Rheumatoid arthritis

A cohort study on the associations between age at natural menopause and rheumatoid arthritis in postmenopausal women from the Canadian Longitudinal Study on Aging

Semin Arthritis RheumPublished Cohort study

Main finding · Incident RA, ANM ≥50 with hormone replacement therapy ≥8 years vs ANM ≤44 never-usersResult — go to the resultAdjusted hazard ratio 0.2 95% CI 0.1–0.7

Authors' conclusion

Our findings suggest a potential beneficial effect of longer estrogen exposure on the risk of developing rheumatoid arthritis.

Study context

Population
Naturally postmenopausal women aged 45–85 years from the Canadian Longitudinal Study on Aging without RA prior to menopause
Exposure
Age at natural menopause ≥50 or 45-49 vs ≤44 years
Outcome
Incidence of RA
Follow-up
10-year period
Methodological details10-year follow-up, survival analysis, unadjusted and adjusted multivariable Cox regression
  • 10-year follow-up
  • Survival analysis
  • Unadjusted and adjusted multivariable Cox regression

Main finding

As reported in the abstract

Incident RA, ANM ≥50 with hormone replacement therapy ≥8 years vs ANM ≤44 never-users

Adjusted hazard ratio

0.2

95% CI 0.1–0.7

ANM ≥50vs ANM ≤ 44
aHR 0.2 (95% CI 0.1–0.7)

Observational data: associations, not effects.

Original publication

A cohort study on the associations between age at natural menopause and rheumatoid arthritis in postmenopausal women from the Canadian Longitudinal Study on Aging. Semin Arthritis Rheum. Published 2 May 2025. doi:10.1016/j.semarthrit.2025.152747

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