Childbearing age is correlated with components of metabolic syndrome and parameters of insulin resistance in Chinese menopausal women

Gynecol Endocrinol. 2021 Mar;37(3):201-205. doi: 10.1080/09513590.2020.1841159. Epub 2020 Nov 2.

Abstract

Objective: To assess the relationship between childbearing age and elements of metabolic syndrome (MS) among menopausal women in China.

Materials and methods: One thousand one hundred and forty-one subjects were divided into four interim average childbearing age (ACA) groups: ≥16 < 24 years old, ≥24 < 29 years old, ≥29 < 34 years old, and ≥34 years old. The group with the lowest prevalence of MS was used as a control. Body mass index, waist circumference (WC) and waist-to-hip ratio were assessed. Plasma glucose, lipids, glycated hemoglobin (HbA1c) and fasting insulin (FINS) were measured. Insulin resistance (IR) was assessed using the homeostasis model assessment (HOMA) method.

Results: The prevalence of MS in the 16-24 and 29-34 age groups was higher than that in the control group (p < .05). Compared with the control group, the odds ratios of MS were 1.431 for the 16-24 group (p < .05) and 1.553 for the 29-34 group (P < 0.01). ACA was correlated with FINS, HOMA-IR, WC, fasting plasma glucose, and triglycerides independent of age (p < .05).

Conclusions: Average childbearing age was correlated with parameters of IR and components of MS independent of age in Chinese menopausal women.

Keywords: Childbearing age; insulin resistance; metabolic syndrome.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aging / blood
  • Aging / physiology
  • Case-Control Studies
  • China / epidemiology
  • Female
  • Glucose Tolerance Test
  • Humans
  • Insulin Resistance / physiology*
  • Menopause / blood
  • Menopause / physiology
  • Metabolic Syndrome / blood
  • Metabolic Syndrome / diagnosis
  • Metabolic Syndrome / epidemiology*
  • Metabolic Syndrome / etiology
  • Middle Aged
  • Parity / physiology
  • Pregnancy
  • Reproduction / physiology*
  • Risk Factors
  • Young Adult