Cardio‐Metabolic Risk Profile of Women With Endometriosis: A Population‐Based Study

ABSTRACT Aims Endometriosis (EM) and metabolic disorders are frequent health problems among reproductive‐aged women worldwide. Cardio‐metabolic risk profile of women with EM is not well understood. We aimed to investigate the cardio‐metabolic risk profile of Iranian reproductive‐aged women with EM....

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Main Authors: Marzieh Saei Ghare Naz, Mahsa Noroozzadeh, Shahla Noori Ardebili, Maryam Mousavi, Fereidoun Azizi, Fahimeh Ramezani Tehrani
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:Endocrinology, Diabetes & Metabolism
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Online Access:https://doi.org/10.1002/edm2.70008
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author Marzieh Saei Ghare Naz
Mahsa Noroozzadeh
Shahla Noori Ardebili
Maryam Mousavi
Fereidoun Azizi
Fahimeh Ramezani Tehrani
author_facet Marzieh Saei Ghare Naz
Mahsa Noroozzadeh
Shahla Noori Ardebili
Maryam Mousavi
Fereidoun Azizi
Fahimeh Ramezani Tehrani
author_sort Marzieh Saei Ghare Naz
collection DOAJ
description ABSTRACT Aims Endometriosis (EM) and metabolic disorders are frequent health problems among reproductive‐aged women worldwide. Cardio‐metabolic risk profile of women with EM is not well understood. We aimed to investigate the cardio‐metabolic risk profile of Iranian reproductive‐aged women with EM. Methods This study included 976 female participants aged 20–45 years of Tehran Lipid and Glucose Study. Endometriosis was diagnosed based on the participants' self‐reported previous diagnosis of EM, which was confirmed by reviewing the relevant medical documentation. All biochemical measures (low‐density lipoprotein cholesterol [LDL], high‐density lipoprotein cholesterol [HDL], triglycerides [TG], and fasting blood glucose concentrations [FBG]) and measurement of systolic blood pressure (SBP) and diastolic blood pressure (DBP) and anthropometric parameters were performed according to the standard protocol of TLGS. Logistic regression analysis was performed to estimate the odds ratio of cardio‐metabolic disease. Results Of the 976 study participants, 161 individuals (16.5%) had a confirmed diagnosis of endometriosis. There were no significant differences in the median of metabolic parameters among women with and without endometriosis (p > 0.05). The prevalence of metabolic syndrome was significantly higher in women with EM group compared to the non‐EM group (21.9% vs. 14.9%). The presence of endometriosis was associated with an increased odds of metabolic syndrome (adjusted odds ratio 1.99 [95% CI 1.20–3.30]; p = 0.007). And endometriosis significantly increased odds of low HDL by 2.07 (1.02–4.20); after adjustment, it still remained significant (p = 0.03). Endometriosis also increased odds of high waist circumstance significantly (1.58 [1.06–2.37]; p = 0.02). Conclusions Women with endometriosis may be at an increased risk of developing metabolic syndrome, high waist circumstance and low HDL compared to their counterparts without the condition. Given the potential cardio‐metabolic implications, healthcare providers should consider assessing the metabolic profile of women diagnosed with endometriosis.
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spelling doaj-art-27ba65228d7941ec8be607ed1d994c6d2025-08-20T01:53:22ZengWileyEndocrinology, Diabetes & Metabolism2398-92382024-11-0176n/an/a10.1002/edm2.70008Cardio‐Metabolic Risk Profile of Women With Endometriosis: A Population‐Based StudyMarzieh Saei Ghare Naz0Mahsa Noroozzadeh1Shahla Noori Ardebili2Maryam Mousavi3Fereidoun Azizi4Fahimeh Ramezani Tehrani5Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences Shahid Beheshti University of Medical Sciences Tehran IranReproductive Endocrinology Research Center, Research Institute for Endocrine Sciences Shahid Beheshti University of Medical Sciences Tehran IranReproductive Endocrinology Research Center, Research Institute for Endocrine Sciences Shahid Beheshti University of Medical Sciences Tehran IranReproductive Endocrinology Research Center, Research Institute for Endocrine Sciences Shahid Beheshti University of Medical Sciences Tehran IranEndocrine Research Center, Research Institute for Endocrine Sciences Shahid Beheshti University of Medical Sciences Tehran IranReproductive Endocrinology Research Center, Research Institute for Endocrine Sciences Shahid Beheshti University of Medical Sciences Tehran IranABSTRACT Aims Endometriosis (EM) and metabolic disorders are frequent health problems among reproductive‐aged women worldwide. Cardio‐metabolic risk profile of women with EM is not well understood. We aimed to investigate the cardio‐metabolic risk profile of Iranian reproductive‐aged women with EM. Methods This study included 976 female participants aged 20–45 years of Tehran Lipid and Glucose Study. Endometriosis was diagnosed based on the participants' self‐reported previous diagnosis of EM, which was confirmed by reviewing the relevant medical documentation. All biochemical measures (low‐density lipoprotein cholesterol [LDL], high‐density lipoprotein cholesterol [HDL], triglycerides [TG], and fasting blood glucose concentrations [FBG]) and measurement of systolic blood pressure (SBP) and diastolic blood pressure (DBP) and anthropometric parameters were performed according to the standard protocol of TLGS. Logistic regression analysis was performed to estimate the odds ratio of cardio‐metabolic disease. Results Of the 976 study participants, 161 individuals (16.5%) had a confirmed diagnosis of endometriosis. There were no significant differences in the median of metabolic parameters among women with and without endometriosis (p > 0.05). The prevalence of metabolic syndrome was significantly higher in women with EM group compared to the non‐EM group (21.9% vs. 14.9%). The presence of endometriosis was associated with an increased odds of metabolic syndrome (adjusted odds ratio 1.99 [95% CI 1.20–3.30]; p = 0.007). And endometriosis significantly increased odds of low HDL by 2.07 (1.02–4.20); after adjustment, it still remained significant (p = 0.03). Endometriosis also increased odds of high waist circumstance significantly (1.58 [1.06–2.37]; p = 0.02). Conclusions Women with endometriosis may be at an increased risk of developing metabolic syndrome, high waist circumstance and low HDL compared to their counterparts without the condition. Given the potential cardio‐metabolic implications, healthcare providers should consider assessing the metabolic profile of women diagnosed with endometriosis.https://doi.org/10.1002/edm2.70008diabetesendometriosishypertensionmetabolic syndromeTehran Lipid and Glucose Study
spellingShingle Marzieh Saei Ghare Naz
Mahsa Noroozzadeh
Shahla Noori Ardebili
Maryam Mousavi
Fereidoun Azizi
Fahimeh Ramezani Tehrani
Cardio‐Metabolic Risk Profile of Women With Endometriosis: A Population‐Based Study
Endocrinology, Diabetes & Metabolism
diabetes
endometriosis
hypertension
metabolic syndrome
Tehran Lipid and Glucose Study
title Cardio‐Metabolic Risk Profile of Women With Endometriosis: A Population‐Based Study
title_full Cardio‐Metabolic Risk Profile of Women With Endometriosis: A Population‐Based Study
title_fullStr Cardio‐Metabolic Risk Profile of Women With Endometriosis: A Population‐Based Study
title_full_unstemmed Cardio‐Metabolic Risk Profile of Women With Endometriosis: A Population‐Based Study
title_short Cardio‐Metabolic Risk Profile of Women With Endometriosis: A Population‐Based Study
title_sort cardio metabolic risk profile of women with endometriosis a population based study
topic diabetes
endometriosis
hypertension
metabolic syndrome
Tehran Lipid and Glucose Study
url https://doi.org/10.1002/edm2.70008
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AT shahlanooriardebili cardiometabolicriskprofileofwomenwithendometriosisapopulationbasedstudy
AT maryammousavi cardiometabolicriskprofileofwomenwithendometriosisapopulationbasedstudy
AT fereidounazizi cardiometabolicriskprofileofwomenwithendometriosisapopulationbasedstudy
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