The impact of medroxyprogesterone acetate on lipid profiles in Women: A time and dose-response meta-analysis of randomized controlled trials

Diabetes Res Clin PractPublished Dose-response meta-analysis of randomised controlled trials

Authors' conclusion

The current meta-analysis showed a statistically significant decrease in TC, TG, and HDL-C levels and a non-significant increase in LDL-C levels after MPA administration in women.

Study context

Population
Women; RCTs from Web of Science, Scopus, PubMed/Medline and Embase up to October 20, 202335 studies · 58 arms
Comparison
MPA vs control
Outcome
Lipid profile (TC, HDL-C, triglyceride (TG))
Methodological detailsrandom-effects (DerSimonian and Laird), time and dose-response
  • Random-effects (DerSimonian and Laird)
  • Time and dose-response

Pooled result

As reported in the abstract

Lipid profile
Estimate (95 % CI)P value
MPAvs Control
WMD (TC) −3.43 mg/dL(−5.38 to −1.48)
P < 0.001
MPAvs Control
WMD (HDL-C) −3.34 mg/dL(−3.77 to −2.91)
P < 0.001
MPAvs Control
WMD (TG) −9.13 mg/dL(−10.92 to −7.33)
P < 0.001

Further pooled results

Total cholesterol (TC) by subgroup

mg/dL

Dosage > 2.5 mg/day, WMD
−4.10
Mean age <60 years, WMD
−3.80
Mean BMI <25 kg/m², WMD
−5.61
Intervention ≥12 months, WMD
−3.98
Baseline TC ≥200 mg/dL, WMD
−4.13
  • More substantial TC reduction in these subgroups

LDL-C

Non-significant increase in LDL-C after MPA

Original publication

The impact of medroxyprogesterone acetate on lipid profiles in Women: A time and dose-response meta-analysis of randomized controlled trials. Diabetes Res Clin Pract. Published 22 December 2023. doi:10.1016/j.diabres.2023.111073

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