Dr Mahmoda Islam Dipa, M Phil (Thesis Part Student), Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:
Mymensingh Med J. 2021 Apr;30(2):307-314.
Menopause is the natural process of ageing when women pass from reproductive to non -reproductive phase with the cessation of cyclical ovarian functions. After menopause women are usually troubled by increasing weight and waist circumference caused by obesity and androidal fat redistribution. With the increase in life expectancy resulting in women living one half to one third of their lives after menopause, the high incidence of overweight and obesity in women have become important public health concerns. In postmenopausal women, elevated C-reactive protein (CRP) is one of the most significant predictors of cardiovascular disease and heart attack risk. In middle aged women, the risk of a coronary event rises dramatically after onset of menopause corresponding to decreased levels of circulating endogenous estrogens. Both body mass index (BMI) and serum CRP are significantly higher among postmenopausal women as compared with reproductive aged women. To assess the BMI and serum CRP level changes in healthy postmenopausal women in order to compare this parameter with healthy reproductive aged women. This comparative study was carried out in the Department of Physiology, Mymensingh Medical College, Mymensingh, Bangladesh from July, 2018 to June, 2019. Two hundred healthy women (100 female were postmenopausal as study group and 100 female were reproductive aged women as control group) aged between 25 to 65 years were enrolled in this study. BMI was calculated as weight in kilogram divided by the height in meter square. Serum CRP by CRP-Latex Test (Slide agglutination procedure). Data were expressed as mean±SD and statistical significance of difference among the group was calculated by unpaired students' 't' test. The mean value ±SD of BMI and serum CRP level was higher in postmenopausal group in comparison to the reproductive women group. This study concludes, BMI and Serum C-Reactive protein level increased in postmenopausal women.
绝经是女性从生殖期进入非生殖期的自然衰老过程,伴随着卵巢周期性功能的停止。绝经后,女性通常会因肥胖和男性型脂肪重新分布而导致体重和腰围增加。随着预期寿命的延长,女性有一半到三分之一的时间处于绝经后,超重和肥胖的高发病率已成为重要的公共卫生关注点。在绝经后妇女中,升高的 C 反应蛋白(CRP)是心血管疾病和心脏病发作风险的最重要预测因素之一。在中年女性中,绝经后冠心病事件的风险在绝经后急剧上升,与循环内源性雌激素水平下降相对应。与生殖期女性相比,绝经后女性的体重指数(BMI)和血清 CRP 均显著升高。评估健康绝经后妇女的 BMI 和血清 CRP 水平变化,以便将该参数与健康生殖期妇女进行比较。本研究于 2018 年 7 月至 2019 年 6 月在孟加拉国迈门辛医学院生理学系进行,共纳入 200 名健康女性(100 名绝经后妇女为研究组,100 名生殖期妇女为对照组),年龄 25-65 岁。BMI 按体重(kg)除以身高(m)的平方计算。CRP 采用 CRP-LatexTest(胶乳凝集法)检测。数据表示为均数±标准差,组间差异的统计学意义采用非配对学生' t'检验计算。与生殖期妇女组相比,绝经后妇女组的 BMI 和血清 CRP 水平的平均值±标准差更高。本研究得出结论,绝经后妇女的 BMI 和血清 C 反应蛋白水平升高。