https://researchopenworld.com/effects-of-menopause-hormone-replacement-therapy-and-aging-on-the-health-in-asian-women/#

V. H. Goh
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Abstract

The cross-sectional study examined whether menopause and hormone replacement therapy (HRT) can and how they modify the aging process in Asian women. Methods: All women answered a questionnaire on their medical history, exercise regime, sexual functions, sleep hygiene, general well-being and menopausal and HRT status. Serum biochemical and hormones, blood pressures, handgrip strength and forced expiratory capacity were measured. Cognitive functions were monitored, and bone and body composition were evaluated using the dual energy absorptiometry (DXA). Results: The results showed that aging affected many health compartments starting mainly in the 6 th decade. Aging affects the cognitive functions, body form, physical and general well-being, metabolic and cardiovascular risk, bone health and the incidence of both general and abdominal obesity. The onset of menopause further aggravated the poor bone health, strength and higher body fat due to age alone. These ill effects in postmenopausal women not having HRT were negated by either estrogen alone or estrogen/progestin HRT. However, estrogen alone HRT was associated with significantly lower IGF1 and BP3 and higher incidence of abdominal obesity than by age alone. The combined estrogen/progestin HRT, on the other hand was associated with lower levels of HDL. Conclusion: Aging affects most health compartments by the 5 th and 6 th decades. The onset of menopause further aggravated the ill effects of aging on bone health. While HRT could negate the ill effects of menopause, HRT may have other adverse effects on
https://researchopenworld.com/effects-of-menopause-hormone-replacement-therapy-and-aging-on-the-health-in-asian-women/#
这项横断面研究考察了更年期和激素替代疗法(HRT)是否可以以及如何改变亚洲女性的衰老过程。方法:所有女性都回答了一份关于她们的病史、运动方式、性功能、睡眠卫生、总体健康状况、更年期和激素替代疗法状况的问卷。测定血清生化和激素、血压、握力和用力呼气量。监测认知功能,并使用双能量吸收仪(DXA)评估骨骼和身体成分。结果:老龄化对多个健康部门的影响主要从60年代开始。衰老会影响认知功能、体型、身体和整体健康、代谢和心血管风险、骨骼健康以及一般和腹部肥胖的发病率。绝经期的到来进一步加剧了由于年龄的原因导致的骨骼健康、力量和体脂的增加。没有接受激素替代疗法的绝经后妇女的这些不良影响被单独雌激素或雌激素/黄体酮激素替代疗法所消除。然而,雌激素单独HRT与IGF1和BP3显著降低以及腹部肥胖发生率升高相关。另一方面,雌激素/黄体酮联合HRT与较低水平的HDL有关。结论:老龄化对健康部门的影响主要集中在5、60岁。更年期的到来进一步加剧了衰老对骨骼健康的不良影响。虽然激素替代疗法可以消除更年期的不良影响,但激素替代疗法可能对女性有其他不利影响
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