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Impaired fasting glycaemia in middle-aged women: a prospective study

International Journal of Obesity volume 25, pages 646–651 (2001)Cite this article

Abstract

OBJECTIVES: To investigate: (i) the incidence of impaired fasting glycaemia (IFG) developed over 5 y in a population-based sample of Australian-born women; (ii) prospectively the factors which are associated with the development of IFG; (iii) the association of the menopausal transition with the onset of IFG and an increase in serum insulin concentrations.

DESIGN AND METHODS: A total of 265 women (110 pre-, 138 peri-, 17 postmenopausal) participants in the longitudinal phase of the Melbourne Women's Midlife Health Project, aged 46–57 and with normal fasting plasma glucose concentrations at the time of the initial measure, were interviewed, had physical measurements and blood taken annually over a 5 y follow-up period.

RESULTS: During the study period 43 women (16%) recorded a fasting glucose concentration of ≥6.1 mmol/l (IFG). Women who recorded IFG prospectively had, at the time of the initial measure when fasting glucose concentrations were normal: higher body mass index (BMI), trunk skinfold thicknesses, waist and hip circumferences (P<0.005), lower SHBG, higher free androgen index and serum insulin concentrations (P<0.05), higher systolic blood pressure, serum triglyceride and lower HDL-cholesterol concentrations (P<0.05) than women whose fasting glucose concentrations remained normal. The onset of IFG was not triggered by the menopausal transition or hormone use. Changes in insulin concentration were associated with changes in BMI (P<0.05).

CONCLUSION: Women who developed IFG during the menopausal transition exhibited significantly higher levels of body fatness and dyslipidemia, premenopausally, compared with the women who did not develop IFG. The menopausal transition did not have an effect on the development of IFG, but weight gain during this period was associated with an increase in insulin concentration.

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Acknowledgements

This study was supported by grants from the Victorian Health Promotion Foundation, the Public Health Research and Development Committee of the Australian National Health and Medical Research Council, and the Australasian Menopause Society. We thank Mr Nick Balazs and the staff of the Department of Biochemistry at the Monash Medical Centre for the glucose, hormone and lipid assays and Dr Duo Li for performing the insulin assays.

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Authors and Affiliations

  1. Office for Gender and Health, The University of Melbourne, RMH, Victoria, Australia

    JR Guthrie, EC Dudley, CV Garamszegi & L Dennerstein

  2. School of Biological and Chemical Sciences, Deakin University, Burwood, Victoria, Australia

    M Ball

  3. International Health and Development Unit, Monash University, Clayton, Victoria, Australia

    ML Wahlqvist

  4. Prince Henry's Institute of Medical Research, Clayton, Victoria, Australia

    HG Burger

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  1. JR Guthrie
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  2. M Ball
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  6. L Dennerstein
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  7. HG Burger
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Correspondence to JR Guthrie.

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Guthrie, J., Ball, M., Dudley, E. et al. Impaired fasting glycaemia in middle-aged women: a prospective study. Int J Obes 25, 646–651 (2001). https://doi.org/10.1038/sj.ijo.0801569

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