Research Article

Age at Menarche, Menstrual Characteristics, and Risk of Preeclampsia

Table 3

Menstrual characteristics, age at menarche, body weight measurements, and the risk of preeclampsia.

Stratifying covariates and exposure of interest  CasesNoncasesStratified by BMIJoint models
Adj. OR95% (CI)Adj. OR95% (CI)

Prepregnancy BMI and long cycle length1
 <25 kg/m2, <36 days35 (43.8)2327 (71.6)1.00Referent1.00Referent
 <25 kg/m2, ≥36 days7 (8.8)187 (5.8)2.561.12–5.882.501.09–5.72
 ≥25 kg/m2, <36 days36 (45.0)653 (20.1)1.00Referent3.782.35–6.08
 ≥25 kg/m2, ≥36 days2 (2.5)81 (2.5)0.440.10–1.841.670.40–7.09
Prepregnancy BMI and early age at menarche
 <25 kg/m2, >11 years37 (46.3)2223 (68.4)1.00ReferentReferentReferent
 <25 kg/m2, ≤11 years5 (6.3)291 (9.0)1.130.44–2.921.080.42–2.76
 ≥25 kg/m2, >11 years26 (32.5)561 (17.3)1.00Referent2.861.71–4.77
 ≥25 kg/m2, ≤11 years12 (15.0)173 (5.3)1.480.72–3.024.412.24–8.66
Maternal birth weight and long cycle length
 ≥2500 gr, <36 days64 (80.0)2755 (84.8)1.00ReferentReferentReferent
 ≥2500 gr, ≥36 days7 (8.8)225 (6.9)1.360.61–3.001.360.31–3.00
 <2500 gr, <36 days2 (2.5)33 (1.0)1.00Referent2.650.62–11.31
 <2500 gr, ≥36 days7 (8.8)235 (7.2)0.530.10–2.841.280.58–2.83
Maternal birth weight and early age at menarche
 ≥2500 gr, >11 years57 (71.3)2566 (79.0)1.00ReferentReferentReferent
 ≥2500 gr, ≤11 years3 (3.8)40 (1.2)3.571.06–11.963.571.07–11.93
 <2500 gr, >11 years6 (7.5)218 (6.7)1.00Referent1.260.54–2.95
 <2500 gr, ≤11 years14 (17.5)424 (13.1)1.200.45–3.181.540.85–2.80
Adult weight gain2 and long usual cycle length
 <5.0 kg, <36 days14 (17.5)1441 (44.4)1.00ReferentReferentReferent
 <5.0 kg, ≥36 days3 (3.8)122 (3.8)2.710.76–9.722.470.70–8.73
 ≥5.0 kg, <36 days57 (71.3)1539 (47.4)1.00Referent3.872.14–6.98
 ≥5.0 kg, ≥36 days6 (7.5)146 (4.5)1.120.47–2.644.331.63–11.45
Adult weight gain and early age at menarche
 <5.0 kg, >11 years13 (16.3)1369 (42.2)1.00ReferentReferentReferent
 <5.0 kg, ≤11 years4 (5.0)194 (6.0)2.400.77–7.522.260.73–7.03
 ≥5.0 kg, >11 years50 (62.5)1415 (43.6)1.00Referent3.792.05–7.03
 ≥5.0 kg, ≤11 years13 (16.3)270 (8.3)1.360.47–2.645.282.41–11.56

All models are adjusted for age, race, family history of diabetes, and physical activity.
1Interaction 𝑃 value 0.04.
2Adult weight gain: difference between weight at age 18 and prepregnancy weight.