Trajectories of ovarian reserve and cardiovascular risk in Black and White women

黑人和白人女性卵巢储备和心血管风险的轨迹

• 批准号: 10559092
• 负责人: Elaine Mott Urbina
• 金额: $ 20.5万
• 依托单位: CINCINNATI CHILDRENS HOSP MED CTR
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-12-01 至 2026-11-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10559092
• 关键词: Administrative Supplement; Affect; Age; Appearance; Applications Grants; Black race; Cardiac; Cardiovascular Diseases; Cardiovascular system; Cohort Studies; Data; Data Collection; Development; Disease; Echocardiography; Enrollment; Evaluation; Future; Growth; Growth and Development function; Health; Heart failure; Hormones; Image; Laboratories; Lead; Life; Life Cycle Stages; Link; Lipoproteins; Longevity; Longitudinal cohort; Longterm Follow-up; Menopause; National Heart, Lung, and Blood Institute; Ovarian; Ovarian Follicle; Ovarian aging; Ovarian hormone; Parents; Participant; Particle Size; Pattern; Play; Pregnancy; Premenopause; Process; Production; Questionnaires; Race; Reproductive History; Reproductive system; Research; Research Personnel; Risk; Role; Sampling; Sampling Studies; Serum; Socioeconomic Status; Structure; Testing; Time; Update; Woman; black women; cardiovascular disorder risk; cardiovascular health; cardiovascular risk factor; cohort; critical period; design; diminished ovarian reserve; early onset; girls; healthy aging; improved; insight; mortality; mullerian-inhibiting hormone; novel; ovarian reserve; parent grant; parity; prospective; racial difference; racial diversity; racial population; recruit; reproductive; satisfaction; social health determinants

Abstract The reproductive lifecycle of a women can affect her long-term health including onset of cardiovascular disease. The menopausal transition affects the onset and timing of cardiovascular changes that can lead to long term health consequences. There is a link between the age at menopause and cardiovascular mortality and heart failure, as earlier onset of menopause is associated with higher rates of cardiovascular disease. The size of the ovarian follicle pool and cessation of ovarian hormone production is a key factor that influences the timing of menopause. Serum anti-mullerian hormone (AMH) has emerged as an important marker of the ovarian follicle pool. AMH has been shown to reflect the gradual decline in reproductive capacity with increasing age. Early decline in AMH and a more rapid trajectory of decline have been associated with increased risk for cardiovascular disease. This study supplement will test AMH values at multiple timepoints over the reproductive lifespan by utilizing stored samples and prospective samples from the NHLBI Growth and Health Study (NGHS). NGHS enrolled 871 girls (50% Black and 50% White) in 1987 at age 9 or 10 and examined them up to 17 times, to age 27, including 7 echocardiograms between ages 20-27, multiple saved samples and reproductive history questionnaires. The parent study for this supplement will be enrolling 350 NGHS participants in the late reproductive stage (average age 46) and collecting cardiovascular labs and imaging as well as update lifetime information on socioeconomic status and social determinants of health. This supplement will add assessment of ovarian reserve trajectory of time to: 1) Determine differences in the ovarian reserve and its trajectories between Black and White women and how the social determinants of health (SDOH) impact this difference; 2) Determine if the trajectory of ovarian reserve decline across the reproductive life-course affects cardiovascular disease risk or disease. In addition, this supplement aims to create a study participant advisory group to help optimize study recruitment and retention particularly in Black women. With completion of our aims, we will understand the effect of SDOH and race on ovarian reserve as well as determine if the rate of ovarian reserve decline can be a marker for future cardiovascular disease. This supplement is designed to enhance the parent grant by adding additional information about the reproductive system affecting cardiovascular disease as well as provide mechanisms to improve subject recruitment, retention, and satisfaction with the study.

抽象的 妇女的生殖生命周期可能会影响她的长期健康，包括发作 心血管疾病。更年期过渡会影响 心血管变化会导致长期健康后果。有一个链接 在更年期的年龄与心血管死亡率和心力衰竭之间 更年期与较高的心血管疾病率有关。卵巢的大小 卵泡池和卵巢激素产生的停止是影响的关键因素 更年期的时机。血清抗毛刺激素（AMH）已成为重要的 卵巢卵泡池的标记。 AMH已被证明反映了逐渐下降的 生殖能力随着年龄的增长。 AMH的早期下降和更快的轨迹 下降与心血管疾病的风险增加有关。这项研究 补充将通过利用生殖寿命的多个时间点测试AMH值 来自NHLBI增长与健康研究（NGHS）的样品和前瞻性样本。 1987年，NGHS在9或10岁时招募了871名女孩（50％的黑色和50％白色）并检查 它们长达17次，到27岁，包括20-27岁之间的7个超声心动图，多个 保存的样本和生殖历史问卷。该补充的家长研究 将在晚期生殖阶段（平均46岁）和 收集心血管实验室和成像，并更新有关终身信息 健康的社会经济地位和社会决定因素。该补充剂将增加评估 卵巢储备的时间轨迹：1）确定卵巢储量及其差异 黑人和白人妇女之间的轨迹以及健康的社会决定因素（SDOH）如何 影响这种差异； 2）确定卵巢储备的轨迹是否遍布整个 生殖生命过程会影响心血管疾病的风险或疾病。此外，这 补充旨在建立一个研究参与者咨询小组，以帮助优化研究招聘 尤其是在黑人妇女中保留。通过完成我们的目标，我们将了解 SDOH和种族对卵巢储备的影响，并确定卵巢储备的速率是否 下降可能是未来心血管疾病的标志。该补充旨在 通过添加有关生殖系统的其他信息来增强父母赠款 影响心血管疾病，并提供改善受试者招募的机制， 保留和对研究的满意。