代谢综合征及其成分:印度北部更年期前后妇女代谢综合征分布的横断面分析。

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY
Journal of Mid-life Health Pub Date : 2022-10-01 Epub Date: 2023-04-28 DOI:10.4103/jmh.jmh_38_22
R Nandhini, Banashree Nath, Harsha S Gaikwad, Manjula Sharma, Snehlata Meena
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引用次数: 0

摘要

目的:本研究旨在确定代谢综合征(MS)的患病率,并识别其在绝经前和绝经后妇女中的异常成分。我们还旨在识别绝经后妇女在绝经后持续时间方面的异常成分。材料和方法:横断面研究在40至65岁的绝经前和绝经后妇女中进行。根据修改后的国家胆固醇教育计划成人治疗小组III确定患有多发性硬化症的女性。结果:共有220名女性入选,其中包括112名绝经前女性和108名绝经后女性,其中多发性痴呆症的患病率分别为33%和51.85%。经潜在混杂因素调整后,发现绝经后状态与MS独立相关(调整后的比值比=14.77,95%置信区间:1.77-23.33)。绝经后组的所有成分都相应较高,血压(BP)(P=0.003)和低密度脂蛋白(HDL)(0.027)的升高具有统计学意义。多发性硬化症、腹部肥胖和高血压的风险最高。结论:绝经后妇女多发性痴呆症的患病率明显较高。对绝经前妇女进行筛查将为干预和预防易患腹部肥胖、胰岛素抵抗和心血管不良事件的印度妇女多发性硬化症的威胁提供机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Metabolic Syndrome and Its Components: A Cross-Sectional Analysis of Its Distribution among Pre- and Post-Menopausal Women from Northern India.

Aim: This study aims to determine the prevalence of Metabolic Syndrome (MS) and recognize its abnormal components in pre and postmenopausal women. We also aim to recognize the abnormal components in postmenopausal women with regard to duration since menopause.

Materials and methods: The cross-sectional study was undertaken among pre- and post-menopausal women between 40 and 65 years. Women with MS were identified as per the modified National Cholesterol Education Program Adult Treatment Panel III.

Results: A total of 220 women were enrolled comprising 112 premenopausal and 108 postmenopausal women, the prevalence of MS among them being 33% and 51.85%, respectively. Postmenopausal status was found to be independently associated with MS when adjusted for potential confounders (adjusted odds ratios = 14.77, 95% confidence intervals: 1.77-23.33). All the components were proportionately higher in postmenopausal group, the rise in blood pressure (BP) (P = 0.003) and low high-density lipoprotein (HDL) (0.027) being statistically significant. The risk of MS, abdominal obesity, and high BP were highest in <5 years since menopause and decreased thereafter. The risk for low HDL and high triglyceride increased with the number of years since menopause, reaching the peak level in the 5-9-year group and then decreased while the risk of high fasting blood sugar increased reaching peak in the 10-14 years' group.

Conclusion: The prevalence of MS is significantly high in postmenopausal women. Screening of women in premenopausal period will give an opportunity to intervene and prevent the menace of MS in Indian women predisposed to abdominal obesity, insulin resistance, and cardiovascular adverse events.

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来源期刊
Journal of Mid-life Health
Journal of Mid-life Health Social Sciences-Health (social science)
CiteScore
1.70
自引率
9.10%
发文量
39
审稿时长
43 weeks
期刊介绍: Journal of mid-life health is the official journal of the Indian Menopause society published Quarterly in January, April, July and October. It is peer reviewed, scientific journal of mid-life health and its problems. It includes all aspects of mid-life health, preventive as well as curative. The journal publishes on subjects such as gynecology, neurology, geriatrics, psychiatry, endocrinology, urology, andrology, psychology, healthy ageing, cardiovascular health, bone health, quality of life etc. as relevant of men and women in their midlife. The Journal provides a visible platform to the researchers as well as clinicians to publish their experiences in this area thereby helping in the promotion of mid-life health leading to healthy ageing, growing need due to increasing life expectancy. The Editorial team has maintained high standards and published original research papers, case reports and review articles from the best of the best contributors both national & international, consistently so that now, it has become a great tool in the hands of menopause practitioners.
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