子宫内膜异位症
医学
全国健康与营养检查调查
代谢综合征
优势比
横断面研究
内科学
血脂异常
初潮
逻辑回归
国家胆固醇教育计划
妇科
产科
生理学
肥胖
人口
环境卫生
病理
作者
Baijia Li,Yuxue Zhang,Liuhang Zhang,Lingyan Zhang
标识
DOI:10.1080/09513590.2023.2254844
摘要
Background Endometriosis has been reported to be associated with metabolism-related diseases, such as hypercholesterolemia and diabetes, while no studies have reported the association between endometriosis and metabolic syndrome.Objective This study aims to explore the association between endometriosis and metabolic syndrome. Also, the association between endometriosis and single metabolic syndrome indicator was explored.Methods This was a cross-sectional study based on the National Health and Nutrition Examination Survey (NHANES). A total of 2389 participants were finally included for analysis, with 2212 in the non-endometriosis group and 177 in the endometriosis group. Association between endometriosis and metabolic syndrome was explored using multivariate logistic regression analysis, with results shown as odds ratio (OR) with 95% confidence intervals (95%CI). Association between endometriosis and single metabolic syndrome indicator was explored using multivariate liner regression analysis.Results After adjusting age, race, education level, family poverty to income ratio (PIR), smoking, age at menarche, gravidity, menopause, female hormones use, and dyslipidemia drug use, endometriosis was associated with the higher odds of metabolic syndrome (OR = 1.55, 95%CI: 1.01–2.35). Further adjusting hysterectomy or oophorectomy, we found the similar association despite no statistical significance (OR = 1.47, 95%CI: 0.96–2.25). Moreover, we found endometriosis was associated with the high level of triglyceride (TG) (β = 0.38, 95%CI: 0.06–0.70).Conclusions Our study found the association between endometriosis and metabolic conditions, indicating that metabolic conditions of endometriosis women should be focused, and monitoring the blood lipid levels may be significant in decreasing the risk of metabolic syndrome.
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