Reproductive endocrinology

Effects of aromatase inhibitor therapy on visceral adipose tissue area and cardiometabolic health in postmenopausal women with early and locally advanced breast cancer

Clin Endocrinol (Oxf)Published Prospective cohort study

Main finding · VAT areaResult — go to the resultMean adjusted difference −5.00 cm² CI −16.9 to 6.91

Authors' conclusion

These data provide reassurance that over the initial 12 months of AI therapy, AI treatment is not associated with metabolically adverse changes in body composition, hepatic steatosis or vascular reactivity. The impact of extended AI therapy on cardiometabolic health requires further study.

Study context

Population
Postmenopausal women with early and locally advanced oestrogen receptor-positive breast cancer; body composition by dual X-ray absorptiometry at baseline, 6 and 12 months
Participants
52 vs 52
Exposure
Aromatase inhibitor (AI) initiation vs breast pathology not requiring endocrine therapy
  • AIn = 52
  • Controlsn = 52reference
Outcome
VAT area
Follow-up
12 months

Main finding

As reported in the abstract

Mean adjusted difference

−5.00 cm²

CI −16.9 to 6.91

P = 0.55

AIvs Controls
mean adjusted difference −5.00 cm² (CI −16.9 to 6.91); P = 0.55

Observational data: associations, not effects.

Further findings

Changes in total fat mass, lean mass, subcutaneous adipose tissue area, hepatic steatosis and endothelial function · 12 months

Not statistically different between groups

Visceral adipose tissue (VAT) area, adjusted for activity levels and COVID lockdown duration · 12 months

Findings were similar after adjustments

Original publication

Effects of aromatase inhibitor therapy on visceral adipose tissue area and cardiometabolic health in postmenopausal women with early and locally advanced breast cancer. Clin Endocrinol (Oxf). Published 1 November 2022. doi:10.1111/cen.14839

Composed by AI from the published abstract and checked against it. How Briefs are made →

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