Changes in blood pressure during the normal menstrual cycle

Dunne, Fidelma; Barry, D. G.; Ferriss, J. B.; Grealy, G.; Murphy, Damian B.

doi:10.1042/cs0810515

Cited by 105 publications

(72 citation statements)

References 1 publication

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“…Journal of Human Hypertension in agreement with the hypothesis that oestrogen deprivation, either at the onset of menstruation 27 or in non-substituted postmenopausal normotensive [23][24][25] or hypertensive 22 women, may increase blood pressure. Oestrogens change the loading conditions on the elastin or collagen fibres or alter the structure of the vessel wall.…”

Section: Discussionsupporting

confidence: 86%

“…18 Other studies are in keeping with our findings, but did not correct for the level of blood pressure [19][20][21] or reported that withdrawal of hormonal replacement therapy for 4 weeks resulted in a decrease of systemic arterial compliance and an increase in pulse wave velocity in the femoralisdorsalis pedis region, but not in the aorto-femoral territory. 21 Recent studies using ambulatory monitoring [22][23][24][25][26] or automated blood pressure self-measurement 27 are…”

Section: Discussionmentioning

confidence: 99%

“…Initially, the sample had been stratified by sex and age (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57)(58)(59), у60 years), in an attempt to recruit the same number of subjects in each stratum. Households were identified from population registries as persons who shared the same address.…”

Section: Study Populationmentioning

confidence: 99%

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Menopause and the characteristics of the large arteries in a population study

et al. 2001

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In previous cross-sectional and longitudinal population studies, we found that the slope of systolic pressure on age was steeper in postmenopausal than in premenopausal women. We hypothesised that this observation could be due to a specific effect of menopause on the elasticity of the large arteries. We investigated 315 randomly selected women, aged 30 to 70 years. Based on 5.2 years of follow-up, 166 women were premenopausal and 149 menopausal (44 reaching menopause and 105 postmenopausal). These women were matched on age and body mass index with 315 men. We used a walltracking ultrasound system to measure the diameter, compliance and distensibility of the brachial and the common carotid and femoral arteries as well as carotidfemoral pulse wave velocity. Pulse pressure was determined from 24-h blood pressure recordings. Both in menopausal women (r = 0.37; P Ͻ 0.001) and in matching male controls (r = 0.16; P = 0.04), pulse pressure widened with increasing age. The slope of the 24-h pulse pressure on age was steeper in menopausal

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Study Populationmentioning

confidence: 99%

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Menopause and the characteristics of the large arteries in a population study

et al. 2001

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“…As our meta-analysis included studies with participants spanning pubertal development, this may offer further explanation for the heterogeneity in the female subgroup, as major changes in oestrogen profile occur during the pubertal period. Furthermore, the menstrual cycle influences BP [51], and no studies reported controlling for menstrual cycle.…”

Section: Discussionmentioning

confidence: 99%

The diabetic pregnancy and offspring blood pressure in childhood: a systematic review and meta-analysis

Aceti¹,

Santhakumaran²,

Logan³

et al. 2012

Diabetologia

110

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Aims/hypothesis Offspring of diabetic mothers have increased risk of the metabolic syndrome in adulthood. Studies examining BP in offspring of diabetic mothers have conflicting conclusions. We performed a systematic review and metaanalysis of studies reporting offspring BP in children born to diabetic mothers. Methods Citations were identified in PubMed. Authors were contacted for additional data. Systolic and diastolic BP in offspring of diabetic mothers and controls were compared. Subgroup analysis of type of maternal diabetes and offspring sex were performed. Fixed-effects models were used, and random-effects models where significant heterogeneity was present. Meta-regression was used to test the relationship between offspring systolic BP and prepregnancy BMI. Results Fifteen studies were included in the review and 13 in the meta-analysis. Systolic BP was higher in offspring of diabetic mothers (mean difference 1.88 mmHg [95% CI 0.47, 3.28]; p00.009). Offspring of mothers with gestational diabetes had similar diastolic BP to controls, but higher systolic BP (1.39 mmHg [95% CI 0.00, 2.77]; p00.05); results for type 1 diabetes were inconclusive and there were no separate data available on offspring of type 2 diabetic mothers. Male offspring of diabetic mothers had higher systolic BP (2.01 mmHg [95% CI 0.93, 3.10]; p00.0003) and diastolic BP (1.12 mmHg [95% CI 0.36, 1.88]; p00.004) than controls; in female offspring there was no difference (systolic: 0.54 mmHg [95% CI −1.83, 2.90], p00.66; diastolic: 0.51 mmHg [95% CI −1.07, 2.09], p00.52). The correlation between offspring systolic BP and maternal prepregnancy BMI was not significant (p00.37). Conclusions/interpretation Offspring of diabetic mothers have higher systolic BP than controls. Differences related to sex and type of maternal diabetes require further investigation.

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“…Observational studies have demonstrated that BP is lower when E 2 levels peak during the luteal phase than when they are at their nadir during the follicular phase of the menstrual cycle (Dunne et al, 1991;Karpanou et al, 1993;Chapman et al, 1997). Menopause is associated with a significant increase in BP in cross-sectional studies (Staessen et al, 1998).…”

Section: Estrogen Receptorsmentioning

confidence: 99%