Menopausal age, adipokines, and heart failure incidence in postmenopausal women of the Multi-Ethnic Study of Atherosclerosis
Year: 2024
Type: article
Abstract: OBJECTIVE: The mechanisms through which menopausal age influences heart failure (HF) development are controversial. Adiposity increases after menopause and could affect HF risk by influencing serum adipokine secretion. We investigated the associations of early menopause, and serum adipokines with incident HF in postmenopausal women. METHODS: We included 746 postmenopausal women from the Multi-Ethnic Study of Atherosclerosis who reported their menopausal age and had data on adipokines and incident HF at the end of follow-up. Multivariable Cox proportional hazards models were used for analysis. RESULTS: The mean age was 65.1 years. Over a median follow-up period of 17.8 years, 45 HF events occurred. After adjusting for waist circumference, other cardiovascular disease risk factors and myocardial infarction, the hazard ratios (95% confidence intervals) of incident HF attributable to early menopause were 4.50 (1.41-14.3), 4.64 (1.46-14.7), and 5.16 (1.59-16.7) in models that additionally included adiponectin, leptin, and resistin, respectively. In adjusted analyses, adiponectin was independently associated with incident HF 2.20 (1.35-3.57), while leptin and resistin were not. The interaction terms of early menopause with adiponectin, leptin, and resistin for incident HF were not significant ( Pint = 0.08-0.82). CONCLUSIONS: Early menopause was significantly associated with incident HF. This association did not differ by serum adipokine levels. Only adiponectin was independently associated with incident HF in postmenopausal women when waist circumference, body mass index, and waist-hip ratio were used as the adiposity metric.
Institutions: University of California, Davis, Johns Hopkins University, Johns Hopkins Medicine, Texas Tech University, Texas Tech University Health Sciences Center, University of Minnesota, Arizona State University, University of California San Diego, University of California, Los Angeles, Wake Forest University Health Sciences, Wake Forest University
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: green
Awards: G1115915089, G1409423729, G156123175, G2137349462, G2826625206, SUBCLINICAL CARDIOVASCULAR DISEASE STUDY--EBCT READING, G3647016462, Abdominal Body Composition, Inflammation and Cardiovascular Diseaase, Serum Sex Hormone Levels and Subclinical Atherosclerosis, MESA, G813377844, G9000025022, G9000036510, UC Davis Environmental Health Sciences Core Center, G954386746
OpenAlex ID: W4404945942