更年期和加速的大动脉硬度
Sheila M O'Neill1, Catherine M Travers2, Petr Otahal3
1Betty Byrne Henderson Women's Health Research Centre, Royal Brisbane & Women's Hospital, Brisbane, Australia; Australian National University, Canberra, Australian Capital Territory, Australia.
Maturitas
|December 15, 2023
概括
更年期过渡不会加速大动脉硬,但晚期更年期后显示显著增加. 这一发现表明,在更晚的绝经后几年,心血管疾病风险可能会增加.
科学领域:
- 心血管健康 心血管健康
- 妇女健康 妇女健康
- 衰老研究研究 衰老研究
背景情况:
- 人们认为雌激素在女性中具有心脏保护作用,这导致人们相信更年期会增加心血管疾病 (CVD) 的风险.
- 大动脉硬是已知的心血管疾病的独立预测因素,但其与更年期的关联尚不清楚.
研究的目的:
- 为了研究更年期状态变化和大动脉硬度之间的关系.
- 为了确定更年期过渡是否加速大动脉硬.
主要方法:
- 一项对40至80岁的澳大利亚妇女进行的纵向研究 (n=469,然后n=323) 追踪了14年.
- 绝经状态使用妇女生殖衰老阶段的标准进行评估.
- 动脉硬度是通过使用带-大腿脉冲波浪速度进行非侵入性测量,统计分析考虑了共变量.
主要成果:
- 在更年期过渡和加速的大动脉硬之间没有发现任何关联.
- 在绝经后晚期 (8+年) 观察到主动脉硬度显著加快 (0.122 m/s/年).
- 在控制年龄和传统心血管风险因素后,这种加速仍然存在.
结论:
- 更年期过渡本身不会显著改变大动脉硬度超出正常衰老.
- 在更年期后晚期加速的大动脉硬可能会在这个人口群体中增加心血管风险.
- 需要进一步研究在绝经后妇女中控制心血管疾病风险.
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