Age at menopause and factors associated with attainment of menopause in an urban community in Ibadan, Nigeria

OlaOlorun, Funmilola; To, Lawoyin

doi:10.1080/13697130802521282

Cited by 24 publications

(30 citation statements)

References 51 publications

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“…The mean age of postmenopausal women in this study is in line with that in most previous studies, which reported that most women have become menopausal above the age of 55 years (17, 18). The mean BMI of the postmenopausal women, however, is an important cause for concern because the majority of the participants were in the overweight category.…”

Section: Discussionsupporting

confidence: 92%

Physical Activity and Pattern of Blood Pressure in Postmenopausal Women With Hypertension in Nigeria

Ogwumike¹,

Adeniyi²,

Dosa³

et al. 2014

Ethiop J Health Sci

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BackgroundHormonal changes during menopause have been attributed to hypertension-a common public health concern. This study investigated physical activity (PA) and pattern of blood pressure (BP) in postmenopausal women newly diagnosed with hypertension and referred for treatment at the medicine outpatient clinic of a tertiary health facility in Ibadan, Oyo State, Nigeria. It compared BP pattern and adiposity variables [body mass index (BMI) and waist-hip ratio (WHR)] between two PA groups.MethodsPurposive sampling technique was used to recruit 220 participants in this cross-sectional survey after obtaining their informed consent. International Physical Activity Questionnaire was used to assess PA level, while a 16-item questionnaire was used to assess socio-demographic and clinical profiles of the women. BP, BMI and WHR were assessed using standard measurement procedures. Descriptive statistics of mean ± standard deviation were used for data summarization and independent t-test was used to compare variables between low level and moderate to vigorous level PA groups.ResultsParticipants' mean values include: age 61.6 ± 8.5 years, years since menopause 12.75± 8.15, BMI 28.63±4.99kg/m2, WHR 1.11±0.08, SBP and DBP 145.9±17.9; 93.7±11.4 mmHg respectively. Mean values of SBP, DBP, BMI and WHR were higher among participants with low PA compared to those with moderate to vigorous even though the difference was not statistically significant (P>0.05).ConclusionInvolvement in moderate to vigorous physical activities among menopausal women in Nigeria should be encouraged. This may reduce hypertension and adiposity with a possible control of cardiovascular disease risk.

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Section: Discussionsupporting

confidence: 92%

Physical Activity and Pattern of Blood Pressure in Postmenopausal Women With Hypertension in Nigeria

Ogwumike¹,

Adeniyi²,

Dosa³

et al. 2014

Ethiop J Health Sci

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“…Occupation may be a factor correlated with educational level, as people with lower education tend to be manual workers. Additionally, both education and occupation have been found to be determinants of household income; therefore, general nutritional status, standard of living and access to healthcare services may contribute to the relationship between type of work and menopausal age [31]. …”

Section: Discussionmentioning

confidence: 99%

Menopausal Age and Chronic Diseases in Elderly Women: A Cross-Sectional Study in Northeast China

Wang

et al. 2016

IJERPH

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Many factors affect menopausal age, and early or late onset of menopause may be associated with many chronic health problems. However, limited data are available regarding this phenomenon in the Northeast China population. For this study, 2011 elderly women were selected as a sample from participants in a cross-sectional survey performed using stratified, clustered multistage, and random sampling methods. Early menopause was more prevalent in subjects born from 1943 to 1947 (OR = 1.708, 95% CI = 1.205, 2.420) and 1933 to 1937 (OR = 2.445, 95% CI: 1.525, 3.921) and in physical laborers (OR = 1.413, 95% CI = 1.021, 1.957). Women with less than nine years of education (OR = 0.515, 95% CI: 0.327, 0.812) and who were current smokers (OR = 0.577, 95% CI: 0.347, 0.959) were less likely to have late menopause. BMIs between 25 and 30 (OR = 1.565, 95% CI: 1.152, 2.125) and greater than 30 (OR = 2.440, 95% CI: 1.482, 4.016) were associated with later menopausal age. Late menopause was positively associated with diabetes (OR = 1.611, 95% CI: 1.142, 2.274) but protective against chronic gastroenteritis/peptic ulcers (OR = 0.533, 95% CI: 0.333, 0.855). Results showed that (1) Being born in an earlier year, having a lower education, and engaging in physical labor were associated with an earlier menopausal age, while a higher BMI was associated with a later menopausal age; and that (2) menopausal age was associated with diabetes and gastroenteritis in elderly women living in Northeast China.

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“…The health concerns linked with the use of hormone replacement therapy (HRT)[9] and other drugs for prevention and treatment of menopausal symptoms[10] emphasizes the need to identify the modifiable risk factors and role of alternative medicine like phytoestrogens,[11] isoflavones,[12] acupuncture,[13] and yoga. [14] ANM is influenced by various determinants[15161718] like genetic, demographic, socioeconomic, dietary, reproductive, and behavioral; of which some are modifiable like lifestyle and dietary.…”

Section: Introductionmentioning

confidence: 99%

Lifestyle and dietary factors determine age at natural menopause

Sapre

Thakur

2014

J Mid-life Health

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A literature search was done using PubMed. The age at natural menopause (ANM) depends on various factors like genetic, environmental, socioeconomic, reproductive, dietary, and lifestyle of which some like nulliparity, vegetarian diet, smoking, high fat intake, cholesterol, and caffeine accelerates; while others like parity, prior use of oral contraceptive pills, and Japanese ethnicity delays the ANM. ANM is an important risk factor for long-term morbidity and mortality; and hence, the need to identify the modifiable risk factors like diet and lifestyle changes. Delayed menopause is associated with increased risk of endometrial and breast cancer, while early ANM enhances the risk for cardiovascular diseases and osteoporosis. The correlation between diet and ANM has not been extensively studied; however, whatever studies have been done till now point towards role of high intake of total calories, fruits, and proteins in delaying the ANM, while high polyunsaturated fat intake accelerates it. The role of dietary soy, total fat, saturated fat, red meat, and dietary fiber in determining the ANM has been controversial and needs further studies to substantiate it. The lifestyle factors like current smoking and vigorous exercise have been significantly associated with early menopause, while moderate alcohol consumption delays the ANM. Large prospective studies are needed to study the association of ANM and other modifiable factors like passive smoking fish consumption, soy, and various types of tea. The knowledge of modifiable determinants of ANM can help in setting up menopausal clinics and initiating health programs specially in developing countries.

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Age at menopause and factors associated with attainment of menopause in an urban community in Ibadan, Nigeria

Abstract: Efforts should be made to provide education about the menopause to all women in their respective communities, especially to those who are approaching their fifth decade and who have no formal education, to better prepare them for this change of life.

Cited by 24 publications

References 51 publications

Physical Activity and Pattern of Blood Pressure in Postmenopausal Women With Hypertension in Nigeria

Physical Activity and Pattern of Blood Pressure in Postmenopausal Women With Hypertension in Nigeria

Menopausal Age and Chronic Diseases in Elderly Women: A Cross-Sectional Study in Northeast China

Lifestyle and dietary factors determine age at natural menopause

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