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肥胖对城乡女性更年期症状严重程度的影响。

Effects of Obesity on Severity of Menopausal Symptoms in Urban and Rural Women.

作者信息

Sreenivas Sudha Bakthavathsalam, Kashyap Pranav Balaji

机构信息

Department of Physiology, JSS Medical College, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.

出版信息

J Midlife Health. 2022 Oct-Dec;13(4):304-309. doi: 10.4103/jmh.jmh_220_22. Epub 2023 Apr 28.

DOI:10.4103/jmh.jmh_220_22
PMID:37324786
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10266575/
Abstract

BACKGROUND

According to the WHO, obesity is an epidemic and is quantified by obesity indices. Menopause is a crucial period with a tendency toward weight gain and has profound implications on the morbidity and mortality of women. This study provides a greater insight into the aggravating adverse effects of obesity on the lifestyles of urban and rural women during their menopausal phase. Hence, this cross-sectional study aims at analyzing the effects of obesity indices on the severity of menopausal symptoms in urban and rural women.

OBJECTIVES

  1. To compare the obesity indices in rural and urban women and to study the severity of menopausal symptoms in them. 2. To assess the influence of the area and body mass index (BMI) on menopausal symptoms.

MATERIALS AND METHODS

This cross-sectional study comprised 120 women, of which 60 healthy women volunteers between the age group of 40 and 55 years from the urban area and 60 age-matched healthy women volunteers from the rural area were recruited. The sample size was calculated based on stratified random sampling. After obtaining informed consent anthropometric measurements were recorded and the Menopausal Rating Scale was used for assessing the severity of menopausal symptoms.

RESULTS

A positive correlation was observed between the severity of menopausal symptoms and BMI as well as waist circumference in urban women. The problems related to menopausal symptoms were milder in rural women.

CONCLUSIONS

Our study concludes that obesity worsens the severity of several menopausal symptoms which is greater among obese urban women owing to the urban lifestyle and increased stress levels.

摘要

背景

世界卫生组织称,肥胖是一种流行病,可通过肥胖指数进行量化。更年期是体重增加倾向明显的关键时期,对女性的发病率和死亡率有深远影响。本研究更深入地探讨了肥胖对城乡更年期女性生活方式的不良影响加剧情况。因此,这项横断面研究旨在分析肥胖指数对城乡女性更年期症状严重程度的影响。

目的

  1. 比较城乡女性的肥胖指数,并研究她们更年期症状的严重程度。2. 评估地区和体重指数(BMI)对更年期症状的影响。

材料与方法

这项横断面研究包括120名女性,其中招募了60名年龄在40至55岁之间的城市健康女性志愿者和60名年龄匹配的农村健康女性志愿者。样本量根据分层随机抽样计算得出。在获得知情同意后,记录人体测量数据,并使用更年期评定量表评估更年期症状的严重程度。

结果

城市女性更年期症状的严重程度与BMI以及腰围之间存在正相关。农村女性与更年期症状相关的问题较轻。

结论

我们的研究得出结论,肥胖会加重几种更年期症状的严重程度,由于城市生活方式和压力水平增加,肥胖城市女性的症状更严重。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8298/10266575/787a133b7254/JMH-13-304-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8298/10266575/17ad75be6771/JMH-13-304-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8298/10266575/787a133b7254/JMH-13-304-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8298/10266575/17ad75be6771/JMH-13-304-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8298/10266575/787a133b7254/JMH-13-304-g002.jpg

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本文引用的文献

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The association of age at menopause and all-cause and cause-specific mortality by race, postmenopausal hormone use, and smoking status.绝经年龄与全因死亡率及特定病因死亡率之间的关联,按种族、绝经后激素使用情况和吸烟状况划分。
Prev Med Rep. 2019 Jul 14;15:100955. doi: 10.1016/j.pmedr.2019.100955. eCollection 2019 Sep.
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Menopausal symptoms and related factors among Cambodian women.柬埔寨女性的更年期症状及相关因素
Women Health. 2020 Apr;60(4):396-411. doi: 10.1080/03630242.2019.1643815. Epub 2019 Jul 29.
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Obesity associates with vasomotor symptoms in postmenopause but with physical symptoms in perimenopause: a cross-sectional study.一项横断面研究表明,肥胖与绝经后血管舒缩症状相关,但与围绝经期躯体症状相关。
BMC Womens Health. 2017 Dec 8;17(1):126. doi: 10.1186/s12905-017-0487-7.
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The epidemiology of sleep and obesity.睡眠与肥胖的流行病学。
Sleep Health. 2017 Oct;3(5):383-388. doi: 10.1016/j.sleh.2017.07.013. Epub 2017 Aug 15.
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Obesity in menopause - our negligence or an unfortunate inevitability?更年期肥胖——是我们的疏忽还是不幸的必然?
Prz Menopauzalny. 2017 Jun;16(2):61-65. doi: 10.5114/pm.2017.68594. Epub 2017 Jun 30.
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Severity and clustering of menopausal symptoms among obese and nonobese postmenopausal women in India.印度肥胖与非肥胖绝经后女性更年期症状的严重程度及聚集情况。
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An Epidemiological Study of Overweight and Obesity Among Women in an Urban Area of North India.印度北部某城市地区女性超重与肥胖的流行病学研究
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