RELATIVE ANDROGENICITY, BLOOD-PRESSURE LEVELS, AND CARDIOVASCULAR RISK-FACTORS IN YOUNG HEALTHY WOMEN

被引:43
作者
MANTZOROS, CS [1 ]
GEORGIADIS, EI [1 ]
YOUNG, R [1 ]
EVAGELOPOULOU, C [1 ]
KHOURY, S [1 ]
KATSILAMBROS, N [1 ]
SOWERS, JR [1 ]
机构
[1] WAYNE STATE UNIV,SCH MED,DIV ENDOCRINOL HYPERTENS & METAB,DETROIT,MI 48201
关键词
ANDROGENS; BLOOD PRESSURE; CARDIOVASCULAR RISK FACTORS; WOMEN;
D O I
10.1016/0895-7061(95)00051-P
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
To test the hypothesis that androgens may play a role in the pathogenesis of atherosclerosis and hypertension, we investigated the association of Delta 5 dehydroepiandrosterone sulfate [DHEAS]) and Delta 4 (free testosterone [FT]) androgens with the resting, seated blood pressure (BP) levels and cardiovascular risk factors in 280 young, healthy women 18 to 24 years of age. After application of multiple regression analysis, systolic BP was positively and independently correlated with the ratio of dehydroepiandrosterone sulfate to free testosterone (DHEAS/FT), fasting insulin levels, and the diastolic BP with DHEAS/FT only. The DHEAS/FT ratio proved to be a stronger predictor of the BP levels than either hormone alone. Further, uric acid concentrations and HDL/total cholesterol ratio were independently correlated with both FT and body mass index in these young women. Serum triglycerides were independently correlated with ET and central body fat distribution. These data suggest that serum androgen concentrations are important independent predictors of cardiovascular risk factors and that the ratio of dehydroepiandrosterone sulfate to free testosterone ratio is an independent predictor of blood pressure levels in young women.
引用
收藏
页码:606 / 614
页数:9
相关论文
共 42 条
[1]  
Lissner L., Bengtsson C., Lapidus L., Et al., Fasting insulin in relation to subsequent blood pressure changes and hypertension in women, Hypertension, 20, pp. 797-801, (1992)
[2]  
Sowers J.R., Relationship between hypertension and subtle and overt abnormalities of carbohydrate metabolism, J am Soc Nephrol, 1, pp. S-39, (1990)
[3]  
Manson J.E., Tosteson H., Ridker P.M., Et al., The primary prevention of myocardial infarction, N Engl J Med, 326, pp. 1406-1416, (1992)
[4]  
Ronnemaa T., Knip M., Lautala P., Et al., Serum insulin and other cardiovascular risk indicators in children, adolescents and adults, Am J Med, 23, pp. 67-72, (1991)
[5]  
Nader S., Polycystic ovarian syndrome and the androgen-insulin connection, Am J Obstet Gynecol, 165, pp. 346-348, (1991)
[6]  
Adashi E.Y., Insulin and related peptides in hyperandrogenism, Clin Obstet Gynecol, 34, pp. 872-881, (1991)
[7]  
Shriock E.D., Buffington C.K., Hubert G.P., Et al., Divergent correlations of circulating DHAS and testosterone with insulin levels and insulin binding, J Clin Endo Metab, 66, pp. 1329-1331, (1988)
[8]  
Buffington C.K., Givens J.R., Kitabchi A.E., Opposing actions of dehydroepiandrosterone and testosterone on insulin sensitivity, Diabetes, 40, pp. 693-700, (1991)
[9]  
Zumoff B., Hormonal abnormalities in obesity, Acta Med Scand, pp. 153-160, (1988)
[10]  
Rebuffe-Scrive M., Steroid hormones and distribution of adipose tissue, Acta Med Scand, 723, pp. 143-146, (1988)