Lipid metabolism in women with coronary heart disease of different ages due to levels of sex hormones

Objective: To analyze the basic components of the lipid profile of blood serum in patients with coronary artery disease based on the levels of follicle stimulating hormone (FSH), testosterone and age, to explore their association with anthropometric parameters and indices of insulin-glucose homeost...

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Main Authors: O. V. Tsygankova, L. D. Latyntseva, Yu. I. Ragino, Z. G. Bondareva, K. Yu. Nikolaev, V. N. Maksimov, M. G. Pustovetova
Format: Article
Language:Russian
Published: Siberian Branch of Russian Academy of Sciences, Research Institute of Internal and Preventive Medicine, branch of the Institute of Cytology and Genetics 2015-12-01
Series:Атеросклероз
Subjects:
Online Access:https://ateroskleroz.elpub.ru/jour/article/view/779/717
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author O. V. Tsygankova
L. D. Latyntseva
Yu. I. Ragino
Z. G. Bondareva
K. Yu. Nikolaev
V. N. Maksimov
M. G. Pustovetova
author_facet O. V. Tsygankova
L. D. Latyntseva
Yu. I. Ragino
Z. G. Bondareva
K. Yu. Nikolaev
V. N. Maksimov
M. G. Pustovetova
author_sort O. V. Tsygankova
collection DOAJ
description Objective: To analyze the basic components of the lipid profile of blood serum in patients with coronary artery disease based on the levels of follicle stimulating hormone (FSH), testosterone and age, to explore their association with anthropometric parameters and indices of insulin-glucose homeostasis. The study involved 285 women aged 35–65 years who have had myocardial infarction at least 30 days before the survey. The median age was 54.4 years (25 and 75 % percentile: 43.2 and 61.3 years). Patients were divided into age groups: 35–55 years and 56–65 years (first and second groups of age, respectively), as well as groups on levels of sex hormones FSH and ≥ <30 mIU / ml and ≥ testosterone and <3 nm / l. Using analysis of covariance it is determined that in women 35–55 years with coronary heart disease significant factor determining the back high density lipoprotein (HDL) cholesterol is FSH ≥30 mIU / ml (p = 0.001) for low density lipoprotein (LDL) cholesterol directly affects T ≥ 3 nmol / l (p = 0.002), and triglyceride (TG) levels is mediated by the direct influence of FSH ≥ 30 mIU / ml (p = 0.001). In the category of patients 56–65 years of multivariate analysis indicator back to determining the level of HDL cholesterol, the index was the HOMA-R (p = 0.015), TG directly dependent on blood glucose (p = 0.001), T ≥ 3 nmol / l (p = 0.007), the index of HOMA-R (p = 0.035) and FSH (p = 0.042). Thus, in women 35–55 years a fundamental factor in the development of hypertriglyceridemia and gipoalfaholesterinemia is a high level of follikulotropin; hyperandrogenism in this age group was accompanied by an increase LDL cholesterol. In patients 56–65 years raising of TG and lowering of HDL cholesterol is mediated primarily indices of insulin-glucose-axis, as well as smaller but independent influence of hyperandrogenism and FSH ≥ 30 mIU / ml.
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spelling doaj.art-95e389dca3154ae4982af482ae534d352023-01-03T09:49:31ZrusSiberian Branch of Russian Academy of Sciences, Research Institute of Internal and Preventive Medicine, branch of the Institute of Cytology and GeneticsАтеросклероз2078-256X2015-12-011143743Lipid metabolism in women with coronary heart disease of different ages due to levels of sex hormonesO. V. Tsygankova0L. D. Latyntseva1Yu. I. Ragino2Z. G. Bondareva3K. Yu. Nikolaev4V. N. Maksimov5M. G. Pustovetova6Novosibirsk State Medical University Russian FederationFSBSI «Institute of Internal and Preventive Medicine» Russian FederationFSBSI «Institute of Internal and Preventive Medicine» Russian FederationNovosibirsk State Medical University Russian FederationFSBSI «Institute of Internal and Preventive Medicine» Russian FederationFSBSI «Institute of Internal and Preventive Medicine» Russian FederationNovosibirsk State Medical University Russian Federation Objective: To analyze the basic components of the lipid profile of blood serum in patients with coronary artery disease based on the levels of follicle stimulating hormone (FSH), testosterone and age, to explore their association with anthropometric parameters and indices of insulin-glucose homeostasis. The study involved 285 women aged 35–65 years who have had myocardial infarction at least 30 days before the survey. The median age was 54.4 years (25 and 75 % percentile: 43.2 and 61.3 years). Patients were divided into age groups: 35–55 years and 56–65 years (first and second groups of age, respectively), as well as groups on levels of sex hormones FSH and ≥ <30 mIU / ml and ≥ testosterone and <3 nm / l. Using analysis of covariance it is determined that in women 35–55 years with coronary heart disease significant factor determining the back high density lipoprotein (HDL) cholesterol is FSH ≥30 mIU / ml (p = 0.001) for low density lipoprotein (LDL) cholesterol directly affects T ≥ 3 nmol / l (p = 0.002), and triglyceride (TG) levels is mediated by the direct influence of FSH ≥ 30 mIU / ml (p = 0.001). In the category of patients 56–65 years of multivariate analysis indicator back to determining the level of HDL cholesterol, the index was the HOMA-R (p = 0.015), TG directly dependent on blood glucose (p = 0.001), T ≥ 3 nmol / l (p = 0.007), the index of HOMA-R (p = 0.035) and FSH (p = 0.042). Thus, in women 35–55 years a fundamental factor in the development of hypertriglyceridemia and gipoalfaholesterinemia is a high level of follikulotropin; hyperandrogenism in this age group was accompanied by an increase LDL cholesterol. In patients 56–65 years raising of TG and lowering of HDL cholesterol is mediated primarily indices of insulin-glucose-axis, as well as smaller but independent influence of hyperandrogenism and FSH ≥ 30 mIU / ml.https://ateroskleroz.elpub.ru/jour/article/view/779/717fshtestosteronewomencoronary heart diseaselipids
spellingShingle O. V. Tsygankova
L. D. Latyntseva
Yu. I. Ragino
Z. G. Bondareva
K. Yu. Nikolaev
V. N. Maksimov
M. G. Pustovetova
Lipid metabolism in women with coronary heart disease of different ages due to levels of sex hormones
Атеросклероз
fsh
testosterone
women
coronary heart disease
lipids
title Lipid metabolism in women with coronary heart disease of different ages due to levels of sex hormones
title_full Lipid metabolism in women with coronary heart disease of different ages due to levels of sex hormones
title_fullStr Lipid metabolism in women with coronary heart disease of different ages due to levels of sex hormones
title_full_unstemmed Lipid metabolism in women with coronary heart disease of different ages due to levels of sex hormones
title_short Lipid metabolism in women with coronary heart disease of different ages due to levels of sex hormones
title_sort lipid metabolism in women with coronary heart disease of different ages due to levels of sex hormones
topic fsh
testosterone
women
coronary heart disease
lipids
url https://ateroskleroz.elpub.ru/jour/article/view/779/717
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AT yuiragino lipidmetabolisminwomenwithcoronaryheartdiseaseofdifferentagesduetolevelsofsexhormones
AT zgbondareva lipidmetabolisminwomenwithcoronaryheartdiseaseofdifferentagesduetolevelsofsexhormones
AT kyunikolaev lipidmetabolisminwomenwithcoronaryheartdiseaseofdifferentagesduetolevelsofsexhormones
AT vnmaksimov lipidmetabolisminwomenwithcoronaryheartdiseaseofdifferentagesduetolevelsofsexhormones
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