Ferritin in the prediction of cardiovascular risk in women - preliminary results

    Authors

    Abstract

    **Introduction**: Over the past two decades, the prevalence of myocardial infarction (MI) has trended downward in both sexes in the United States and Europe, although this decline has been smaller in women. (1) According to the available literature, only two models predicting cardiovascular risk (CVD) in women included risk factors specific to women, which were reproductive risk factors. (2) Our previous research showed a significant association between ferritin, hsCRP, and systolic blood pressure in women working shift work. (3) In women, iron stores increase during menopause. We started a prospective study of CVD risk factors and CVD outcomes in women in Brod-Posavina County. Aim: To determine the association between ferritin level and menopause age as female-specific CVD risk factors in women and the influence of body mass index (BMI), non-HDL and hsCRP on cardiovascular risk in women. **Patients and Methods:** Women aged 35 to 75 years, divided into two groups: women without coronary artery disease (CAD) and women with CAD (angiography, medical history of MI). The variables included in the evaluation are: age, BMI, menopause age and status, systolic blood pressure (SBP), non-HDL, ferritin, hsCRP, and smoking habits. Results are mean±SD. For the comparison of continuous variables, we used the Student t-test, whereas for the comparison of categorical variables, we used the Fisher exact test. P # | | Menopause age | 48.73±4.82 | 51.07±4.14 | 0.17* | | non HDL | 4.23±1.25 | 4.6±0.7 | 0.31* | | Ferritin | 96.12±63.75 | 57.77±38.3 | # | [†] BMI = body mass index; SBP = systolic blood pressure *Student t test, #Fisher’s exact test **Conclusion**: The preliminary results of our study show that women without CAD have statistically lower BMI, ferritin and hsCRP levels compared to women with CAD. There were no differences in menopause age and status, non-HDL or smoking habits. Further research is needed to improve women’s health.

    Keywords

    cardiovascular risk, women, prevention, ferritin

    DOI

    https://doi.org/10.15836/ccar2024.150

    Literature

    1. Salari N, Morddarvanjoghi F, Abdolmaleki A, Rasoulpoor S, Khaleghi AA, Hezarkhani LA, et al. The global prevalence of myocardial infarction: a systematic review and meta-analysis. BMC Cardiovasc Disord. 2023 April 22;23(1):206. https://doi.org/10.1186/s12872-023-03231-w
    2. Baart SJ, Dam V, Scheres LJJ, Damen JAAG, Spijker R, Schuit E, et al. Cardiovascular risk prediction models for women in the general population: A systematic review. PLoS One. 2019 January 8;14(1):e0210329. https://doi.org/10.1371/journal.pone.0210329
    3. Cvitkušić Lukenda K, Vučić D, Raguž A, Bitunjac I, Mišković D, Gabaldo K, et al. M. Relationship Between Serum Ferritin Levels, Arterial Hypertension and Shift Work in Women. A Cross-sectional Analysis. SEEMEDJ. 2021;5(2):27–37. https://doi.org/10.26332/seemedj.v5i2.210
    Cardiologia Croatica
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    Ferritin in the prediction of cardiovascular risk in women - preliminary results

    Extended Abstract
    Issue3-4
    Published
    Pages150
    PDF via DOIhttps://doi.org/10.15836/ccar2024.150
    cardiovascular risk
    women
    prevention
    ferritin

    Authors

    Katica Cvitkušić Lukenda*ORCIDGeneral Hospital “Dr. Josip Benčević”, Slavonski Brod, Croatia
    Jelena JakabORCIDJosip Juraj Strossmayer University of Osijek, Osijek, Croatia
    Marijana Knežević PravečekORCIDGeneral Hospital “Dr. Josip Benčević”, Slavonski Brod, Croatia
    Krešimir GabaldoORCIDGeneral Hospital “Dr. Josip Benčević”, Slavonski Brod, Croatia
    Anto LukendaORCIDGeneral Hospital “Dr. Josip Benčević”, Slavonski Brod, Croatia
    Vesna ĆosićORCIDJosip Juraj Strossmayer University of Osijek, Osijek, Croatia

    *Correspondence email: kclukenda@gmail.com

    Abstract

    **Introduction**: Over the past two decades, the prevalence of myocardial infarction (MI) has trended downward in both sexes in the United States and Europe, although this decline has been smaller in women. (1) According to the available literature, only two models predicting cardiovascular risk (CVD) in women included risk factors specific to women, which were reproductive risk factors. (2) Our previous research showed a significant association between ferritin, hsCRP, and systolic blood pressure in women working shift work. (3) In women, iron stores increase during menopause. We started a prospective study of CVD risk factors and CVD outcomes in women in Brod-Posavina County. Aim: To determine the association between ferritin level and menopause age as female-specific CVD risk factors in women and the influence of body mass index (BMI), non-HDL and hsCRP on cardiovascular risk in women. **Patients and Methods:** Women aged 35 to 75 years, divided into two groups: women without coronary artery disease (CAD) and women with CAD (angiography, medical history of MI). The variables included in the evaluation are: age, BMI, menopause age and status, systolic blood pressure (SBP), non-HDL, ferritin, hsCRP, and smoking habits. Results are mean±SD. For the comparison of continuous variables, we used the Student t-test, whereas for the comparison of categorical variables, we used the Fisher exact test. P # | | Menopause age | 48.73±4.82 | 51.07±4.14 | 0.17* | | non HDL | 4.23±1.25 | 4.6±0.7 | 0.31* | | Ferritin | 96.12±63.75 | 57.77±38.3 | # | [†] BMI = body mass index; SBP = systolic blood pressure *Student t test, #Fisher’s exact test **Conclusion**: The preliminary results of our study show that women without CAD have statistically lower BMI, ferritin and hsCRP levels compared to women with CAD. There were no differences in menopause age and status, non-HDL or smoking habits. Further research is needed to improve women’s health.

    Literature

    1. 1.
      Salari N, Morddarvanjoghi F, Abdolmaleki A, Rasoulpoor S, Khaleghi AA, Hezarkhani LA, et al. The global prevalence of myocardial infarction: a systematic review and meta-analysis. BMC Cardiovasc Disord. 2023 April 22;23(1):206.DOI
    2. 2.
      Baart SJ, Dam V, Scheres LJJ, Damen JAAG, Spijker R, Schuit E, et al. Cardiovascular risk prediction models for women in the general population: A systematic review. PLoS One. 2019 January 8;14(1):e0210329.DOI
    3. 3.
      Cvitkušić Lukenda K, Vučić D, Raguž A, Bitunjac I, Mišković D, Gabaldo K, et al. M. Relationship Between Serum Ferritin Levels, Arterial Hypertension and Shift Work in Women. A Cross-sectional Analysis. SEEMEDJ. 2021;5(2):27–37.DOI