Timing of menarche and menopause and epigenetic aging among U.S. adults: results from the National Health and Nutrition Examination Survey 1999–2002
Reproductive aging, including timing of menarche and menopause, influences long-term morbidity and mortality in women, yet underlying biological mechanisms remain poorly understood. Using DNA methylation-based biomarkers, we assessed associations of age at menarche (N = 1,033) and menopause (N = 658) with epigenetic aging in a nationally representative sample of women ≥ 50 years. Later age at menopause was associated with lower GrimAge epigenetic age deviation ( <mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML"><mml:mi>B</mml:mi></mml:math> = - 0.10 years, 95% CI: - 0.19, - 0.02). No associations were observed for menarche timing. This suggests a connection between earlier menopause and biological aging, with potential clinical implications for identifying those at high risk for age-related disease.
Authors
- Jamaji C. Nwanaji‐Enwerem (ORCID: https://orcid.org/0000-0003-0356-4867)
- Nicole Gladish (ORCID: https://orcid.org/0000-0001-6039-7001)
- Julianna Deardorff (ORCID: https://orcid.org/0000-0002-4708-5289)
- Belinda L. Needham (ORCID: https://orcid.org/0000-0001-5939-2027)
- Saher Daredia (ORCID: https://orcid.org/0000-0002-7906-4087)
- Dennis Khodasevich (ORCID: https://orcid.org/0000-0003-1412-8251)
- Andrés Cárdenas (ORCID: https://orcid.org/0000-0003-2284-3298)
- Hanyang Shen (ORCID: https://orcid.org/0000-0003-3273-9777)
- Anne K. Bozack (ORCID: https://orcid.org/0000-0003-0046-5767)
- David H. Rehkopf (ORCID: https://orcid.org/0000-0002-7597-6513)
Institutions
- University of Michigan (US)
- Stanford Health Care (US)
- Stanford Medicine (US)
- Berkeley Public Health Division (US)
- University of Pennsylvania (US)
- University of California, Berkeley (US)
- Stanford University (US)
Publication Details
- Journal
- Clinical Epigenetics
- Published
- 2025-02-21
- DOI
- https://doi.org/10.1186/s13148-025-01827-x
- Citations
- 4
- Primary Topic
- Endometriosis Research and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 6.79
Funders
- National Institute of Environmental Health Sciences
- National Institute on Minority Health and Health Disparities