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Cited by 189

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Associations Among Androgens, Estrogens, and Natriuretic Peptides in Young Women

Open access
Chang, Alice Y., Abdullah, Shuaib M., Jain, Tulika, Stanek, Harold G., Das, Sandeep R., McGuire, Darren K., Auchus, Richard J., de Lemos, James A.·2007·Journal of the American College of Cardiology

Abstract

OBJECTIVES We sought to determine if natriuretic peptides are associated with estrogen and androgen status in a population study of young women without known cardiac disease. BACKGROUND Circulating concentrations of plasma B-type natriuretic peptide (BNP) and N-terminal proBNP (NT-proBNP) are higher in women than in men, and they may be influenced by estrogens and androgens. METHODS Cardiac magnetic resonance imaging, dual energy X-ray absorbtiometry, and measurements of BNP, NT-proBNP, follicle-stimulating hormone (FSH), total testosterone, and sex hormone-binding globulin (SHBG), were performed in 682 women (ages 35 to 49 years) participating in the Dallas Heart Study. RESULTS In multivariable analyses adjusting for age, race/ethnicity, body mass index (BMI), serum creatinine, left ventricular mass and left ventricular ejection fraction <55%, menopausal status, and FSH were not associated with BNP and NT-proBNP. In contrast, higher SHBG was associated with higher BNP and NT-proBNP, while the free androgen index and calculated free testosterone were inversely associated with BNP and NT-proBNP (p < 0.0001 for each). Addition of SHBG or any measure of free testosterone to the multivariable models modified the effect of BMI and lean mass, such that measures of body composition were no longer significantly associated with BNP or NT-proBNP. CONCLUSIONS Among young women, measures of free testosterone were independently and inversely associated with BNP and NT-proBNP. These results suggest that circulating free testosterone, not estradiol, mediates gender differences in natriuretic peptides. In addition, the association between higher BMI and lean body mass with natriuretic peptides may be mediated by testosterone.

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Metadata

Authors
Chang, A. Y., Abdullah, S. M., Jain, T., Stanek, H. G., Das, S. R., McGuire, D. K., Auchus, R. J., & de Lemos, J. A.
Venue
Journal of the American College of Cardiology
Publisher
Elsevier BV
Published
2007-01
Volume
49
Issue
1
Pages
109-116
ISSN
0735-1097 (ISSN-L)
OpenAlex
W1592734136
Cited by
189
References
4
FWCI
7.06
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Associations Among Androgens, Estrogens, and Natriuretic Peptides in Young Women. https://app.cochat.ai/papers/10.1016/j.jacc.2006.10.040
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Chang, A. Y., Abdullah, S. M., Jain, T., Stanek, H. G., Das, S. R., McGuire, D. K., Auchus, R. J., & de Lemos, J. A. (2007). Associations Among Androgens, Estrogens, and Natriuretic Peptides in Young Women. Journal of the American College of Cardiology. https://doi.org/10.1016/j.jacc.2006.10.040

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