A Natural Experiment on the Effects of Ovarian Hormones on Cardiovascular Risk Factors and Stress Reactivity: Bilateral Salpingo Oophorectomy Versus Hysterectomy Only

To test the effects of declining ovarian hormone levels on cardiovascular risk factors, blood pressure, lipids, weight, and physiological responses to stress were evaluated in 29 middle-aged premenopausal women prior to and following elective hysterectomy and/or bilateral salpingo oophorectomy (BSO)...

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Bibliographic Details
Published in:Health psychology 1997-07, Vol.16 (4), p.349-358
Main Authors: Stoney, Catherine M, Owens, Jane F, Guzick, David S, Matthews, Karen A
Format: Article
Language:English
Subjects:
Adult
Arousal - physiology
At Risk Populations
Blood Pressure
Blood Pressure - physiology
Body Mass Index
Cardiovascular Reactivity
Cardiovascular Risk
Coronary Artery Disease - physiopathology
Epinephrine - blood
Estrogens
Estrogens - physiology
Fallopian Tubes - physiopathology
Fallopian Tubes - surgery
Female
Followup Studies
Gonadal Steroid Hormones - physiology
Human
Human Females
Humans
Hysterectomy
Lipids
Lipids - blood
Menopause
Middle Aged
Ovariectomy
Ovary - physiopathology
Physiological Arousal
Postoperative Complications - physiopathology
Risk Factors
Stress Reactions
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Summary:To test the effects of declining ovarian hormone levels on cardiovascular risk factors, blood pressure, lipids, weight, and physiological responses to stress were evaluated in 29 middle-aged premenopausal women prior to and following elective hysterectomy and/or bilateral salpingo oophorectomy (BSO). Prior to surgery, there were no group differences in standard or putative risk factors, with the exceptions of body composition measures and total cholesterol level. After surgery, women who had undergone BSO ( n = 10) had higher levels of atherogenic lipids and stress-induced lipids and tended to have higher circulating levels of epinephrine and stress-induced systolic and diastolic blood pressure than women who had undergone hysterectomy only ( n = 19). This study is consistent with the hypothesis that presence of ovarian hormones plays a key role in determining women's risk factor status.
ISSN:0278-6133
1930-7810
DOI:10.1037/0278-6133.16.4.349