Ekanayake Chanil Deshan, Atapattu Piyusha, Dissanayake Mangala, Akmeemana Sanath, Perera Hemantha, Gunaratne M D P, Weerasooriya Saumya, Dissanayake Shiromali, Nelson Champa, Akmeemana Dasanthi, Jayalath Sharada
Department of Obstetrics and Gynaecology, Base Hospital, Gampola, Sri Lanka.
Department of Physiology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
J Midlife Health. 2025 Jul-Sep;16(3):272-277. doi: 10.4103/jmh.jmh_117_24. Epub 2025 Sep 5.
Menopausal health is vital for low-middle-income countries such as Sri Lanka as the proportion of postmenopausal women is projected to increase with time. However, research into health issues of postmenopausal women is limited in Sri Lanka. The objectives of this study were to describe the menopausal symptoms and noncommunicable diseases (NCDs) in postmenopausal women with an objective to derive recommendations to improve the healthcare delivery.
A descriptive cross-sectional study was conducted in sequentially selected public health midwife areas that were randomly selected from Kalutara district, Sri Lanka. The inclusion criterion was postmenopausal women with the exclusion criterion being women on menopausal hormone therapy.
The median (interquartile range) age at menopause was 50 (46-51) years. One or more NCDs were already diagnosed in 280 (65.3%) women. Dyslipidemia was diagnosed in 71.5%, hypertension in 58%, and diabetes in 30.5% of women. There were also 280 (65.3%) women with metabolic syndrome. Cardiovascular disease risk was more than 10% in 28.5% of women. The 10-year major osteoporosis fracture risk was 25.4%, whereas the 10-year mean hip fracture risk was 25.9%. Menopausal symptoms (one or more) were present in 420 (97.9%) women. Urogenital symptoms were present in 172 (40.1%) of women. A Menopause Rating Scale total score ≥4 was seen in 302 (70.4%) women.
A high prevalence of NCDs, osteoporosis-related fracture risk, and menopausal symptoms were observed in the study sample. The burden of NCDs and the hitherto unidentified risk of osteoporosis in postmenopausal women in Sri Lanka will have palpable socioeconomic implications in the future.
对于斯里兰卡等中低收入国家而言，绝经后女性的比例预计会随着时间的推移而增加，因此绝经健康至关重要。然而，斯里兰卡对绝经后女性健康问题的研究有限。本研究的目的是描述绝经后女性的绝经症状和非传染性疾病（NCDs），以期得出改善医疗服务的建议。
在从斯里兰卡卡卢特勒区随机选取的公共卫生助产士区域中，按顺序选取进行了一项描述性横断面研究。纳入标准为绝经后女性，排除标准为接受绝经激素治疗的女性。
绝经的中位年龄（四分位间距）为50（46 - 51）岁。280名（65.3%）女性已被诊断出患有一种或多种非传染性疾病。71.5%的女性被诊断出患有血脂异常，58%患有高血压，30.5%患有糖尿病。还有280名（65.3%）女性患有代谢综合征。28.5%的女性心血管疾病风险超过10%。10年主要骨质疏松性骨折风险为25.4%，而10年平均髋部骨折风险为25.9%。420名（97.9%）女性出现了绝经症状（一种或多种）。172名（40.1%）女性出现泌尿生殖系统症状。302名（70.4%）女性的绝经评定量表总分≥4。
在研究样本中观察到非传染性疾病、骨质疏松相关骨折风险和绝经症状的高患病率。斯里兰卡绝经后女性中非传染性疾病的负担以及迄今未被识别的骨质疏松风险在未来将产生明显的社会经济影响。
