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PREMATURE DEATH IN WOMEN

-DR. JUAN DE DIOS MALDONADO ALVARADO PRESIDENT FEMECOG

Premature mortality, considered as a death between 30 and 70 years, due to non-communicable diseases continues to be a global problem.

It is considered that 7 out of 10 people in the world die prematurely and the main cause is cardiovascular diseases, diabetes mellitus, cancer and chronic respiratory diseases.

The goal of Sustainable Development 3.4, by 2030, is to reduce the probability of premature death by one third; however, preliminary reports show that according to trends, very few countries will achieve the goal.

The health of women and men is different and in some cases unequal. Different in the sense that there are biological factors that manifest themselves differently in health and in the risks for disease, and unequal due to other factors partly explained by gender that unfairly influence health.

Cardiovascular disease ranks as the number one cause of death and morbidity in people under 70 years of age.

Particularly in women, Metabolic Syndrome is triggered by 60% during menopause with an increase in total adiposity and redistribution of fat to the abdominal region and, as a consequence, insulin resistance.

There are risk factors in the fertile age of women that predispose to a higher risk of cardiovascular death, among which we can identify the early age of menarche, the presence of arterial hypertension after one year postpartum in cases of history of preeclampsia, association of recurrent miscarriage and cardiovascular risk.

What factors could we gynecologists handle?

Factors related to lifestyle:
– Avoid smoking
– Modify diet
– Regulate salt and alcohol intake
– Physical activity

Other factors:
– Blood pressure monitoring and control
– Plasma lipid
control – Glycemic control

It is of great importance to identify the risk factors for premature death during the fertile age of the woman, in order to take the pertinent actions in its prevention.

The role played by the gynecologist is very important in the prevention of premature mortality, we must be health promoters providing specific protection, diagnosing and treating in a timely manner, so that if there is already an installed pathology, we can limit the harm and provide rehabilitation. We must assume our responsibility with great commitment.

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flasog21

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