Please use this identifier to cite or link to this item: http://repository.kln.ac.lk/handle/123456789/18609
Title: Metabolic syndrome and risk of endometrial carcinoma among asymptomatic, postmenopausal, urban Sri Lankan females: a community cohort follow-up study
Authors: Dias, T.
Niriella, M.
de Silva, S.
Motha, C.
Palihawadana, T.S.
Ediriweera, D.
de Silva, J.
Keywords: Endometrial Neoplasms
Metabolic Syndrome
Risk Factors
Endometrium-diagnostic imaging
Postmenopause
Women
Aged
Cohort Studies
Issue Date: 2017
Publisher: Wiley Publishing
Citation: Ultrasound in Obstetrics & Gynecology. 2017; 50(Suppl 1): 393
Abstract: OBJECTIVES: Metabolic syndrome (MetS) has been recognised as a risk factor for malignancies. The aim of this study was to evaluate the association of MetS and risk of endometrial carcinoma (EC), by measuring endometrial thickness (ET). METHODS: The Ragama Health Study (RHS) recruited 35-64-year-old female cohort by age-stratified random sampling in 2007 and re-evaluated them in 2014, using a structured interview, anthropometric measurements and biochemical tests. Liver ultrasound to detect fatty liver was performed in 2007. Pelvic ultrasound to detect ET was performed in 2014 among consenting participants. MetS was diagnosed on established International Diabetes Federation (IDF 2012) criteria. Increased ET was defined as >5mm. Simple logistic regression was used to screen variables and multiple logistic regression was used to obtain adjusted effects of risk factors for increased ET. RESULTS: 813/1636(49.7%) of the original female cohort attended follow-up; ET was measured in 567(69.7%). Median (IQR) age of females was 61 (56-66) years. 323 fulfilled criteria for MetS (prevalence 57.1%) in 2007. 57(10.1%) had increased ET in 2014. Increasing plasma triglycerides [OR=1.004 per mg/dl, 95%CI:1.001-1.007, p<0.05] and being hypertensive [OR=2.16, 95%CI:1.11–4.08, p<0.05] were associated with increased ET, while advancing age [OR=0.93 per year, 95%CI:0.89–0.98, p<0.01] and being diabetic [OR= 0.34, 95%CI:0.10–0.89, p<0.05] were protective. CONCLUSIONS: Hypertension and increased plasma triglyceride levels, in the pre-menopausal period, were risk factors for future asymptomatic increased ET.
Description: Electronic Poster Abstract (EP29.06), 27th World Congress on Ultrasound in Obstetrics and Gynecology, September 16–19, 2017, Vienna, Austria
URI: http://repository.kln.ac.lk/handle/123456789/18609
ISSN: 0960-7692 (Print)
1469-0705 (Electronic)
Appears in Collections:Conference Papers

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