长期或高度不规则的月经周期作为2型糖尿病风险的标志物
C G Solomon1, F B Hu, A Dunaif
1Division of Women's Health, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115, USA. cgsolomon@bics.bwh.harvard.edu
JAMA
|December 26, 2001
概括
经期长或不规律的女性,患2型糖尿病的风险增加了一倍. 这种2型糖尿病 (DM) 的风险增加甚至存在于非肥胖个体中.
科学领域:
- 内分泌学 在内分泌学.
- 生殖健康 生殖健康
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 寡妇与胰岛素耐药性和葡萄糖不耐受性有关.
- 与寡妇相关的2型糖尿病 (DM) 的潜在风险尚未得到充分确立.
研究的目的:
- 为了前性地评估长期或不规则的月经周期与2型糖尿病的未来风险之间的关联.
- 为了确定年轻成人的月经周期模式是否预测2型DM的发展.
主要方法:
- 利用了前性观察性护士健康研究II队列的数据.
- 在超过10万名以前没有DM的女性中分析了18-22岁的月经周期模式.
- 追踪了2型DM病例在1997年后续期间发生的事件.
主要成果:
- 月经周期超过40天或周期非常不规则的女性患2型糖尿病的风险增加了2.08倍.
- 这种高风险在各种体质指数类别中观察到,包括非肥胖妇女.
- 周期不规则和2型糖尿病风险之间的关联在肥胖女性中更为明显.
结论:
- 长期或非常不规则的月经周期是未来2型糖尿病发展的重要预测因素.
- 2型糖尿病的风险增加不仅仅归因于肥胖.
- 年轻成人月经周期的规律性可以作为代谢健康和未来糖尿病风险的指标.
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