Age at Menopause in Relationship to Lipid Changes and Subclinical Carotid Disease Across 20 Years: Study of Women's Health Across the Nation
Background Younger age at final menstrual period (FMP) is associated with increased risk for cardiovascular disease events. This paper evaluated whether older age at FMP is associated with more favorable patterns of lipid changes during the menopause transition and whether these changes are associat...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-09-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.121.021362 |
| _version_ | 1797838381164527616 |
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| author | Karen A. Matthews Xirun Chen Emma Barinas‐Mitchell Maria M. Brooks Carol A. Derby Sioban Harlow Elizabeth A. Jackson Rebecca C. Thurston Samar R. El Khoudary |
| author_facet | Karen A. Matthews Xirun Chen Emma Barinas‐Mitchell Maria M. Brooks Carol A. Derby Sioban Harlow Elizabeth A. Jackson Rebecca C. Thurston Samar R. El Khoudary |
| author_sort | Karen A. Matthews |
| collection | DOAJ |
| description | Background Younger age at final menstrual period (FMP) is associated with increased risk for cardiovascular disease events. This paper evaluated whether older age at FMP is associated with more favorable patterns of lipid changes during the menopause transition and whether these changes are associated with less subclinical carotid disease in the postmenopausal years. Methods and Results Lipids and lipoproteins were measured repeatedly among 1554 premenopausal women who had a natural menopause during follow‐up years (median=18.8 years); a subset of 890 women also had measures of carotid intima media thickness, adventitial diameter, and plaque. Women who had an older FMP age had less adverse changes in cholesterol from 1 to 3 years after FMP, and in triglycerides from FMP to 3 years after FMP, but they had more adverse changes in ApoB and Apo A1 from 3 years before to 1 year after the FMP. Increasing cholesterol and ApoB from 1 to 3 years after FMP were associated with greater intima media thickness and adventitial diameter, and the greater likelihood of a plaque score >2 the older the age at FMP. Conclusions Despite the epidemiological literature showing early age at FMP is associated with elevated risk for cardiovascular disease events, older age at FMP had inconsistent associations with less adverse lipid changes in midlife, which did not translate into less risk for subclinical carotid disease and in some cases more risk. These findings are restricted to women who experience FMP in the normative age range for the menopausal transition. |
| first_indexed | 2024-04-09T15:39:57Z |
| format | Article |
| id | doaj.art-8a62c1e5e3bf4d03bd9267684ee67e49 |
| institution | Directory Open Access Journal |
| issn | 2047-9980 |
| language | English |
| last_indexed | 2024-04-09T15:39:57Z |
| publishDate | 2021-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj.art-8a62c1e5e3bf4d03bd9267684ee67e492023-04-27T11:12:16ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802021-09-01101810.1161/JAHA.121.021362Age at Menopause in Relationship to Lipid Changes and Subclinical Carotid Disease Across 20 Years: Study of Women's Health Across the NationKaren A. Matthews0Xirun Chen1Emma Barinas‐Mitchell2Maria M. Brooks3Carol A. Derby4Sioban Harlow5Elizabeth A. Jackson6Rebecca C. Thurston7Samar R. El Khoudary8Department of Psychiatry University of Pittsburgh PADepartment of Epidemiology University of Pittsburgh PADepartment of Epidemiology University of Pittsburgh PADepartment of Epidemiology University of Pittsburgh PADepartments of Neurology, and of Epidemiology and Population Health Albert Einstein College of Medicine Bronx NYDepartment of Epidemiology University of Michigan Ann Arbor MIDivision of Cardiovascular Medicine Department of Internal Medicine University of Alabama Birmingham ALDepartment of Psychiatry University of Pittsburgh PADepartment of Epidemiology University of Pittsburgh PABackground Younger age at final menstrual period (FMP) is associated with increased risk for cardiovascular disease events. This paper evaluated whether older age at FMP is associated with more favorable patterns of lipid changes during the menopause transition and whether these changes are associated with less subclinical carotid disease in the postmenopausal years. Methods and Results Lipids and lipoproteins were measured repeatedly among 1554 premenopausal women who had a natural menopause during follow‐up years (median=18.8 years); a subset of 890 women also had measures of carotid intima media thickness, adventitial diameter, and plaque. Women who had an older FMP age had less adverse changes in cholesterol from 1 to 3 years after FMP, and in triglycerides from FMP to 3 years after FMP, but they had more adverse changes in ApoB and Apo A1 from 3 years before to 1 year after the FMP. Increasing cholesterol and ApoB from 1 to 3 years after FMP were associated with greater intima media thickness and adventitial diameter, and the greater likelihood of a plaque score >2 the older the age at FMP. Conclusions Despite the epidemiological literature showing early age at FMP is associated with elevated risk for cardiovascular disease events, older age at FMP had inconsistent associations with less adverse lipid changes in midlife, which did not translate into less risk for subclinical carotid disease and in some cases more risk. These findings are restricted to women who experience FMP in the normative age range for the menopausal transition.https://www.ahajournals.org/doi/10.1161/JAHA.121.021362agingcarotid diseaselipidsmenopauselongitudinal cohort study |
| spellingShingle | Karen A. Matthews Xirun Chen Emma Barinas‐Mitchell Maria M. Brooks Carol A. Derby Sioban Harlow Elizabeth A. Jackson Rebecca C. Thurston Samar R. El Khoudary Age at Menopause in Relationship to Lipid Changes and Subclinical Carotid Disease Across 20 Years: Study of Women's Health Across the Nation Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease aging carotid disease lipids menopause longitudinal cohort study |
| title | Age at Menopause in Relationship to Lipid Changes and Subclinical Carotid Disease Across 20 Years: Study of Women's Health Across the Nation |
| title_full | Age at Menopause in Relationship to Lipid Changes and Subclinical Carotid Disease Across 20 Years: Study of Women's Health Across the Nation |
| title_fullStr | Age at Menopause in Relationship to Lipid Changes and Subclinical Carotid Disease Across 20 Years: Study of Women's Health Across the Nation |
| title_full_unstemmed | Age at Menopause in Relationship to Lipid Changes and Subclinical Carotid Disease Across 20 Years: Study of Women's Health Across the Nation |
| title_short | Age at Menopause in Relationship to Lipid Changes and Subclinical Carotid Disease Across 20 Years: Study of Women's Health Across the Nation |
| title_sort | age at menopause in relationship to lipid changes and subclinical carotid disease across 20 years study of women s health across the nation |
| topic | aging carotid disease lipids menopause longitudinal cohort study |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.121.021362 |
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