Department of Epidemiology and Environmental Health, University at Buffalo-SUNY, Buffalo, New York, USA.
Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
J Am Coll Cardiol. 2022 Jul 19;80(3):256-275. doi: 10.1016/j.jacc.2022.05.016.
The WHI (Women's Health Initiative) enrolled 161,808 racially and ethnically diverse postmenopausal women, ages 50-79 years, from 1993 to 1998 at 40 clinical centers across the United States. In its clinical trial component, WHI evaluated 3 randomized interventions (menopausal hormone therapy; diet modification; and calcium/vitamin D supplementation) for the primary prevention of major chronic diseases, including cardiovascular disease, in older women. In the WHI observational study, numerous clinical, behavioral, and social factors have been evaluated as predictors of incident chronic disease and mortality. Although the original interventions have been completed, the WHI data and biomarker resources continue to be leveraged and expanded through ancillary studies to yield novel insights regarding cardiovascular disease prevention and healthy aging in women.
WHI(女性健康倡议)于 1993 年至 1998 年在美国 40 个临床中心招募了 161808 名种族和民族多样化的绝经后女性,年龄在 50-79 岁之间。在其临床试验部分,WHI 评估了 3 种随机干预措施(绝经激素治疗;饮食改变;以及钙/维生素 D 补充剂),以预防老年女性的主要慢性疾病,包括心血管疾病。在 WHI 观察性研究中,许多临床、行为和社会因素被评估为慢性病和死亡率的预测因素。尽管最初的干预已经完成,但 WHI 的数据和生物标志物资源继续通过辅助研究得到利用和扩展,以获得有关女性心血管疾病预防和健康衰老的新见解。