Impact of age and body mass on the intensity of menopausal symptoms in 5968 Brazilian women

Fonseca, Ângela Maggio da; Bagnoli, Vicente Renato; Souza, Marilene Alícia; Azevedo, Raymundo Soares; Júnior, Euro De Barros Couto; Júnior, José Maria Soares; Baracat, Edmund Chada

doi:10.3109/09513590.2012.730570

Cited by 49 publications

(23 citation statements)

References 22 publications

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“…Also, hot flushes were not associated with menopause in the present study, while vasomotor symptoms were shown to be associated with BMI and age of menopause (23). This could be due to the retrospective data collection from medical records (database) that might have caused bias, as they were recorded based on patients' statement and not based on examination.…”

Section: Discussioncontrasting

confidence: 54%

The Effect of Obesity and Overweightness on Age of Menopausal Females

et al. 2017

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Background: The annual increase in the prevalence of obesity around the world highlights the importance of comorbidities. Along with hormonal changes induced by increased body mass index (BMI), age at menopause might also affect female's health profoundly. Thus, the present study aimed at studying the association between obesity and overweightness on age of menopause in females. Methods: In this study, patients, who were referred to the obesity clinic of Rasoule-Akram hospital, during years 2011 and 2013 were recruited and the required information were extracted from the center's database. Inclusion criteria consisted of high BMI, no history of hysterectomy, genital tract cancer, no history of radiation to the abdomen or pelvis, and no primary amenorrhea. For

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Section: Discussioncontrasting

confidence: 54%

The Effect of Obesity and Overweightness on Age of Menopausal Females

et al. 2017

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“…A separate study sample (N = 158,292) was drawn from the BOLD for patients who met the following inclusion criteria: (Flegal et al, 2012) women aged 40 to 65 years on the day of bariatric surgery, (Wang et al, 2011) patients who received RYGB, sleeve gastrectomy, or gastric banding procedure for the first time (to avoid confounding due to multiple bariatric procedures given to a single patient), (Davis et al, 2012) pre-operative BMI ≥ 30 kg/m 2 , (Royer et al, 2007) 100 cm ≤ pre- and post-operative height ≤ 210 cm (to minimize confounding due to extreme height), (Da Fonseca et al, 2013) 50 kg ≤ pre- and post-operative mass ≤ 400 kg (to minimize confounding due to extreme mass), (Karmali et al, 2013) z-score of % TWL < 3.3 (to minimize undue influence of outliers), and (Buchwald, 2005) 1 week ≤ follow-up period ≤ 5 years.…”

Section: Methodsmentioning

confidence: 99%

“…A study found in Latin American women that the menopause increased the risk of metabolic syndrome and abdominal obesity as much as by 18% (Royer et al, 2007) A decline in ovarian hormone among middle-aged women can generate metabolic changes and other symptoms that help gain weight (Davis et al, 2012, Royer et al, 2007). It has been reported that women with a higher body mass index (BMI) are more likely to experience vasomotor symptoms, which is one of the important features of climacteric disturbance (Da Fonseca et al, 2013). This warrants an effective weight-reduction intervention for middle-aged women.…”

Section: Introductionmentioning

confidence: 99%

The longitudinal trajectory of post-surgical % total weight loss among middle-aged women who had undergone bariatric surgery

Seo

Lee

Torabi

et al. 2017

Preventive Medicine Reports

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Middle-aged women are at a higher risk of being obese. We examined the trajectory of post-surgical % total weight loss (%TWL) among middle-aged female bariatric patients. We fitted sequential generalized estimating equations models to analyze a sample of women who received bariatric surgery in 1995–2012, aged 40–65 years at the time of surgery (N = 158,292) whose pre-operative body mass index (BMI) was ≥ 30 kg/m2 in the Bariatric Outcomes Longitudinal Database. The %TWL computed by 100% × (pre-surgery BMI − post-surgery BMI) / pre-surgery BMI showed different trajectories depending on type of surgery. For gastric banding, %TWL increased rapidly right after bariatric surgery and started to decrease around 1 year after surgery. For Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy, %TWL overall did not show remarkable changes from around 1 year after surgery. The highest increase in %TWL was observed in patients whose pre-operative BMI was 40 or higher and those who had undergone RYGB (ps < 0.001). Whereas the trajectories of %TWL among patients with sleeve gastrectomy and gastric banding did not differ much between different pre-operative BMI groups, the trajectories for RYGB were notably different between different pre-operative BMI groups (ps < 0.001). Middle-aged female bariatric patients are likely to achieve the highest %TWL if they receive RYGB and if their pre-operative BMI is 40 or higher. Further research is warranted to corroborate the present study's finding on the long-term effect of different types of bariatric surgery on %TWL among middle-aged women.

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“…The role of hypoestrogenism in weight gain is unclear, but it is known that oestrogen deficiency contributes to the accumulation of abdominal fat, which increases the risk of metabolic disorders [1]. In our study, the early and late post-menopausal women were overweight and had high AC measurements, and after nutritional counselling, there was improvement in metabolic and cardiovascular parameters.…”

Section: Discussionmentioning

confidence: 50%

“…The intensity of the menopausal symptoms manifests to a greater or lesser degree depending on the hormonal stage, ethnicity and lifestyle of the woman in addition to various cultural and psychosocial factors [1,2]. Myo-articular changes are observed in late post-menopausal women and muscle joint pain are predominant symptoms in post-menopause, while vasomotor symptoms are more common in early postmenopausal women [2,3].…”

Section: Introductionmentioning

confidence: 99%

Physiotherapeutic approach in early and late post-menopausal Brazilian women

Calio

Sorpreso

Haidar

et al. 2013

Gynecological Endocrinology

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To evaluate changes in joints after physiotherapy in post-menopausal women, specifically to identify clinical responses to the measurements of flexibility, functional capacity and joint pain in early and late post-menopausal women at a multi-disciplinary health education programme. A total of 69 women participated in the Integral Program for the Attention to Climacteric Women at the Department of Gynecology - Federal University of Sao Paulo and were sorted into two groups of early (n = 32) and late (n = 37) post-menopause. The average age of menopause was 47.9 ± 5.6 years. The Blatt Kupperman Menopausal Index scores for the early (baseline = 12.8 ± 6.1) and late (baseline = 14.1 ± 7.7) post-menopausal groups after the programme were 8.4 ± 7.1 and 9.4 ± 8.1, respectively. Both groups presented improvements regarding functional capacity (p < 0.01) and complaints of pain (p < 0.001) after the intervention. The group of early post-menopausal women had better flexibility for hip flexion (p < 0.001), and the late post-menopausal group showed greater improvement in shoulder flexion (p < 0.001), extension (p < 0.001) and elbow flexion (p < 0.001). After multi-disciplinary approach, both early and late post-menopausal groups experienced decrease in intensity of climacteric symptoms, reduction in pain intensity and improvement in functional capacity, but the flexibility was different between both the groups.

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Impact of age and body mass on the intensity of menopausal symptoms in 5968 Brazilian women

Abstract: Our results suggested that the age of menopause and BMI may influence the intensity of vasomotor symptoms.

Cited by 49 publications

References 22 publications

The Effect of Obesity and Overweightness on Age of Menopausal Females

The Effect of Obesity and Overweightness on Age of Menopausal Females

The longitudinal trajectory of post-surgical % total weight loss among middle-aged women who had undergone bariatric surgery

Physiotherapeutic approach in early and late post-menopausal Brazilian women

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