Yula Shapiro1, Margarita Mashavi, Ela Luckish, Marina Shargorodsky. 1. From the 1Department of Internal Medicine, Wolfson Medical Center, Holon, Israel; 2Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; and 3Department of Endocrinology, Wolfson Medical Center, Holon, Israel.
Abstract
OBJECTIVE: The present study was designed to evaluate the effects of menopause status and diabetes on arterial stiffness, metabolic parameters, and inflammatory parameters in premenopausal and postmenopausal women with and without type 2 diabetes mellitus. METHODS: In the present study, 186 women were divided into three groups: group 1 includes 42 premenopausal women without type 2 diabetes mellitus, group 2 includes 85 postmenopausal women without diabetes, and group 3 includes 59 postmenopausal women with diabetes. Blood glucose, hemoglobin A1c, insulin, lipids, C-reactive protein, homeostasis model assessment-insulin resistance, aldosterone, and renin were measured. Pulse wave velocity (PWV) and augmentation index (AI) were determined using SphygmoCor (version 7.1; AtCor Medical, Sydney, Australia). RESULTS: PWV and AI values increased from group 1 to group 3 in a continuous fashion. Postmenopausal women with and without diabetes exhibited significantly increased AI compared with premenopausal women without diabetes (P < 0.0001 and P < 0.0001, respectively). PWV was significantly higher in postmenopausal women with diabetes mellitus than in premenopausal and postmenopausal women without diabetes mellitus (P = 0.007 and P = 0.002, respectively). CONCLUSIONS: Postmenopausal women without diabetes have significantly higher AI compared with premenopausal women without type 2 diabetes mellitus. The combination of diabetes and postmenopause status is associated with further deterioration of AI and PWV independently of age, body mass index, and other cardiovascular risk factors.
OBJECTIVE: The present study was designed to evaluate the effects of menopause status and diabetes on arterial stiffness, metabolic parameters, and inflammatory parameters in premenopausal and postmenopausal women with and without type 2 diabetes mellitus. METHODS: In the present study, 186 women were divided into three groups: group 1 includes 42 premenopausal women without type 2 diabetes mellitus, group 2 includes 85 postmenopausal women without diabetes, and group 3 includes 59 postmenopausal women with diabetes. Blood glucose, hemoglobin A1c, insulin, lipids, C-reactive protein, homeostasis model assessment-insulin resistance, aldosterone, and renin were measured. Pulse wave velocity (PWV) and augmentation index (AI) were determined using SphygmoCor (version 7.1; AtCor Medical, Sydney, Australia). RESULTS: PWV and AI values increased from group 1 to group 3 in a continuous fashion. Postmenopausal women with and without diabetes exhibited significantly increased AI compared with premenopausal women without diabetes (P < 0.0001 and P < 0.0001, respectively). PWV was significantly higher in postmenopausal women with diabetes mellitus than in premenopausal and postmenopausal women without diabetes mellitus (P = 0.007 and P = 0.002, respectively). CONCLUSIONS: Postmenopausal women without diabetes have significantly higher AI compared with premenopausal women without type 2 diabetes mellitus. The combination of diabetes and postmenopause status is associated with further deterioration of AI and PWV independently of age, body mass index, and other cardiovascular risk factors.
Authors: Jaume Padilla; Makenzie L Woodford; Guido Lastra-Gonzalez; Vanesa Martinez-Diaz; Shumpei Fujie; Yan Yang; Alexandre M C Lising; Francisco I Ramirez-Perez; Annayya R Aroor; Mariana Morales-Quinones; Thaysa Ghiarone; Adam Whaley-Connell; Luis A Martinez-Lemus; Michael A Hill; Camila Manrique-Acevedo Journal: Endocrinology Date: 2019-12-01 Impact factor: 4.736