Résumé :
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[BDSP. Notice produite par INIST 919wR0xO. Diffusion soumise à autorisation]. Sex hormones play a major role in determining the risk of cardiovascular disease. While several studies have shown that reduced sex hormone-binding globulin is associated with an atherogenic pattern of lipoproteins and increased glucose concentrations in premenopausal women, little data are available examining the association of sex hormone-binding globulin and sex hormones with cardiovascular risk factors in postmenopausal women, a group with high rates of cardiovascular disease. The investigators hypothesized that in postmenopausal women decreased sex hormone-binding globulin and increased testosterone would be associated with an atherogenic pattern of cardiovascular risk factors. The sex hormone-binding globulin, total and free testosterone, estrone, and dehydroepiandrosterone sulfate (DHEA-SO4) in 253 postmenopausal women who were not taking hormones were measured in a population-based study, the Beaver Dam Eye Study (Beaver Dam, Wisconsin, 1988-1990). Sex hormone-binding globulin was significantly inversely correlated with body mass index (r=-0.53, p<0.001), glycosylated hemoglobin (r=-0.34, p<0.001), and diastolic blood pressure (r=-0.25, p<0.01), and positively correlated with high density lipoprotein cholesterol (HDL cholesterol) (r=0.31, p<0.001), and HDL cholesterol/total cholesterol (r=0.31, p<0.001). Total (r=-0.20, p<0.01) and free (r=-0.14, p<0.05) testosterone were significantly inversely correlated with HDL cholesterol/total cholesterol ratio.
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