Skip to main content
Top
Published in: BMC Cardiovascular Disorders 1/2019

Open Access 01-12-2019 | Dyslipidemia | Research article

Oestradiol: any role in cardiovascular risk factors in female centenarians of Hainan?

Authors: Qiao Zhu, Yao Yao, Chao-Xue Ning, Xiao-Ping Chen, Fu-Xin Luan, Liang Liu, Qiong Liu, Na Wang, Fu Zhang, Ya-Li Zhao

Published in: BMC Cardiovascular Disorders | Issue 1/2019

Login to get access

Abstract

Background

Previous studies reported that low level of oestradiol (E2) was associated with higher risk of cardiovascular disease (CVD). However, little study examined the relationship between E2 and CVD in longevous women, which were deficient in serum E2 for the post-menopausal status. Therefore, this study aims to explore the association between E2 and CVD risk factors in a group of female centenarians of Hainan, China.

Methods

A total of 413 female centenarians (aged from 100 to 115) from China Hainan Centenarian Cohort Study (CHCCS) were enrolled in this study. Home interviews were conducted to collected data on demographic characteristics, health-related lifestyles, and anthropometrics. The level of serum E2 was assessed in the Clinical Laboratory of Hainan branch of PLA General Hospital. The variables of CVD risk factors, including blood pressures, lipids and blood glucose, were measured through standard procedures.

Results

Significant negative correlations between levels of serum E2 and TC, HDL-C, and LDL-C were observed in this study. Compared with the highest group of E2, the odds ratio and 95% confidence intervals of high LDL-C in groups 3, 2 and 1 were OR1.94 (CI0.82–4.62), OR3.61 (CI1.27–10.25) and OR9.29 (CI2.08–41.53), respectively. Similarly, the prevalence of hypertension was decreased with the increase of serum E2. The odds ratio and 95% confidence intervals of stage-2 hypertension in groups 3, 2 and 1 versus highest E2 group were OR1.34 (CI0.49–3.72), OR1.36 (CI0.47–3.99) and OR1.38 (CI0.45–4.20), respectively.

Conclusions

This study examined the relationship between E2 and CVD risk factors in a group of community-based female centenarians. A negative correlations between serum E2 levels and CVD risk factors, i.e. high level of LDL-C, TC, and hypertension were observed in this population. Besides, the level of serum E2 is also negatively correlated with HDL-C. Further studies on the correlation between serum E2 and CVD risk factors, especially dyslipidemia, in longevous and post-menopausal women are warranted.
Literature
1.
go back to reference Martin P, Gondo Y, Arai Y, Ishioka Y, Woodard JL, Poon LW, Hirose N. Physical, sensory, and cognitive functioning among centenarians: a comparison between the Tokyo and Georgia centenarian studies. Qual Life Res. 2018;27(11):3037–46.CrossRefPubMed Martin P, Gondo Y, Arai Y, Ishioka Y, Woodard JL, Poon LW, Hirose N. Physical, sensory, and cognitive functioning among centenarians: a comparison between the Tokyo and Georgia centenarian studies. Qual Life Res. 2018;27(11):3037–46.CrossRefPubMed
2.
go back to reference Arnold J, Dai J, Nahapetyan L, Arte A, Johnson MA, Hausman D, Rodgers WL, Hensley R, Martin P, Macdonald M, et al. Predicting successful aging in a population-based sample of Georgia centenarians. Curr Gerontol Geriatr Res. 2010. Arnold J, Dai J, Nahapetyan L, Arte A, Johnson MA, Hausman D, Rodgers WL, Hensley R, Martin P, Macdonald M, et al. Predicting successful aging in a population-based sample of Georgia centenarians. Curr Gerontol Geriatr Res. 2010.
3.
go back to reference Austad SN, Bartke A. Sex differences in longevity and in responses to anti-aging interventions: a mini-review. Gerontology. 2015;62(1):40–6.CrossRefPubMed Austad SN, Bartke A. Sex differences in longevity and in responses to anti-aging interventions: a mini-review. Gerontology. 2015;62(1):40–6.CrossRefPubMed
4.
go back to reference Collins P, Rosano G, Casey C, Daly C, Gambacciani M, Hadji P, Kaaja R, Mikkola T, Palacios S, Preston R, et al. Management of cardiovascular risk in the perimenopausal women: a consensus statement of European cardiologists and gynecologists. Climacteric. 2007;10(6):508–26.CrossRefPubMed Collins P, Rosano G, Casey C, Daly C, Gambacciani M, Hadji P, Kaaja R, Mikkola T, Palacios S, Preston R, et al. Management of cardiovascular risk in the perimenopausal women: a consensus statement of European cardiologists and gynecologists. Climacteric. 2007;10(6):508–26.CrossRefPubMed
5.
go back to reference Muntner P, Shimbo D, Carey RM, Charleston JB, Gaillard T, Misra S, Myers MG, Ogedegbe G, Schwartz JE, Townsend RR, et al. Measurement of blood pressure in humans: a scientific statement from the American Heart Association. Hypertension. 2019:HYP0000000000000087. Muntner P, Shimbo D, Carey RM, Charleston JB, Gaillard T, Misra S, Myers MG, Ogedegbe G, Schwartz JE, Townsend RR, et al. Measurement of blood pressure in humans: a scientific statement from the American Heart Association. Hypertension. 2019:HYP0000000000000087.
6.
7.
go back to reference Artan M, Hwang AB, Lee SV, Nam HG. Meeting report: international symposium on the genetics of aging and life history II. Aging (Albany NY). 2015;7(6):362–9.CrossRef Artan M, Hwang AB, Lee SV, Nam HG. Meeting report: international symposium on the genetics of aging and life history II. Aging (Albany NY). 2015;7(6):362–9.CrossRef
8.
go back to reference Yang WYHLM. The relationship of human life-span heredity and environment. Journal of Xinyang Teachers College. 1998. Yang WYHLM. The relationship of human life-span heredity and environment. Journal of Xinyang Teachers College. 1998.
9.
go back to reference Chen R, Lin SQ, Lin X, Chen Y, Yang QH, Zhou Y, Zhang Y. Effect of age on body composition in healthy Beijing womenZhonghua fu chan ke za zhi. 2008;43(1):36–40.PubMed Chen R, Lin SQ, Lin X, Chen Y, Yang QH, Zhou Y, Zhang Y. Effect of age on body composition in healthy Beijing womenZhonghua fu chan ke za zhi. 2008;43(1):36–40.PubMed
10.
go back to reference Pardhe BD, Ghimire S, Shakya J, Pathak S, Shakya S, Bhetwal A, Khanal PR, Parajuli NP. Elevated cardiovascular risks among postmenopausal women: a community based case control study from Nepal. Biochem Res Int. 2017;2017:3824903.CrossRefPubMedPubMedCentral Pardhe BD, Ghimire S, Shakya J, Pathak S, Shakya S, Bhetwal A, Khanal PR, Parajuli NP. Elevated cardiovascular risks among postmenopausal women: a community based case control study from Nepal. Biochem Res Int. 2017;2017:3824903.CrossRefPubMedPubMedCentral
11.
12.
go back to reference Gao P, Wang XM, Qian DH, Qin ZX, Jin J, Xu Q, Yuan QY, Li XJ, Si LY. Induction of oxidative stress by oxidized LDL via meprinalpha-activated epidermal growth factor receptor in macrophages. Cardiovasc Res. 2013;97(3):533–43.CrossRefPubMed Gao P, Wang XM, Qian DH, Qin ZX, Jin J, Xu Q, Yuan QY, Li XJ, Si LY. Induction of oxidative stress by oxidized LDL via meprinalpha-activated epidermal growth factor receptor in macrophages. Cardiovasc Res. 2013;97(3):533–43.CrossRefPubMed
13.
go back to reference Squadrito F, Altavilla D, Morabito N, Crisafulli A, D'Anna R, Corrado F, Ruggeri P, Campo GM, Calapai G, Caputi AP, et al. The effect of the phytoestrogen genistein on plasma nitric oxide concentrations, endothelin-1 levels and endothelium dependent vasodilation in postmenopausal women. Atherosclerosis. 2002;163(2):339–47.CrossRefPubMed Squadrito F, Altavilla D, Morabito N, Crisafulli A, D'Anna R, Corrado F, Ruggeri P, Campo GM, Calapai G, Caputi AP, et al. The effect of the phytoestrogen genistein on plasma nitric oxide concentrations, endothelin-1 levels and endothelium dependent vasodilation in postmenopausal women. Atherosclerosis. 2002;163(2):339–47.CrossRefPubMed
14.
go back to reference Hagberg JM, McCole SD, Ferrell RE, Zmuda JM, Rodgers KS, Wilund KR, Moore GE. Physical activity, hormone replacement therapy and plasma lipoprotein-lipid levels in postmenopausal women. Int J Sports Med. 2003;24(1):22–9.CrossRefPubMed Hagberg JM, McCole SD, Ferrell RE, Zmuda JM, Rodgers KS, Wilund KR, Moore GE. Physical activity, hormone replacement therapy and plasma lipoprotein-lipid levels in postmenopausal women. Int J Sports Med. 2003;24(1):22–9.CrossRefPubMed
15.
go back to reference Barua L, Faruque M, Chandra Banik P, Ali L. Physical activity levels and associated cardiovascular disease risk factors among postmenopausal rural women of Bangladesh. Indian Heart J. 2018;70(Suppl 3):S161–6.CrossRefPubMed Barua L, Faruque M, Chandra Banik P, Ali L. Physical activity levels and associated cardiovascular disease risk factors among postmenopausal rural women of Bangladesh. Indian Heart J. 2018;70(Suppl 3):S161–6.CrossRefPubMed
16.
go back to reference Szafran H, Smielak-Korombel W. The role of estrogens in hormonal regulation of lipid metabolism in women. Przegl Lek. 1998;55(5):266–70.PubMed Szafran H, Smielak-Korombel W. The role of estrogens in hormonal regulation of lipid metabolism in women. Przegl Lek. 1998;55(5):266–70.PubMed
17.
go back to reference Derby CA, Crawford SL, Pasternak RC, Sowers M, Sternfeld B, Matthews KA. Lipid changes during the menopause transition in relation to age and weight: the study of Women's health across the nation. Am J Epidemiol. 2009;169(11):1352–61.CrossRefPubMedPubMedCentral Derby CA, Crawford SL, Pasternak RC, Sowers M, Sternfeld B, Matthews KA. Lipid changes during the menopause transition in relation to age and weight: the study of Women's health across the nation. Am J Epidemiol. 2009;169(11):1352–61.CrossRefPubMedPubMedCentral
18.
go back to reference Filippatos TD, Rizos EC, Tsimihodimos V, Gazi IF, Tselepis AD, Elisaf MS. Small high-density lipoprotein (HDL) subclasses are increased with decreased activity of HDL-associated phospholipase a (2) in subjects with prediabetes. Lipids. 2013;48(6):547–55.CrossRefPubMed Filippatos TD, Rizos EC, Tsimihodimos V, Gazi IF, Tselepis AD, Elisaf MS. Small high-density lipoprotein (HDL) subclasses are increased with decreased activity of HDL-associated phospholipase a (2) in subjects with prediabetes. Lipids. 2013;48(6):547–55.CrossRefPubMed
19.
go back to reference Tian L, Long S, Li C, Liu Y, Chen Y, Zeng Z, Fu M. High-density lipoprotein subclass and particle size in coronary heart disease patients with or without diabetes. Lipids Health Dis. 2012;11:54.CrossRefPubMedPubMedCentral Tian L, Long S, Li C, Liu Y, Chen Y, Zeng Z, Fu M. High-density lipoprotein subclass and particle size in coronary heart disease patients with or without diabetes. Lipids Health Dis. 2012;11:54.CrossRefPubMedPubMedCentral
20.
go back to reference Freedman DS, Otvos JD, Jeyarajah EJ, Barboriak JJ, Anderson AJ, Walker JA. Relation of lipoprotein subclasses as measured by proton nuclear magnetic resonance spectroscopy to coronary artery disease. Arterioscler Thromb Vasc Biol. 1998;18(7):1046–53.CrossRefPubMed Freedman DS, Otvos JD, Jeyarajah EJ, Barboriak JJ, Anderson AJ, Walker JA. Relation of lipoprotein subclasses as measured by proton nuclear magnetic resonance spectroscopy to coronary artery disease. Arterioscler Thromb Vasc Biol. 1998;18(7):1046–53.CrossRefPubMed
21.
go back to reference Barzilai N, Atzmon G, Schechter C, Schaefer EJ, Cupples AL, Lipton R, Cheng S, Shuldiner AR. Unique lipoprotein phenotype and genotype associated with exceptional longevity. Jama. 2003;290(15):2030–40.CrossRefPubMed Barzilai N, Atzmon G, Schechter C, Schaefer EJ, Cupples AL, Lipton R, Cheng S, Shuldiner AR. Unique lipoprotein phenotype and genotype associated with exceptional longevity. Jama. 2003;290(15):2030–40.CrossRefPubMed
22.
go back to reference Mullick AE, Walsh BA, Reiser KM, Rutledge JC. Chronic estradiol treatment attenuates stiffening, glycoxidation, and permeability in rat carotid arteries. Am J Phys Heart Circ Phys. 2001;281(5):H2204–10. Mullick AE, Walsh BA, Reiser KM, Rutledge JC. Chronic estradiol treatment attenuates stiffening, glycoxidation, and permeability in rat carotid arteries. Am J Phys Heart Circ Phys. 2001;281(5):H2204–10.
23.
go back to reference Christian RC, Harrington S, Edwards WD, Oberg AL, Fitzpatrick LA. Estrogen status correlates with the calcium content of coronary atherosclerotic plaques in women. J Clin Endocrinol Metab. 2002;87(3):1062–7.CrossRefPubMed Christian RC, Harrington S, Edwards WD, Oberg AL, Fitzpatrick LA. Estrogen status correlates with the calcium content of coronary atherosclerotic plaques in women. J Clin Endocrinol Metab. 2002;87(3):1062–7.CrossRefPubMed
24.
go back to reference Lee TM, Chou TF, Tsai CH. Differential role of K (ATP) channels activated by conjugated estrogens in the regulation of myocardial and coronary protective effects. Circulation. 2003;107(1):49–54.CrossRefPubMed Lee TM, Chou TF, Tsai CH. Differential role of K (ATP) channels activated by conjugated estrogens in the regulation of myocardial and coronary protective effects. Circulation. 2003;107(1):49–54.CrossRefPubMed
25.
go back to reference Tsuda K, Kinoshita Y, Kimura K, Nishio I, Masuyama Y. Electron paramagnetic resonance investigation on modulatory effect of 17beta-estradiol on membrane fluidity of erythrocytes in postmenopausal women. Arterioscler Thromb Vasc Biol. 2001;21(8):1306–12.CrossRefPubMed Tsuda K, Kinoshita Y, Kimura K, Nishio I, Masuyama Y. Electron paramagnetic resonance investigation on modulatory effect of 17beta-estradiol on membrane fluidity of erythrocytes in postmenopausal women. Arterioscler Thromb Vasc Biol. 2001;21(8):1306–12.CrossRefPubMed
26.
go back to reference MacRitchie AN, Jun SS, Chen Z, German Z, Yuhanna IS, Sherman TS, Shaul PW. Estrogen upregulates endothelial nitric oxide synthase gene expression in fetal pulmonary artery endothelium. Circ Res. 1997;81(3):355–62.CrossRefPubMed MacRitchie AN, Jun SS, Chen Z, German Z, Yuhanna IS, Sherman TS, Shaul PW. Estrogen upregulates endothelial nitric oxide synthase gene expression in fetal pulmonary artery endothelium. Circ Res. 1997;81(3):355–62.CrossRefPubMed
27.
go back to reference Chen Z, Yuhanna IS, Galcheva-Gargova Z, Karas RH, Mendelsohn ME, Shaul PW. Estrogen receptor alpha mediates the nongenomic activation of endothelial nitric oxide synthase by estrogen. J Clin Invest. 1999;103(3):401–6.CrossRefPubMedPubMedCentral Chen Z, Yuhanna IS, Galcheva-Gargova Z, Karas RH, Mendelsohn ME, Shaul PW. Estrogen receptor alpha mediates the nongenomic activation of endothelial nitric oxide synthase by estrogen. J Clin Invest. 1999;103(3):401–6.CrossRefPubMedPubMedCentral
28.
go back to reference Khalil RA. Estrogen, vascular estrogen receptor and hormone therapy in postmenopausal vascular disease. Biochem Pharmacol. 2013;86(12):1627–42.CrossRefPubMed Khalil RA. Estrogen, vascular estrogen receptor and hormone therapy in postmenopausal vascular disease. Biochem Pharmacol. 2013;86(12):1627–42.CrossRefPubMed
29.
go back to reference Orshal JM, Khalil RA. Gender, sex hormones, and vascular tone. Am J Physiol Regul Integr Comp Physiol. 2004;286(2):R233–49.CrossRefPubMed Orshal JM, Khalil RA. Gender, sex hormones, and vascular tone. Am J Physiol Regul Integr Comp Physiol. 2004;286(2):R233–49.CrossRefPubMed
Metadata
Title
Oestradiol: any role in cardiovascular risk factors in female centenarians of Hainan?
Authors
Qiao Zhu
Yao Yao
Chao-Xue Ning
Xiao-Ping Chen
Fu-Xin Luan
Liang Liu
Qiong Liu
Na Wang
Fu Zhang
Ya-Li Zhao
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Cardiovascular Disorders / Issue 1/2019
Electronic ISSN: 1471-2261
DOI
https://doi.org/10.1186/s12872-019-1103-6

Other articles of this Issue 1/2019

BMC Cardiovascular Disorders 1/2019 Go to the issue