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Menopause:更年期潮热或夜间出汗者要警惕糖尿病

2017-12-08 朱柳媛 中国循环杂志

发表在美国《绝经》杂志上的一项研究提示,潮热和夜间出汗不仅仅是女性更年期最常见的血管舒缩症状,还可能与糖尿病风险增加有关,潮热伴夜间出汗的人风险尤其高。


发表在美国《绝经》杂志上的一项研究提示,潮热和夜间出汗不仅仅是女性更年期最常见的血管舒缩症状,还可能与糖尿病风险增加有关,潮热伴夜间出汗的人风险尤其高。
 
研究人员发现,在15万余例绝经后女性中,33%出现过血管舒缩症状。平均随访13.1年期间,出现过血管舒缩症状的人发生糖尿病的风险增加18%,而且症状越重,持续时间越长,糖尿病风险越高。
 
出现轻度、重度、重度血管舒缩症状的人,患糖尿病的风险分别增加13%、29%和48%;症状每持续5年,糖尿病风险增加4%。
 
分析显示,血管舒缩症状与糖尿病风险之间的关系与是否肥胖无关。
 
研究还显示,有夜间出汗的更年期女士发生糖尿病的风险明显高于仅出现潮热的女士:夜间出汗的人发生糖尿病的风险增加20%,夜间出汗伴潮热的人风险增加22%,而仅有潮热症状的人发生糖尿病的风险只增加8%。
 
另外,绝经后出现血管舒缩症状的女士患糖尿病的风险比较高(HR=1.12)。
 
研究者指出,通过行为干预来减少更年期症状,有助于降低糖尿病和心脏病风险。行为干预包括规律运动、保持充足的睡眠、避免过量摄入酒精、戒烟、维持健康饮食。症状明显的女士可接受激素替代治疗。
 
原始出处:

Gray KE, Katon JG, LeBlanc ES, et al. Vasomotor symptom characteristics: are they risk factors for incident diabetes? Menopause. 2017 Dec 4.

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  2. [GetPortalCommentsPageByObjectIdResponse(id=2043076, encodeId=cb9020430e674, content=<a href='/topic/show?id=ea4f602e3ea' target=_blank style='color:#2F92EE;'>#更年期潮热#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=60273, encryptionId=ea4f602e3ea, topicName=更年期潮热)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=69cb413, createdName=chengjn, createdTime=Thu Nov 01 06:56:00 CST 2018, time=2018-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289610, encodeId=2f952896100b, content=学习了.谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Wed Feb 21 06:54:38 CST 2018, time=2018-02-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1461285, encodeId=c673146128563, content=<a href='/topic/show?id=ec5966e3240' target=_blank style='color:#2F92EE;'>#潮热#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66732, encryptionId=ec5966e3240, topicName=潮热)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3db96414035, createdName=wodejia-dayu, createdTime=Sun Dec 10 13:56:00 CST 2017, time=2017-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1564192, encodeId=51751564192b8, content=<a href='/topic/show?id=01ae314135d' target=_blank style='color:#2F92EE;'>#出汗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31413, encryptionId=01ae314135d, topicName=出汗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8adc15291882, createdName=FukaiBao, createdTime=Sun Dec 10 13:56:00 CST 2017, time=2017-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=267951, encodeId=6f8f26e95141, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Sat Dec 09 00:15:49 CST 2017, time=2017-12-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=267924, encodeId=094c26e924cd, content=不错的文章值得推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Fri Dec 08 23:14:09 CST 2017, time=2017-12-08, status=1, ipAttribution=)]
    2018-02-21 1e145228m78(暂无匿称)

    学习了.谢谢作者分享!

    0

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    2017-12-10 FukaiBao
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    2017-12-09 飛歌

    学习了很有用不错

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2043076, encodeId=cb9020430e674, content=<a href='/topic/show?id=ea4f602e3ea' target=_blank style='color:#2F92EE;'>#更年期潮热#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=60273, encryptionId=ea4f602e3ea, topicName=更年期潮热)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=69cb413, createdName=chengjn, createdTime=Thu Nov 01 06:56:00 CST 2018, time=2018-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289610, encodeId=2f952896100b, content=学习了.谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Wed Feb 21 06:54:38 CST 2018, time=2018-02-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1461285, encodeId=c673146128563, content=<a href='/topic/show?id=ec5966e3240' target=_blank style='color:#2F92EE;'>#潮热#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66732, encryptionId=ec5966e3240, topicName=潮热)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3db96414035, createdName=wodejia-dayu, createdTime=Sun Dec 10 13:56:00 CST 2017, time=2017-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1564192, encodeId=51751564192b8, content=<a href='/topic/show?id=01ae314135d' target=_blank style='color:#2F92EE;'>#出汗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31413, encryptionId=01ae314135d, topicName=出汗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8adc15291882, createdName=FukaiBao, createdTime=Sun Dec 10 13:56:00 CST 2017, time=2017-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=267951, encodeId=6f8f26e95141, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Sat Dec 09 00:15:49 CST 2017, time=2017-12-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=267924, encodeId=094c26e924cd, content=不错的文章值得推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Fri Dec 08 23:14:09 CST 2017, time=2017-12-08, status=1, ipAttribution=)]
    2017-12-08 131****2916

    不错的文章值得推荐

    0

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