Tong Chenxi, Meng Yanting, Li Ting, Luo Yang
Xiangya Nursing School, Central South University, No. 172 of Tongzipo Road, Yuelu District, Changsha, Hunan 410013, China.
Women Health. 2023 Apr;63(4):308-318. doi: 10.1080/03630242.2023.2188100. Epub 2023 Mar 13.
Depressive symptoms in postmenopausal women are a significant concern, but studies evaluated their relationship with menopausal symptoms and physical activity are limited. This cross-sectional study used the scale of the 9-item Patient Health Questionnaire (PHQ-9) and the modified Kupperman Index (KMI) to investigate the relationship between depressive symptoms, menopausal symptoms, and physical activity in postmenopausal women in Hunan Province, using cluster random sampling, and face-to-face interviews with women aged 50-64 years. The moderate (aOR = 2.242, 95 percent CI [1.646-3.052], < .001) and severe menopausal symptoms (aOR = 3.654, 95 percent CI [1.754-7.611], = .001), and low-level physical activity (aOR = 1.380, 95 percentCI [1.023-1.826], = .035) may increase the risk of depressive symptoms. High levels of physical activity were associated with a decreased likelihood of depressive symptoms, but only when participants had no complaints of menopausal symptoms (aOR = 0.375, 95 percent CI [0.161-0.877], = .024). This study provides a new result for the mental health of postmenopausal women and provides a reference for further related research.
绝经后女性的抑郁症状是一个重大问题，但评估其与更年期症状及身体活动之间关系的研究有限。这项横断面研究采用9项患者健康问卷（PHQ-9）量表和改良的库珀曼指数（KMI），通过整群随机抽样，对湖南省50 - 64岁的绝经后女性进行面对面访谈，以调查抑郁症状、更年期症状和身体活动之间的关系。中度（调整后比值比[aOR]=2.242，95%置信区间[CI][1.646 - 3.052]，P<0.001）和重度更年期症状（aOR = 3.654，95% CI[1.754 - 7.611]，P = 0.001）以及低水平身体活动（aOR = 1.380，95% CI[1.023 - 1.826]，P = 0.035）可能会增加抑郁症状的风险。高水平身体活动与抑郁症状可能性降低相关，但仅当参与者无更年期症状主诉时（aOR = 0.375，95% CI[0.161 - 0.877]，P = 0.024）。本研究为绝经后女性的心理健康提供了新结果，并为进一步的相关研究提供了参考。
