{"id":11889,"date":"2025-02-27T12:21:24","date_gmt":"2025-02-27T11:21:24","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=11889"},"modified":"2025-02-27T12:21:24","modified_gmt":"2025-02-27T11:21:24","slug":"historien-bag-womens-health-initiative-whi","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/02\/27\/historien-bag-womens-health-initiative-whi\/","title":{"rendered":"Historien bag Women\u00b4s Health Initiative (WHI)"},"content":{"rendered":"<p><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" class=\"alignnone  wp-image-11890\" src=\"https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/02\/Indlaeg-historien-bag-WHI.png?resize=380%2C380&#038;quality=80&#038;ssl=1\" alt=\"\" width=\"380\" height=\"380\" srcset=\"https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/02\/Indlaeg-historien-bag-WHI.png?w=800&amp;quality=80&amp;ssl=1 800w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/02\/Indlaeg-historien-bag-WHI.png?resize=300%2C300&amp;quality=80&amp;ssl=1 300w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/02\/Indlaeg-historien-bag-WHI.png?resize=150%2C150&amp;quality=80&amp;ssl=1 150w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/02\/Indlaeg-historien-bag-WHI.png?resize=768%2C768&amp;quality=80&amp;ssl=1 768w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/02\/Indlaeg-historien-bag-WHI.png?resize=600%2C600&amp;quality=80&amp;ssl=1 600w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/02\/Indlaeg-historien-bag-WHI.png?resize=100%2C100&amp;quality=80&amp;ssl=1 100w\" sizes=\"(max-width: 380px) 100vw, 380px\" \/><\/p>\n<h4>Historien bag WHI \u2013 studiet der sendte hormonbehandling af kvinder i menopause-transitionen i skammekrogen<\/h4>\n<p>Af Line Trier Friis og Mathilde Meedom Hermansen, stiftere af\u00a0<a href=\"https:\/\/sygeplejevidenskab.dk\/index.php\/hormonehealthdk\/teamet-bag-hormonehealthdk\/\">HormoneHealthdk<\/a><\/p>\n<p><strong>Resume<br \/>\n<\/strong>WHI-studiet fra 1998 unders\u00f8gte hormonterapi* (HRT) hos post-menopausale kvinder*, men blev afbrudt i 2002 p\u00e5 grund af \u00f8get risiko for brystkr\u00e6ft. Studiet har skabt frygt for HRT, selvom kritikken af studiet og nyere forskning giver et mere nuanceret billede. Der mangler stadig viden om HRT&#8217;s betydning for kvinder i overgangsalderen.<\/p>\n<p><strong>Endelig fik kvinder i menopause-transitionen opm\u00e6rksomhed i forskningen<\/strong>, da man I 1998 igangsatte man i USA et af de st\u00f8rste kliniske fors\u00f8g &#8211; et RCT-studie under navnet Women\u00b4s Health Initiative (WHI). Form\u00e5let med studiet var at afd\u00e6kke risici og fordele ved hormonterapi (HRT) hos post-menopausale kvinder ift. forebyggelse af kroniske sygdomme som fx hjerte-kar-sygdomme og kr\u00e6ft. Deltagerne blev delt i to grupper:<\/p>\n<p>Gruppe 1: 16.608 kvinder med en livmoder, som fik \u00f8strogen og gestagen eller placebo<br \/>\n<span style=\"font-size: 16px;\">Gruppe 2: 10.739 kvinder uden en livmoder, som fik \u00f8strogen eller placebo.<\/span><\/p>\n<p>I 2002 blev WHI- studiet afbrudt f\u00f8r tid og tiltrak sig hele verdens opm\u00e6rksomhed, da man i gruppe 1 s\u00e5 en \u00f8get risiko for udviklingen af brystkr\u00e6ft. Mange kvinder stoppede over natten deres hormonbehandling som en f\u00f8lge heraf.<\/p>\n<p><strong>WHI-studiet skabte overskrifter verden over<\/strong>, men kritikken af studiet har ikke f\u00e5et samme opm\u00e6rksomhed. Her er nogle vigtige kritikpunkter:<\/p>\n<ul>\n<li>Udregning af risiko: Journalister rapporterede nogle udregninger af risikoen ved HRT, der kan v\u00e6re misvisende for den enkelte kvinde.<\/li>\n<li>Gennemsnitsalder: Deltagerne i WHI-studiet havde en gennemsnitsalder p\u00e5 63 \u00e5r, hvilket er meget h\u00f8jere end den gennemsnitlige alder for kvinder i menopause (49 \u00e5r globalt, 52 \u00e5r i Danmark).<\/li>\n<li>Timing af HRT-behandling: Forskning tyder p\u00e5, at timingen for opstart af HRT er afg\u00f8rende og b\u00f8r p\u00e5begyndes inden for 5 \u00e5r efter menopause for at opn\u00e5 den mulige beskyttende effekt.<\/li>\n<\/ul>\n<p><strong>Anvendelsen af HRT er efterf\u00f8lgende faldet drastisk<\/strong> og er stadig p\u00e5 et lavt niveau. Dette p\u00e5 trods af kritikken af WHI-studiet samt at flere studier har givet et mere nuanceret billede af hormonterapi. WHI har medf\u00f8rt frygt for hormonterapi hos b\u00e5de kvinder og sundhedsfaglige. Mere end 20 \u00e5r efter mangler vi fortsat viden og svar p\u00e5 betydningen HRT-behandlingen af kvinder i menopause\u00e5rene. <span style=\"font-size: 16px;\">*For mere viden om hormonterapi, henviser vi til: Livsstil, pr\u00e6vention og behandling. <\/span>*For mere viden om post-menopause, henviser vi til: Peri- og menopause; kend dine symptomer<\/p>\n<p>Vi h\u00e5ber du har f\u00e5et mere viden om WHI-studiet og er blevet nysgerrig p\u00e5 at vide mere. For mere indhold som dette, f\u00f8lg med her p\u00e5 sygeplejevidenskab samt p\u00e5 @hormonehealthdk instagram: <a href=\"https:\/\/www.instagram.com\/hormonehealthdk\/\">https:\/\/www.instagram.com\/hormonehealthdk\/<\/a>\u00a0 og LinkedIn profil: <a href=\"https:\/\/www.linkedin.com\/company\/105738448\/\">https:\/\/www.linkedin.com\/company\/105738448\/<\/a><\/p>\n<p><strong>Kilder<br \/>\n<\/strong>Mosconi, L., 2024. The Menopause Brain. New York: Penguin Random House<\/p>\n<p>Writing Group for the Women\u2019s Health Initiative Investigators, 2002. Risks and Benefits of Estrogen Plus Progestin in Healthy Postmenopausal Women. Principal Results From the Women\u2019s Health Initiative Randomized Controlled Trial, JAMA, \u00e5rg. 288, nr. 3, s. 321\u2013333.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Historien bag WHI \u2013 studiet der sendte hormonbehandling af kvinder i menopause-transitionen i skammekrogen Af Line Trier Friis og Mathilde [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":11890,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_ppp_document_settings_meta":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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