更年期的早期年龄,血代谢和过早死亡的风险
Zeping Yang1, Ninghao Huang1, Zhenhuang Zhuang1
1Department of Epidemiology & Biostatistics, School of Public Health, Peking University, Beijing 100191, China.
Metabolites
|November 26, 2024
概括
早期更年期会增加过早死亡的风险,代谢学特征部分解释了这一联系. 了解这些代谢特征是评估更年期相关健康风险的关键.
科学领域:
- 生殖内分泌学和代谢健康.
- 衰老和死亡率的流行病学.
- 在慢性疾病中发现生物标志物.
背景情况:
- 更年期和相关代谢物与死亡率有关.
- 早期更年期和新陈代谢特征在过早死亡中的作用尚不清楚.
研究的目的:
- 调查早期更年期和过早死亡之间的关联.
- 检查这种关系中代谢信号的调解作用.
主要方法:
- 来自英国生物银行33687名绝经后妇女的前性队列研究.
- 对更年期的年龄和过早死亡率 (75岁前死亡) 的分析.
- 考克斯回归和弹性净回归用于危险比率和代谢特征;调解分析.
主要成果:
- 较早的更年期 (HR 1.17) 和过早的更年期 (HR 1.60) 显著增加了过早死亡风险.
- 与死亡率相反相关的特定代谢特征介导了早期更年期和过早死亡之间的联系的13.6%.
- 随访时间中位数为13.7年,有1612例过早死亡事件.
结论:
- 早期更年期是过早死亡的危险因素.
- 代谢特征部分调解了更年期年龄和死亡率之间的关联.
- 代谢分析提供了有关更年期相关死亡风险的见解.
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