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多不饱和脂肪酸的变化与更年期综合征患者的代谢综合征有关。

Changes in polyunsaturated fatty acids are linked to metabolic syndrome in climacteric syndrome patients.

作者信息

Ye Hua, Zhou Linju, Liu Qing, Xiao Wanghua

机构信息

Women's Health Department, Ganzhou Maternal and Child Health Hospital, Ganzhou, China.

Gynecology Department, Ganzhou Maternal and Child Health Hospital, Ganzhou, China.

出版信息

Gynecol Endocrinol. 2024 Dec;40(1):2433133. doi: 10.1080/09513590.2024.2433133. Epub 2024 Dec 23.

DOI:10.1080/09513590.2024.2433133
PMID:39714943
Abstract

OBJECTIVE

This study explored the association between ω-6 to ω-3 polyunsaturated fatty acids (PUFAs) and metabolic syndrome in women experiencing climacteric syndrome.

METHODS

The study involved 186 female participants and utilized surveys, anthropometric measurements (waist circumference, height, BMI, waist-to-height ratio), blood pressure assessments, and blood samples for lipid profile, glucose, insulin, HbA1c analysis. Serum PUFAs levels were analyzed using gas chromatography-mass spectrometry.

RESULTS

The study found significantly higher measurements of waist circumference, waist-to-height ratio, systolic and diastolic blood pressure in postmenopausal women with metabolic syndrome compared to the control group. In addition, the metabolic syndrome group showed significantly higher levels of fasting blood glucose, triglycerides, low-density lipoprotein cholesterol, HbA1c, insulin, triglyceride to high-density lipoprotein ratio, and total cholesterol to high-density lipoprotein ratio. Furthermore, the study also identified significant differences among premenopausal women, postmenopausal women with metabolic syndrome, and postmenopausal women without metabolic syndrome in terms of omega-3 alpha-linolenic acid, omega-3 docosahexaenoic acid, omega-6 arachidonic acid, and omega-6 to omega-3 ratio.

CONCLUSIONS

We observed that high ω-6 arachidonic acid and ω-6/ω-3 ratio and low ω-3 ALA and ω-3 DHA were associated with high TG and WHtR. High TG and WHtR levels in postmenopausal women are associated with increased risk of Mets.

摘要

目的

本研究探讨了更年期综合征女性中ω-6与ω-3多不饱和脂肪酸(PUFAs)与代谢综合征之间的关联。

方法

该研究纳入了186名女性参与者,采用问卷调查、人体测量(腰围、身高、体重指数、腰高比)、血压评估以及采集血样进行血脂、血糖、胰岛素、糖化血红蛋白分析。血清PUFAs水平采用气相色谱-质谱联用仪进行分析。

结果

研究发现,与对照组相比,患有代谢综合征的绝经后女性腰围、腰高比、收缩压和舒张压的测量值显著更高。此外,代谢综合征组的空腹血糖、甘油三酯、低密度脂蛋白胆固醇、糖化血红蛋白、胰岛素、甘油三酯与高密度脂蛋白比值以及总胆固醇与高密度脂蛋白比值水平显著更高。此外,该研究还发现,在ω-3α-亚麻酸、ω-3二十二碳六烯酸、ω-6花生四烯酸以及ω-6与ω-3比值方面,绝经前女性、患有代谢综合征的绝经后女性和未患有代谢综合征的绝经后女性之间存在显著差异。

结论

我们观察到,高ω-6花生四烯酸和ω-6/ω-3比值以及低ω-3α-亚麻酸和ω-3二十二碳六烯酸与高甘油三酯和腰高比相关。绝经后女性高甘油三酯和腰高比水平与代谢综合征风险增加相关。

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