Cardiovascular disease among diabetic women with bilateral oophorectomy.

作者: Duke Appiah

DOI: 10.18297/ETD/43

关键词: Proportional hazards modelRisk factorBody mass indexDiabetes mellitusGynecologyPopulationOdds ratioOophorectomyObstetricsHazard ratioMedicine

摘要: Cardiovascular Disease (CVD) is the leading cause of death in women and risk increased threefold diabetics. In postmenopausal diabetics, ovary responds to hyperinsulinemia by increasing secretion testosterone precursors which increases CVD. Data from National Health Nutrition Examination Survey (1988-2010) Study Osteoporotic Fractures were used test hypothesis that a history bilateral oophorectomy -surgical removal both ovaries-would decrease CVD among diabetic due reduced androgen levels. Logistic regression, discrete time logit model, B-Spline regression Cox proportional hazards models performed with adjusted estimates 95% confidence intervals (CIs) calculated. Overall, studies comprised 17,549 approximately 17.1 % having diabetes Mellitus. Additionally, 24.1% had undergone 55% these surgery before age 45 years. Diabetics more likely be obese, live sedentary lifestyle, have dyslipidemia report higher prevalence stroke myocardial infarction than non diabetics at baseline. Women who years nulliparous family infarction. Diabetic lower levels total compared intact ovaries or naturally menopausal non-diabetic women, was independent body mass index (p=0.016). multivariable models, predictive prevalent (Odds ratio: 1.63 (95% CI: 1.16 - 2.30) odds limited this procedure (OR: 2.11, 1.45-3.08). Although ovarian status did not influence incident 0.78, 0.56-1.09), average menopause (51 years), without observed elevated spline models. Furthermore, mortality for irrespective status, although no an (Hazard 2.57, 1.18-3.67) those (HR: 1.99, 1.65-2.39). This present analyses consisting three different population-based samples support protective effect on cardiovascular health women; however, our interpretation data often younger inherited factor heart disease.

参考文章(306)
L. Fontana, J. C. Eagon, M. E. Trujillo, P. E. Scherer, S. Klein, Visceral Fat Adipokine Secretion Is Associated With Systemic Inflammation in Obese Humans Diabetes. ,vol. 56, pp. 1010- 1013 ,(2007) , 10.2337/DB06-1656
Aloke V. Finn, Masataka Nakano, Jagat Narula, Frank D. Kolodgie, Renu Virmani, Concept of Vulnerable/Unstable Plaque Arteriosclerosis, Thrombosis, and Vascular Biology. ,vol. 30, pp. 1282- 1292 ,(2010) , 10.1161/ATVBAHA.108.179739
Wael Galal, Yvette R.B.M. van Gestel, Sanne E. Hoeks, Don D. Sin, Tamara A. Winkel, Jeroen J. Bax, Hence Verhagen, Adel M.M. Awara, Jan Klein, Ron T. van Domburg, Don Poldermans, The Obesity Paradox in Patients With Peripheral Arterial Disease Chest. ,vol. 134, pp. 925- 930 ,(2008) , 10.1378/CHEST.08-0418
Rik P Bogers, Wanda JE Bemelmans, Rudolf T Hoogenveen, Hendriek C Boshuizen, Mark Woodward, Paul Knekt, Rob M Van Dam, Frank B Hu, Tommy LS Visscher, Alessandro Menotti, Roland J Thorpe, Konrad Jamrozik, Susanna Calling, Bjørn Heine Strand, Martin J Shipley, BMI-CHD Collaboration Investigators, Association of overweight with increased risk of coronary heart disease partly independent of blood pressure and cholesterol levels: a meta-analysis of 21 cohort studies including more than 300 000 persons. JAMA Internal Medicine. ,vol. 167, pp. 1720- 1728 ,(2007) , 10.1001/ARCHINTE.167.16.1720
Amy E Taylor, Shah Ebrahim, Yoav Ben-Shlomo, Richard M Martin, Peter H Whincup, John W Yarnell, S Goya Wannamethee, Debbie A Lawlor, Comparison of the associations of body mass index and measures of central adiposity and fat mass with coronary heart disease, diabetes, and all-cause mortality: a study using data from 4 UK cohorts The American Journal of Clinical Nutrition. ,vol. 91, pp. 547- 556 ,(2010) , 10.3945/AJCN.2009.28757
Judith McKay, George A Mensah, Kurt Greenlund, Shanthi Mendis, None, The Atlas of Heart Disease and Stroke ,(2004)
Jane E. Salmon, Mary J. Roman, Subclinical atherosclerosis in rheumatoid arthritis and systemic lupus erythematosus. The American Journal of Medicine. ,vol. 121, ,(2008) , 10.1016/J.AMJMED.2008.06.010
Isabelle Lemieux, Agnès Pascot, Denis Prud’homme, Natalie Alméras, Peter Bogaty, André Nadeau, Jean Bergeron, Jean-Pierre Després, Elevated C-Reactive Protein Another Component of the Atherothrombotic Profile of Abdominal Obesity Arteriosclerosis, Thrombosis, and Vascular Biology. ,vol. 21, pp. 961- 967 ,(2001) , 10.1161/01.ATV.21.6.961
, Véronique L. Roger, Alan S. Go, Donald M. Lloyd-Jones, Emelia J. Benjamin, Jarett D. Berry, William B. Borden, Dawn M. Bravata, Shifan Dai, Earl S. Ford, Caroline S. Fox, Heather J. Fullerton, Cathleen Gillespie, Susan M. Hailpern, John A. Heit, Virginia J. Howard, Brett M. Kissela, Steven J. Kittner, Daniel T. Lackland, Judith H. Lichtman, Lynda D. Lisabeth, Diane M. Makuc, Gregory M. Marcus, Ariane Marelli, David B. Matchar, Claudia S. Moy, Dariush Mozaffarian, Michael E. Mussolino, Graham Nichol, Nina P. Paynter, Elsayed Z. Soliman, Paul D. Sorlie, Nona Sotoodehnia, Tanya N. Turan, Salim S. Virani, Nathan D. Wong, Daniel Woo, Melanie B. Turner, Executive Summary: Heart Disease and Stroke Statistics—2012 Update A Report From the American Heart Association Circulation. ,vol. 125, pp. 188- 197 ,(2012) , 10.1161/CIR.0B013E3182456D46
Roger E. Peverill, Helena J. Teede, Erica Malan, Dimitra Kotsopoulos, Joseph J. Smolich, Barry P. Mcgrath, Relationship of waist and hip circumference with coagulation and fibrinolysis in postmenopausal women. Clinical Science. ,vol. 113, pp. 383- 391 ,(2007) , 10.1042/CS20070084