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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2009, Number 08

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Ginecol Obstet Mex 2009; 77 (08)

Frequency of metabolic syndrome in Mexican posmenopausal women and its relation with the hormonal therapy

Carranza LS, Guerrero ML, Castro A
Full text How to cite this article

Language: Spanish
References: 11
Page: 367-371
PDF size: 214.79 Kb.


Key words:

metabolic syndrome, hormone replacement therapy, waist perimeter.

ABSTRACT

Introduction: Metabolic syndrome is related with a significant increase in some chronic-degenerative diseases. In the same manner in the postmenopause exist several and metabolic changes.
Objective: To determine the frequency of metabolic syndrome in Mexican postmenopausal women that receive or not hormone therapy.
Material and methods: 33 postmenopausal women divided in two groups one without hormone therapy and the other received conjugated equine estrogens plus medroxyprogesterone acetate 0.625/2.5 mg/day. Age was documented; weight, height, waist and hip perimeters as well as blood pressure were analyzed. Body mass index and waist-hip ratio were calculated. Glucose and lipid levels were measured. Statistical analysis was done with Student’s test for independent samples for comparison among the groups.
Results: Thirty-three patients were studied, 17 were in the group without hormone therapy and 16 in the group with hormone therapy with conjugated equine estrogens and medroxyprogesterone acetate 0.625/2.5 mg/day were studied. When the groups were compared, the waist perimeter was significantly greater in the group without hormone therapy (98.7 ± 7.8 cm vs. 92.9 ± 9.1 cm, respectively, p ‹ 0.05). No significant differences were found between the groups in blood pressure, glucose, total cholesterol, high-density lipoprotein cholesterol and triglycerides. Metabolic syndrome diagnostic criteria were completed in 12 patients of group 1 (70.6%) and 8 in group 2 (50%), without statistically significant difference between them.
Conclusion: Hormone therapy group was associated to a lower abdominal perimeter and a lower waist-hip ratio. This let’s suppose that hormone therapy has a beneficial effect on the prevention of metabolic syndrome.


REFERENCES

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Ginecol Obstet Mex. 2009;77