Abstract
Aim: To evaluate body composition and basal metabolic rate in premenopausal and postmenopausal women, using the bioelectrical impedance analysis method, and to investigate its relationship with carotid intima media thickness (CIMT). Materials and Methods: The study was conducted in 40 premenopausal and 40 postmenopausal women who had been followed up in an obstetrics and gynecology outpatient clinic between January 2009 and September 2009, and data were obtained using the hospital’s database. Body composition parameters and basal metabolic rate were measured via bioelectrical impedance analysis. CIMT was measured using the Doppler ultrasound method. Results: The mean CIMT of the postmenopausal group was statistically significantly higher than that of the premenopausal group (p < 0.001). There was a statistically significant negative correlation between basal metabolic rate and both right (p = 0.015, r = - 0.381) and left (p = 0.025, r = -0.354) CIMT in the postmenopausal group. Conclusion: Bioelectrical impedance analysis may be a useful adjunctive tool for early detection of subclinical atherosclerosis in postmenopausal women.
Highlights
Cardiovascular disease (CVD) is the leading cause of mortality in women
carotid intima media thickness (CIMT) can be reliably determined in vivo by carotid ultrasound and is a reliable, convenient method for assessing subclinical atherosclerosis [6]
When we evaluate the complexity, invasiveness, and cost, only dual-energy X-ray absorptiometry (DEXA), CT, and bioelectrical impedance analysis (BIA) are the preferred methods for assessing body composition in clinical practice [10]
Summary
Cardiovascular disease (CVD) is the leading cause of mortality in women. In 2013, CVD was the cause of death in 398,086 females in the United States Of these deaths, 161,698 were due to coronary heart disease [1]. In case of dynamic hormonal imbalances, cardiovascular risk factors and a rapid prothrombotic diathesis in the blood can be detected [3]. The surrogate markers of CVD in early stages are carotid intima media thickness (CIMT), carotid-femoral pulse wave velocity (PWV), and adjusted augmentation index (AI). They can be assessed by non-invasive and accessible methods. Intima-media thickness is a risk factor which can be applied in a reliable repeatability and can be used in monitoring the progression of subclinical disease during the follow-up [5]. CIMT can be reliably determined in vivo by carotid ultrasound and is a reliable, convenient method for assessing subclinical atherosclerosis [6]
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