In women with ischemic heart disease, obesity was significantly more frequent in premenopausal women (56.5%) compared to postmenopausal (31.0%), perimenopausal (34.5%), and hysterectomy (30.7%) groups.
Cross-Sectional (n=820)
No
In Pakistani women with established ischemic heart disease, hypertension and diabetes are highly prevalent, while obesity is particularly common in younger, premenopausal women.
Absolute Event Rate: 56.5% vs 31%
p-value: p=<0.0001
Objectives: To find out distribution of cardiovascular risk factors for women inestablished coronary artery disease. Study Design: Retrospective cross sectional descriptivestudy. Place and Duration of Study: Private clinic of consultant cardiologist at Bahawalpur fromJune 2013 to December 2015. Methodology: Total 6345 patients were registered and only 820female patients were diagnosed cases of ischemic heart disease selected for analysis of theircardiovascular risk factors. Results: The overall mean age of women was 57.75±11.28 years,weight was 66.3±15.14 kilogram, height was 153.77±7.87 cm, body mass index (BMI) was27.89±6 kg/m2 and body surface area (BSA) was 1.76±0.28 m2. Significantly high frequencyof obesity was found in premenopausal women as compared to other group i.e. 56.5% with pvalue <0.0001. BMI was also high in premenopausal women 32.13±7.91 then perimenopausalwomen, postmenopausal women and women with hysterectomy 28.06±6.93, 27.84±5.51 and27.33±6.03 respectively. The overall weight is also more in premenopausal group as comparedto postmenopausal, perimenopasaul and hysterectomy group i.e. 77.54±21.18, 66.46±13.66,66.07±16.33 and 64.41±15.31 respectively and P Value was <0.0001. There was no differencefound when DM, HTN and smoking compared within these four group. Smoking, CVA and PCI orCABG were 13(1.5%), 30(3.7%) and 13(1.5%) women respectively. Conclusion: Hypertensionand DM are most common risk factor in women with IHD. Weight, BMI and different class ofobesity are more common in younger age group as compare to older age. Smoking, PCI andCABG are very less frequent in women in this area.
Hussain et al. (2016) conducted a cross-sectional in Ischemic heart disease (n=820). Premenopausal status vs. Postmenopausal, perimenopausal, and hysterectomy status was evaluated on Frequency of obesity (BMI >29.9 kg/m2) (p=<0.0001). In women with ischemic heart disease, obesity was significantly more frequent in premenopausal women (56.5%) compared to postmenopausal (31.0%), perimenopausal (34.5%), and hysterectomy (30.7%) groups.