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. 1988 Apr;29(4):433–439. doi: 10.1136/gut.29.4.433

Gall stones in a Danish population: fertility period, pregnancies, and exogenous female sex hormones.

T Jørgensen 1
PMCID: PMC1433524  PMID: 3259523

Abstract

From a cross sectional study of gall stone disease ascertained by ultrasonography, the prevalence in relation to age at menarche, use of oral contraceptives, childbirths, breastfeeding, abortions, age at menopause, and menopausal hormone therapy was assessed. The random sample comprised 2301 women of Danish origin aged 30, 40, 50, and 60 years, of whom 1765 (77%) attended the investigation. Gall stone disease was significantly associated with young age at menarche, abortions, and multiple childbirth. Use of oral contraceptives was significantly associated with gall stone disease in univariate analysis, but not in multivariate analysis. Breastfeeding, age at menopause and menopausal hormone therapy were not associated with gall stones. These determining variables seemed sufficient to explain the higher prevalence of gall stone disease in women than in men.

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Selected References

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  1. Anderson A., James O. F., MacDonald H. S., Snowball S., Taylor W. The effect of ethynyl oestradiol on biliary lipid composition in young men. Eur J Clin Invest. 1980 Feb;10(1):77–80. doi: 10.1111/j.1365-2362.1980.tb00013.x. [DOI] [PubMed] [Google Scholar]
  2. Bennion L. J. Changes in bile lipids accompanying oophorectomy in a premenopausal woman. N Engl J Med. 1977 Sep 29;297(13):709–711. doi: 10.1056/NEJM197709292971308. [DOI] [PubMed] [Google Scholar]
  3. Bennion L. J., Ginsberg R. L., Gernick M. B., Bennett P. H. Effects of oral contraceptives on the gallbladder bile of normal women. N Engl J Med. 1976 Jan 22;294(4):189–192. doi: 10.1056/NEJM197601222940403. [DOI] [PubMed] [Google Scholar]
  4. Bennion L. J., Mott D. M., Howard B. V. Oral contraceptives raise the cholesterol saturation of bile by increasing biliary cholesterol secretion. Metabolism. 1980 Jan;29(1):18–22. doi: 10.1016/0026-0495(80)90092-x. [DOI] [PubMed] [Google Scholar]
  5. Bernstein R. A., Werner L. H., Rimm A. A. Relationship of gallbladder disease to parity, obesity, and age. Health Serv Rep. 1973 Dec;88(10):925–936. [PMC free article] [PubMed] [Google Scholar]
  6. Braverman D. Z., Johnson M. L., Kern F., Jr Effects of pregnancy and contraceptive steroids on gallbladder function. N Engl J Med. 1980 Feb 14;302(7):362–364. doi: 10.1056/NEJM198002143020702. [DOI] [PubMed] [Google Scholar]
  7. Dales L. G., Ury H. K. An improper use of statistical significance testing in studying covariables. Int J Epidemiol. 1978 Dec;7(4):373–375. doi: 10.1093/ije/7.4.373. [DOI] [PubMed] [Google Scholar]
  8. Diehl A. K., Stern M. P., Ostrower V. S., Friedman P. C. Prevalence of clinical gallbladder disease in Mexican-American, Anglo, and black women. South Med J. 1980 Apr;73(4):438-41, 443. doi: 10.1097/00007611-198004000-00012. [DOI] [PubMed] [Google Scholar]
  9. Down R. H., Whiting M. J., Watts J. M., Jones W. Effect of synthetic oestrogens and progestagens in oral contraceptives on bile lipid composition. Gut. 1983 Mar;24(3):253–259. doi: 10.1136/gut.24.3.253. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Everson G. T., McKinley C., Lawson M., Johnson M., Kern F., Jr Gallbladder function in the human female: effect of the ovulatory cycle, pregnancy, and contraceptive steroids. Gastroenterology. 1982 Apr;82(4):711–719. [PubMed] [Google Scholar]
  11. Everson R. B., Byar D. P., Bischoff A. J. Estrogen predisposes to cholecystectomy but not to stones. Gastroenterology. 1982 Jan;82(1):4–8. [PubMed] [Google Scholar]
  12. Friedman G. D., Kannel W. B., Dawber T. R. The epidemiology of gallbladder disease: observations in the Framingham Study. J Chronic Dis. 1966 Mar;19(3):273–292. doi: 10.1016/0021-9681(66)90132-9. [DOI] [PubMed] [Google Scholar]
  13. Garn S. M., LaVelle M., Rosenberg K. R., Hawthorne V. M. Maturational timing as a factor in female fatness and obesity. Am J Clin Nutr. 1986 Jun;43(6):879–883. doi: 10.1093/ajcn/43.6.879. [DOI] [PubMed] [Google Scholar]
  14. Jørgensen T. Prevalence of gallstones in a Danish population. Am J Epidemiol. 1987 Nov;126(5):912–921. doi: 10.1093/oxfordjournals.aje.a114728. [DOI] [PubMed] [Google Scholar]
  15. Kern F., Jr, Everson G. T., DeMark B., McKinley C., Showalter R., Braverman D. Z., Szczepanik-Van Leeuwen P., Klein P. D. Biliary lipids, bile acids, and gallbladder function in the human female: effects of contraceptive steroids. J Lab Clin Med. 1982 Jun;99(6):798–805. [PubMed] [Google Scholar]
  16. Kern F., Jr, Everson G. T., DeMark B., McKinley C., Showalter R., Erfling W., Braverman D. Z., Szczepanik-van Leeuwen P., Klein P. D. Biliary lipids, bile acids, and gallbladder function in the human female. Effects of pregnancy and the ovulatory cycle. J Clin Invest. 1981 Nov;68(5):1229–1242. doi: 10.1172/JCI110369. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Kirkinen P., Ylöstalo P., Heikkinen J., Mäentausta O. Gallbladder function and maternal bile acids in intrahepatic cholestasis of pregnancy. Eur J Obstet Gynecol Reprod Biol. 1984 Sep;18(1-2):29–34. doi: 10.1016/0028-2243(84)90030-3. [DOI] [PubMed] [Google Scholar]
  18. Layde P. M., Vessey M. P., Yeates D. Risk factors for gall-bladder disease: a cohort study of young women attending family planning clinics. J Epidemiol Community Health. 1982 Dec;36(4):274–278. doi: 10.1136/jech.36.4.274. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. MANTEL N., HAENSZEL W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst. 1959 Apr;22(4):719–748. [PubMed] [Google Scholar]
  20. Nilsson S. Gallbladder disease and sex hormones. A statistical study. Acta Chir Scand. 1966 Sep;132(3):275–279. [PubMed] [Google Scholar]
  21. Pertsemlidis D., Panveliwalla D., Ahrens E. H., Jr Effects of clofibrate and of an estrogen-progestin combination on fasting biliary lipids and cholic acid kinetics in man. Gastroenterology. 1974 Apr;66(4):565–573. [PubMed] [Google Scholar]
  22. Sackett D. L. Bias in analytic research. J Chronic Dis. 1979;32(1-2):51–63. doi: 10.1016/0021-9681(79)90012-2. [DOI] [PubMed] [Google Scholar]
  23. Sampliner R. E., Bennett P. H., Comess L. J., Rose F. A., Burch T. A. Gallbladder disease in pima indians. Demonstration of high prevalence and early onset by cholecystography. N Engl J Med. 1970 Dec 17;283(25):1358–1364. doi: 10.1056/NEJM197012172832502. [DOI] [PubMed] [Google Scholar]
  24. Scragg R. K., McMichael A. J., Seamark R. F. Oral contraceptives, pregnancy, and endogenous oestrogen in gall stone disease--a case-control study. Br Med J (Clin Res Ed) 1984 Jun 16;288(6433):1795–1799. doi: 10.1136/bmj.288.6433.1795. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Stolley P. D., Tonascia J. A., Tockman M. S., Sartwell P. E., Rutledge A. H., Jacobs M. P. Thrombosis with low-estrogen oral contraceptives. Am J Epidemiol. 1975 Sep;102(3):197–208. doi: 10.1093/oxfordjournals.aje.a112148. [DOI] [PubMed] [Google Scholar]
  26. Tritapepe R., Di Padova C., Zuin M., Bellomi M., Podda M. Lithogenic bile after conjugated estrogen. N Engl J Med. 1976 Oct 21;295(17):961–962. doi: 10.1056/NEJM197610212951716. [DOI] [PubMed] [Google Scholar]
  27. Von Bergmann K., Becker M., Leiss O. Biliary cholesterol saturation in non-obese women and non-obese men before and after puberty. Eur J Clin Invest. 1986 Dec;16(6):531–535. doi: 10.1111/j.1365-2362.1986.tb02173.x. [DOI] [PubMed] [Google Scholar]
  28. Wheeler M., Hills L. L., Laby B. Cholelithiasis: a clinical and dietary survey. Gut. 1970 May;11(5):430–437. doi: 10.1136/gut.11.5.430. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. White C. M., Howat J. M., Schofield P. F. Proceedings: Lithogenic bile: a study in women taking oral contraceptives. Br J Surg. 1976 Aug;63(8):664–664. [PubMed] [Google Scholar]
  30. Williams C. N., Johnston J. L. Prevalence of gallstones and risk factors in Caucasian women in a rural Canadian community. Can Med Assoc J. 1980 Mar 22;122(6):664–668. [PMC free article] [PubMed] [Google Scholar]
  31. Williams C. N., Johnston J. L., Weldon K. L. Prevalence of gallstones and gallbladder disease in Canadian Micmac Indian women. Can Med Assoc J. 1977 Oct 8;117(7):758–760. [PMC free article] [PubMed] [Google Scholar]
  32. Ylöstalo P., Kirkinen P., Heikkinen J., Mäentausta O., Järvinen P. A. Gall bladder volume and serum bile acids in cholestasis of pregnancy. Br J Obstet Gynaecol. 1982 Jan;89(1):59–61. doi: 10.1111/j.1471-0528.1982.tb04636.x. [DOI] [PubMed] [Google Scholar]

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