LIPID PROFILE CHANGES DURING DIFFERENT PHASES OF MENSTRUATED YOUNG AND PREMENOPAUSAL WOMEN

Noora Kareem Abdul Hasan, Ahmed Aboud Khalifa
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Abstract

Background: Lipoprotein cholesterol measurements fluctuated across the menstrual cycle, corresponding to rising and declining concentrations of gonadotropins and ovarian steroid hormones levels in young women, whereas premenopausal women and those who inside the menopausal transition characterized by a poor ovarian response to high secretion of gonadotropin leading to low levels of ovarian steroids. Aims: To investigate the lipoprotein cholesterol changes and their interactions with sex steroid hormones during different phases of the menstrual cycle in menstruated young and old (premenopausal) women. Methods: The sample included thirty healthy women (aged 20-45 years) divided into two groups with 15 women /group according to their ages )20-25 years( (40-45 years). Blood samples were collected on the 8th, 16th, and 24th days of the menstrual cycle from both young and old menstruating women to compare the previous parameters between these days for each group and compare these parameters between similar days for the first and second groups. Lipid profile (Total cholesterol (TC), Triglyceride (TG), High density lipoprotein (HDL), Low density lipoprotein (LDL), and Very low density lipoprotein (VLDL) changes be assayed by Bio-Systems Kit components. Statistical analysis was carried out using one-way Analysis of Variance (ANOVA), followed by Duncan's test, and t-tests were used to assess differences between groups. Results: TC and TG levels did not significantly increase on the 8th day of the menstrual cycle, which represents the follicular phase, in comparison with the other days (16th and 24th days). However, LDL level increased significantly (p ? 0.05) on the 8th day compared to the other days. On the other hand, HDL and VLDL levels increased on the 16th day of the menstrual cycle, which represents the ovulatory phase. Discussion: TC, TG, and LDL levels increased during the follicular phase and were accompanied by high levels of FSH and estradiol, leading to a favorable lipid profile, whereas FSH and estradiol are considered regulators of cholesterol biosynthesis and a buffering capacity. HDL and VLDL levels rise during ovulation to meet the requirements of ovulation and ensure successful ovulation. Conclusions: Studying and evaluating changes in the lipid profile according to the menstrual cycle phase of the menstrual cycle represents an important issue in knowing the physiological and healthy woman state and preventing cardiovascular disease incidence.
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月经期年轻女性和绝经前女性不同阶段的血脂变化
背景:脂蛋白胆固醇的测量值在整个月经周期中波动,与年轻女性促性腺激素和卵巢类固醇激素水平的上升和下降相对应,而绝经前女性和绝经过渡期女性的特点是卵巢对促性腺激素的高分泌反应不佳,导致卵巢类固醇激素水平较低。目的:研究来月经的年轻女性和老年女性(绝经前)在月经周期不同阶段的脂蛋白胆固醇变化及其与性类固醇激素的相互作用。研究方法样本包括 30 名健康女性(20-45 岁),按年龄(20-25 岁)(40-45 岁)分为两组,每组 15 人。在月经周期的第 8 天、第 16 天和第 24 天采集年轻和年老经期妇女的血样,以比较各组在这些天之间的先前参数,并比较第一组和第二组在相似天之间的这些参数。血脂谱(总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)和极低密度脂蛋白(VLDL))的变化由 Bio-Systems Kit 成分测定。统计分析采用单因素方差分析(ANOVA),然后进行邓肯检验(Duncan's test)和 t 检验来评估组间差异。结果与其他日子(第 16 天和第 24 天)相比,代表卵泡期的月经周期第 8 天的 TC 和 TG 水平没有明显增加。然而,与其他日子相比,低密度脂蛋白水平在月经周期第 8 天明显升高(P < 0.05)。另一方面,高密度脂蛋白和低密度脂蛋白水平在月经周期的第 16 天(即排卵期)有所增加。讨论TC、TG和LDL水平在卵泡期升高,同时伴有高水平的FSH和雌二醇,从而导致良好的血脂状况,而FSH和雌二醇被认为是胆固醇生物合成的调节剂和缓冲能力。高密度脂蛋白和低密度脂蛋白水平在排卵期间会升高,以满足排卵的要求并确保成功排卵。结论研究和评估月经周期阶段的血脂变化是了解女性生理健康状态和预防心血管疾病发生的一个重要问题。
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