Kondagadapu Nandini, Suleman Dawood, Vadakedath Sabitha, Kandi Venkataramana
Biochemistry, Prathima Institute of Medical Sciences, Karimnagar, IND.
Biochemistry, Government Medical College & Hospital, Mancherial, Mancherial, IND.
Cureus. 2024 May 24;16(5):e60995. doi: 10.7759/cureus.60995. eCollection 2024 May.
Introduction Menopause is an important milestone in the lives of women. Despite it being a natural phenomenon, menopause brings a lot of changes in a woman's life, which significantly affects their health and well-being. Menopause involves the cessation of hormone production necessary for menstrual cycles and fertility of females. The absence of these hormones may disturb the homeostasis of minerals, blood glucose, and lipid parameters and predispose women to several health conditions affecting different organs. Obesity has been identified as one of the several conditions that influence the health of women. Therefore, assessing women's health before menopause may improve understanding of their well-being and predict problems during and after menopause. The present study evaluated the activities of calcium, magnesium, phosphorous, fasting blood glucose (FBG), and lipid parameters in obese and nonobese premenopausal women. Methods The present study included 90 obese and 110 nonobese premenopausal women attending the General Medicine and Obstetrics and Gynaecology Departments of Gandhi Medical College and Hospital (GMC&H), Secunderabad, Telangana, India. The body mass index (BMI) was measured in all the study participants to put them under obese and nonobese categories. Blood samples were collected from all the study participants for the estimation of the activities of minerals like calcium, magnesium, phosphorous, FBG, and lipid parameters including total cholesterol (TC), triglycerides (TG), very low-density lipoproteins (VLDL), low-density lipoproteins (LDL), and high-density lipoproteins (HDL). Results The results demonstrated a significant difference in the activities of lipid parameters (TC-obese (158.90 ± 20.20 mg/dl) versus nonobese (148.7 ± 18.6 mg/dl), p < 0.05; TG-obese (143.1 ± 58.2 mg/dl) versus nonobese (118.40 ± 55.80 mg/dl), p < 0.01; VLDL-obese (28.30 ± 11.50 mg/dl) versus nonobese (23.30 ± 11 mg/dl), p < 0.05; LDL-obese (92 ± 30.30 mg/dl) versus nonobese (73.90 ± 26.10 mg/dl), p < 0.01; HDL-obese (61.60 ± 12.50) versus nonobese (65.30 ± 11.25 mg/dl), p < 0.01), FBG (obese (106.80 ± 32.20 mg/dl) versus nonobese (88.50 ± 42.60 mg/dl); p < 0.01)), and magnesium (obese (1.79 ± 0.36 mg/dl) versus nonobese (2.42 ± 0.67 mg/dl); p < 0.01)). However, the activities of calcium (obese (9 ± 0.54 mg/dl) vs. nonobese (8.9 ± 0.58); p > 0.05)) and phosphorous (obese (3.84 ± 0.53 mg/dl) versus nonobese (3.75 ± 0.46 mg/dl); p > 0.05)) was found to be similar in obese and nonobese premenopausal women. Conclusions The results suggest that obese premenopausal women revealed lowered activities of magnesium that can predispose them to chronic diseases like cardiovascular diseases. In addition, obese women showed higher activities of FBG that predisposes them to type 2 diabetes mellitus (T2DM). There was significant variation in the lipid parameters among obese and nonobese women. However, serum calcium and phosphorous were similar in obese and nonobese premenopausal women.
引言
更年期是女性生命中的一个重要里程碑。尽管它是一种自然现象,但更年期会给女性生活带来许多变化,这对她们的健康和幸福有着重大影响。更年期涉及女性月经周期和生育所需激素分泌的停止。这些激素的缺乏可能会扰乱矿物质、血糖和脂质参数的稳态,并使女性易患影响不同器官的多种健康问题。肥胖已被确认为影响女性健康的几种状况之一。因此,在更年期前评估女性健康状况可能有助于更好地了解她们的幸福状况,并预测更年期期间及之后的问题。本研究评估了肥胖和非肥胖绝经前女性体内钙、镁、磷、空腹血糖(FBG)和脂质参数的活性。
方法
本研究纳入了印度特伦甘纳邦塞康德拉巴德甘地医学院及医院(GMC&H)普通内科和妇产科的90名肥胖绝经前女性和110名非肥胖绝经前女性。对所有研究参与者测量体重指数(BMI),以将她们分为肥胖和非肥胖类别。采集所有研究参与者的血样,以测定钙、镁、磷等矿物质的活性、FBG以及脂质参数,包括总胆固醇(TC)、甘油三酯(TG)、极低密度脂蛋白(VLDL)、低密度脂蛋白(LDL)和高密度脂蛋白(HDL)。
结果
结果显示,脂质参数活性存在显著差异(TC - 肥胖者(158.90 ± 20.20 mg/dl)与非肥胖者(148.7 ± 18.6 mg/dl),p < 0.05;TG - 肥胖者(143.1 ± 58.2 mg/dl)与非肥胖者(118.40 ± 55.80 mg/dl),p < 0.01;VLDL - 肥胖者(28.30 ± 11.50 mg/dl)与非肥胖者(23.30 ± 11 mg/dl),p < 0.05;LDL - 肥胖者(92 ± 30.30 mg/dl)与非肥胖者(73.90 ± 26.10 mg/dl),p < 0.01;HDL - 肥胖者(61.60 ± 12.50)与非肥胖者(65.30 ± 11.25 mg/dl),p < 0.01),FBG(肥胖者(106.80 ± 32.20 mg/dl)与非肥胖者(88.50 ± 42.60 mg/dl);p < 0.01)),以及镁(肥胖者(1.79 ± 0.36 mg/dl)与非肥胖者(2.42 ± 0.67 mg/dl);p < 0.01))。然而,肥胖和非肥胖绝经前女性的钙活性(肥胖者(9 ± 0.54 mg/dl)与非肥胖者(8.9 ± 0.58);p > 0.05))和磷活性(肥胖者(3.84 ± 0.53 mg/dl)与非肥胖者(3.75 ± 0.46 mg/dl);p > 0.05))相似。
结论
结果表明,肥胖绝经前女性的镁活性降低,这可能使她们易患心血管疾病等慢性疾病。此外,肥胖女性的FBG活性较高,这使她们易患2型糖尿病(T2DM)。肥胖和非肥胖女性的脂质参数存在显著差异。然而,肥胖和非肥胖绝经前女性的血清钙和磷相似。