According to the LA County Department of Public Health,
coronary heart disease is the leading cause of death for women in the county
and stroke is the second leading cause of death for women in the county. A new
study has reported that an early menopause increases the risk of both
conditions. Researchers affiliated with the University of Alabama, Birmingham
published their findings in the October issue of the journal Menopause.
The researchers noted that the identification of women at
risk of cardiovascular disease is of major public health importance. They
explained that some studies have reported an association with cardiovascular
disease events in some predominantly white populations; however, others did not
find an association. The objective of the study was to determine if
self-reported early menopause (menopause at an before age 46) identifies women
as at risk for future coronary heart disease or stroke.
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The researched reviewed data from the Multi-Ethnic Study of
Atherosclerosis, which is a longitudinal, ethnically diverse study of US men
and women aged 45 to 84 years enrolled in 2000-2002 and followed up until 2008.
The investigators evaluated the association between a personal history of early
menopause (either natural menopause or surgical removal of ovaries before the
age of 46). Future coronary heart disease and stroke was assessed in 2,509
women (age: 45-84; 987 white; 331 Chinese; 641 black; and 550 Hispanic) from
the Multi-ethnic Study Atherosclerosis who were free of cardiovascular disease
at baseline.
The authors found that of 2,509 women, 693 (28%) reported
either surgical or natural early menopause. In survival curves, women with
early menopause
had poorer coronary heart disease and stroke-free survival. In models adjusted
for age, race/ethnicity, Multi-ethnic Study Atherosclerosis site, and
traditional cardiovascular disease risk factors, this risk for coronary heart
disease and stroke was a 2.08-fold increased risk for coronary heart disease
and 2.19-fold greater risk for stroke.
The authors concluded that early menopause was positively
associated with coronary heart disease and stroke in a multiethnic cohort,
independent of traditional cardiovascular disease risk factors.”
Take home message:
If you experience an early menopause, you should consult
with a gynecologist or endocrinologist and mention this study. Hormone
replacement therapy (HRT) may be beneficial under these circumstances. Poor
lifestyle choices such as smoking have been reported to increase the risk of an
early menopause. Smoking also increases the risk of cardiovascular disease.
Source: http://www.edtreatmentindia.com
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