月経前症状と心血管疾患リスクの関連を解明(Premenstrual symptoms linked to increased risk of cardiovascular disease)

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2025-07-11 カロリンスカ研究所(KI)

カロリンスカ研究所の新研究(Nature Cardiovascular Research掲載)によると、月経前症状(PMSやPMDD)を持つ女性は、将来の心血管疾患リスクがやや高まることが示された。約99,000人の女性を最大22年間追跡した結果、心血管疾患リスクは10%高く、特に不整脈(31%増)や血栓性脳卒中(27%増)との関連が顕著だった。原因として、RAAS系の異常、慢性炎症、代謝異常などが考えられる。若年発症や産後うつ経験者ではリスクがさらに高い傾向が見られた。

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月経前障害と心血管疾患のリスク Premenstrual disorders and risk of cardiovascular diseases

Yihui Yang,Emma Bränn,Jing Zhou,Dang Wei,Jacob Bergstedt,Fang Fang,Unnur A. Valdimarsdóttir,Elizabeth Bertone-Johnson & Donghao Lu
Nature Cardiovascular Research  Published:11 July 2025
DOI:https://doi.org/10.1038/s44161-025-00684-4

月経前症状と心血管疾患リスクの関連を解明(Premenstrual symptoms linked to increased risk of cardiovascular disease)

Abstract

Several lines of evidence indicate a potential link between premenstrual disorders (PMDs) and cardiovascular diseases (CVDs). However, it remains unclear whether women with PMDs have a higher risk of CVDs. Here we present a Swedish nationwide population-based matched cohort study from 2001 to 2022 and a sibling matched cohort to address familial confounding. A total of 99,411 women with PMDs were included in the population analysis and 36,061 women with PMDs in the sibling analysis. Compared with individuals without PMDs, women with PMDs had a higher risk of any CVD (adjusted hazard ratio = 1.11 (95% confidence interval: 1.08–1.13) in the population analysis and 1.10 (95% confidence interval: 1.06–1.15) in the sibling analysis). The risk was particularly pronounced for PMDs diagnosed before 25 years of age and PMDs with comorbid perinatal depression. Our study shows that women who received a PMD diagnosis in specialist or primary care are at a higher risk of CVDs.

医療・健康
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