Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
Department of Cellular, Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
Menopause. 2020 May;27(5):593-604. doi: 10.1097/GME.0000000000001511.
The aim of this study was to explore the associations between fruit and vegetable (FV) intake, and its subgroups and menopausal symptoms along with its subtypes in postmenopausal women.
This cross-sectional study included 393 postmenopausal women in municipality health centers in the south of Tehran, Iran. Sociodemographic data, dietary intakes, and anthropometric measures were obtained from individuals. Menopause rating scale (MRS) questionnaire was employed to measure menopausal symptoms. The total MRS score (TMRSS) was the sum of the somatic score (SS), psychological score (PS), and urogenital score (US). Participants were divided into low and high total MRS and its domain scores.
After adjustment for confounding variables, an inverse relationship was found between total FV with TMRSS (odds ratio [OR] 0.23, 95% confidence interval [CI] 0.06-0.81) and SS (OR 0.30, 95% CI 0.11-0.82). In addition, the consumption of total fruits was significantly related to lower SS (OR 0.27, 95% CI 0.10-0.71). Only intake of citrus fruits was inversely associated with TMRSS (OR 0.23, 95% CI 0.07-0.71) and SS (OR 0.28, 95% CI 0.11-0.70). Likewise, intakes of total FV (OR 2.46, 95% CI 1.37-4.41), total vegetables (OR 2.54, 95% CI 1.10-5.88), green leafy vegetables (OR 3.59, 95% CI 1.47-8.75), dark yellow vegetables (OR 2.28, 95% CI 1.00-5.18), other vegetables (OR 5.23, 95% CI 1.17-15.39), and citrus fruits were linked to higher US (OR 4.35, 95% CI 1.77-10.71).
The results of the present study showed that some FV subgroups had inverse associations with climacteric symptoms, whereas higher intake of some subgroups of FV appeared to be associated with more urogenital symptoms in postmenopausal women.
本研究旨在探讨绝经后妇女的水果和蔬菜（FV）摄入量及其亚组与绝经症状及其亚型之间的关系。
本横断面研究纳入了伊朗德黑兰南部市立保健中心的 393 名绝经后妇女。从个体中获得了社会人口统计学数据、饮食摄入量和人体测量学测量值。采用绝经评定量表（MRS）问卷来测量绝经症状。总 MRS 评分（TMRSS）是躯体评分（SS）、心理评分（PS）和泌尿生殖系统评分（US）的总和。参与者被分为低和高总 MRS 及其域评分。
在调整混杂变量后，FV 总量与 TMRSS（比值比 [OR] 0.23，95%置信区间 [CI] 0.06-0.81）和 SS（OR 0.30，95%CI 0.11-0.82）呈负相关。此外，总水果的摄入量与较低的 SS 显著相关（OR 0.27，95%CI 0.10-0.71）。仅柑橘类水果的摄入量与 TMRSS（OR 0.23，95%CI 0.07-0.71）和 SS（OR 0.28，95%CI 0.11-0.70）呈负相关。同样，总 FV（OR 2.46，95%CI 1.37-4.41）、总蔬菜（OR 2.54，95%CI 1.10-5.88）、绿叶蔬菜（OR 3.59，95%CI 1.47-8.75）、深黄色蔬菜（OR 2.28，95%CI 1.00-5.18）、其他蔬菜（OR 5.23，95%CI 1.17-15.39）和柑橘类水果的摄入量与较高的 US（OR 4.35，95%CI 1.77-10.71）相关。
本研究结果表明，一些 FV 亚组与更年期症状呈负相关，而一些 FV 亚组的摄入量较高与绝经后妇女更多的泌尿生殖系统症状相关。
