Sahlgrenska School of Public Health and Community Medicine, University of Gothenburg, Sweden.
Int J Gen Med. 2009 Jul 30;2:39-45. doi: 10.2147/ijgm.s4894.
A 32-year prospective observational study was initiated in 1968, including 1462 women aged 60, 54, 50, 46, and 38, representative of the female population in these age groups. Measures included self-reported nervous symptoms and moodiness at baseline, menopausal status, risk factors as smoking, s-cholesterol, s-triglycerides, body mass index (BMI), waist-hip ratio (WHR), blood pressure, and socioeconomic status (SES). The prevalence of nervousness and moodiness was investigated as well as if these reported symptoms could predict mortality and morbidity within 32 years in pre-and postmenopausal women. Women who reported at least two of the symptoms suffered from an increased risk of 32-year mortality, independent of all background variables described above (hazard ratio [HR] = 1.28, confidence interval [CI] 1.03-1.58). Women with only one of the nervous symptoms already had an increased risk of suffering from cardiovascular disease (CVD) also after multivariable adjustment (HR = 1.29, CI 1.09-1.52) a risk that also remained significant when analyzing CVD risk in the group of premenopausal women (HR = 1.28, CI 1.02-1.62). There was no significantly increased risk among pre-or postmenopausal women with perceived nervousness/moodiness of developing cancer during the 32-year follow-up. There seems to be an association between nervousness/ moodiness and premature mortality and morbidity in CVD, especially when present already in the premenopausal state in women.
一项始于 1968 年的 32 年前瞻性观察研究,纳入了 1462 名年龄分别为 60、54、50、46 和 38 岁的女性,这些女性代表了各年龄组的女性人群。研究措施包括基线时的自我报告的神经症状和情绪变化、绝经状态、吸烟、s-胆固醇、s-甘油三酯、体重指数(BMI)、腰臀比(WHR)、血压和社会经济状况(SES)等风险因素。研究调查了神经症状和情绪变化的发生率,以及这些报告的症状是否可以预测绝经前和绝经后妇女 32 年内的死亡率和发病率。报告至少两种症状的女性,无论上述所有背景变量如何,其 32 年死亡率的风险都会增加(风险比[HR] = 1.28,置信区间[CI] 1.03-1.58)。只有一种神经症状的女性,即使经过多变量调整,患心血管疾病(CVD)的风险也会增加(HR = 1.29,CI 1.09-1.52),当分析绝经前女性组的 CVD 风险时,这种风险仍然显著(HR = 1.28,CI 1.02-1.62)。在 32 年的随访中,报告有神经紧张/情绪变化的绝经前或绝经后女性患癌症的风险没有显著增加。在 CVD 中,神经紧张/情绪变化与过早死亡和发病之间似乎存在关联,尤其是在女性绝经前就存在这种情况时。