Luo Xiaoyan, Zhang Jun, Guo Yichuan, Xu Liangzhi
Department of Obstetrics and Gynecology, West China Second University Hospital Sichuan University Chengdu China.
Key Laboratory of Birth Defects and Related Diseases of Women and Children Ministry of Education, Sichuan University Chengdu China.
Food Sci Nutr. 2024 Nov 6;12(12):10296-10305. doi: 10.1002/fsn3.4512. eCollection 2024 Dec.
The essence of menopause is ovarian failure, decreased estrogen volatility, and deficiency leading to multiple related symptoms and an increased risk of metabolic disease in women, such as cardiovascular disease and osteoporosis. This study screened 773 eligible postmenopausal and perimenopausal women from an initial pool of 1187 participants, and various physiological and biochemical indices were measured and analyzed to assess differences across three age groups (40-44 years, 45-49 years, 50-54). We found no significant difference in the rate of cardiovascular disease between postmenopausal and perimenopausal women, while the rate of osteoporosis was higher in postmenopausal women compared to perimenopausal women. The disease of osteoporosis in postmenopausal women was associated with age ( < 0.05). We also found that postmenopausal women and perimenopausal women had significant effects on follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E), total cholesterol (TC), lumbar spine BMD (T), femoral neck BMD, The bone density (T) of the right femur was significantly affected. There are significant differences in FSH, LH, E, TC, low-density lipoprotein (LDL), L2-L4, T, Neck of femur decrease, and T in women of different ages. Furthermore, the correlation analysis between age and E and metabolic indicators showed that age has a greater impact on the risk of postmenopausal and perimenopausal females. This study can help further understand the mechanisms of cardiovascular disease and osteoporosis in perimenopausal and menopausal women.
更年期的本质是卵巢功能衰竭,雌激素波动性降低以及缺乏,从而导致女性出现多种相关症状,并增加患代谢性疾病的风险,如心血管疾病和骨质疏松症。本研究从1187名参与者的初始样本中筛选出773名符合条件的绝经后和围绝经期女性,测量并分析了各种生理和生化指标,以评估三个年龄组(40 - 44岁、45 - 49岁、50 - 54岁)之间的差异。我们发现绝经后女性和围绝经期女性的心血管疾病发病率没有显著差异,而绝经后女性的骨质疏松症发病率高于围绝经期女性。绝经后女性的骨质疏松症与年龄相关(<0.05)。我们还发现绝经后女性和围绝经期女性对促卵泡激素(FSH)、黄体生成素(LH)、雌二醇(E)、总胆固醇(TC)、腰椎骨密度(T)、股骨颈骨密度、右股骨骨密度(T)有显著影响。不同年龄女性的FSH、LH、E、TC、低密度脂蛋白(LDL)、L2 - L4、T、股骨颈骨密度降低以及T存在显著差异。此外,年龄与E及代谢指标之间的相关性分析表明,年龄对绝经后和围绝经期女性的风险影响更大。本研究有助于进一步了解围绝经期和绝经后女性心血管疾病和骨质疏松症的发病机制。