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Women and Heart Disease: More Risk, Less Prevention
Women and Heart Disease: More Risk, Less Prevention -- Posted by Gumbo on 12-10-04 05:20
Women and Heart Disease: More Risk, Less Prevention
ALEXANDRIA, Va., Nov 23, 2004 /PRNewswire via COMTEX/ -- Having diabetes
raises a woman's risk of having a heart attack to nearly 10 times that of
other women, according to a study in the December issue of Diabetes Care.
The study also describes why women with diabetes are at much higher risk
than men with diabetes when it comes to having cardiac events.
Heart disease is the leading killer of people with diabetes, regardless of
gender. But, the risks are disproportionately higher for women. Men who have
diabetes are three times more likely to have a heart attack than those who
don't, the study found. But women are 9.5 times more likely to have a heart
attack if they have diabetes. Previous studies have reported a 2-4 times
greater risk for cardiac events for all people with diabetes.
This is the first study to look specifically at factors that increase a
woman's risk for developing heart disease as compared to a man's. The study,
conducted by researchers in Finland, found the disproportionate risk to
women could partially be explained by a series of cardiovascular risk
factors that appear to be more prevalent in women with diabetes than in men
with diabetes. The women in the study were more likely to have obesity, high
blood pressure, low HDL cholesterol (or "good" cholesterol) and high levels
of triglycerides. The greatest predictors for cardiac events in women were
poor glycemic control, high blood pressure and low HDL combined with high
triglycerides.
Poor control of blood sugar levels was also a predictor of cardiovascular
disease in men. However, even after adjusting for conventional
cardiovascular risk factors, a portion of the increased risk for heart
attacks remained unexplained for both genders.
A separate study, conducted by researchers of the Translating Research into
Action for Diabetes (TRIAD) Study, found that in 10 managed care health
plans and 68 provider groups across the United States, women were less
likely than men to receive aggressive treatment for cardiovascular risk
factors.
Women with diabetes were less likely to have been advised to take aspirin to
prevent cardiovascular events than men with diabetes and were also less
likely to have been prescribed medications to lower cholesterol. Previous
studies have shown women are likewise less likely than men to receive
cholesterol screenings that would tell them if such medications were
advisable.
Diabetes Care, published by the American Diabetes Association, is the
leading peer-reviewed journal of clinical research into the nation's fifth
leading cause of death by disease. Diabetes also is a leading cause of heart
disease and stroke, as well as the leading cause of adult blindness, kidney
failure and non-traumatic amputations. For more information about diabetes,
visit the American Diabetes Association Web site http://www.diabetes.org or
call 1-800-DIABETES (1-800-342-2383).
SOURCE American Diabetes Association
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