bluemel, J E; Portela-Buelvas, K; Mezones-Holguin, E; Baron, G; Bencosme, A; Benitez, Z; Bravo, L M; Calle, A; Chedraui, P; Flores, D; Espinoza, M T; Gomez, G; Hernandez-Bueno, J A; Laribezcoa, F; Lima, S; Martino, M; Mostajo, D; Ojeda, E; Onatra, W; Sanchez, H; Navarro, D; Tserotas, K; Vallejo, M S; Witis, S; Zuniga, M C

Affiliations

Atenc Med Integral Mujer, Mexico City, DF, Mexico - Author
Caja Salud Banca Privada, Cochabamba, Bolivia - Author
Hosp Clin San Martin, Buenos Aires, DF, Argentina - Author
Hosp Metropolit, Santiago, Chile - Author
Hosp Mil, Montevideo, Uruguay - Author
Hosp SOLCA, Machala, Ecuador - Author
Inst Nacl Endocrinol, Havana, Cuba - Author
Inst Nacl Salud, Lima, Peru - Author
IPS, Hosp Cent, Asuncion, Paraguay - Author
Obra Social Empleado Publ, Mendoza, Argentina - Author
Unidad Diagnost Med, Santa Cruz, Bolivia - Author
Univ Andina Cusco, Cuzco, Peru - Author
Univ Cartagena, Fac Med, Campus Zaragocilla, Cartagena, Colombia - Author
Univ Catolica, Guayaquil, Ecuador - Author
Univ Cent Ecuador, Quito, Ecuador - Author
Univ Chile, Santiago, Chile - Author
Univ Ciencias Aplicadas & Ambientales, Cartagena, Colombia - Author
Univ Diego Portales, Santiago, Chile - Author
Univ El Bosque, Bogota, Colombia - Author
Univ Guadalajara, Guadalajara, Jalisco, Mexico - Author
Univ Nacl Piura, Piura, Peru - Author
Univ Nacl Rosario, Rosario, Argentina - Author
Univ Panama, Ciudad De Panama, Panama - Author
Univ Valle, Cali, Colombia - Author
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Abstract

Background Type II diabetes mellitus causes metabolic changes that may lead to early menopause and worsen climacteric symptoms. Objectives To determine the risk factors for type II diabetes mellitus and assess the impact of this disease on the age of menopause and on climacteric symptoms. Methods A total of 6079 women aged between 40 and 59 years from 11 Latin American countries were requested to answer the Menopause Rating Scale and Goldberg Anxiety-Depression Scale. Results The prevalence of diabetes was 6.7%. Diabetes mellitus was associated with arterial hypertension (odds ratio (OR) 4.49; 95% confidence interval (CI) 3.47-5.31), the use of psychotropic drugs (OR 1.54; 95% CI 1.22-1.94), hormonal therapy (OR 1.46; 95% CI 1.11-1.92), >= 50 years of age (OR 1.48; 95% CI 1.17-1.86), overweight or obese (OR 1.47; 95% CI 1.15-1.89), and waist circumference >= 88 cm (OR 1.32; 95% CI 1.06-1.65). Factors associated with lower risk of diabetes were the use of hormonal contraceptives (OR 0.55; 95% CI 0.35-0.87), alcohol (OR 0.73; 95% CI 0.54-0.98) and living in cities >2500 meters above sea level (OR 0.70; 95% CI 0.53-0.91) or with high temperatures (OR 0.67; 95% CI 0.51-0.88). In turn, diabetes tripled the risk of menopause in women under 45 years of age. Diabetes did not increase the risk of deterioration of quality of life due to climacteric symptoms. Conclusion Menopause does not increase the risk of type II diabetes mellitus. Diabetes is associated with early menopause in women under 45 years of age.

Keywords

AdiponectiAssociationBlood pressureClimacteric symptomsHormone-therapyInsulin-resistanceLatin americMenopauseRiskType ii diabetesWomen

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Climacteric due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2013, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category .

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 10.37, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-06, the following number of citations:

  • WoS: 51

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-06:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 117.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 117 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 5.
  • The number of mentions on the social network X (formerly Twitter): 4 (Altmetric).

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Argentina; Bolivia; Chile; Colombia; Cuba; Ecuador; Mexico; Panama; Paraguay; Peru; Uruguay.