Cerebrovascular Disorders in Women with Overweight and Obesity

S.V. Glugovska

Abstract


Cerebrоvascular diseases are one of the most maladaptive disorders in both men and women. Meanwhile, in the female population when compared to men, strokes occur much later. Strokes in women have higher incidence of traditional risk factors, such as arterial hypertension, atrial fibrillation, as well as the presence of specific factors, such as the use of oral contraceptives and pregnancies. In addition, in women compared with men the proportion of severe strokes is greater, the incidence of hospital medical complications and deaths is higher, as well as the number of cases of severe disability after stroke. In the formation of sex differences in the pathophysiology of stroke, there are involved both hormonal mechanisms, and other factors not related to the influence of reproductive hormones. Understanding these laws is important in order to develop a stratified approach to the management of female patients with cerebrоvascular disease.


Keywords


obesity; overweight; cerebrovascular diseases; stroke; gender characteristics

References


Salomon J, Wang Н, Freeman M et al. Healthy lifeexpectancy for 187 countries 1990–2010: a systematic analysis for the Global Burden Disease Study 2010. Lancet 2012;380:2144–62.

Stevenson J. A woman's journey through the reproductive, transitional and postmenopausal periods of life: impact on cardiovascular and musculoskeletal risk and the role of estrogen replacement. Maturitas 2011;70(2):197–205.

Chomistek A, Manson J, Stefanick M. et al. Relationship of sedentary behavior and physical activity to incident cardiovasculardisease: results from the Women's Health Initiative. J Am CollCardiol. 2013;61(23):2346–2354.

Reeves MJ, Bushnell CD, Howard G et al. Sex differences in stroke: epidemiology, clinical presentation, medical care, and outcomes. Lancet Neurol 2008;7:915–26.

Redon J, Olsen MH, Cooper RS et al. Stroke mortality and trends from 1990 to 2006 in 39 countries from Europe and Central Asia: implications for control of high blood pressure. Eur Heart J 2011;32:1424–31.

Feigin VL, Lawes CM, Bennett DA et al. Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review. Lancet Neurol 2009;8:355–69.

Roger VL. Go AS, Lloyd-Jones DM et al. Heart disease and stroke statistics–2011 update: a report from the American Heart Association. Circulation 2011;123:18–209.

Bushnell CD. Stroke and the female brain. Nat ClinPractNeurol 2008;4:22–33.

Haast RAM, Gustafson DR., Kiliaan AJ. Sex differences in stroke. Journal of Cerebral Blood Flow & Metabolism 2012;32:2100–07.

Gall SL, Donnan G, Dewey HM et al. Sex differences in presentation, severity, and management of stroke in a population based study. Neurology 2010;74:975–81.

Appelros P, Stegmayr B, Terent A. A review on sex differences in stroke treatment and outcome.ActaNeurolScand 2010;121:359–69.

Appelros P, Stegmayr B, Terent A. Sex differences in stroke epidemiology: a systematic review. Stroke 2009;40:1082–90.

Tabeeva G.R. Cerebrovascular disorders in women in perimenopausal period. ConsiliumMedicum. 2016;18(9).




DOI: https://doi.org/10.22141/2224-0721.8.80.2016.89533

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