Ikeda Toshiyuki, Makita Kazuya, Ishitani Ken, Takamatsu Kiyoshi, Horiguchi Fumi, Nozawa Shiro
Department of Obstetrics and Gynecology, Saitama City Hospital, Saitama, Japan.
J Obstet Gynaecol Res. 2005 Apr;31(2):164-71. doi: 10.1111/j.1341-8076.2005.00268.x.
To examine the status and characteristics of climacteric symptoms reported by generally healthy middle-aged to elderly women in Japan, those living in Saitama Prefecture were surveyed .
The subjects comprised 398 women ranging in age from 40 to <60 years (mean age, 50.5 years). Climacteric symptoms were objectively assessed using the Keio questionnaire. The total scores obtained for the 40 symptoms were used to calculate symptom prevalence and severity.
(i) The most frequent symptom was poor memory, reported by 88.7% of the women. (ii) Lumbar-sacral back pain was rated as a severe symptom by the highest percentage of women (15.3%). (iii) The prevalence and severity of poor memory and lumbar-sacral back pain did not differ with menopausal status. (iv) Hot flashes and sweats were slightly higher in peri- and early postmenopausal women than in premenopausal women.
The present study showed that healthy women who do not consult physicians because of climacteric symptoms are primarily concerned with age-related symptoms, such as poor memory, loss of hair, and forgetfulness.
为调查日本埼玉县一般健康的中老年女性所报告的更年期症状的状况和特征。
研究对象包括398名年龄在40至60岁(平均年龄50.5岁)之间的女性。使用庆应义塾问卷对更年期症状进行客观评估。40种症状的总得分用于计算症状患病率和严重程度。
(i)最常见的症状是记忆力减退,88.7%的女性报告有此症状。(ii)腰骶部疼痛被评为严重症状的女性比例最高(15.3%)。(iii)记忆力减退和腰骶部疼痛的患病率及严重程度在绝经状态方面无差异。(iv)潮热和盗汗在围绝经期及绝经后早期女性中略高于绝经前女性。
本研究表明,因更年期症状未咨询医生的健康女性主要关注与年龄相关的症状,如记忆力减退、脱发和健忘。