Softić Dženana, Mešalić Lejla
Department of Gynaecology and Obstetrics, University Clinical Centre Tuzla, Bosnia and Herzegovina.
School of Medicine, University of Tuzla; Tuzla, Bosnia and Herzegovina.
Med Glas (Zenica). 2023 Feb 1;20(1). doi: 10.17392/1565-22.
Aim To investigate the relationship between C-reactive protein, anthropometric parameters, and lipids in women in the menopausal transition. Methods This cross-sectional study included 150 women divided into three groups: premenopausal (n=50), perimenopausal (n=50), and postmenopausal (n=50). All women were interviewed, body mass index (BMI) and waist-hip ratio (WHR) values were calculated, and a blood sample was taken for laboratory analysis. The values of the lipids were determined including triglycerides, total cholesterol, and high-density lipoprotein (HDL) cholesterol, while low-density lipoprotein (LDL) and very-low-density lipoprotein (VLDL) cholesterol values were obtained through formulas. The concentration of CRP was determined by immunoturbidimetry on the Architect ci8200 device. Results The BMI of postmenopausal women was significantly higher than that of premenopausal (p=0.025) and perimenopausal women (p=0.010). The ratio of the waist-hip circumference of postmenopausal women was significantly higher than the ratio of the waist-hip circumference of premenopausal women (p<0.001), as well as that of perimenopausal women (p<0.001). A significant difference in CRP concentration was found only between the postmenopausal and premenopausal groups (p=0.009). CRP significantly positively correlated with BMI in all three groups. A significant positive correlation was found between CRP and WHR in the perimenopause and in the postmenopause group. No significant correlation was found between CRP and lipid parameters in any group. Conclusion An increase in body weight or obesity in the postmenopausal period, increase in CRP concentration, and positive correlation between these parameters suggest that entering menopause could mean a potential increase in the risk of developing cardiovascular and metabolic diseases.
目的 探讨处于绝经过渡期女性的C反应蛋白、人体测量参数与血脂之间的关系。方法 本横断面研究纳入了150名女性,分为三组:绝经前(n = 50)、围绝经期(n = 50)和绝经后(n = 50)。对所有女性进行访谈,计算体重指数(BMI)和腰臀比(WHR)值,并采集血样进行实验室分析。测定血脂值,包括甘油三酯、总胆固醇和高密度脂蛋白(HDL)胆固醇,而低密度脂蛋白(LDL)和极低密度脂蛋白(VLDL)胆固醇值通过公式计算得出。采用免疫比浊法在Architect ci8200设备上测定CRP浓度。结果 绝经后女性的BMI显著高于绝经前女性(p = 0.025)和围绝经期女性(p = 0.010)。绝经后女性的腰臀围比显著高于绝经前女性(p < 0.001),也高于围绝经期女性(p < 0.001)。仅在绝经后组和绝经前组之间发现CRP浓度存在显著差异(p = 0.009)。在所有三组中,CRP与BMI均呈显著正相关。在围绝经期和绝经后组中,CRP与WHR之间存在显著正相关。在任何组中,CRP与血脂参数之间均未发现显著相关性。结论 绝经后期体重增加或肥胖、CRP浓度升高以及这些参数之间的正相关表明,进入更年期可能意味着患心血管和代谢疾病风险的潜在增加。