We plan to study cardiovascular risk factors among 500 premenopausal women and the change in risk factors during and following the menopause. Three different approaches are planned. 1) A cross-sectional study of 500 women ages 42+ at entry to the study to determine the relationship between risk factors, behavioral, psychosocial, and other environmental determinants. 2) A five year longitudinal followup of these women to evaluate changes over time in risk factors related to both the perimenopausal and postmenopausal period. 3) A longitudinal followup of the women following the menopause to determine the relationship between behavioral, hormonal, habits and risk factor changes. If this phase of the study is successful, longer term followup beyond the five year period is anticipated. The study will include a selection of a population sample of 500 women in Allegheny County who are premenopausal and aged 42+. We estimate that over five years at least 200 of these women will become postmenopausal. The women will have home interviews, baseline examination, followup of their menstrual cycles, and a six month self-administered questionnaire will be included. Menopause will be defined as one year of amenorrhea, validated by hormonal studies. The perimenopausal period as the first three months of amenorrhea. A perimenopausal examination followed by a postmenopausal examination and suitable control examinations will be included. Postmenopausal women will be followed with annual examinations. Dependent and independent variables to be measured include behavioral factors, exercise, cigarette smoking, nutrition, lipoproteins, blood pressure and hormones. The study should determine whether there is a group of women who become high risk in relation to cardiovascular and other diseases around the time of the menopause because of changes in risk factors and whether this group can be classified by behavioral, hormonal or genetic characteristics.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
5R01HL028266-04
Application #
3339680
Study Section
Epidemiology and Disease Control Subcommittee 3 (EDC)
Project Start
1983-04-01
Project End
1988-03-31
Budget Start
1986-04-01
Budget End
1987-03-31
Support Year
4
Fiscal Year
1986
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
Lambiase, Maya J; Gabriel, Kelley Pettee; Chang, Yue-Fang et al. (2014) Utility of actiwatch sleep monitor to assess waking movement behavior in older women. Med Sci Sports Exerc 46:2301-7
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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