Fonseca Angela Maggio da, Bagnoli Vicente Renato, Massabki Josefina Odete Polak, Arie Wilson Maça Yuki, Azevedo Raymundo Soares, Soares José Maria, Baracat Edmund C
Gynecology and Obstetrics Departament, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (FMUSP), São Paulo, Brazil.
Pathology Departament, Faculdade de Medicina, Universidade de São Paulo (FMUSP), São Paulo, Brazil.
Rev Bras Ginecol Obstet. 2017 Nov;39(11):608-613. doi: 10.1055/s-0037-1604200. Epub 2017 Aug 10.
The aim of this study was to evaluate the health aspects of Brazilian women older than 65 years of age. This was a retrospective study that included 1,001 Brazilian women cared for in the gynecological geriatric outpatient office of our institution. We report a cross-sectional analysis of female adults aged over 65 years, including data on demographics, clinical symptoms such as vasomotor symptoms, associated morbidities, physical examination and sexual intercourse. We used the chi-squared test to assess the data. The age of the patients on their first clinic visit ranged from 65 to 98 years, with a mean age of 68.56 ± 4.47 years; their mean age at the time of natural menopause was 48.76 ± 5.07 years. The most frequent clinical symptoms reported during the analyzed period were hot flashes ( = 188), followed by arthropathy, asthenia, and dry vagina. The most frequent associated morbidities after 65 years of age were systemic arterial hypertension, gastrointestinal disturbance, diabetes mellitus, and depression, among others. The assessment of the body mass index (BMI) found decreases in BMI with increased age. At the time of the visit, 78 patients reported sexual intercourse. The majority of women reporting sexual intercourse (89.75%, = 70) were between 65 and 69 years of age, 8.97% ( = 7) were between 70 and 74 years of age, and only 1.28% ( = 1) of those were aged older than 75 years. Our findings suggested that vasomotor symptoms can persist after 65 years of age. There was a significant decrease in sexual intercourse with increased age. The cardiovascular disturbances in our study are health concerns in these women.
本研究的目的是评估65岁以上巴西女性的健康状况。 这是一项回顾性研究，纳入了在我们机构妇科老年门诊接受护理的1001名巴西女性。我们报告了对65岁以上成年女性的横断面分析，包括人口统计学数据、血管舒缩症状等临床症状、相关疾病、体格检查和性交情况。我们使用卡方检验来评估数据。 患者首次就诊时的年龄在65岁至98岁之间，平均年龄为68.56±4.47岁；她们自然绝经时的平均年龄为48.76±5.07岁。分析期间报告的最常见临床症状是潮热（n=188），其次是关节病、乏力和阴道干涩。65岁以后最常见的相关疾病包括系统性动脉高血压、胃肠道紊乱、糖尿病和抑郁症等。体重指数（BMI）评估发现BMI随年龄增长而下降。就诊时，78名患者报告有性交。报告有性交的女性中，大多数（89.75%，n=7）年龄在65岁至69岁之间，8.97%（n=7）年龄在70岁至74岁之间，只有1.28%（n=1）年龄超过75岁。 我们的研究结果表明，血管舒缩症状在65岁以后仍可能持续。性交频率随年龄增长显著下降。我们研究中的心血管紊乱是这些女性的健康问题。
