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Comparison of VO2max and disease risk factors between perimenopausal and postmenopausal women.
Menopause 2002 Nov-Dec; 9(6):456-62M

Abstract

OBJECTIVE

This study determines whether maximal oxygen consumption (VO2 max) is higher in perimenopausal women compared with similarly aged postmenopausal women and whether the lower VO2 max in postmenopausal women is associated with a higher total and visceral fat mass, less favorable lipid and glucose metabolism, and lower bone mineral density (BMD).

DESIGN

Participants were 18 perimenopausal women (mean +/- SD; irregular menstrual cycle in the past 6 months) aged 49 +/- 4 years and 18 postmenopausal women (no menstrual cycle in the past year) aged 52 +/- 2 years who were matched for body mass index and race. Women were sedentary, and none were on hormone replacement therapy. Body composition (dual-energy x-ray absorptiometry and CT), VO2 max, fasting concentrations of sex steroid hormones, lipoproteins, insulin, and glucose were determined.

RESULTS

VO2 max was 17% lower (22 +/- 3 v 27 +/- 7 mL.kg.min; P </= 0.01) and resting metabolic rate was 5% lower (P = 0.06) in postmenopausal women compared with perimenopausal women. Percent body fat was 11% higher, and visceral fat area was 42% higher in postmenopausal women, whereas total body and lumbar spine (L2 -L4) BMD were 5% and 11% lower, respectively (P < 0.05). Low-density lipoprotein cholesterol, low-density lipoprotein cholesterol.high-density lipoprotein cholesterol ratio, and fasting glucose concentrations were 21%, 20%, and 8% higher, respectively, in postmenopausal versus perimenopausal women (P < 0.05). Except for total body and lumbar spine BMD, the effect of menopause status on these variables is independent of age. In all women, percent body fat, visceral adipose tissue, and low-density lipoprotein cholesterol.high-density lipoprotein cholesterol ratios related indirectly to VO2 max (P < 0.05).

CONCLUSIONS

Our data suggest that postmenopausal women have a lower VO2 max than perimenopausal women of a similar age and adiposity, which may be associated with an increased risk of total and central obesity and cardiovascular disease.

Authors+Show Affiliations

Department of Medicine, University of Maryland School of Medicine, Baltimore, USA.

Pub Type(s)

Comparative Study
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

12439106

Citation

Lynch, Nicole A., et al. "Comparison of VO2max and Disease Risk Factors Between Perimenopausal and Postmenopausal Women." Menopause (New York, N.Y.), vol. 9, no. 6, 2002, pp. 456-62.
Lynch NA, Ryan AS, Berman DM, et al. Comparison of VO2max and disease risk factors between perimenopausal and postmenopausal women. Menopause. 2002;9(6):456-62.
Lynch, N. A., Ryan, A. S., Berman, D. M., Sorkin, J. D., & Nicklas, B. J. (2002). Comparison of VO2max and disease risk factors between perimenopausal and postmenopausal women. Menopause (New York, N.Y.), 9(6), pp. 456-62.
Lynch NA, et al. Comparison of VO2max and Disease Risk Factors Between Perimenopausal and Postmenopausal Women. Menopause. 2002;9(6):456-62. PubMed PMID: 12439106.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of VO2max and disease risk factors between perimenopausal and postmenopausal women. AU - Lynch,Nicole A, AU - Ryan,Alice S, AU - Berman,Dora M, AU - Sorkin,John D, AU - Nicklas,Barbara J, PY - 2002/11/20/pubmed PY - 2003/2/22/medline PY - 2002/11/20/entrez SP - 456 EP - 62 JF - Menopause (New York, N.Y.) JO - Menopause VL - 9 IS - 6 N2 - OBJECTIVE: This study determines whether maximal oxygen consumption (VO2 max) is higher in perimenopausal women compared with similarly aged postmenopausal women and whether the lower VO2 max in postmenopausal women is associated with a higher total and visceral fat mass, less favorable lipid and glucose metabolism, and lower bone mineral density (BMD). DESIGN: Participants were 18 perimenopausal women (mean +/- SD; irregular menstrual cycle in the past 6 months) aged 49 +/- 4 years and 18 postmenopausal women (no menstrual cycle in the past year) aged 52 +/- 2 years who were matched for body mass index and race. Women were sedentary, and none were on hormone replacement therapy. Body composition (dual-energy x-ray absorptiometry and CT), VO2 max, fasting concentrations of sex steroid hormones, lipoproteins, insulin, and glucose were determined. RESULTS: VO2 max was 17% lower (22 +/- 3 v 27 +/- 7 mL.kg.min; P </= 0.01) and resting metabolic rate was 5% lower (P = 0.06) in postmenopausal women compared with perimenopausal women. Percent body fat was 11% higher, and visceral fat area was 42% higher in postmenopausal women, whereas total body and lumbar spine (L2 -L4) BMD were 5% and 11% lower, respectively (P < 0.05). Low-density lipoprotein cholesterol, low-density lipoprotein cholesterol.high-density lipoprotein cholesterol ratio, and fasting glucose concentrations were 21%, 20%, and 8% higher, respectively, in postmenopausal versus perimenopausal women (P < 0.05). Except for total body and lumbar spine BMD, the effect of menopause status on these variables is independent of age. In all women, percent body fat, visceral adipose tissue, and low-density lipoprotein cholesterol.high-density lipoprotein cholesterol ratios related indirectly to VO2 max (P < 0.05). CONCLUSIONS: Our data suggest that postmenopausal women have a lower VO2 max than perimenopausal women of a similar age and adiposity, which may be associated with an increased risk of total and central obesity and cardiovascular disease. SN - 1072-3714 UR - https://www.unboundmedicine.com/medline/citation/12439106/Comparison_of_VO2max_and_disease_risk_factors_between_perimenopausal_and_postmenopausal_women_ L2 - http://Insights.ovid.com/pubmed?pmid=12439106 DB - PRIME DP - Unbound Medicine ER -