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Data were sourced from the China\u2010US Collaborative Project for Neural Tube Defects Prevention, a large population\u2010based cohort study. Our study consisted of 209\u00a0411 women pre\u2010registered for pregnancy in two provinces in South China. Trained healthcare workers measured blood pressure at registration and recorded other pertinent health information. Using logistic regression, we assessed the correlations between age at menarche and the likelihood of developing gestational hypertension and preeclampsia, considering confounders such as maternal age, body mass index, ethnicity, parity, folic acid supplementation, education level, and occupation. The observed incidences for gestational hypertension and preeclampsia were 9.65% and 2.54%, respectively. The adjusted odds ratios (ORs) for gestational hypertension, based on age at menarche, were as follows: \u226413 years, 1.18 (95% confidence interval: 1.11\u20131.26); 14 years, 1.09 (1.04\u20131.15); 15 years, 1.11 (1.06\u20131.16); 16 years, 1.06 (1.01\u20131.12); and \u226517 years, 1.00 (reference; <jats:italic>P<\/jats:italic> for trend\u00a0&lt;\u00a0.001). The correlation between age at menarche and preeclampsia varied across age groups, with the following respective ORs: 1.35 (1.20\u20131.52), 1.21 (1.09\u20131.34), 1.27 (1.15\u20131.39), 1.14 (1.03\u20131.26), and 1.00 (reference; <jats:italic>P<\/jats:italic> for trend\u00a0&lt;\u00a0.001). This association appeared to be more pronounced in women with no folic acid supplementation and those with a lower education level. In conclusion, an earlier age at menarche seems to be linked to increased risks of gestational hypertension and preeclampsia.<\/jats:p>","DOI":"10.1111\/jch.14737","type":"journal-article","created":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T09:14:01Z","timestamp":1697188441000},"page":"993-1000","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Association of age at menarche with gestational hypertension and preeclampsia: A large prospective cohort in China"],"prefix":"10.1111","volume":"25","author":[{"given":"Hang","family":"An","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics School of Public Health Peking University Health Science Center  Beijing China"},{"name":"Institute of Reproductive and Child Health\/Ministry of Health Key Laboratory of Reproductive Health Peking University Health Science Center Age at Menarche and Preeclampsia  Beijing 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