Exogenous female sex steroids may reduce lung ageing after menopause: A 20-year follow-up study of a general population sample (ECRHS)

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• dc.contributor.author Triebner, Kai
• dc.contributor.author García Aymerich, Judith
• dc.contributor.author Gómez Real, Francisco
• dc.date.accessioned 2020-02-13T07:25:52Z
• dc.date.available 2020-02-13T07:25:52Z
• dc.date.issued 2019
• dc.description.abstract Objectives: Menopause involves hypoestrogenism, which is associated with numerous detrimental effects, including on respiratory health. Hormone replacement therapy (HRT) is often used to improve symptoms of menopause. The effects of HRT on lung function decline, hence lung ageing, have not yet been investigated despite the recognized effects of HRT on other health outcomes. Study design: The population-based multi-centre European Community Respiratory Health Survey provided complete data for 275 oral HRT users at two time points, who were matched with 383 nonusers and analysed with a two-level linear mixed effects regression model. Main outcome measures: We studied whether HRT use was associated with the annual decline in forced vital capacity (FVC) and forced expiratory volume in one second (FEV1). Results: Lung function of women using oral HRT for more than five years declined less rapidly than that of nonusers. The adjusted difference in FVC decline was 5.6 mL/y (95%CI: 1.8 to 9.3, p = 0.01) for women who had taken HRT for six to ten years and 8.9 mL/y (3.5 to 14.2, p = 0.003) for those who had taken it for more than ten years. The adjusted difference in FEV1 decline was 4.4 mL/y (0.9 to 8.0, p = 0.02) with treatment from six to ten years and 5.3 mL/y (0.4 to 10.2, p = 0.048) with treatment for over ten years. Conclusions: In this longitudinal population-based study, the decline in lung function was less rapid in women who used HRT, following a dose-response pattern, and consistent when adjusting for potential confounding factors. This may signify that female sex hormones are of importance for lung ageing.
• dc.description.sponsorship Kai Triebner has received a postdoctoral fellowship from the University of Bergen. The present analyses are part of a project funded by the Norwegian Research Council (Project No. 228174) as well as part of the Ageing Lungs in European Cohorts (ALEC) Study (www.alecstudy.org), which has received funding from the European Union's Horizon 2020 research and innovation program (Grant No. 633212). The European Commission supported the European Community Respiratory Health Survey, as part of the “Quality of Life” program. Bodies funding the local studies are listed in the online data supplement.
• dc.format.mimetype application/pdf
• dc.identifier.citation Triebner K, Accordini S, Calciano L, Johannessen A, Benediktsdóttir B, Bifulco E et al. Exogenous female sex steroids may reduce lung ageing after menopause: A 20-year follow-up study of a general population sample (ECRHS). Maturitas. 2019;120:29-34. DOI: 10.1016/j.maturitas.2018.11.007
• dc.identifier.doi http://dx.doi.org/10.1016/j.maturitas.2018.11.007
• dc.identifier.issn 0378-5122
• dc.identifier.uri http://hdl.handle.net/10230/43565
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.ispartof Maturitas. 2019;120:29-34
• dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/633212
• dc.rights © 2018 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/BY-NC-ND/4.0/
• dc.subject.keyword Hormone replacement therapy (HRT)
• dc.subject.keyword Lung function
• dc.subject.keyword Menopause
• dc.subject.keyword Reproductive aging
• dc.subject.keyword Sex hormones
• dc.title Exogenous female sex steroids may reduce lung ageing after menopause: A 20-year follow-up study of a general population sample (ECRHS)
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion