Journal of Capital Medical University ›› 2014, Vol. 35 ›› Issue (4): 387-391.doi: 10.3969/j.issn.1006-7795.2014.04.001

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Menopause hormone therapy and risk of metabolic syndrome

Ruan Xiangyan1, Cui Yamei1, Diethelm Wallwiener2, Alfred O. Mueck1,2   

  1. 1. Department of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China;
    2. Department of Endocrinology, University Women's Hospital of Tubingen, Tubingen D-72076, Germany
  • Received:2014-06-10 Online:2014-08-21 Published:2014-07-22
  • Supported by:

    This study was supported by National Natural Science Foundation of China(30872745), the Natural Science Foundation of Beijing(3082011), Beijing Municipality Health Technology High-level Talent(2009-3-52), Project of Discipline Leader, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital(2013-1).

Abstract:

The metabolic syndrome (including visceral obesity, dyslipidemia, hyperglycemia, and hypertension) has become one of the major public-health challenges worldwide. The menopause hormone therapy(MHT) is in use for more than a half of century, but the question of indications and ideal candidates for hormone replacement therapy(HRT) remains unclear. Postmenopausal women are a population with the increasing risks for cardiovascular diseases which are the main cause of death in this group. Decline in estrogen concentrations is linked to a number of changes in peri and postmenopause: increased total cholesterol, triglycerides, and low density lipoprotein, increased insulin resistance and increased blood pressure etc. These changes are the main components of metabolic syndrome. HRT is currently recommended as the gold standard for the management of vasomotor symptoms, but the benefit of MHT on components of metabolic syndrome and risk for cardiovascular events risk is still uncertain. This review will focus on MHT risk and benefit issues.

Key words: metabolic syndrome, menopause hormone therapy, obesity, dyslipidaemia, hyperglycaemia, hypertension

CLC Number: