International Journal of Clinical Biochemistry and Research 2021;8(1):29–32
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International Journal of Clinical Biochemistry and Research
Journal homepage: https://www.ijcbr.in/
Original Research Article
A cross-sectional study to assess lipid profile & atherogenic index of plasma in
premenopausal & post menopausal women in rural Telangana
Amtul Rahman
1
, Ayesha Jabeen
1,
*, Tagore Ravirala
1
1
Dept. of Biochemistry, Mahavir Institute of Medical Sciences, Vikarabad, Telangana, India
ARTICLE INFO
Article history:
Received 17-02-2021
Accepted 27-02-2021
Available online 30-04-2021
Keywords:
Cardiovascular diseases
Lipid profile menopause
Postmenopausal
Premenopausal
ABSTRACT
Background: Menopause is associated with various hormonal changes which are accountable for the
dyslipidemic pattern seen in postmenopausal women. This deranged lipid profile in postmenopausal women
is indicative of their susceptibility to various cardiovascular diseases.
Aim: The aim of the study is to estimate and compare serum lipid profile and Atherogenic index of plasma
(AIP) among premenopausal and postmenopausal women.
Setting & Design: A cross-sectional study was conducted at Mahavir institute of medical sciences (MIMS),
Vikarabad for a period of 3 months.
Materials and Methods: Fasting samples were collected from 100 healthy female volunteers of which 50
were premenopausal women and the other 50 were postmenopausal women. Lipid profile was performed
on all samples and AIP was calculated.
Stastical Analysis: Carried out in the two groups using paired t tests. Results were expressed as mean
±SD. p value of < 0.05 was considered to be significant.
Results: Total cholesterol (TC), Triglycerides (TAG),Low density lipoprotein (LDL-C) were statistically
significantly increased in postmenopausal women as compared to premenopausal women. Atherogenic
index plasma (AIP) was elevated in postmenopausal women’s group.
Conclusion: Lipid profile screening should be mandatory in postmenopausal women as the hormonal
disturbances make them more vulnerable to cardiovascular diseases and its associated complications.
© This is an open access article distributed under the terms of the Creative Commons Attribution
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reproduction in any medium, provided the original author and source are credited.
1. Introduction
Cessation of mensuration for a time period longer than
one year is defined as Menopause and it heralds with
altered ovarian function.
1
The average age for the
menopause is approximately 51years and by this time
the ovarian follicular reserve and estrogen levels are
considerably reduced.
2,3
Although menopause is a natural
phenomenon certain circumstances like surgical removal
of ovaries, chemotherapy or high dose radiotherapy or
premature ovarian failure may induce it.
4
Post menopausal
hormonal changes such as low plasma estrogen level
and elevated Luteinizing Hormone (LH) and Follicle
Stimulating Hormone (FSH) level have significant impact
* Corresponding author.
E-mail address: ayesha2k3@gmail.com (A. Jabeen).
on plasma lipid and lipoprotein metabolism sequeling in
ultimate cardiac related disorders.
5,6
Cardiovascular diseases(CVD) is one of the leading
cause of mortality in India. Coronary heart disease
prevalence rates in India have been estimated over the past
several decades and have ranged from 1.6% to 7.4% in rural
population and from 1% to13.2% in urban population.
7
In 2016 the estimated prevalence of cardiovascular
diseases in India was estimated to 54.5 million. One
in 4 deaths in India arenow because of cardiovascular
diseases with ischemic heart disease and stroke responsible
for >80% of this burden.
8
Cardiovascular diseases are
more prevalent in women after menopause as hormonal
changes associated with menopause are accountable for
dyslipidemic pattern that causes cardiovascular diseases and
https://doi.org/10.18231/j.ijcbr.2021.007
2394-6369/© 2021 Innovative Publication, All rights reserved. 29