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ABSTRACT: Context
Menopause has been associated with adverse cardiovascular disease (CVD) risk profile, yet it is unclear whether the changes in CVD risk factors differ by reproductive stage independently of underlying ageing trajectories.Design
The CoLaus study is a prospective population-based cohort study in Lausanne, Switzerland.Patients
We used data from women at baseline and follow-up (mean: 5.6 ± 0.5 years) from 2003 to 2012 who did not use hormone therapy. We classified women into (i) premenopausal, (ii) menopausal transition, (iii) early (≤5 years) and (iv) late (>5 years) postmenopausal by comparing their menstruation status at baseline and follow-up.Measurements
We measured fasting lipids, glucose and cardiovascular inflammatory markers. We used repeated measures (linear mixed models) for longitudinal analysis, using premenopausal women as a reference category. We adjusted analyses for age, medications and lifestyle factors.Results
We used the data from 1710 women aged 35-75 years. Longitudinal analysis showed that the changes in CVD risk factors were not different in the other three menopausal categories compared to premenopausal women. When age was used as a predictor variable and adjusted for menopause status, most CVD risk factors increased, while interleukin-6 and interleukin-1β decreased with advancing age.Conclusion
The current study suggests that women have a worsening cardiovascular risk profile as they age, and although menopausal women may have higher levels of cardiovascular risk factors compared to premenopausal women at any given time, the 5-year changes in cardiovascular risk factors may not depend on the reproductive stage.
SUBMITTER: Raguindin PF
PROVIDER: S-EPMC9790265 | biostudies-literature | 2022 Nov
REPOSITORIES: biostudies-literature
Raguindin Peter Francis PF Cardona Isabel I Muka Taulant T Lambrinoudaki Irene I Gebhard Catherine C Franco Oscar H OH Marques-Vidal Pedro P Glisic Marija M
Clinical endocrinology 20220415 5
<h4>Context</h4>Menopause has been associated with adverse cardiovascular disease (CVD) risk profile, yet it is unclear whether the changes in CVD risk factors differ by reproductive stage independently of underlying ageing trajectories.<h4>Design</h4>The CoLaus study is a prospective population-based cohort study in Lausanne, Switzerland.<h4>Patients</h4>We used data from women at baseline and follow-up (mean: 5.6 ± 0.5 years) from 2003 to 2012 who did not use hormone therapy. We classified wom ...[more]