在更年期前和更年期后的女性中,高雄性和心脏代谢风险 - - 有什么证据?
1Department of Women's and Children's Health, Karolinska Institutet and Department of Gynecology and Reproductive Medicine, Karolinska University Hospital, SE-171 76 Stockholm, Sweden.
The Journal of clinical endocrinology and metabolism
|October 27, 2023
概括
过高雄性质症增加了绝经前妇女的心血管疾病的风险,独立于体重. 在绝经后的女性中,这种风险与肥胖有关,整体心血管疾病风险与对照组相似.
科学领域:
- 内分泌学 在内分泌学.
- 心脏病学 心脏病学
- 生殖健康 生殖健康
背景情况:
- 在女性中,包括PCOS在内的高雄性异常与糖尿病和高血压等心血管风险因素有关.
- 过高雄性质对实际心血管疾病 (CVD) 风险和死亡率的影响,以及肥胖和更年期状态的作用,需要澄清.
研究的目的:
- 审查当前关于高雄女性心脏代谢风险的证据.
- 阐明肥胖和更年期状态对这些风险的影响.
主要方法:
- 系统性审查和元分析被用来综合最新的科学证据.
- 该审查侧重于患有各种高雄性疾病的女性.
主要成果:
- 患有高雄性质的绝经前妇女面临更高的心血管疾病风险因素,心血管疾病和死亡率,无论BMI.
- 在绝经后的女性中,心血管疾病风险因子升高以及心肌梗塞和中风风险依赖于肥胖.
- 在高雄性绝经后妇女中,心血管疾病和冠状动脉疾病的总体风险与对照组相比较.
结论:
- 高雄女性的心血管风险根据更年期状态和肥胖程度显著不同.
- 这些女性更年期后心脏代谢风险降低的原因需要进一步调查.
- 目前的证据质量较低,需要在多种多样的超类表型中进行更大,更长的后续研究.
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