Title :

Association between reproductive factors and carotid atherosclerosis in post-menopausal women

Author(s) :

Madika, Anne-Laure [Auteur]
Institut Coeur Poumon [CHU Lille]
Nasserdine, Phenicia [Auteur]
Institut Coeur Poumon [CHU Lille]
Langlet, Sandra [Auteur]
Institut Coeur Poumon [CHU Lille]
Lecerf, Charlotte [Auteur]
Institut Coeur Poumon [CHU Lille]
Ledieu, Guillaume [Auteur]
Institut Coeur Poumon [CHU Lille]
Devos, Patrick [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Mounier-Vehier, Claire [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]

Journal title :

Maturitas

Abbreviated title :

Maturitas

Volume number :

126

Pages :

38-44

Publisher :

Elsevier

Publication date :

2019-08

ISSN :

0378-5122

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Objectives Assessment of cardiovascular risk in women is specific and hormonal factors should be considered to avoid its underestimation. So far, studies on this issue are lacking and the impact of reproductive factors ...
Show more >Objectives Assessment of cardiovascular risk in women is specific and hormonal factors should be considered to avoid its underestimation. So far, studies on this issue are lacking and the impact of reproductive factors on cardiovascular risk has yet to be determined. We study the association between reproductive factors and carotid atherosclerosis, a non-invasive marker of cardiovascular diseases, in post-menopause. Study design In this cross-sectional study, data were analyzed from post-menopausal women with at least one cardiovascular risk factor followed through a dedicated healthcare pathway at the Lille University Hospital between January 1st, 2013 and December 31st, 2016. Main outcome and measures: The primary outcome was the presence of plaque or stenosis at carotid ultrasound. Results We included 370 post-menopausal women with a mean age of 63.4 ± 0.5 years. Carotid atherosclerosis was found in 161 (43,3%) women. Women with 3 or more children had higher odds of having carotid atherosclerosis than women with fewer than 3 children after adjustment for age, OR 1,69 [CI 95% 1,09–2,61], p = 0,019, and after further adjustment for anthropometric measures, traditional cardiovascular risk factors and pregnancy-related complications: OR 1,65 [CI 95% 1,05–2,62], p = 0,031. No other reproductive factor was significantly associated with carotid atherosclerosis. Conclusions A higher parity was associated with higher odds of carotid atherosclerosis independently of age, traditional risk factors, anthropometric measures and gestational diseases among post-menopausal women at risk of cardiovascular diseases. This suggests the importance of considering the number of children when assessing cardiovascular risk in women.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Université de Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2021-12-08T09:51:37Z
2024-04-10T07:26:27Z