2018, Number 6
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Gac Med Mex 2018; 154 (6)
Asociación del estado hormonal con el riesgo cardiovascular evaluado por Globorisk en mujeres mexicanas
González-Escudero E, Basurto-Acevedo L, Barrera-Hernández S, Díaz-Martínez A, Sánchez-Huerta L, Hernández-González O, Santiago-Jiménez G, González-Quintana VM, Rodríguez-Luna AK, González-Chávez A
Language: Spanish
References: 23
Page: 638-644
PDF size: 314.60 Kb.
ABSTRACT
Introduction: Cardiovascular disease is the main cause of mortality worldwide. In women, its incidence increases at the sixth
decade of life, coinciding with postmenopause. Whether this effect is due to menopause-related hormonal changes is not
known.
Objective: To evaluate the differences in cardiovascular risk in pre- and postmenopausal women by means of the
Globorisk risk scale, the triglyceride/high-density lipoproteins cholesterol (Tg/HDL-C) ratio and metabolic syndrome (MS) criteria.
Method: Cross-sectional study that included 408 women from 40 to 60 years of age; anthropometric measurements and
biochemical determinations were performed. The participants were classified as premenopausal and postmenopausal. Cardiovascular
risk was assessed using the MS criteria, the Globorisk risk calculator and the Tg/HDL-C ratio.
Results: Postmenopausal women
showed a significant increase in waist circumference, total cholesterol and triglycerides in comparison with premenopausal
women. Significant associations were found between hormonal state and Globorisk measured cardiovascular risk
(OR = 2.50; 95 % CI = 1.67-3.74) and the Tg/HDL-C ratio (OR = 1.66; 95 % CI = 1.09-2.52).
Conclusion: Cardiovascular risk
factors have a higher prevalence in postmenopause. The Globorisk scale and Tg/HDL-C ratio identify cardiovascular risk in
postmenopausal women.
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