The overall objectives of the project are to examine the relationships among risk factors for cardiovascular disease in 541 women aged 42-50 at entry to the study in 1983-5, and changes in risk factors as the study participants experience the menopausal and the postmenopausal period. Among the risk factors measured are lipoprotein lipids and apoproteins, fasting and post-load glucose and insulin, sex hormones and gonadatropins, coagulation parameters, cigarette smoking, diet, physical activity, blood pressure, obesity, Type A behavior pattern, anger, social support, and anxiety. The protocol for the renewal proposal remains the same as for the original study design. Study participants will be tracked monthly via postcard for menstrual status. After 3 consecutive months without menstruation and/or being on hormone replacement therapy a perimenopausal exam is scheduled; after 12 months amenorrhea and/or taking hormone replacement therapy a postmenopausal exam is done and an age-matched premenopausal control is examined concurrently with each postmenopausal """"""""case"""""""". Examinations are conducted annually on all postmenopausal women. All women are sent semiannual questionnaires on health-related behavior. It is important to continue the project because there is still a paucity of epidemiologic studies of cardiovascular risk factor changes and risk of heart disease related to natural menopause. The present study is one of the few in which premenopausal women are followed carefully through the climacteric with subsequent follow-up including detailed behavioral and biological measures, as well as important environmental variables related to the determinants of these risk factors.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
5R01HL028266-08
Application #
3339683
Study Section
Epidemiology and Disease Control Subcommittee 2 (EDC)
Project Start
1988-04-01
Project End
1991-03-31
Budget Start
1990-04-01
Budget End
1991-03-31
Support Year
8
Fiscal Year
1990
Total Cost
Indirect Cost
Name
University of Pittsburgh
Department
Type
Schools of Public Health
DUNS #
053785812
City
Pittsburgh
State
PA
Country
United States
Zip Code
15213
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Lambiase, Maya J; Gabriel, Kelley P; Kuller, Lewis H et al. (2014) Sleep and executive function in older women: the moderating effect of physical activity. J Gerontol A Biol Sci Med Sci 69:1170-6
Gabriel, Kelley Pettee; Matthews, Karen A; PĂ©rez, Adriana et al. (2013) Self-reported and accelerometer-derived physical activity levels and coronary artery calcification progression in older women: results from the Healthy Women Study. Menopause 20:152-61
Lambiase, Maya J; Gabriel, Kelley Pettee; Kuller, Lewis H et al. (2013) Temporal relationships between physical activity and sleep in older women. Med Sci Sports Exerc 45:2362-8
Barone Gibbs, Bethany; Kinzel, Laura S; Pettee Gabriel, Kelley et al. (2012) Short- and long-term eating habit modification predicts weight change in overweight, postmenopausal women: results from the WOMAN study. J Acad Nutr Diet 112:1347-1355.e2
Low, Carissa A; Matthews, Karen A; Kuller, Lewis H et al. (2011) Psychosocial predictors of coronary artery calcification progression in postmenopausal women. Psychosom Med 73:789-94
Thurston, Rebecca C; Kuller, Lewis H; Edmundowicz, Daniel et al. (2010) History of hot flashes and aortic calcification among postmenopausal women. Menopause 17:256-61
Soreca, Isabella; Rosano, Caterina; Jennings, J Richard et al. (2009) Gain in adiposity across 15 years is associated with reduced gray matter volume in healthy women. Psychosom Med 71:485-90
Matthews, Karen A; Raikkonen, Katri; Gallo, Linda et al. (2008) Association between socioeconomic status and metabolic syndrome in women: testing the reserve capacity model. Health Psychol 27:576-83
Kuller, Lewis H; Matthews, Karen A; Edmundowicz, Daniel et al. (2008) Incident coronary artery calcium among postmenopausal women. Atherosclerosis 200:278-85

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