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Lipid Profile in Patients With Primary Ovarian Insufficiency: A Systematic Review and Meta-Analysis

期刊

FRONTIERS IN ENDOCRINOLOGY
卷 13, 期 -, 页码 -

出版社

FRONTIERS MEDIA SA
DOI: 10.3389/fendo.2022.876775

关键词

primary ovarian insufficiency; lipid profile; cardiovascular disease; meta-analysis; dyslipidemia

资金

  1. National Natural Science Foundation of China [81904240]
  2. New Teacher Foundation of Beijing University of Chinese Medicine [2021-JYB-XJSJJ-011]

向作者/读者索取更多资源

This meta-analysis aimed to evaluate the differences in lipid profile levels between patients with primary ovarian insufficiency (POI) and healthy controls. The results showed that women with POI had significantly elevated levels of total cholesterol, triglycerides, and low density lipoprotein, while the level of high density lipoprotein did not change significantly. Subgroup analysis suggested that the heterogeneity in the correlation between lipid profile and POI might be influenced by region, sample size, number of cases, mean body mass index, and mean age.
Backgrounds: A large number of studies have investigated the effect of early menopause on cardiovascular disease (CVD) outcomes and the relationship between the levels of lipid profile and primary ovarian insufficiency (POI). However, the results are inconsistent. The aim of this meta-analysis was to assess whether the levels of total cholesterol (TC), triglyceride (TG), high density lipoprotein (HDL) and low density lipoprotein (LDL) changed in women with POI relative to healthy controls. Methods: To identify eligible studies, references published prior to December 2021 were searched in the PubMed, Embase, Cochrane Library and Web of Science databases. DerSimonian-Laird random-effects model was used to estimate the overall standard mean difference (SMD) between POI and healthy control subjects. Subgroup analysis and sensitivity analysis were preformed, and publication bias was assessed. Results: A total of 12 studies featuring 846 women with primary ovarian insufficiency and 959 healthy women were selected for analysis. The meta-analysis showed that the levels of TC (SMD: 0.60; 95% CI: 0.32 to 0.89; P < 0.0001), TG (SMD: 0.36; 95% CI: 0.12 to 0.60; P=0.003), LDL (SMD: 0.46; 95% CI: 0.16 to 0.76; P=0.003) were significantly increased in women with POI. There was no significant change in the level of HDL (SMD: 0.25; 95% CI: -0.12 to 0.61; P=0.19). Subgroup analysis showed that the heterogeneity in this meta-analysis of the correlation between lipid profile and POI might come from by region, sample size, number of cases, mean body mass index (BMI) value of cases and mean age of cases. Conclusions: Scientific evidence suggests that the lipid profile levels were altered in patients with primary ovarian insufficiency compared to healthy controls. Therefore, we recommend that early medical intervention (e.g., hormone replacement therapy) to minimize the risk of CVD morbidity and mortality associated with dyslipidemia in patients with POI.

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