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Visceral adiposity after tibolone use.

Sebastián Carranza-Lira1, Tomás D Bárcena-Jacobo, Martha P Sandoval-Barragán

  • 1Gynecology and Obstetrics Hospital Luis Castelazo Ayala, Social Security Mexican Institute, Mexico City, Mexico. scarranzal@mexis.com

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
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Summary

Tibolone use in postmenopausal women is associated with reduced visceral fat. This study found significantly lower visceral fat measurements in women taking tibolone compared to those not using it.

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Area of Science:

  • Endocrinology
  • Menopause Research
  • Body Composition Analysis

Background:

  • Tibolone is a synthetic steroid used for hormone replacement therapy in postmenopausal women.
  • Visceral fat accumulation is a health concern in postmenopause, linked to metabolic and cardiovascular diseases.

Purpose of the Study:

  • To compare visceral fat levels in postmenopausal women using tibolone versus those not using it.

Main Methods:

  • A study involving 65 healthy postmenopausal women: 26 on tibolone (2.5 mg/day) and 39 controls.
  • Anthropometric measurements, including subcutaneous and visceral fat via ultrasound.
  • Statistical analysis using Student's t-test to compare groups.

Main Results:

  • No significant differences in age, weight, BMI, or waist circumference between groups.
  • Significantly lower hip circumference, visceral fat measurements, and visceral fat-to-subcutaneous fat ratio in the tibolone group.
  • No significant difference in subcutaneous fat measurements.

Conclusions:

  • Postmenopausal women using tibolone demonstrate reduced visceral fat compared to non-users.
  • Tibolone may play a role in modulating body composition, specifically reducing harmful visceral fat accumulation.