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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Subclinical cardiovascular disease parameters after one year in new users of depot medroxyprogesterone acetate compared to copper-IUD

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Author(s):
Cursino, Kleber [1] ; de Lima, Gabriel Araujo [1] ; Silva dos Santos, Priscilla de Nazare [1] ; Pavin, Elizabeth Joao [2] ; Bahamondes, Luis [1] ; Fernandes, Arlete [1]
Total Authors: 6
Affiliation:
[1] Univ Estadual Campinas, Med Sch, Family Planning Clin, Dept Obstet & Gynecol, Campinas, SP - Brazil
[2] Univ Estadual Campinas, Dept Clin Med, Med Sch, Campinas, SP - Brazil
Total Affiliations: 2
Document type: Journal article
Source: EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE; v. 23, n. 3, p. 201-206, 2018.
Web of Science Citations: 0
Abstract

Purpose: To evaluate markers of cardiovascular disease in women with normal insulin sensitivity who had recently initiated use of depot medroxyprogesterone acetate (DMPA) as a contraceptive. Materials and methods: A prospective, non-randomised, comparative study. Data of 30 women of 18-40 years of age, with normal hyperinsulinaemic-euglycaemic clamp at baseline and body mass index (BMI) < 30, who opted to use DMPA or a copper intrauterine device (IUD) as a contraceptive, were analysed. Serum samples were collected for evaluation of the lipid and hepatic profile, C-reactive protein, TNF-alpha, interleukin-6, leptin/adiponectin ratio and free fatty acids; body composition was evaluated using DXA, blood pressure and carotid intima-media thickness were measured. Evaluations were performed at baseline and 12 months later. The groups were compared using repeated measures analysis of variance (ANOVA). Significance level was 5%. Results: The mean age of the women in the DMPA and IUD group was 28.76.5 and 28.3 +/- 5.8 years, respectively; the BMI was 23.0 +/- 3.4 and 24.3 +/- 2.7 kg/m(2), respectively, in the same groups. At 12 months, triglyceride levels were higher in the DMPA group compared to the IUD group and there was an increase in apolipoprotein B-100 in relation to baseline in DMPA group; there were no other difference between the groups. Conclusions: No clinical cardiovascular effect was found but deterioration in CV markers was observed in the first year of use of DMPA. (AU)

FAPESP's process: 09/53293-0 - Prospective study for evaluation of the insulin resistance, lipid metabolism and sub clinical cardiovascular disease in women who initiate the depot-medroxyprogesterone acetate (DMP A) contraceptive method with in follow-up for two years. (Project of scientific research)
Grantee:Luis Guillermo Bahamondes
Support Opportunities: Research Grants - Research in Public Policies for the National Health Care System (PP-SUS)