Relationship between inflammatory markers and the metabolic syndrome in postmenopausal women
21 February 2022
Summary
Recently, Sinatora et al. [1] reported the results of a study aimed at investigating the relationship between inflammatory biomarkers and the metabolic syndrome (MS) in postmenopausal women (n=52, aged 50 to 79 years), in addition to performing cutoff points for IL-10, IL-6, and TNF-α in the diagnosis of MS. This was a cross-sectional observational study based on STROBE in which data were collected from obese (body fat percentage [% BF] ≥ 35%) postmenopausal women (at least 5 years), not on hormone therapy, and taking into consideration different diagnostic criteria for the MS (International Diabetes Federation (IDF); National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP-III), and Harmonized criteria), comorbidities, and values of interleukin-6 (IL-6), interleukin-10 (IL-10), tumor necrosis factor- α (TNF-α), fasting glycemia (FG), triglycerides (TG), total cholesterol (TC), very low-density lipoproteins (VLDL-C), low-density lipoprotein (LDL-C), and high-density lipoprotein (HDL-C). Other analyzed parameters included body mass index (BMI), waist circumference (WC), and body composition as determined with bioelectrical impedance analysis. The authors found no significant difference between the methods and no interaction between the method and the presence of MS. However, for the values of WC, BF%, TNF-α, and IL-10/TNF-α ratio, a significant effect of the MS was observed. Those with the MS displayed lower values of BF% and TNF-α and higher values of the IL-10/TNF-α ratio. The higher IL-10/TNF-α ratio in the MS group was related to the greater anti-inflationary action of IL-10 and the IL-10/TNF-α ratio showed significant accuracy to discriminate women with MS according to the NCEP-ATP III criteria. The authors conclude that BF% and the lower TNF-α values in the groups with MS highlight the relationship between these variables. Higher IL-10/TNF-α ratio values in the MS group suggest that higher IL-10 concentrations may be contributing to the reduction of TNF-α in the MS group. Furthermore, the IL-10/TNF-α ratio showed significant accuracy to discriminate patients with MS according to the NCEP criteria.
Commentary
There are cost-effective ways to perform intervention in postmenopausal women with the MS, ranging from drugs, dieting and the increase of physical activity; that should not begin in the postmenopause yet in the premenopausal stage when diagnosis is performed [4]. Despite the advances in medicine, the MS and cardiovascular diseases are still high. The combination of a diet rich in antioxidants and anti-inflammatory compounds has a critical role in reducing oxidative stress and pro-inflammatory processes that are closely associated with endothelial dysfunction and the development of atherosclerotic plaques. The Mediterranean diet, for example, presents at least six classes of phenolic components with powerful antioxidant properties [5].
In conclusion, timely diagnosis of the MS and appropriate intervention/prevention are key at reducing related risks. These interventions should be performed once the diagnosis of the MS is made.
Peter Chedraui, MD, PhD
Instituto de Investigación e Innovación en Salud Integral
Universidad Católica de Santiago de Guayaquil, Guayaquil, Ecuador
References
- Sinatora RV, Chagas EFB, Mattera FOP, et al. Relationship of Inflammatory Markers and Metabolic Syndrome in Postmenopausal Women. Metabolites. 2022;12(1):73.
https://pubmed.ncbi.nlm.nih.gov/35050195/ - Hidalgo LA, Chedraui PA, Morocho N, Alvarado M, Chavez D, Huc A. The metabolic syndrome among postmenopausal women in Ecuador. Gynecol Endocrinol. 2006;22(8):447-54.
https://pubmed.ncbi.nlm.nih.gov/17012107/ - Chedraui P, Jaramillo W, Pérez-López FR, Escobar GS, Morocho N, Hidalgo L. Pro-inflammatory cytokine levels in postmenopausal women with the metabolic syndrome. Gynecol Endocrinol. 2011;27(9):685-91.
https://pubmed.ncbi.nlm.nih.gov/20937002/ - Barriga J, Castelo-Branco C, Chedraui P, Hidalgo L, Veas P. Educational and organizational interventions used to improve the knowledge of metabolic syndrome among postmenopausal women. Fertil Steril. 2008;90(2):444-6.
https://pubmed.ncbi.nlm.nih.gov/17980869/ - Alkhatib DH, Jaleel A, Tariq MNM, et al. The Role of Bioactive Compounds from Dietary Spices in the Management of Metabolic Syndrome: An Overview. Nutrients. 2021;14(1):175.
https://pubmed.ncbi.nlm.nih.gov/35011050/