Assessment of cardiovascular risk factors in male androgenetic alopecia: A case control study in a tertiary care hospital of western Odisha
Abstract
Androgenic alopecia (AGA) is the most common cause of patterned hair loss among males which is characterized by progressive hair loss from the bi-temporal and vertex regions of the scalp. Although previous epidemiological studies found an association between metabolic syndrome (MetS), and cardiovascular disease (CVD) risk among adult AGA male patients, there has been no comprehensive research till now to establish this correlation between AGA and cardiovascular risk and there is a paucity of data regarding this association. Two hundred men were included in the study, N = 100 AGA patients included in the patient group, and the rest in the control group. In both groups, the parameters for MetS such as family history, socioeconomic status, obesity, blood pressure, and lipid profile), and in the presence of the CAA plaques and carotid intima-media thickness (CIMT) using Doppler ultrasonography were established. The degree of AGA was asses by using the Hamilton-Norwood grade (I-VII) system for males. Statistical analysis was performed using the Chi-square test. AGA was found in 11.6% of OPD patients, whereas 3 patients have CAA plaque and 6 cases have C-IMT from the patient's group. There was a statistical association between male AGA with MetS, and insulin-resistant patients (P = 0.001 and 0.0004, respectively). A positive family history of AGA patients, hypertension, DM, and CVD was found to be significantly more frequent in study cases than in the controls (P <0.05). Patients with AGA appear to have a highly prevalent risk of developing CVD and CAA plaque. Therefore, clinical evaluation of each AGA patient’s cases is needed, especially for grade III and above which may help prevent CVD in the future. Timely intervention and lifestyle changes in male AGA patients can fulfil the ultimate objective of reducing cardiovascular complications in the future.
References
Abdollahimajd, F., Niknezhad, N., Bahreini, N., Younespour, S., & Namazi, N. (2021). Metabolic syndrome in patients with Alopecia Areata: A case-control study. Dermatol. Ther., 34(4), e14979. https://doi.org/10.1111/dth.14979
Arefi, R., Pishgahi, M., Joharimoghaddam, A., Momeni, M.A., & Khoshfetrat, M. (2020). Association of Baldness with Coronary Artery Disease and Its Severity. Galen Med. J., 9, e1474. https://doi.org/10.31661/gmj.v9i0.1474
Asfour, L., Cranwell, W., Sinclair, R.. In: Feingold, K.R., Anawalt, B., Blackman, M.R., Boyce, A., Chrousos, G., Corpas, E., de Herder, W.W., et al., (2023). Male Androgenetic Alopecia. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.
Chen, S., Xie, X., Zhang, G., & Zhang, Y. (2022). Comorbidities in Androgenetic Alopecia: A Comprehensive Review. Dermatol Ther. (Heidelb), 12(10), 2233-2247. https://doi.org/10.1007/s13555-022-00799-7
Dawoud, N.M., Dawoud, M.M., El Hefnawy, S.M., Abdellatif, H.A., Abdellatif, N.H., Gaafar, S.S., & Seleit I. (2023). Circulating and/or cutaneous irisin resistance: A novel link among androgenetic alopecia, comorbid metabolic syndrome and cardiovascular risks. J Cosmet. Dermatol., 22(9), 2584-2597. https://doi.org/10.1111/jocd.15760
Elhabak, D.M., & Abdel Halim, W.A. (2020). YKL-40 A Sensitive Biomarker for Early Androgenetic Alopecia and Early Hidden Metabolic Syndrome. Int J Trichology, 12(2), 49-55. https://doi.org/10.4103/ijt.ijt_100_19
Glickman, J.W., Dubin, C., Renert-Yuval, Y., Dahabreh, D., Kimmel, G.W., Auyeung, K., Estrada, Y.D., Singer, G., Krueger, J.G., Pavel, A.B., & Guttman-Yassky, E. (2021). Cross-sectional study of blood biomarkers of patients with moderate to severe alopecia areata reveals systemic immune and cardiovascular biomarker dysregulation. J. Am. Acad. Dermatol., 84(2), 370-380. https://doi.org/10.1016/j.jaad.2020.04.138
Hamed, A.M., Fatah, M.A., & Shams, G.M. (2022) Androgenetic Alopecia and Metabolic Syndrome: Is Alarin a Missing Link? J. Clin. Aesthet. Dermatol., 15(7), 32-37.
Krysiak, R., Basiak, M., & Okopień, B. (2021). Cardiometabolic Risk Factors in Rosuvastatin-Treated Men with Mixed Dyslipidemia and Early-Onset Androgenic Alopecia. Molecules, 26(10), 2844. https://doi.org/10.3390/molecules26102844
Krysiak, R., Kowalcze, K., & Okopień, B. (2022). Impaired metabolic effects of metformin in men with early-onset androgenic alopecia. Pharmacol. Rep., 74(1), 216-228. https://doi.org/10.1007/s43440-021-00347-8
Mustafa, A.I., Abel, Halim. W.A.E., Eman, F., & Doaa, E.H. (2021). Metabolic syndrome in androgenetic alopecia patients; Is serum regulated on activation, normal T-cell expressed and secreted the missing link? J. Cosmet. Dermatol., 20(7), 2270-2276. https://doi.org/10.1111/jocd.13802
Oiwoh, S.O., Akinboro, A.O., Olayemi, O., Salawu, A.A., Olasode, O.A., & Onayemi, E.O. (2023). Androgenetic alopecia: Traditional cardiovascular risk factors, metabolic syndrome, and component traits among Nigerian adults. Niger J. Clin. Pract., 26(4), 463-469. https://doi.org/10.4103/njcp.njcp_530_22
Qiu, Y., Zhou, X., Fu, S., Luo, S., & Li, Y. (2022). Systematic Review and Meta-analysis of the Association Between Metabolic Syndrome and Androgenetic Alopecia. Acta Derm Venereol., 102, adv00645.
Roohaninasab, M., Yavari, S.F., Babazadeh, M., Hagh, R.A., Pazoki, M., & Amrovani M. (2022). Evaluating the Role of lncRNAs in the Incidence of Cardiovascular Diseases in Androgenetic Alopecia Patients. Cardiovasc. Toxicol., 22(7), 603-619. https://doi.org/10.1007/s12012-022-09742-w
Saafan, F.A., Elsamanoudy, A.Z., Shaalan, D., Zeidan, N., & Gaballah, M.A. (2021). MTHFR C677T Polymorphism and Serum Homocysteine Level as Risk Factors of Coronary Heart Disease in Patients with Androgenetic Alopecia: A Case Control Study. Am. J. Med. Sc.i, 362(4), 375-380. https://doi.org/10.1016/j.amjms.2021.06.013
Sheikh, F.Z., Butt, G., Hafeez, R., Maqsood, A., Altaf, F., & Hussain, I. (2021). Association of Early-onset Androgenetic Alopecia and Metabolic Syndrome. J. Coll. Physicians Surg. Pak., 31(2), 123-127. https://doi.org/10.29271/jcpsp.2021.02.123
Singdia, H., Bhargava, P., Nijhawan, S., & Mathur, D.K. (2023). A Study of Correlation of Alopecia Areata and Metabolic Syndrome in Northwest Indian Population: A Case-Control Study. Int. J. Trichology, 15(2), 63-69. https://doi.org/10.4103/ijt.ijt_89_21
Sözen, M., Baldane, S., Abusoglu, S., Kebapcılar, L., Kebapcılar, A., Tunçez, Akyürek, F., Ünlü, A., & İpekci, S.H. (2022). A study on relationship between androgenetic alopecia and cardiovascular risk using high sensitivity C-reactive protein and galectin-3 in men with early onset baldness. Biomarkers, 27(1), 71-78. https://doi.org/10.1080/1354750X.2021.2013539
Vinay, K., Bhattachajee, R., Bishnoi, A., Kaushik, A., Sachdeva, N., Pal, A., Narang, T., & Dogra, S. (2023). Clinical and metabolic characteristics of males with early-onset androgenetic alopecia. Indian J. Dermatol Venereol. Leprol., 89(4), 530-535. https://doi.org/10.25259/IJDVL_949_2021.
Vora, R.V., Kota, R.K.S.K., Singhal, R.R., & Anjaneyan, G. (2019). Clinical Profile of Androgenic Alopecia and Its Association with Cardiovascular Risk Factors. Indian J. Dermatol., 64(1), 19-22. https://doi.org/10.4103/ijd.IJD_526_16
Wang, Y.X., Chen, X.W., Wang, S.B., Gu, L.F., Li, Y.F., Ma, Y., Wang, H., & Wang, L.S. (2021). Association Between Androgenic Alopecia and Coronary Artery Disease: A Cross-Sectional Study of Han Chinese Male Population. Int. J. Gen. Med., 14, 4809-4818. https://doi.org/10.2147/IJGM.S326812.
Zhu, H., Guo, H., Gao, Y., Wei, Y., Mao, T., & Yang, J. (2022). A community-oriented survey on the association between androgenetic alopecia and metabolic syndrome in Chinese people. Front. Med. (Lausanne), 9, 1009578. https://doi.org/10.3389/fmed.2022.1009578
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