Heart failure & cardiomyopathiesCohort study

Pre-Diagnostic Free Androgen and Estradiol Levels Influence Heart Failure Risk in Both Women and Men: A Prospective Cohort Study in the UK Biobank

Eur J Heart FailPublished

  • Prospective cohort study

Authors' conclusion

Sex hormones potentially influence HF pathogenesis and may offer pathways for interventions.

Study context

Population
UK Biobank participants free of prevalent CVD and heart failure (HF) at baselinemen and women with complete data
Exposure
Quartiles of free androgen, testosterone and estradiol indices, Q4 vs Q1
Outcome
Incident HF

Main finding

As reported in the abstract

Incident HF by sex hormone index quartile
Q4 vs Q1Hazard ratio (95% CI)P value
FAI, men
0.86(0.79–0.94)
p-trendcontinuous < 0.0001
FAI, post-menopausal women
0.83(0.73–0.95)
FTI, men
0.91(0.83–0.98)
FEI, men
0.76(0.59–0.98)
FEI, pre-menopausal women
2.16(1.11–4.18)

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Pre-Diagnostic Free Androgen and Estradiol Levels Influence Heart Failure Risk in Both Women and Men: A Prospective Cohort Study in the UK Biobank. Eur J Heart Fail. Published 25 March 2024. doi:10.1002/ejhf.3189

Summarised from the published abstract; every number is checked against it