Reproductive endocrinology

Sex steroid hormones and subclinical atherosclerosis progression in postmenopausal women

Eur J EndocrinolPublished Secondary analysis of the ELITE randomised trial

Authors' conclusion

Serum sex steroid hormones and SHBG relate differently to CIMT progression based on time since menopause. Estradiol, estrone, and SHBG levels show opposite associations with CIMT progression in early versus late postmenopause, highlighting the importance of HT timing in cardiovascular disease.

Study context

Population
Healthy postmenopausal women; nearly half received hormone therapy (HT)
Participants
535 women
Comparison
Serum sex steroid hormones and sex hormone-binding globulin (SHBG) vs CIMT progression, by time since menopause
Primary endpoint
CIMT progression in relation to serum estradiol, estrone, testosterone and SHBG, with time since menopause as interaction term
Methodological detailspost-trial analysis
  • Post-trial analysis

Primary result

As reported in the abstract

Association of hormones/SHBG with CIMT progression by time since menopause
Associations of estradiol, estrone and SHBG with CIMT progression differed by time since menopause
interaction P < .01
Early postmenopause: CIMT progression significantly inversely associated with SHBG
P = .024
Late postmenopause: CIMT progression positively associated with estradiol
P = .005
Late postmenopause: CIMT progression positively associated with estrone
P < .001
Late postmenopause: CIMT progression positively associated with SHBG
P = .037

Further findings

Baseline characteristics

Late postmenopausal women were older with higher baseline CIMT

Original publication

Sex steroid hormones and subclinical atherosclerosis progression in postmenopausal women. Eur J Endocrinol. Published 21 February 2025. doi:10.1093/ejendo/lvaf032

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