オオツキ ミチオ   Michio Otsuki
  大月 道夫
   所属   医学部 医学科(東京女子医科大学病院)
   職種   教授・基幹分野長
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Menopause, but not age, is an independent risk factor for fasting plasma glucose levels in nondiabetic women
掲載誌名 正式名:Menopause
略  称:Menopause
ISSNコード:10723714 (Print)10723714 (Linking)
掲載区分国外
巻・号・頁 14(3 Pt 1),pp.404-407
著者・共著者 Otsuki, M. Kasayama, S. Morita, S. Asanuma, N. Saito, H. Mukai, M. Koga, M.
担当区分 筆頭著者
発行年月 2007
概要 OBJECTIVE: Glucose metabolism is influenced by various genetic and environmental factors. In women the prevalence of abnormal glucose metabolism is known to increase around and after age 50. The aim of this study was to determine whether menopause augments fasting plasma glucose (FPG) levels in women. DESIGN: Of 672 Japanese women who underwent health examinations, we studied 505 nondiabetic participants who had no history of hysterectomy and had never used estrogens or progestins. All participants were administered an oral glucose tolerance test, and their blood measurements and information about their menopause status were obtained. RESULTS: Of these 505 women, 208 were premenopausal and 297 were postmenopausal. Age, body mass index, triglycerideslevel, total cholesterol level, low-density lipoprotein cholesterol level, blood pressure, and homeostasis model assessment insulin sensitivity index rose across quintiles of FPG levels, whereas high-density lipoprotein cholesterol level and homeostasis model assessment pancreatic beta-cell function index did not. The number of premenopausal women declined and the number of postmenopausal women increased across quintiles of FPG levels. Univariate regression analysis demonstrated that age, body mass index, triglycerides level, low-density lipoprotein cholesterol level, and menopause status were associated with FPG level, whereas high-density lipoprotein cholesterol level was not. Stepwise multivariate regression analysis showed that the independent risk factors for elevated FPG levels were body mass index, menopause, and triglycerides level, whereas age and low-density lipoprotein cholesterol level did not contribute to FPG levels. CONCLUSIONS: Menopause, but not age, is directly involved in augmented FPG levels in nondiabetic women.
DOI 10.1097/01.gme.0000247014.56254.12
文献番号 17213751