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绝经后妇女的生活习惯:绝经症状强度与食物加工程度的食物消费之间的关联。

Life habits of postmenopausal women: Association of menopause symptom intensity and food consumption by degree of food processing.

机构信息

Department of Obstetrics and Gynecology, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil; Instituto Federal Goiano, Campus Ceres, Goias, Brazil.

Instituto Federal Goiano, Campus Ceres, Goias, Brazil; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark; Faculty of Medicine, Postgraduate Program in Health Sciences, Universidade Federal de Goiás, Brazil.

出版信息

Maturitas. 2022 Feb;156:1-11. doi: 10.1016/j.maturitas.2021.10.015. Epub 2021 Oct 29.

Abstract

OBJECTIVE

To evaluate in postmenopausal women the association between menopause symptom intensity and the quality of life and clinical, anthropometric, and lifestyle factors, focusing on food consumption by degree of processing.

STUDY DESIGN

A cross-sectional study of 288 postmenopausal women using interviews.

MAIN OUTCOME MEASURES

The Kupperman-Blatt Menopausal Index and the Women's Health Questionnaire were used to evaluate the main outcomes of menopausal symptom intensity and quality of life, respectively. Data on socioeconomic, clinical, anthropometric, and lifestyle variables (smoking, alcohol intake, physical activity, and food consumption) were collected.

RESULTS

Most women had moderate to severe intensity of menopausal symptoms. The highest tertile of ultra-processed food consumption was associated with a greater intensity of vasomotor symptoms (prevalence ratio [PR] 0.73, 95% confidence intervals [CI] 0.55-0.96) and sexual behavior (PR 1.22, CI 1.01-1.49). Higher intakes of sugar-sweetened beverages and sausages were associated with somatic symptoms (PR 1.23, CI 1.01-1.49) and poorer memory/concentration (PR 1.22, CI 1.02-1.47/ PR 1.22, CI 1.01-1.48). The highest tertile of vegetable intake was associated with greater protection against depressive mood (PR 0.64, CI 0.43-0.96), vasomotor symptoms (PR 0.79, CI 0.63-0, 99), and sleep disorders (PR 0.83, CI 0.69-0.99), and better quality of life (PR 0.79, CI 0.62-0.99).

CONCLUSION

More intense vasomotor, sexual, somatic, and memory and concentration symptoms are associated with a higher consumption of ultra-processed foods, whereas those with a higher consumption of vegetables reported lower menopause symptom intensity and a better quality of life.

摘要

目的

评估绝经后妇女的绝经症状严重程度与生活质量以及临床、人体测量和生活方式因素之间的关系,重点关注食物加工程度对其的影响。

研究设计

对 288 名绝经后妇女进行了一项横断面研究,采用访谈形式。

主要观察指标

采用库珀曼-布拉特绝经指数和女性健康问卷分别评估绝经症状严重程度和生活质量的主要结局。收集了社会经济、临床、人体测量和生活方式(吸烟、饮酒、身体活动和食物摄入)等变量的数据。

结果

大多数女性的绝经症状严重程度为中度至重度。超加工食品摄入量最高的 tertile 与血管舒缩症状(患病率比 [PR] 0.73,95%置信区间 [CI] 0.55-0.96)和性行为(PR 1.22,CI 1.01-1.49)的强度更大相关。摄入更多的含糖饮料和香肠与躯体症状(PR 1.23,CI 1.01-1.49)和记忆力/注意力减退(PR 1.22,CI 1.02-1.47/ PR 1.22,CI 1.01-1.48)相关。蔬菜摄入量最高的 tertile 与改善抑郁情绪(PR 0.64,CI 0.43-0.96)、血管舒缩症状(PR 0.79,CI 0.63-0,99)和睡眠障碍(PR 0.83,CI 0.69-0.99)以及提高生活质量(PR 0.79,CI 0.62-0.99)相关。

结论

更强烈的血管舒缩、性、躯体和记忆及注意力症状与超加工食品的消费更高相关,而蔬菜消费较高的女性报告绝经症状严重程度更低,生活质量更高。

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