女性心血管疾病:更年期是否重要?
Samar R El Khoudary1, Alexis Nasr1
1Department of Epidemiology School of Public Health at the University of Pittsburgh, Pittsburgh, PA.
Current opinion in endocrine and metabolic research
|June 5, 2023
概括
更年期过渡加速了心血管疾病 (CVD) 风险超过正常衰老. 卵巢衰老,而不仅仅是时间衰老,在中年期间显著影响女性的心脏健康.
科学领域:
- 心血管健康 心血管健康
- 妇女健康 妇女健康
- 生殖内分泌学 生殖内分泌学
背景情况:
- 更年期过渡 (MT) 是女性的一个复杂的生活阶段.
- 关于中年心血管疾病 (CVD) 的增加是由于时间或卵巢衰老,存在争论.
研究的目的:
- 审查最近关于卵巢衰老与慢性衰老在心血管疾病结果和风险因素中的作用的研究结果.
- 要突出更年期对血管健康和心脏代谢风险的影响.
主要方法:
- 最近纵向研究的文献综述.
- 综合有关更年期相关因素和心血管疾病结果的数据.
- 在MT期间分析血管健康和风险因素的变化.
主要成果:
- 早期和手术性更年期与更高的心血管疾病结局有关.
- MT与身体组成,脂质,血压和代谢综合征的不良变化有关.
- 有证据表明,MT期间心血管疾病风险增加超出了一般衰老的范围.
结论:
- 卵巢衰老在绝经过渡期间显著促进心血管疾病风险的加速.
- 提高妇女和医疗保健提供者对MT相关心血管疾病风险的认识至关重要.
- 需要制定针对MT期间女性的有针对性的预防策略,以减轻心血管疾病风险.
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