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Title:
Plasma sex steroid hormones and risk of developing type 2 diabetes in women: a prospective study | Diabetologia
Description:
Aims/hypothesis Prospective data directly investigating the role of endogenous sex hormones in diabetes risk have been scant, particularly in women. We aimed to examine comprehensively plasma sex hormones in connection with risk of developing type 2 diabetes in postmenopausal women. Methods We conducted a prospective, nested caseâcontrol study of plasma oestradiol, testosterone and dehydroepiandrosterone sulfate and risk of type 2 diabetes in a cohort of women health professionals with a mean age of 60.3 and 12.2 years since menopause. Among women not using hormone therapy and free of baseline cardiovascular disease, cancer and diabetes, 359 incident cases of type 2 diabetes were matched with 359 controls during an average follow-up of 10 years. Results Oestradiol and testosterone were each strongly and positively associated with risk of type 2 diabetes. After adjustment for BMI, family history, lifestyle and reproductive variables, the multivariable relative risks (95% CI) comparing the highest vs lowest quintile were 12.6 (2.83â56.3) for total oestradiol (pâ=â0.002 for trend), 13.1 (4.18â40.8) for free oestradiol (pâ<â0.001 for trend), 4.15 (1.21â14.2) for total testosterone (pâ=â0.019 for trend) and 14.8 (4.44â49.2) for free testosterone (pâ<â0.001 for trend). These associations remained robust after adjusting and accounting for other metabolic syndrome components and baseline HbA1c levels. Conclusions/interpretation In postmenopausal women, higher plasma levels of oestradiol and testosterone were strongly and prospectively related to increased risk of developing type 2 diabetes. These prospective data indicate that endogenous levels of sex hormones may play important roles in the pathogenesis of type 2 diabetes. ClinicalTrials.gov ID no.: NCT00000479.
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Keywords {đ}
diabetes, women, google, scholar, pubmed, cas, risk, oestradiol, article, testosterone, postmenopausal, sex, type, hormone, hormones, study, glucose, insulin, levels, free, oestrogen, plasma, effects, therapy, associations, oral, years, controls, sensitivity, table, prospective, total, trial, biomarkers, clin, health, cases, effect, analyses, data, baseline, cancer, trend, dheas, ding, endogenous, menopause, results, bmi, adiposity,
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age-adjusted partial correlations postmenopausal estrogen/progestin intervention anti-androgen treatment physician-led telephone interviews sex hormone-binding globulin estrogen/progestin replacement study short-term randomised trials post-challenge glucose differences postmenopausal estrogen/progestin interventions previous cross-sectional analyses sex steroid influence cross-sectional observational studies nested caseâcontrol study c-reactive protein levels matched caseâcontrol pairs risk-set sampling approach short-term trials plasma sex hormones mailed supplementary questionnaires endogenous sex hormones privacy choices/manage cookies oral conjugated estrogen hormone replacement therapy sex hormones biomarkers short-term exposure sex hormone biology transdermal 17 beta-estradiol sex hormone precursor hormonal substitution therapy improved insulin action oral oestrogen therapy upstream precursor hormones long-term cryoconservation promoting glucose intolerance plasma hormone levels postmenopausal hormone therapy endothelial adhesion molecules human plasma proteins c-reactive protein oral oestrogen trials combined supplementary questionnaire 1 log-sd increase van baal wm downstream hormone metabolites clinical data suggests pregnancy lasting âĽ6 months increase visceral adiposity risk-set sampling conjugated equine oestrogen improve glucose control
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headline:Plasma sex steroid hormones and risk of developing type 2 diabetes in women: a prospective study
description:Prospective data directly investigating the role of endogenous sex hormones in diabetes risk have been scant, particularly in women. We aimed to examine comprehensively plasma sex hormones in connection with risk of developing type 2 diabetes in postmenopausal women. We conducted a prospective, nested caseâcontrol study of plasma oestradiol, testosterone and dehydroepiandrosterone sulfate and risk of type 2 diabetes in a cohort of women health professionals with a mean age of 60.3 and 12.2Â years since menopause. Among women not using hormone therapy and free of baseline cardiovascular disease, cancer and diabetes, 359 incident cases of type 2 diabetes were matched with 359 controls during an average follow-up of 10Â years. Oestradiol and testosterone were each strongly and positively associated with risk of type 2 diabetes. After adjustment for BMI, family history, lifestyle and reproductive variables, the multivariable relative risks (95% CI) comparing the highest vs lowest quintile were 12.6 (2.83â56.3) for total oestradiol (pâ=â0.002 for trend), 13.1 (4.18â40.8) for free oestradiol (pâ<â0.001 for trend), 4.15 (1.21â14.2) for total testosterone (pâ=â0.019 for trend) and 14.8 (4.44â49.2) for free testosterone (pâ<â0.001 for trend). These associations remained robust after adjusting and accounting for other metabolic syndrome components and baseline HbA1c levels. In postmenopausal women, higher plasma levels of oestradiol and testosterone were strongly and prospectively related to increased risk of developing type 2 diabetes. These prospective data indicate that endogenous levels of sex hormones may play important roles in the pathogenesis of type 2 diabetes. ClinicalTrials.gov ID no.: NCT00000479.
datePublished:2007-08-14T00:00:00Z
dateModified:2007-08-14T00:00:00Z
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Androgen
Dehydroepiandrosterone sulphate
Estradiol
Estrogen
Oestradiol
Oestrogen
Sex hormones
Steroid hormones
Testosterone
Type 2 diabetes
Women
Internal Medicine
Metabolic Diseases
Human Physiology
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headline:Plasma sex steroid hormones and risk of developing type 2 diabetes in women: a prospective study
description:Prospective data directly investigating the role of endogenous sex hormones in diabetes risk have been scant, particularly in women. We aimed to examine comprehensively plasma sex hormones in connection with risk of developing type 2 diabetes in postmenopausal women. We conducted a prospective, nested caseâcontrol study of plasma oestradiol, testosterone and dehydroepiandrosterone sulfate and risk of type 2 diabetes in a cohort of women health professionals with a mean age of 60.3 and 12.2Â years since menopause. Among women not using hormone therapy and free of baseline cardiovascular disease, cancer and diabetes, 359 incident cases of type 2 diabetes were matched with 359 controls during an average follow-up of 10Â years. Oestradiol and testosterone were each strongly and positively associated with risk of type 2 diabetes. After adjustment for BMI, family history, lifestyle and reproductive variables, the multivariable relative risks (95% CI) comparing the highest vs lowest quintile were 12.6 (2.83â56.3) for total oestradiol (pâ=â0.002 for trend), 13.1 (4.18â40.8) for free oestradiol (pâ<â0.001 for trend), 4.15 (1.21â14.2) for total testosterone (pâ=â0.019 for trend) and 14.8 (4.44â49.2) for free testosterone (pâ<â0.001 for trend). These associations remained robust after adjusting and accounting for other metabolic syndrome components and baseline HbA1c levels. In postmenopausal women, higher plasma levels of oestradiol and testosterone were strongly and prospectively related to increased risk of developing type 2 diabetes. These prospective data indicate that endogenous levels of sex hormones may play important roles in the pathogenesis of type 2 diabetes. ClinicalTrials.gov ID no.: NCT00000479.
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dateModified:2007-08-14T00:00:00Z
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Androgen
Dehydroepiandrosterone sulphate
Estradiol
Estrogen
Oestradiol
Oestrogen
Sex hormones
Steroid hormones
Testosterone
Type 2 diabetes
Women
Internal Medicine
Metabolic Diseases
Human Physiology
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