绝经后妇女的激素治疗和生物衰老
Yufan Liu1, Chenglong Li2,3
1Capital Medical University, Beijing, China.
JAMA network open
|August 29, 2024
概括
与非使用者相比,使用激素治疗 (HT) 的绝经后妇女的生物衰老减少. 这种影响在社会经济地位较低的妇女中更为明显,死亡率减少的媒介是SES.
科学领域:
- 老年学是指老年学的学科.
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 更年期与生物衰老有关.
- 激素治疗 (HT) 影响绝经后妇女的健康结果.
研究的目的:
- 对绝经后妇女的HT使用与生物年龄差异之间的关联进行调查.
- 探索社会经济地位 (SES) 在这个协会中的改变作用.
主要方法:
- 使用英国生物库数据进行的回顾性队列研究 (n=117,763名绝经后妇女).
- 评估的HT使用,开始时的年龄和持续时间.
- 使用表型年龄和9个生物标志物计算的生物年龄差异.
- 通过教育,收入,职业和贫困指数来评估SES.
主要成果:
- 曾经使用HT与较小的生物衰老差异有关 (β = -0.17年).
- 这种关联在较晚开始的HT (≥55年) 和更长的持续时间 (4-8年) 中更强烈.
- 这种联系在低SES的女性中更明显 (与教育的相互作用,P=0.02).
- 生物衰老差异占HT与死亡率之间的关联的12.7%.
结论:
- 使用HT的绝经后妇女在生物学上更年轻.
- 在较低的SES群体中,HT对生物衰老的益处更为显著.
- 使用HT与降低死亡率有关,部分是由生物衰老介导的.
- 促进HT可能对绝经后妇女的健康衰老有益.
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