更年期症状与心血管风险因素的关系综述

Q2 Social Sciences Anthropological Review Pub Date : 2024-07-03 DOI:10.18778/1898-6773.87.2.07
Debasmita Kar, Subho Roy
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引用次数: 0

摘要

绝经过渡期和绝经后时期会对妇女的中年健康产生短期和长期影响。短期影响包括可能出现更年期症状,而长期影响则包括心血管疾病(CVD)风险。更年期症状的发生在人群内部和人群之间差异很大。研究表明,更年期症状的发生频率和严重程度与心血管疾病的风险因素有关,但现有的文献资料各不相同,而且数量有限。因此,属于不同人群的女性患心血管疾病的风险可能不同,但这种关系背后的确切生理机制仍不清楚。本综述旨在综合更年期症状与血压、总胆固醇、血糖水平和肥胖等各种常规心血管疾病风险因素相关的现有证据,并确定这两个过程之间的潜在联系。我们进行了严格的数据库搜索,以确定、检查和批判性评估有关更年期症状与心血管疾病风险因素之间关联的现有文献。我们采用纳入和排除标准对检索到的文章进行筛选,并将文献分为八大类。与没有这些症状的女性相比,有血管运动、心理和泌尿生殖系统症状的女性患心血管疾病的风险更高。我们的综述表明,更年期症状可作为评估中年时期心血管疾病风险因素的标志物。因此,有必要进行更大规模的研究来支持这些发现,并确定控制这种关联的潜在中介因素。
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A review on association between menopausal symptoms and cardiovascular risk factors
Menopausal transition and post-menopausal periods can have short-term and long- term effects on mid-life health of women. The short-term effects include the possibility of experiencing of menopausal symptoms, while the long-term effects include cardiovascular diseases (CVD) risk. The occurrence of menopausal symptoms varies widely within and between populations. Studies indicate that the frequency and severity of menopausal symptoms are linked to CVD risk factors, but the existing literature is divergent and somewhat limited. Thus, women belonging to different populations are likely to be at a different risk of CVD, but the exact physiological mechanism behind this relationship remains unclear. The present narrative review aimed to synthesize the available evidence of menopausal symptoms in association with various conventional CVD risk factors such as blood pressure, total cholesterol and blood glucose levels and obesity, as well as to determine the potential link between these two processes. We undertook a rigorous data base search to identify, examine, and critically assess the existing literature on the associations between menopausal symptoms and CVD risk factors. We applied inclusion and exclusion criteria to filter the retrieved articles and classified the literature into eight major categories. The risk of CVD is higher among women who experience vasomotor, psychological, and urogenital symptoms compared to those who do not experience these symptoms. Our review indicates that menopausal symptoms can be used as markers in assessing CVD risk factors during midlife. Thus there is a need for larger-scale research to support these findings and identify the potential mediators that are controlling this association.
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来源期刊
Anthropological Review
Anthropological Review Social Sciences-Anthropology
CiteScore
0.90
自引率
0.00%
发文量
35
审稿时长
20 weeks
期刊最新文献
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