Cardiovascular Disease and Depression/Anxiety, Two Complication of Menopause Status

Susan Darroudi, M. Saberi-Karimian, F. Sadabadi, Maryam Tayefi, Batool Tayefi, Z. Asadi, T. Sahranavard, S. Sabour, Farnoush Kermanshahi, Effat Bahadory, G. Ferns, H. Esmaily, M. Ghayour-Mobarhan
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Abstract

Objective Postmenopausal women are at an increased risk of Cardiovascular Disease. We aimed to investigate whether this risk differed between individuals with a naturally occurring and other reasons for menopause within a large population-based Iranian sample. Study Design A total number of 1763 postmenopausal women (defined by amenorrhea for more than a year, or FSH > 30-40 mIU/ml), 900 of them with a natural menopause and 863 of them with other reasons for menopause caused by (hysterectomy without oophorectomy or one side oophorectomy, hysterectomy with oophorectomy or two side oophorectomy without hysterectomy) were recruited as part of the Mashhad Stroke and Heart Atherosclerotic Disorders (MASHAD) cohort study. Biochemical and hematological risk factors were measured in all the subjects and the data were analyzed by SPSS software version 20 Results There was a significant difference in the presence of cardiovascular disease in the natural menopause group compared with other reasons for menopause group (p<0.05). There was also a meaningful difference between the prevalence of depression and anxiety in the natural menopause individuals compared with other reasons for menopause group (p<0.05). Discussion High prevalence of CVD, depression and anxiety in other reasons in menopause women were observed among Mashhad urban females. It should be considered as a noticeable message. Furthermore, studies are necessary to determine different parameters between evaluating CVD, depression and anxiety among menopauses women.
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心血管疾病和抑郁/焦虑,绝经状态的两种并发症
目的:绝经后妇女患心血管疾病的风险增加。我们的目的是调查在以伊朗为基础的大量人群样本中,自然发生和其他原因绝经的个体之间这种风险是否存在差异。研究设计共招募了1763名绝经后妇女(定义为闭经一年以上,或FSH值为30-40 mIU/ml),其中900名为自然绝经,863名因其他原因(子宫切除不切除卵巢或单侧卵巢切除、子宫切除合并卵巢或双侧卵巢切除不切除子宫)导致绝经,作为马什哈德中风和心脏动脉粥样硬化疾病(MASHAD)队列研究的一部分。结果自然绝经组心血管疾病发生率与其他原因绝经组比较,差异有统计学意义(p<0.05)。自然绝经组抑郁、焦虑患病率与其他原因绝经组比较,差异有统计学意义(p<0.05)。讨论在马什哈德城市女性中观察到绝经妇女中心血管疾病、抑郁和其他原因引起的焦虑的高患病率。它应该被视为一个值得注意的信息。此外,有必要研究确定评估绝经妇女心血管疾病、抑郁和焦虑的不同参数。
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12 weeks
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