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Androgenicity and venous endothelial function in post-menopausal women

BACKGROUNDEndothelial dysfunction is one of the early signs of cardiovascular damage. High androgen levels have been related to inflammatory endothelial markers in pre- and post-menopausal women. AIMThis cross-sectional study aimed at investigating whether free androgen index (FAI) [estimated by div...

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Published in:Journal of endocrinological investigation 2010-04, Vol.33 (4), p.239-243
Main Authors: Maturana, M A, Rubira, M C, Consolim-Colombo, F, Irigoyen, M C, Spritzer, P M
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container_issue 4
container_start_page 239
container_title Journal of endocrinological investigation
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creator Maturana, M A
Rubira, M C
Consolim-Colombo, F
Irigoyen, M C
Spritzer, P M
description BACKGROUNDEndothelial dysfunction is one of the early signs of cardiovascular damage. High androgen levels have been related to inflammatory endothelial markers in pre- and post-menopausal women. AIMThis cross-sectional study aimed at investigating whether free androgen index (FAI) [estimated by dividing total testosterone (nmol/l) by SHBG (nmol/l) x 100] is related to endothelial function during post-menopause. SUBJECTS AND METHODSTwenty-six post-menopausal women were assessed with the dorsal hand vein compliance technique. Acetylcholine (Ach) and sodium nitroprusside (SNP) dose-response curves were constructed to test endothelium-dependent and independent relaxation, respectively. RESULTSMean age was 54 yr (+/-4) and median time since menopause was 6 yr (interquartile range: 3-9). Patients were stratified according to FAI levels into two groups: FAI greater than or less than the group median of 2.5. Waist-to-hip ratio (WHR) was significantly higher in the group with FAI>2.5, as well as median dose of Ach for maximal vasodilation [720 (360-3600) ng/min with FAI>2.5 vs 36 (0.36-360) ng/min with FAI
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High androgen levels have been related to inflammatory endothelial markers in pre- and post-menopausal women. AIMThis cross-sectional study aimed at investigating whether free androgen index (FAI) [estimated by dividing total testosterone (nmol/l) by SHBG (nmol/l) x 100] is related to endothelial function during post-menopause. SUBJECTS AND METHODSTwenty-six post-menopausal women were assessed with the dorsal hand vein compliance technique. Acetylcholine (Ach) and sodium nitroprusside (SNP) dose-response curves were constructed to test endothelium-dependent and independent relaxation, respectively. RESULTSMean age was 54 yr (+/-4) and median time since menopause was 6 yr (interquartile range: 3-9). Patients were stratified according to FAI levels into two groups: FAI greater than or less than the group median of 2.5. Waist-to-hip ratio (WHR) was significantly higher in the group with FAI&gt;2.5, as well as median dose of Ach for maximal vasodilation [720 (360-3600) ng/min with FAI&gt;2.5 vs 36 (0.36-360) ng/min with FAI&lt;or=2.5; p=0.005]. Maximal vasodilation with SNP was similar in both groups. Positive correlations were observed between Ach doses and maximal vasodilation and FAI (r=0.473, p=0.015), waist (r=0.510, p= 0.011), and WHR (r=0.479, p=0.021). SHBG was negatively correlated with Ach doses (rs=-0.400, p=0.043). CONCLUSIONSThis study suggests that FAI, even within normal limits, is related to early changes in endothelial function in healthy post-menopausal women. Longitudinal studies are required to determine the clinical relevance of these findings.</description><identifier>EISSN: 1720-8386</identifier><identifier>DOI: 10.3275/6559</identifier><language>eng</language><ispartof>Journal of endocrinological investigation, 2010-04, Vol.33 (4), p.239-243</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Maturana, M A</creatorcontrib><creatorcontrib>Rubira, M C</creatorcontrib><creatorcontrib>Consolim-Colombo, F</creatorcontrib><creatorcontrib>Irigoyen, M C</creatorcontrib><creatorcontrib>Spritzer, P M</creatorcontrib><title>Androgenicity and venous endothelial function in post-menopausal women</title><title>Journal of endocrinological investigation</title><description>BACKGROUNDEndothelial dysfunction is one of the early signs of cardiovascular damage. High androgen levels have been related to inflammatory endothelial markers in pre- and post-menopausal women. AIMThis cross-sectional study aimed at investigating whether free androgen index (FAI) [estimated by dividing total testosterone (nmol/l) by SHBG (nmol/l) x 100] is related to endothelial function during post-menopause. SUBJECTS AND METHODSTwenty-six post-menopausal women were assessed with the dorsal hand vein compliance technique. Acetylcholine (Ach) and sodium nitroprusside (SNP) dose-response curves were constructed to test endothelium-dependent and independent relaxation, respectively. RESULTSMean age was 54 yr (+/-4) and median time since menopause was 6 yr (interquartile range: 3-9). Patients were stratified according to FAI levels into two groups: FAI greater than or less than the group median of 2.5. Waist-to-hip ratio (WHR) was significantly higher in the group with FAI&gt;2.5, as well as median dose of Ach for maximal vasodilation [720 (360-3600) ng/min with FAI&gt;2.5 vs 36 (0.36-360) ng/min with FAI&lt;or=2.5; p=0.005]. Maximal vasodilation with SNP was similar in both groups. Positive correlations were observed between Ach doses and maximal vasodilation and FAI (r=0.473, p=0.015), waist (r=0.510, p= 0.011), and WHR (r=0.479, p=0.021). SHBG was negatively correlated with Ach doses (rs=-0.400, p=0.043). CONCLUSIONSThis study suggests that FAI, even within normal limits, is related to early changes in endothelial function in healthy post-menopausal women. 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High androgen levels have been related to inflammatory endothelial markers in pre- and post-menopausal women. AIMThis cross-sectional study aimed at investigating whether free androgen index (FAI) [estimated by dividing total testosterone (nmol/l) by SHBG (nmol/l) x 100] is related to endothelial function during post-menopause. SUBJECTS AND METHODSTwenty-six post-menopausal women were assessed with the dorsal hand vein compliance technique. Acetylcholine (Ach) and sodium nitroprusside (SNP) dose-response curves were constructed to test endothelium-dependent and independent relaxation, respectively. RESULTSMean age was 54 yr (+/-4) and median time since menopause was 6 yr (interquartile range: 3-9). Patients were stratified according to FAI levels into two groups: FAI greater than or less than the group median of 2.5. Waist-to-hip ratio (WHR) was significantly higher in the group with FAI&gt;2.5, as well as median dose of Ach for maximal vasodilation [720 (360-3600) ng/min with FAI&gt;2.5 vs 36 (0.36-360) ng/min with FAI&lt;or=2.5; p=0.005]. Maximal vasodilation with SNP was similar in both groups. Positive correlations were observed between Ach doses and maximal vasodilation and FAI (r=0.473, p=0.015), waist (r=0.510, p= 0.011), and WHR (r=0.479, p=0.021). SHBG was negatively correlated with Ach doses (rs=-0.400, p=0.043). CONCLUSIONSThis study suggests that FAI, even within normal limits, is related to early changes in endothelial function in healthy post-menopausal women. Longitudinal studies are required to determine the clinical relevance of these findings.</abstract><doi>10.3275/6559</doi></addata></record>
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title Androgenicity and venous endothelial function in post-menopausal women
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