The medicalization of female fertility--points of significance for the study of menopause

This paper illustrates the need for human biologists to take into account the far-reaching influences of biomedicine in the study of reproductive aging. Data were drawn from western Massachusetts and Puebla, Mexico, to illustrate the effects of hysterectomy rates, tubal ligations and hormone replacement therapy (HRT) on studies of age and symptom experience at menopause. First, in examining age at natural menopause in relation to level of education, a country-specific, non-random pattern of participant exclusion due to hysterectomies was encountered. Second, in examining symptom frequency in relation to late childbearing, sample sizes were very small in part due to a high frequency of tubal ligations (43%) in Puebla, Mexico. Third, hot flash frequency during the two weeks prior to interview was, unexpectedly, not lower among women who used HRT. Human biologists who study the biological process of reproductive aging must also attend to the cultural influences of biomedicine.     

Edible begonias from the North of Puebla, Mexico

The Sierra Norte de Puebla, Mexico, is a region with biological and cultural diversity, where the use of local natural resources was increased by the relative isolation of the region until recent decades. There are more than 600 useful plants reported. In the Sierra Norte de Puebla at least six Begonia species are used as food. The objective of this paper is to report such species that are utilized for self-supply and for sale in local markets. The management includes gathering among wild populations, transplanting of rhizomes and vegetative propagation by leaves to establish and increase populations in home gardens and in coffee plantations.     

Phylogeography of the Trans‐Volcanic bunchgrass lizard (Sceloporus bicanthalis) across the highlands of south‐eastern Mexico

We quantify the population divergence processes that shaped population genetic structure in the Trans‐Volcanic bunchgrass lizard (Sceloporus bicanthalis) across the highlands of south‐eastern Mexico. Multilocus genetic data from nine nuclear loci and mitochondrial (mt)DNA were used to estimate the population divergence history for 47 samples of S. bicanthalis. Bayesian clustering methods partitioned S. bicanthalis into three populations: (1) a southern population in Oaxaca and southern Puebla; (2) a population in western Puebla; and (3) a northern population with a broad distribution across Hidalgo, Puebla, and Veracruz. The multilocus nuclear data and mtDNA both supported a Late Pleistocene increase in effective population size, and the nuclear data revealed low levels of unidirectional gene flow from the widespread northern population into the southern and western populations. Populations of S. bicanthalis experienced different demographic histories during the Pleistocene, and phylogeographical patterns were similar to those observed in many co‐distributed highland taxa. Although we recommend continuing to recognize S. bicanthalis as a single species, future research on the evolution of viviparity could gain novel insights by contrasting physiological and genomic patterns among the different populations located across the highlands of south‐eastern Mexico. © 2013 The Linnean Society of London, Biological Journal of the Linnean Society, 2013, 110 , 852–865.     

Effect of radiation on age at menopause among atomic bomb survivors

Exposure to ionizing radiation has been thought to induce ovarian failure and premature menopause. Proximally exposed female atomic bomb survivors were reported to experience menopause immediately after the exposure more often than those who were distally exposed. However, it remains unclear whether such effects were caused by physical injury and psychological trauma or by direct effects of radiation on the ovaries. The objective of this study was to see if there are any late health effects associated with the exposure to atomic bomb radiation in terms of age at menopause in a cohort of 21,259 Life Span Study female A-bomb survivors. Excess absolute rates (EAR) of natural and artificial menopause were estimated using Poisson regression. A linear threshold model with a knot at 0.40 Gy [95% confidence interval (CI): 0.13, 0.62] was the best fit for a dose response of natural menopause (EAR at 1 Gy at age of 50 years = 19.4/1,000 person-years, 95% CI: 10.4, 30.8) and a linear threshold model with a knot at 0.22 Gy (95% CI: 0.14, 0.34) was the best fit for artificial menopause (EAR at 1 Gy at age of 50 years for females who were exposed at age of 20 years = 14.5/1,000 person-years, 95% CI: 10.2, 20.1). Effect modification by attained age indicated that EARs peaked around 50 years of age for both natural and artificial menopause. Although effect modification by age at exposure was not significant for natural menopause, the EAR for artificial menopause tended to be larger in females exposed at young ages. On the cumulative incidence curve of natural menopause, the median age at menopause was 0.3 years younger in females exposed to radiation of 1 Gy compared with unexposed females. The median age was 1 year younger for combined natural and artificial menopause in the same comparison. In conclusion, age at menopause was thought to decrease with increasing radiation dose for both natural and artificial menopause occurring at least 5 years after the exposure.     

Human Ovarian Reserve from Conception to the Menopause

The human ovary contains a fixed number of non-growing follicles (NGFs) established before birth that decline with increasing age culminating in the menopause at 50–51 years. The objective of this study is to model the age-related population of NGFs in the human ovary from conception to menopause. Data were taken from eight separate quantitative histological studies (n = 325) in which NGF populations at known ages from seven weeks post conception to 51 years (median 32 years) were calculated. The data set was fitted to 20 peak function models, with the results ranked by obtained correlation coefficient. The highest ranked model was chosen. Our model matches the log-adjusted NGF population from conception to menopause to a five-parameter asymmetric double Gaussian cumulative (ADC) curve ( = 0.81). When restricted to ages up to 25 years, the ADC curve has  = 0.95. We estimate that for 95% of women by the age of 30 years only 12% of their maximum pre-birth NGF population is present and by the age of 40 years only 3% remains. Furthermore, we found that the rate of NGF recruitment towards maturation for most women increases from birth until approximately age 14 years then decreases towards the menopause. To our knowledge, this is the first model of ovarian reserve from conception to menopause. This model allows us to estimate the number of NGFs present in the ovary at any given age, suggests that 81% of the variance in NGF populations is due to age alone, and shows for the first time, to our knowledge, that the rate of NGF recruitment increases from birth to age 14 years then declines with age until menopause. An increased understanding of the dynamics of human ovarian reserve will provide a more scientific basis for fertility counselling for both healthy women and those who have survived gonadotoxic cancer treatments.     

Age at menopause of Tamang women tea-labourers of Jalpaiguri district,West Bengal,India

The Tamang women tea-labouren of Jalpaiguri district show no significant difference in age at menopause among their three «migration status» groups, viz., MO, M1 and M2+. The mean age at menopause is 47.3±4.26 and the median age is 47.68 years. A significant difference occurs between the observed mean age at menopause and 45 years, which is generally taken to be the menopausal age by convention. These Tamang women seem to be similar to other hill women in respect of age at menopause.     

The Fossil Record of Vertebrate Tracks in Mexico

The fossil record of vertebrate tracks in Mexico is taxonomically rich and geographically diverse, and ranges in age from Middle Jurassic to Pleistocene and possibly Holocene. Middle Jurassic saurischian dinosaur tracks from Oaxaca represent the oldest record of vertebrate tracks in Mexico. Tracks attributed to Late Jurassic theropods and ornithopods are known from Michoacán. Theropod tracks of supposed Jurassic age are known from Durango. Lower Cretaceous Saurischian and ornithopod tracks are known from southern Puebla. Central Mexico has yielded Late Cretaceous hadrosaurid and sauropod tracks (Puebla), and tracks belonging to Theropoda and Ornithopoda (El Aguaje, Michoacan). In Coahuila several tracksites occur within the Cerro del Pueblo Formation and include tracks of mesoreptiles, pterosaurs, small to large theropods, bipedal and quadrupedal ornithopods, birds and possibly a mammal. A tracksite in the Olmos Formation includes tracks of turtles, crocodilians, medium-sized theropods, small ornithopods, and birds. Bird tracks of supposed Eocene age are known from Sinaloa. Two important Pleistocene ichnofaunas occur in the states of Puebla (Tepexi de Rodríguez) and Jalisco (San Juan de los Lagos), and include tracks of camelids, artiodactyls, small ungulates, elephants, large felids and birds. Pleistocene human tracks occur in Coahuila and Jalisco. Mexico's track record provides important insights into vertebrate diversity, paleoecology, and paleoenvironments. Given the rate of new discoveries since 1998, there is no doubt that new sites await to be found.     

Ecological Bases for Sustainable Management of Pochote (<Emphasis Type="Italic">Ceiba aesculifolia</Emphasis> subsp. <Emphasis Type="Italic">parvifolia)</Emphasis> Through Demographic Analysis

The Tehuacán-Cuicatlán Valley is one of the areas with the highest biocultural diversity in Mexico. There, the pochote (Ceiba aesculifolia subsp. parvifolia) has been used for more than 7000 years, and its seeds are currently consumed and sold in traditional markets. However, the high demand-supply of this resource in regional markets could affect the permanence of the species populations. This study evaluated the state of populations harvested at different intensity levels, their risk, and potential for sustainable use. In the state of Puebla, pochote seeds are mainly commercialized, while in Oaxaca they are directly consumed by households. During 2 years, we censused five populations of the region from permanent 5000 m² plots. We evaluated growth, survival, and fecundity of individual plants of each population and constructed demographic matrix models for calculating population growth rates (λ), viability, and elasticity. Population growth rates in Puebla were λ ? 1, while in Oaxaca λ >?1. Permanence of adult trees is the most important demographic aspect for maintaining populations’ growth rates. Viability analyses for 30 years showed that two populations studied are at risk of extinction. In localities where seeds are directly consumed, the populations tolerate harvest rates of nearly 90% of fruits, while in those used for commercialization the populations tolerate lower levels, because of variations in population structure and growth rates. By simulating different harvest rates, we suggest optimal sustainable harvesting. For conserving pochote, monitoring of used populations is crucial. Our current information provide criteria that may be helpful to local authorities and people for making appropriate decisions to obtain benefits from pochote without compromising its populations’ stability.     

Menopause in Blackfeet women--a life span perspective

A lifespan perspective, combining quantitative and qualitative approaches, is used to examine factors related to the timing of menopause in Blackfeet women of northern Montana (USA). Cross-sectional survey data demonstrate a median age at menopause using a status quo method of 51.6 years, and a mean age of 47.0 +/- 5.0 years among those women who had already experienced menopause. Age at menopause is inversely associated with age at menarche and having been breastfed, and positively associated with use of contraceptives, household income, and current or recent employment. Household income and age at menarche influence menopause age jointly in multivariate models. These and other patterns are examined in the lives of two women with very divergent ages at menopause. Although these data support an effect of early life influences on shaping reproductive trajectories that culminate in menopause, environmental factors and human agency during adult life may play a modifying role.     

Trisomic pregnancy and earlier age at menopause

We tested the hypothesis that the connection between advanced maternal age and autosomal trisomy reflects the diminution of the oocyte pool with age. Because menopause occurs when the number of oocytes falls below some threshold, our hypothesis is that menopause occurs at an earlier age among women with trisomic pregnancies than it does among women with chromosomally normal pregnancies. To determine their menstrual status, we interviewed women from our previous study of karyotyped spontaneous abortions who, in 1993, were age >/=44 years. Premenopausal women completed interviews every 4-5 mo, until menopause or until the study ended in 1997. The primary analyses compare 111 women whose index pregnancy was a trisomic spontaneous abortion with two groups: women whose index pregnancy was a chromosomally normal loss (n=157) and women whose index pregnancy was a chromosomally normal birth (n=226). We used a parametric logistic survival analysis to compare median ages at menopause. The estimated median age at menopause was 0.96 years earlier (95% confidence interval -0.18 to 2.10) among women with trisomic losses than it was among women with chromosomally normal losses and chromosomally normal births combined. Results were unaltered by adjustment for education, ethnicity, and cigarette smoking. Our results support the hypothesis that trisomy risk is increased with decreased numbers of oocytes. Decreased numbers may indicate accelerated oocyte atresia or fewer oocytes formed during fetal development.     

Age at Menarche and Natural Menopause and Number of Reproductive Years in Association with Mortality: Results from a Median Follow-Up of 11.2 Years among 31,955 Naturally Menopausal Chinese Women

Background

Studies conducted in Western countries suggest that early age at menarche and early age at menopause are both associated with increased total mortality, but limited data are available for Asian populations. We examined associations of age at menarche and natural menopause and duration of the reproductive span with mortality in a population-based cohort study of Chinese women.

Methods

We evaluated the effects of age at menarche, age at natural menopause, and number of reproductive years on total and cause-specific mortality among 31,955 naturally menopausal Chinese women who participated in the Shanghai Women''s Health Study, a population-based, prospective cohort study.

Results

A total of 3,158 deaths occurred during a median follow-up of 11.2 years. Results from Cox proportional hazards models showed that younger age at menopause (<46.64 years) was associated with higher risk of total mortality (P_trend  = 0.02). Younger age at menarche (<14 years) was associated with higher risk of mortality from stroke (P_trend  = 0.03) and diabetes (P_trend = 0.02) but lower risk of mortality from respiratory system cancer (P_trend  = 0.01). Women with a shorter reproductive span had lower risk of mortality from gynecological cancers (P_trend = 0.03).

Conclusions

Our study found that menstrual characteristics are important predictors of mortality, suggesting an important role of sex hormones in biological aging.     

Why do women stop reproducing before menopause? A life-history approach to age at last birth

Evolutionary biologists have long considered menopause to be a fundamental puzzle in understanding human fertility behaviour, as post-menopausal women are no longer physiologically capable of direct reproduction. Menopause typically occurs between 45 and 55 years of age, but across cultures and history, women often stop reproducing many years before menopause. Unlike age at first reproduction or even birth spacing, a woman nearing the end of her reproductive cycle is able to reflect upon the offspring she already has—their numbers and phenotypic qualities, including sexes. This paper reviews demographic data on age at last birth both across and within societies, and also presents a case study of age at last birth in rural Bangladeshi women. In this Bangladeshi sample, age at last birth preceded age at menopause by an average of 11 years, with marked variation around that mean, even during a period of high fertility. Moreover, age at last birth was not strongly related to age at menopause. Our literature review and case study provide evidence that stopping behaviour needs to be more closely examined as an important part of human reproductive strategies and life-history theory. Menopause may be a final marker of permanent reproductive cessation, but it is only one piece of the evolutionary puzzle.     

Trisomy 21 and maternal age of menopause: does reproductive age rather than chronological age influence risk of nondisjunction?

The biological basis underlying the increased risk of nondisjunction in offspring of women of advanced maternal age is not understood. We sought to test the hypothesis that maternal reproductive age (distance in time from approaching menopause) rather than chronological age is pivotal in the etiology of nondisjunction. Our results found no difference in age of menopause between women 30 years old at delivery of a child with trisomy 21 (i.e., age-related nondisjunction) compared to controls. Among women <30 years of age at delivery of a child with trisomy 21, none underwent premature menopause. Therefore, our findings fail to support the theory that reproductive age plays a major role in the etiology of nondisjunction.     

Duration of ovarian hormone exposure and gynecological cancer risk in Korean women: the Korean Heart Study

BackgroundAlthough reproductive and hormonal factors – such as early menarche and late menopause – have been reported as independent risk factors for cancer, few studies have examined these factors in East Asian populations.MethodsWe performed a large prospective cohort study of 66,466 women. Ovarian hormone exposure was defined as length of time between menarche and menopause. Incidence rates for breast, ovarian, endometrial and cervical cancers were examined separately in relation to reproductive lifespan defined as age at menopause minus age at menarche. Multivariable adjusted hazard ratios (HRs) with 95% confidence intervals (95% CIs) were calculated using the Cox proportional hazards model.ResultsWomen with early menarche were at increased risk for developing breast cancer (HR, 1.57, 95% CI, 1.17–2.10) for age at menarche ≤12 years compared to women with age at menarche ≥17 years. Women with late age at menopause (≥52 years) had increased risks for cancers of the breast (HR, 1.59, 95%CI, 1.11–2.28) and ovary (HR, 3.22, 95% CI, 1.09–9.55) compared to women with early menopause (≤45 years of age). Women with longer duration of ovarian hormone exposure (≥40 years) were at increased risk for developing breast cancer (HR, 2.23, 95% CI, 1.35–3.68) as well as endometrial cancer (p for trend, 0.0209).ConclusionsWe showed that longer reproductive spans are associated with an increased risk of breast and endometrial cancer in Korean women.     

International variability of ages at menarche and menopause: patterns and main determinants.

The purpose of this study was to review published studies on the variability of age at menarche and age at menopause throughout the world, and to identify the main causes for age variation in the timing of these events. We first present a summary table including mean (or median) values of the age at menarche in 67 countries, and of the age at menopause in 26 countries. General linear models showed that mean age at menarche was strongly linked to the mean female life expectancy, suggesting that one or several variables responsible for inequalities in longevity similarly influenced the onset of menarche. A closer examination of the data revealed that among several variables reflecting living conditions, the factors best explaining the variation in age at menarche were adult illiteracy rate and vegetable calorie consumption. Because adult illiteracy rate has some correlation with the age at which children are involved in physical activities that can be detrimental in terms of energy expenditure, our results suggest that age at menarche reflects more a trend in energy balance than merely nutritional status. In addition, we found the main determinant of age at menopause to be the mean fertility. This study thus suggests that, on a large scale, age at menarche is mainly determined by extrinsic factors such as living conditions, while age at menopause seems to be mainly influenced by intrinsic factors such as the reproductive history of individuals. Finally, these findings suggest that human patterns cannot be addressed solely by traditional, small-scale investigations on single populations. Rather, complementary research on a larger scale, such as this study, may be more appropriate in defining some interesting applications to the practical problems of human ecology.     

Phlebotominae and Trichomyiinae (Diptera: Psychodidae) diversity in a tropical dry forest of central Mexico: a comparison of conserved and anthropized habitats

We recorded and analyzed the diversity of Phlebotominae and Trichomyiinae in two types of landscape (conserved and anthropized) over the course of three seasons (rainy, cold and dry) in southwestern Puebla, Mexico. A total of 578 specimens belonging to five genera and 10 species were obtained. Phlebotominae was represented by eight species, six of them new records for the state of Puebla, and for Trichomyiinae two species were recorded in the state of Puebla for the first time. There were eight species in the anthropized area and 10 species were recorded in the conservation area. The abundance of both subfamilies was high in the conservation area, representing 83.6% of the total sample, whereas in the anthropized area only 16.4% of the total sample was recorded. Eight species were found during the rainy and dry seasons, and seven species during the cold season. Abundance was highest in the dry season (76.30%), and lowest in the rainy season (5.9%). This kind of information is useful for understanding the transmission patterns of visceral leishmaniasis – endemic to central Mexico – by phlebotomine sand flies.     

First report of Stegomyia aegypti (= Aedes aegypti) in Mexico City,Mexico

Stegomyia aegypti (= Aedes aegypti) (Diptera: Culicidae) is a species of mosquito that is currently widespread in Mexico. Historically, the mosquito has been distributed across most tropical and subtropical areas lower than 1700 m a.s.l. Currently, populations that are found at higher altitudes in regions with cold and dry climates suggest that these conditions do not limit the colonization and population growth of S. aegypti. During a survey of mosquitoes in September 2015, larvae of S. aegypti mosquitoes were found in two different localities in Mexico City, which is located at about 2250 m a.s.l. Mexico City is the most populous city in Mexico and has inefficient drainage and water supply systems. These factors may result in the provision of numerous larval breeding sites. Mosquito monitoring and surveillance are now priorities for the city.     

An SSR‐based approach incorporating a novel algorithm for identification of rare maize genotypes facilitates criteria for landrace conservation in Mexico

As maize was domesticated in Mexico around 9,000 years ago, local farmers have selected and maintained seed stocks with particular traits and adapted to local conditions. In the present day, many of these landraces are still cultivated; however, increased urbanization and migration from rural areas implies a risk that this invaluable maize germplasm may be lost. In order to implement an efficient mechanism of conservation in situ, the diversity of these landrace populations must be estimated. Development of a method to select the minimum number of samples that would include the maximum number of alleles and identify germplasm harboring rare combinations of particular alleles will also safeguard the efficient ex‐situ conservation of this germplasm. To reach this goal, a strategy based on SSR analysis and a novel algorithm to define a minimum collection and rare genotypes using landrace populations from Puebla State, Mexico, was developed as a “proof of concept” for methodology that could be extended to all maize landrace populations in Mexico and eventually to other native crops. The SSR‐based strategy using bulked DNA samples allows rapid processing of large numbers of samples and can be set up in most laboratories equipped for basic molecular biology. Therefore, continuous monitoring of landrace populations locally could easily be carried out. This methodology can now be applied to support incentives for small farmers for the in situ conservation of these traditional cultivars.     

Human biology in Mexico. II. A comparison of blood group, serum and red cell enzyme frequencies, and genetic distances of the Indian populations of Mexico

Three hundred and ninety-five individuals from two populations from the State of Tlaxcala, Mexico, were studied in relation to the ABO, Rh, MNS, P, Kell, Lewis, Diego, Kidd, Duffy, Haptoglobin, Transferrin, Group specific component, Albumin, Acid Phosphatase and Phosphoglucomutase systems. One of the populations (San Pablo del Monte) is Indian, while the other (City of Tlaxcala) is Mestizo. The alleles which show variation in the Mestizo population are intermediate between the Spanish and the Indian gene frequencies. Three different genetic distance measures suggest that the Mestizo population is a triracial hybrid, while the Indian population is closely related to its two most proximal geographic neighbors, Vera Cruz and Puebla.     

Isolation in habitat refugia promotes rapid diversification in a montane tropical salamander

Aim Our goal was to reconstruct the phylogenetic history and historical demography of highly divergent populations of the endemic plethodontid salamander Pseudoeurycea leprosa, to elucidate the timing and mechanisms of divergence in the Trans‐Volcanic Belt of Mexico. Location The Trans‐Volcanic Belt (TVB) of central Mexico, including the states of Mexico, Morelos, Puebla, Tlaxcala and Veracruz. Methods We sequenced the cytochrome b mitochondrial DNA gene for 281 individuals from 26 populations and nine mountain ranges in the TVB, and used Bayesian phylogenetic reconstruction and Markov chain Monte Carlo coalescent methods to infer historical demographic parameters and divergences among populations in each mountain system. Results We found deep genetic divergences between eastern and central TVB mountain systems despite their recent volcanic origin. Populations of P. leprosa show a pattern of refugial populations in the north‐eastern and eastern limits of the species’ distribution, and genetic evidence of rapid population expansion in mountain ranges of the central TVB. The oldest divergences among populations date to c. 3.8 Ma, and the most recent divergences in the central TVB are Pleistocene in age (c. 0.7 Ma). Main conclusions Given the timing and order of population diversification in P. leprosa, we conclude that early isolation in multiple habitat refuges in north‐eastern and eastern mountain ranges played an important role in structuring population diversity in the TVB, followed by population expansion and genetic divergence of the central range populations. The dynamic climatic and volcanic changes in this landscape generally coincide with the history of intra‐specific diversification in P. leprosa. Climate‐driven changes in habitat distribution in an actively changing volcanic landscape have shaped divergences in the TVB and very likely contributed to the high levels of speciation and endemism in this biodiverse region.