Jaspers Loes, Daan Nadine M P, van Dijk Gabriella M, Gazibara Tatjana, Muka Taulant, Wen Ke-Xin, Meun Cindy, Zillikens M Carola, Roeters van Lennep Jeanine E, Roos-Hesselink Jolien W, Laan Ellen, Rees Margaret, Laven Joop S E, Franco Oscar H, Kavousi Maryam
Department of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands.
Woman and Baby Division, Department of Reproductive Medicine and Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands.
Maturitas. 2015 May;81(1):93-8. doi: 10.1016/j.maturitas.2015.02.010. Epub 2015 Mar 6.
Middle-aged and elderly women constitute a large and growing proportion of the population. The peri and postmenopausal period constitutes a challenging transition time for women's health, and menopausal health is a crucial aspect in healthy and successful aging. Currently, no framework for the concept of healthy menopause exists, despite its recognized importance. Therefore, we aimed to: (i) characterize healthy menopause; (ii) identify aspects that contribute to it; and (iii) explore potential approaches to measure it. We propose healthy menopause as a dynamic state, following the permanent loss of ovarian function, which is characterized by self-perceived satisfactory physical, psychological and social functioning, incorporating disease and disability, allowing the attainment of a woman's desired ability to adapt and capacity to self-manage. The concept of healthy menopause applies to all women from the moment they enter the menopausal transition, up until they reach early and late postmenopause and includes women with spontaneous, iatrogenic, and premature menopause. This conceptualization can be considered as a further step in the maintenance and improvement of health in menopausal women from different perspectives, foremost the woman's own perspective, followed by the clinical, public health, and societal perspectives, and can be seen as a further step in delineating lines for future research. Furthermore, it could facilitate the improvement of adequate preventive and treatment strategies, guide scientific efforts, and aid education and communication to health care practitioners and the general public, allowing women the achievement of their potential and the fulfillment of their fundamental role in society.
中年及老年女性在人口中所占比例很大，且这一比例还在不断上升。围绝经期和绝经后期是女性健康面临挑战的过渡时期，而绝经健康是健康且成功衰老的关键方面。目前，尽管健康绝经的概念已得到认可，但其尚无相关框架。因此，我们旨在：（i）描述健康绝经的特征；（ii）确定促成健康绝经的因素；（iii）探索衡量健康绝经的潜在方法。我们提出，健康绝经是卵巢功能永久性丧失后的一种动态状态，其特征是自我感知的身体、心理和社会功能令人满意，涵盖疾病和残疾情况，使女性能够达到其期望的适应能力和自我管理能力。健康绝经的概念适用于所有进入绝经过渡期直至绝经后期早期和晚期的女性，包括自然绝经、医源性绝经和过早绝经的女性。这一概念化可被视为从不同角度（首先是女性自身角度，其次是临床、公共卫生和社会角度）维护和改善绝经后女性健康的进一步举措，也可被视为为未来研究划定界限的进一步举措。此外，它有助于改进适当的预防和治疗策略，指导科研工作，并有助于对医疗保健从业者和公众进行教育与沟通，使女性能够发挥其潜力并履行其在社会中的基本角色。
