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Hou SY, Chiu CJ, Shea JL, Wang CL, Tang HH, Kuo PC, Yang YC, Hsu HP. Sleep and rest-activity rhythms for women at different menopausal statuses: the role of mental health. Menopause 2024; 31:138-144. [PMID: 38113433 DOI: 10.1097/gme.0000000000002297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2023]
Abstract
OBJECTIVE To examine how mental health interplays with menopausal status in relation to sleep patterns and rest-activity rhythms (RARs) among middle-aged women. METHODS This cross-sectional study recruited 87 women aged 45 to 60 years from community and a gynecology clinic in Taiwan. Participants wore actigraphy devices for 7 days and were also assessed with self-reported questionnaires. Hierarchical regression was used to examine the effects of menopausal status and mental health on sleep and RARs. RESULTS Perimenopausal and postmenopausal women had higher relative amplitude and interdaily stability of RARs than premenopausal women. There were no differences in actigraphy-based sleep parameters across menopausal statuses. There was no difference in depressive symptoms or loneliness across menopausal statuses. Higher levels of depressive symptoms were significantly associated with longer sleep latency ( β = 0.26, P = 0.022) and wake after sleep onset ( β = 0.28, P = 0.012), and lower sleep efficiency ( β = -0.30, P = 0.008) after adjusting for menopausal status and age. In addition, there was marginal significance of the positive association between loneliness and interdaily stability ( β = 0.18, P = 0.079). A moderating effect ( βmenopausal status*loneliness = -0.40, P = 0.025) showed that lonelier premenopausal women exhibited greater relative amplitude (RA) of rest-activity rhythms, but lonelier menopausal women had lower RA of RAR. CONCLUSION Mental health plays an important role for middle-aged women with different menopausal statuses in relation to sleep patterns and RARs.
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Affiliation(s)
- Szu-Yu Hou
- From the Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Ching-Ju Chiu
- From the Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | | | - Chih-Liang Wang
- From the Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Hsiao-Han Tang
- From the Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Po-Ching Kuo
- From the Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Yi-Chieh Yang
- Yang's Clinic of Obstetrics and Gynecology, Tainan, Taiwan
| | - Hsin-Ping Hsu
- Department of Psychology, National Cheng Kung University, Tainan, Taiwan
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Lim MH, Manera KE, Owen KB, Phongsavan P, Smith BJ. The prevalence of chronic and episodic loneliness and social isolation from a longitudinal survey. Sci Rep 2023; 13:12453. [PMID: 37528108 PMCID: PMC10393986 DOI: 10.1038/s41598-023-39289-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Accepted: 07/22/2023] [Indexed: 08/03/2023] Open
Abstract
Loneliness and social isolation, experienced more long-term, has been shown to increase mortality and lead to poorer health outcomes in specific cohorts. However, it is unclear what the prevalence of chronic loneliness and social isolation is, and which demographic groups are most at risk of reporting more chronic forms. A psychometrically validated classification system was used to identify people who met criteria for episodic and chronic loneliness and social isolation using the Household Income and Labour Dynamics in Australia (HILDA) survey waves 14-18. The prevalence of loneliness (overall 34%; 21% episodic, 13% chronic) far exceeded that of social isolation (overall 17%; 13% episodic, 4% chronic). There was consistency in the demographic characteristics (from age, sex, household type, income) of those who experienced loneliness and social isolation. However, people with a long-term health condition had an elevated risk of episodic loneliness (AOR 1.24, 95% CI 1.11-1.39) and a markedly higher risk of chronic loneliness (AOR 2.01, 95% CI 1.76-2.29), compared with those without a long-term health condition. Loneliness, both episodic and chronic subtypes, is more prevalent than social isolation. However, both chronic loneliness and social isolation remains neglected and poorly targeted within current practice and policy.
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Affiliation(s)
- Michelle H Lim
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
- Charles Perkins Centre, The University of Sydney, Sydney, NSW, Australia.
- Iverson Health Innovation Research Institute, Swinburne University of Technology, Victoria, Australia.
| | - Karine E Manera
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- Charles Perkins Centre, The University of Sydney, Sydney, NSW, Australia
| | - Katherine B Owen
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- Charles Perkins Centre, The University of Sydney, Sydney, NSW, Australia
| | - Philayrath Phongsavan
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- Charles Perkins Centre, The University of Sydney, Sydney, NSW, Australia
| | - Ben J Smith
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- Charles Perkins Centre, The University of Sydney, Sydney, NSW, Australia
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Prell T, Stegmann S, Schönenberg A. Social exclusion in people with diabetes: cross-sectional and longitudinal results from the German Ageing Survey (DEAS). Sci Rep 2023; 13:7113. [PMID: 37130924 PMCID: PMC10152415 DOI: 10.1038/s41598-023-33884-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Accepted: 04/20/2023] [Indexed: 05/04/2023] Open
Abstract
As social exclusion can be linked to worse health and overall reduced quality of life, we describe social exclusion in people with diabetes and assess whether diabetes can be considered as a risk factor for social exclusion. We analyzed two waves (2014, 2017, N = 6604) from a survey of community-dwelling people aged > 40 using linear regression, group comparison and generalized estimating equations to explore the association between diabetes, social exclusion, socioeconomic, physical and psychosocial variables. In the entire cohort, diabetes was cross-sectionally associated with social exclusion after adjusting for covariates (p = 0.001). In people with diabetes, social exclusion was further associated with self-esteem (p < 0.001), loneliness (p = < 0.001), income (p = 0.017), depression (p = 0.001), physical diseases (p = 0.04), and network size (p = 0.043). Longitudinal data revealed that higher levels of social exclusion were already present before the diagnosis of diabetes, and future social exclusion was predicted by self-esteem, loneliness, depression, and income, but not by diabetes (p = .221). We conclude that diabetes is not a driver of social exclusion. Instead, both seem to co-occur as a consequence of health-related and psychosocial variables.
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Affiliation(s)
- Tino Prell
- Department of Geriatrics, Halle University Hospital, Halle, Germany
| | | | - Aline Schönenberg
- Department of Geriatrics, Halle University Hospital, Halle, Germany.
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4
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Vasan S, Eikelis N, Lim MH, Lambert E. Evaluating the impact of loneliness and social isolation on health literacy and health-related factors in young adults. Front Psychol 2023; 14:996611. [PMID: 36777213 PMCID: PMC9911678 DOI: 10.3389/fpsyg.2023.996611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Accepted: 01/03/2023] [Indexed: 01/28/2023] Open
Abstract
Objectives In current study, we aim to extend previous research by investigating the unique impact of loneliness on health literacy and health-related factors of young adults, after controlling for social isolation, depressive symptomology, and social anxiety, as well as evaluate how social isolation and loneliness differ in their impact on health literacy, and health-related factors among young adults, after accounting for abovementioned concomitant variables. Methods Using a cross-sectional study design, 521 young adults completed an online survey in 2020, where they self-reported their loneliness, social isolation, health-related factors, and health literacy data. Results Increased loneliness was associated with decrease in several health literacy domains (e.g., poorer social support for health, lower appraisal of health information, among others) and increase in some health-related factors (e.g., higher perceived stress, higher negative affect), among young adults, even after controlling for social anxiety, depressive symptomology, and social isolation. Contrastingly, increase in social isolation was associated with changes in some health-related factors - more somatic health complaints, higher alcohol use, poorer cognitive and physical functioning, and lower scores for only one health literacy domain (i.e., social support for health) among young adults, after adjusting for the influence of social anxiety, depressive symptomology, and loneliness. Conclusion Even after accounting for the influence of several co-occurring social and mental health symptoms, higher loneliness was associated poorer health literacy and health-related factors in young adults. We also found loneliness and social isolation may differ in the mechanisms through which they impact health literacy and health-related factors in young adults.
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Yacoub V, Carletti V, Grilli D, Morgani C, Palazzetti P, Zullo MA, Luffarelli P, Valensise HCC, Schiavi MC. Quality of life and sexual function analysis in a group of Italian postmenopausal women after COVID-19 vaccination. Gynecol Endocrinol 2022; 38:988-991. [PMID: 36203336 DOI: 10.1080/09513590.2022.2132224] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Abstract
AIM The aim of the study was to evaluate the impact of SARS-CoV-2 vaccination on quality of life, psychological aspect and sexual life in a group of Italian postmenopausal women during the COVID-19 pandemic. METHODS The study was a prospective, observational analysis of postmenopausal women before and after the COVID-19 vaccination. The population previously answered different questionnaires, such as the Female Sexual Function Index (FSFI), the Female Sexual Distress Scale (FSDS), the 36-Item Short Form Survey (SF-36) and the Hospital Anxiety and Depression Scale (HADS). Twelve weeks after the end of the vaccine cycle, these women were invited to complete the same questionnaires by e-mail to evaluate if vaccination coverage could positively impact the quality of life of postmenopausal women. The Patient Impression of Global Improvement (PGI-I) after three months of treatment was also calculated. RESULTS A total of 114 patients were reported. The median age was 60.96 (52-66) years. Mean sexual intercourses/month increased from 1.28 ± 1.23 to 4.21 ± 1.80 (p = 0.001). The FSFI increased (19.22 ± 3.31 vs 29.24 ± 4.21, p < 0.0001) and the FSDS decreased significantly (20.12 ± 5.23 vs 9.32 ± 5.55, p < 0.0001) 12 weeks after vaccination coverage. The SF-36 increased from 64.23 ± 11.76 to 82.21 ± 10.24 (p < .0001) and the HADS questionnaire improved significantly from 9.3 ± 2.73 to 5.1 ± 1.34 after the COVID-19 vaccine execution (p<.0001). CONCLUSIONS The spread of COVID-19 vaccine coverage positively influenced sexual function, quality of life and psychological aspect in postmenopausal women.
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Affiliation(s)
- Veronica Yacoub
- Department of Obstetrics and Gynecology, "Tor Vergata" University, Rome, Italy
| | - Valerio Carletti
- Department of Obstetrics and Gynecology, "Tor Vergata" University, Rome, Italy
| | - Debora Grilli
- Department of Obstetrics and Gynecology, "Tor Vergata" University, Rome, Italy
- Department of Obstetrics and Gynecology, "Sandro Pertini" Hospital, Rome, Italy
| | - Claudia Morgani
- Department of Obstetrics and Gynecology, "Tor Vergata" University, Rome, Italy
- Department of Obstetrics and Gynecology, "Sandro Pertini" Hospital, Rome, Italy
| | | | - Marzio Angelo Zullo
- Department of Surgery-Week Surgery, "Campus Biomedico" University, Rome, Italy
| | - Paolo Luffarelli
- Department of Surgery-Week Surgery, "Campus Biomedico" University, Rome, Italy
| | - Herbert Carmelo Carlo Valensise
- Department of Obstetrics and Gynecology, "Tor Vergata" University, Rome, Italy
- Department of Obstetrics and Gynecology, "Casilino" Hospital, Rome, Italy
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Naser B, Castelo-Branco C, Meden H, Minkin MJ, Rachoń D, Beer AM, Pickartz S. Weight gain in menopause: systematic review of adverse events in women treated with black cohosh. Climacteric 2022; 25:220-227. [PMID: 34608830 DOI: 10.1080/13697137.2021.1973993] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Revised: 07/27/2021] [Accepted: 08/24/2021] [Indexed: 10/20/2022]
Abstract
Weight gain is a frequent problem in perimenopausal and postmenopausal women. Cimicifuga racemosa (CR) is a popular treatment option for menopausal symptoms. The aim of this review was to investigate whether there is scientific evidence that CR causes weight gain. We searched our database for medically confirmed, spontaneous adverse events regarding weight gain, literature for case reports and randomized controlled trials. Thirty cases in total were spontaneously reported in 15 years. The causality was not considered certain/likely in any of the cases. A nurse (consumer) assessed the causality as possible. Only one case was published in the literature. However, no change in body fat composition was reported, and the causality seems unlikely. Of the 31 identified studies, 17 were double-blind placebo-controlled, five were double-blind reference-controlled and nine were open reference-controlled. In total, 1839 women were treated with CR for up to 12 months. Two studies reported weight gain as an adverse event; however, no significant differences in weight changes were observed between the groups. One case of weight gain (about 2 kg) was reported, but the authors did not specify in which treatment group. In conclusion, this study provides no scientific evidence that the use of Cimicifuga racemosa causes weight gain in menopausal women.
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Affiliation(s)
- B Naser
- Pharmacovigilance, Schaper & Brümmer GmbH & Co. KG, Salzgitter, Germany
| | - C Castelo-Branco
- Clinic Institute of Gynecology, Obstetrics and Neonatology, Faculty of Medicine, University of Barcelona, Hospital Clinic-Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
| | - H Meden
- Swiss Institute for New Concepts and Treatments, Richterswil, Switzerland
| | - M J Minkin
- Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA
| | - D Rachoń
- Department of Clinical and Experimental Endocrinology, Medical University of Gdańsk, Gdańsk, Poland
| | - A-M Beer
- Hospital for True Naturopathy, Katholisches Klinikum Bochum, Blankenstein Hospital, Hattingen, Germany
| | - S Pickartz
- Medical Service, Schaper & Brümmer GmbH & Co. KG, Salzgitter, Germany
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Sosa-Ortega M, Lagunes-Córdoba R, Martínez-Garduño MD, Marván ML. Menopause-related symptoms, meaninglessness and life satisfaction in Mexican women. Health Care Women Int 2022; 43:1247-1258. [DOI: 10.1080/07399332.2021.2024833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Mariana Sosa-Ortega
- Institute of Psychological Research, Universidad Veracruzana, Xalapa, Mexico
| | | | | | - Ma. Luisa Marván
- Institute of Psychological Research, Universidad Veracruzana, Xalapa, Mexico
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8
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Monterrosa-Castro Á, Monterrosa-Blanco A, González-Sequeda A. Perceived Loneliness and Severe Sleep Disorders in Adult Women during the Covid-19 Quarantine: A Cross-Sectional Study in Colombia. J Prim Care Community Health 2021; 12:21501327211025170. [PMID: 34130553 PMCID: PMC8212376 DOI: 10.1177/21501327211025170] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Background: Quarantine is a measure to control COVID-19 spread, resulting in an increased
perception of loneliness. In turn, sleep disorders (SD) may be more
frequently reported in uncertain circumstances. Objectives: To identify the association between loneliness and severe SD, in women
quarantined due to the COVID-19 pandemic. Methods: A cross-sectional study carried out in women, between 40 and 79 years and
living in Colombia. The women were invited through social network to
complete 5 digital instruments: de Jong Gierveld Loneliness Scale, Menopause
Rating Scale, Fear of COVID-19 Five-item Version, Coronavirus Anxiety Scale,
and Francis Religion Scale. Bivariate analysis and adjusted logistic
regression between loneliness and SD were performed. Results: 1133 women participated, half of them under 50 years old. 43.1% had emotional
loneliness, 39.9% social loneliness and 43.3% general loneliness. SD were
identified in 6 out of 10 women, those with mild SD presented an OR of 1.84,
1.85, and 1.64, for emotional, social and general loneliness, respectively.
Loneliness was associated twice with moderate SD, and more than twice with
severe SD. Very severe SD reached OR:5.81 for emotional loneliness, OR:4.38
social loneliness and OR:4.02 general loneliness. In the presence of
religiosity, fear and anxiety due to COVID-19, statistical significance was
retained for associations, except intense SD with general loneliness. Conclusions: SD were significantly associated with loneliness in our study population. It
is important to assess sleep quality and perception of loneliness in
middle-aged women, especially during periods of quarantine due to a pandemic
to avoid health implications.
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9
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Monterrosa-Blanco A, Monterrosa-Castro Á, González-Sequeda A. Online assessment of the perception of loneliness and associated factors in Colombian climacteric women during the COVID-19 pandemic: A cross-sectional study. Health Promot Perspect 2021; 11:230-239. [PMID: 34195047 PMCID: PMC8233672 DOI: 10.34172/hpp.2021.28] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Accepted: 02/24/2021] [Indexed: 12/25/2022] Open
Abstract
Background: The coronavirus disease 2019 (COVID-19) pandemic has generated changes due to confinement, this measure can increase the perception of loneliness. The objective was to estimate the frequencies of emotional, social and general loneliness and their association with fear and anxiety with COVID-19, religiosity and severe deterioration of quality of life in middle-aged women. Methods: A cross-sectional study in Colombian women (40-59 y, n=984) surveyed with an electronic form that included sociodemographic characteristics and validated measures (Menopause Rating Scale, de Jong Gierveld Loneliness Scale, fear of COVID-19 scale, Coronavirus Anxiety Scale and Francis Scale for Religiosity). Associations of emotional, social and general loneliness (dependent variables) with severe somatic, psychological, urogenital and quality of life deterioration, as well as with high religiosity, anxiety and high fear of COVID-19 (independent variables), were estimated. Results: The median age was 47 years old, and 39.2% [95% CI: 36.2-42.3] postmenopausal. Severe deterioration in somatic, psychological, urogenital domains and quality of life in women with emotional, social and general loneliness was found (P <0.001). In adjusted models, high fear of COVID-19, severe deterioration of psychological and urogenital domains and quality of life were associated with emotional, social and general loneliness. Anxiety with COVID-19, somatic domain and high religiosity were not associated with loneliness. Conclusion: Emotional, social and general loneliness were identified in 4/10 middle-aged Colombian women surveyed, and the associated factors were high fear of COVID-19, severe deterioration of quality of life and psychological and urogenital domains. Professionals who care for climacteric women should explore the perception of loneliness when assessing menopausal symptoms.
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Affiliation(s)
- Angélica Monterrosa-Blanco
- Health Sciences University Foundation (FUCS), Women's Health Research Group, Faculty of Medicine, University of Cartagena, Cartagena, Colombia
| | - Álvaro Monterrosa-Castro
- Research Department, Women's Health Research Group. Faculty of Medicine, University of Cartagena, Cartagena, Colombia
| | - Andrea González-Sequeda
- Women's Health Research Group, Faculty of Medicine, University of Cartagena, Cartagena, Colombia
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Honermann L, Knabben L, Weidlinger S, Bitterlich N, Stute P. An extended Menopause Rating Scale II: a retrospective data analysis. Climacteric 2020; 23:608-613. [DOI: 10.1080/13697137.2020.1775808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- L. Honermann
- Department of Obstetrics and Gynecology, University of Bern, Bern, Switzerland
| | - L. Knabben
- Department of Obstetrics and Gynecology, University of Bern, Bern, Switzerland
| | - S. Weidlinger
- Department of Obstetrics and Gynecology, University of Bern, Bern, Switzerland
| | | | - P. Stute
- Department of Obstetrics and Gynecology, University of Bern, Bern, Switzerland
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Dąbrowska-Galas M, Dąbrowska J, Michalski B. Sexual Dysfunction in Menopausal Women. Sex Med 2019; 7:472-479. [PMID: 31371259 PMCID: PMC6963159 DOI: 10.1016/j.esxm.2019.06.010] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2018] [Revised: 06/14/2019] [Accepted: 06/16/2019] [Indexed: 11/21/2022] Open
Abstract
INTRODUCTION Hormone-related changes in menopause may negatively affect sexual function. AIM The primary aim of this study was to evaluate sexual functioning in Polish women with the Female Sexual Function Index (FSFI). The secondary aim was to evaluate the major factors affecting sexual functions in middle-aged Polish women. METHODS The Menopause Rating Scale was used to assess the menopausal symptoms. The Polish translation of the FSFI was used to assess sexual function. OUTCOMES 69.73% of respondents had sexual dysfunction according to FSFI (FSFI score ≤ 26.55). RESULTS 80.61% of women experienced menopausal symptoms during the 4-week period of study. Psychological and urogenital symptoms were the most frequently reported among all the women enrolled in the study (78.23% and 77.21%). Sexual problems were observed in women who did not use hormone therapy (β = 0.09, t = -1.97, P = .048) and showed no somatic symptoms (β = 0.03, t = 2.95, P = .002). CLINICAL IMPLICATIONS It is important for health care providers to ask women about this problem and understand the factors that may influence sexual problems in menopause. STRENGTHS & LIMITATIONS A validated survey tool was used. The limitation was selection of participants in the clinical setting and sample population size. CONCLUSION Sexual problems were much more common in women who did not use hormone therapy and showed no somatic symptoms. Dąbrowska-Galas M, Dąbrowska J, Michalski B. Prevalence and Associated Risk Factors of Sexual Problems Among Polish Middle-Aged Women. Sex Med 2019;7:472-479.
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Affiliation(s)
- Magdalena Dąbrowska-Galas
- Department of Kinesitherapy and Special Methods, Chair of Physiotherapy, School of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland.
| | - Jolanta Dąbrowska
- Department of Kinesitherapy and Special Methods, Chair of Physiotherapy, School of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland
| | - Bogdan Michalski
- Department of Nursing in Gynaecology and Obstetrics, School of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland
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Bayrı Bingöl F, Demirgöz Bal M, Yılmaz Esencan T, ERTUGRUL ABBASOGLU D, Aslan B. THE EFFECTS OF LONELINESS ON MENOPAUSAL COMPLAINTS. CLINICAL AND EXPERIMENTAL HEALTH SCIENCES 2019. [DOI: 10.33808/clinexphealthsci.533511] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Hajek A, König HH. Obesity and loneliness. Findings from a longitudinal population-based study in the second half of life in Germany. Psychogeriatrics 2019; 19:135-140. [PMID: 30294939 DOI: 10.1111/psyg.12375] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Revised: 08/04/2018] [Accepted: 08/14/2018] [Indexed: 01/22/2023]
Abstract
AIM Little is known about whether changes to obesity are associated with changes in loneliness scores. Therefore, using a longitudinal approach, we aimed to determine whether the onset of obesity (explanatory variable) is associated with changes in loneliness (outcome measure) among older adults. METHODS For the present study, data from wave 2 (2002) to wave 5 (2014) of the German Ageing Survey were analyzed. This is a representative sample of community-dwelling individuals in Germany (≥40 years). A validated six-item scale by Gierveld and van Tilburg was used to quantify loneliness. Obesity was defined as body mass index ≥30 kg/m2 . Fixed effects regressions were used. RESULTS Fixed effects regressions showed that loneliness increased with the onset of obesity among men but not among women. The sex × obesity interaction term was significant (P = 0.02). CONCLUSIONS Findings stress the importance of the onset of obesity for loneliness among older men. Weight management strategies might also be a promising strategy to reduce loneliness scores.
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Affiliation(s)
- André Hajek
- Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Hans-Helmut König
- Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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Theeke L, Carpenter RD, Mallow J, Theeke E. Gender differences in loneliness, anger, depression, self-management ability and biomarkers of chronic illness in chronically ill mid-life adults in Appalachia. Appl Nurs Res 2019; 45:55-62. [DOI: 10.1016/j.apnr.2018.12.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2018] [Accepted: 12/04/2018] [Indexed: 12/20/2022]
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Hajek A, König HH. The association between obesity and social exclusion in middle-aged and older adults: findings from a nationally representative study in Germany. BMC Geriatr 2018; 18:258. [PMID: 30359233 PMCID: PMC6202845 DOI: 10.1186/s12877-018-0946-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2017] [Accepted: 10/10/2018] [Indexed: 12/24/2022] Open
Abstract
Background There is a lack of studies that focus explicitly on the association between social exclusion and obesity. The aim of the present study was to identify whether social exclusion is associated with obesity in older adults, and whether this association is moderated by sex. Methods Data were derived from wave 5 (2014) of the German Ageing Survey - a representative sample of individuals residing in private households aged 40 and over in Germany. A validated scale developed by Bude and Lantermann was used to assess social exclusion. Individuals with body-mass-index ≥30 kg/m2 were classified as being obese. Multiple linear regressions were applied in this study. Results Linear regressions showed that social exclusion was not associated with obesity in the total sample and in men, whereas women with obesity were less socially excluded than women without obesity (β = −.06, p = .02). The corresponding interaction term (sex x obesity) achieved statistical significance (p = .03). Conclusions Our findings emphasize the negative association between social exclusion and obesity in women, but not men, highlighting the complex interplay between social factors and excess weight in individuals aged 40 and above. Future longitudinal studies are needed to clarify this relationship in further detail.
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Affiliation(s)
- André Hajek
- Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
| | - Hans-Helmut König
- Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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Evaluation of depressive symptoms in mid-aged women: report of a multicenter South American study. Menopause 2017; 24:1282-1288. [DOI: 10.1097/gme.0000000000000924] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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17
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Loneliness among Polish migrants in the Netherlands: The impact of presence and location of partners and offspring. DEMOGRAPHIC RESEARCH 2017. [DOI: 10.4054/demres.2017.37.23] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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18
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Abujilban S, Abuidhail J, Mrayan L, Hatamleh R. Characteristics of pregnant Jordanian women dissatisfied with life: A comparison between satisfied and dissatisfied women's demographics. Health Care Women Int 2017; 38:556-570. [PMID: 28151073 DOI: 10.1080/07399332.2017.1289535] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Dissatisfied pregnant women who are at higher risk of negative outcomes perinatally have not been identified in Jordan. The purposes of the researchers were to identify and compare sociodemographic characteristics of satisfied pregnant women with dissatisfied pregnant women. A non-experimental, descriptive, comparative design was employed. Jordanian pregnant women (n =203) were consecutively selected. We found that younger, better educated pregnant women with a high economic status and a small number of children were more satisfied with their lives. Practitioners can identify dissatisfied women and develop an educational and interventional package that focuses on improving satisfaction with life for pregnant mothers.
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Affiliation(s)
- Sanaa Abujilban
- a Department of Maternal, Child, and Family Health Nursing , College of Nursing, Hashemite University , Zarqa , Jordan
| | - Jamila Abuidhail
- a Department of Maternal, Child, and Family Health Nursing , College of Nursing, Hashemite University , Zarqa , Jordan
| | - Lina Mrayan
- a Department of Maternal, Child, and Family Health Nursing , College of Nursing, Hashemite University , Zarqa , Jordan
| | - Reem Hatamleh
- b Department of Nursing , Jordan University of Science and Technology , Irbid , Jordan
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Cortés-Bonilla M, Alonso-Campero R, Bernardo-Escudero R, Francisco-Doce MT, Chavarín-González J, Pérez-Cuevas R, Chedraui P. Improvement of quality of life and menopausal symptoms in climacteric women treated with low-dose monthly parenteral formulations of non-polymeric microspheres of 17β-estradiol/progesterone. Gynecol Endocrinol 2016; 32:831-834. [PMID: 27187320 DOI: 10.1080/09513590.2016.1183628] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
OBJECTIVE To evaluate the short term effect over menopausal symptoms and quality of life (QoL) of monthly parenteral formulations of 17β-estradiol (E)/progesterone (P) non-polymeric microspheres. METHODS This is a secondary analysis of a multicenter, randomized, single-blinded study that included peri- and post-menopausal symptomatic women assigned to receive a monthly intramuscular injection of 0.5 mg E + 15 mg P (Group A, n = 34), 1 mg E + 20 mg P (Group B, n = 24), or 1 mg E + 30 mg P (Group C, n = 26) for 6 months. Intensity of menopausal symptoms was assessed before and after treatment with the Greene Climacteric Scale (GCS) and QoL with the Utian Quality of Life Scale (UQoLS). RESULTS Menopausal symptoms improved for all groups at six months evidenced by lower cluster/sub-cluster GCS scores. Equally, there was an overall trend for QoL improvement for all groups evidenced by higher domain UQoLS scores at six months; but only significant for the emotional (Groups A and B) and occupational domains (Groups A and C). CONCLUSION The three low-dose continuous sequential intramuscular monthly formulations of E/P microspheres exerted a positive effect over menopausal symptoms and QoL. Long-term research is warranted with these formulations. CLINICAL TRIAL REGISTRATION Clinicaltrials.gov Identifiers NCT 00775242.
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Affiliation(s)
- Manuel Cortés-Bonilla
- a Instituto Nacional de Perinatología "Isidro Espinosa de los Reyes" , Ciudad de México , México
| | - Rosalba Alonso-Campero
- b Centro A.F. de Estudios Tecnológicos , S.A. de C.V. (CAFET), Ciudad de México , México
| | | | - María T Francisco-Doce
- b Centro A.F. de Estudios Tecnológicos , S.A. de C.V. (CAFET), Ciudad de México , México
| | - Juan Chavarín-González
- b Centro A.F. de Estudios Tecnológicos , S.A. de C.V. (CAFET), Ciudad de México , México
| | - Ricardo Pérez-Cuevas
- c Unidad de Investigación Epidemiológica y en Servicios de Salud, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social , Ciudad de México , México , and
| | - Peter Chedraui
- d Facultad de Ciencias Médicas , Instituto de Biomedicina, Área de Investigación para la Salud de la Mujer, Universidad Católica de Santiago de Guayaquil , Guayaquil , Ecuador
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20
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The Relationship Between Life Satisfaction and Perceived Health and Sexuality in Individuals Diagnosed with a Physical Illness. SEXUALITY AND DISABILITY 2016. [DOI: 10.1007/s11195-016-9456-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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21
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Chehregosha M, Bastaminia A, Vahidian F, Mohammadi A, Aghaeinejad A, Jamshidi E, Ghasemi A. Life Satisfaction Index among Elderly People Residing in Gorgan and Its Correlation with Certain Demographic Factors in 2013. Glob J Health Sci 2016; 8:52103. [PMID: 27045397 PMCID: PMC5016356 DOI: 10.5539/gjhs.v8n8p41] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2015] [Accepted: 12/13/2015] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Aging is a universal phenomenon that will present itself as a dominant social and welfare challenge. AIM This study was to examine life satisfaction among people residing in Gorgan and its correlation with certain demographic factors in 2013. METHODS A total of 250 elder people were selected for the study through the convenience sampling during 4 months. Data collected through life satisfaction index-A (LSIA). This instrument consists of 5 subscales, including, zest for life, resolution and fortitude, congruence between desired and achieved goals, positive self-concept and mood tone. The Multiple Linear Regression analysis was used in order to determine factors influencing the overall LSIA. RESULTS The overall LSIA score was 22.1 ± 7.5 with the maximum and minimum mean scores pertaining to the resolution and fortitude (6.1 ± 2.5) and the positive self-concept (3.1 ± 1.2) subscales, respectively. Level of education, type of living and gender were variables influencing the overall LSIA (P<0.05). CONCLUSION Given the overall LSIA, it appears that future plans for this age group should be seriously revised along with cultural plans for promoting reverence for old age in the general public.
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Affiliation(s)
- Maryam Chehregosha
- MS in Nursing, Faculty Member of the Paramedicine School, Golestan University of Medical Sciences, Iran PhD Student of Gerontology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
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Coronado PJ, Oliva A, Fasero M, Piñel C, Herraiz MA, Pérez-López FR. Resilience and related factors in urban, mid-aged Spanish women. Climacteric 2015; 18:867-72. [DOI: 10.3109/13697137.2015.1045483] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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23
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Interpretation of Illness in Patients with Chronic Diseases from Poland and Their Associations with Spirituality, Life Satisfaction, and Escape from Illness—Results from a Cross Sectional Study. RELIGIONS 2015. [DOI: 10.3390/rel6030763] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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24
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Brown L, Bryant C, Judd FK. Positive well-being during the menopausal transition: a systematic review. Climacteric 2015; 18:456-69. [DOI: 10.3109/13697137.2014.989827] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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25
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Saygın Y, Akdeniz S, Deniz ME. Loneliness and Interpersonal Problem Solving as Predictors of Subjective Well-Being. ACTA ACUST UNITED AC 2015. [DOI: 10.7763/ijiet.2015.v5.471] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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26
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Cuadros JL, Pérez-Roncero GR, López-Baena MT, Cuadros-Celorrio ÁM, Fernández-Alonso AM. Satisfacción vital y factores sociodemográficos en mujeres de mediana edad. ENFERMERIA CLINICA 2014; 24:315-22. [DOI: 10.1016/j.enfcli.2014.07.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2014] [Revised: 07/18/2014] [Accepted: 07/28/2014] [Indexed: 10/24/2022]
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27
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Heshmat R, Kelishadi R, Motamed-Gorji N, Motlagh ME, Ardalan G, Arifirad T, Rastad H, Asayesh H, Djalalinia S, Larijani B, Qorbani M. Association between body mass index and perceived weight status with self-rated health and life satisfaction in Iranian children and adolescents: the CASPIAN-III study. Qual Life Res 2014; 24:263-72. [PMID: 25038635 DOI: 10.1007/s11136-014-0757-x] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/09/2014] [Indexed: 11/28/2022]
Abstract
PURPOSE Adolescent obesity is a well-known worldwide issue with growing prevalence and complications. The concept of body image and complications of its misperception has been noted more recently. Life satisfaction (LS) and self-rated health (SRH) have also been known as independent morbidity and mortality factors. The objective of this study was to evaluate the associations of perceived weight status (body image) and actual body mass index (BMI), with LS and SRH in a nationally representative sample of a pediatric population in Iran, as a country located in the Middle East and North Africa region. METHODS This nationwide population-based survey was conducted among 5,570 (2,784 female and 2,786 male) Iranian students, aged 10-18 years, living in urban and rural areas of 27 provinces, which were selected via multistage sampling method. Agreement between BMI and perceived weight status (underweight, about right and overweight/obesity) was assessed. Adjusted association between BMI and perceived weight status with LS and SRH was assessed using multiple logistic regressions after adjustment for potential confounders. RESULTS Nearly 40 % of the participants misperceived their body image. Misperception as overweight or underweight was found to be associated with lower odds for both LS and SRH [overweight SRH OR 0.796 (95 % CI 0.647-980), underweight SRH OR 0.701 (95 % CI 0.588-0.835), overweight LS OR 0.884 (95 % CI 0.718-998), underweight LS OR = 0.676 (95 % CI 0.577-0.793)], whereas the association between actual BMI with LS and SRH was not statistically significant (P value > 0.05). CONCLUSION A mismatch between BMI and body weight perception was found in this study. Moreover, LS and SRH were not related with BMI, but had negative association with body weight perception.
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Affiliation(s)
- Ramin Heshmat
- Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
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Ornat L, Martínez-Dearth R, Chedraui P, Pérez-López FR. Assessment of subjective sleep disturbance and related factors during female mid-life with the Jenkins Sleep Scale. Maturitas 2014; 77:344-50. [DOI: 10.1016/j.maturitas.2014.01.005] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2013] [Accepted: 01/15/2014] [Indexed: 10/25/2022]
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29
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Pérez-Roncero GR, Martínez-Dearth R, López-Baena MT, Ornat-Clemente L. Síntomas relacionados con el climaterio en mujeres residentes en la provincia de Zaragoza. ENFERMERIA CLINICA 2013; 23:252-61. [DOI: 10.1016/j.enfcli.2013.09.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2013] [Revised: 09/03/2013] [Accepted: 09/06/2013] [Indexed: 10/26/2022]
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30
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Ornat L, Martínez-Dearth R, Muñoz A, Franco P, Alonso B, Tajada M, Pérez-López FR. Sexual function, satisfaction with life and menopausal symptoms in middle-aged women. Maturitas 2013; 75:261-9. [PMID: 23684086 DOI: 10.1016/j.maturitas.2013.04.007] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2013] [Revised: 04/11/2013] [Accepted: 04/12/2013] [Indexed: 10/26/2022]
Abstract
PURPOSE To assess sexual function, satisfaction with life (SWL), and menopause-related symptoms among mid-aged Spanish women. MATERIALS AND METHODS Cross-sectional study of 260 women, aged 40-59, attending the public gynecology consultations completed the 14-item Changes in Sexual Functioning Questionnaire (CSFQ-14), the SWL Scale (SWLS), the Menopause Rating Scale (MRS), and a socio-demographic questionnaire. RESULTS Median [inter quartile range] age was 47 [8.0] years, 87.7% had a stable partner, 27.0% were postmenopausal, and 53.9% had increased body mass index (BMI). The prevalence of sexual dysfunction was 46.5% (CSFQ-14 score≤41). Postmenopausal status was associated with lower CSFQ-14 scores (worse sexual function) and severe menopausal symptoms whereas there were not significant differences in SWLS scores. CSFQ-14 scores correlated with SWLS (p<0.04), and inversely correlated with menopausal symptoms (p<0.02). Multiple linear regression analysis model predicted 26.6% of the total CSFQ-14 score variance, and higher scores (better sexual function) were correlated with better SWL, and inversely correlated to female age and worse menopausal symptoms. A second model predicted 38.4% of the SWLS score variance. The SWLS score correlated with the total CSFQ-14 score and BMI, and inversely correlated with economical problems, female tobacco use, lack of healthiness, menopausal symptoms, not having a partner, and partner's lack of healthiness. CONCLUSIONS Lower sexual function was related to low SWL, age and menopausal symptoms while low SWLS score was related with economical problems, smoking, menopausal symptoms, and partner factors.
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Affiliation(s)
- Lía Ornat
- Área Sanitaria III, Department of Obstetrics and Gynecology, Lozano Blesa University Hospital, Zaragoza, Spain
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Davis SR, Castelo-Branco C, Chedraui P, Lumsden MA, Nappi RE, Shah D, Villaseca P. Understanding weight gain at menopause. Climacteric 2013; 15:419-29. [PMID: 22978257 DOI: 10.3109/13697137.2012.707385] [Citation(s) in RCA: 344] [Impact Index Per Article: 31.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The aim of this review was to summarize the literature regarding the impact of the menopause transition on body weight and body composition. METHODS We conducted a search of the literature using Medline (Ovid, 1946-present) and PubMed (1966-2012) for English-language studies that included the following search terms: 'menopause', 'midlife', 'hormone therapy' or 'estrogen' combined with 'obesity', 'body weight' or 'body composition'. RESULTS Whereas weight gain per se cannot be attributed to the menopause transition, the change in the hormonal milieu at menopause is associated with an increase in total body fat and an increase in abdominal fat. Weight excess at midlife is not only associated with a heightened risk of cardiovascular and metabolic disease, but also impacts adversely on health-related quality of life and sexual function. Animal and human studies indicate that this tendency towards central abdominal fat accumulation is ameliorated by estrogen therapy. Studies mostly indicate a reduction in overall fat mass with estrogen and estrogen-progestin therapy, improved insulin sensitivity and a lower rate of development of type 2 diabetes. CONCLUSION The hormonal changes across the perimenopause substantially contribute to increased abdominal obesity which leads to additional physical and psychological morbidity. There is strong evidence that estrogen therapy may partly prevent this menopause-related change in body composition and the associated metabolic sequelae. However, further studies are required to identify the women most likely to gain metabolic benefit from menopausal hormone therapy in order to develop evidence-based clinical recommendations.
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Affiliation(s)
- S R Davis
- Women's Health Research Program, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia
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Cuadros JL, Fernández-Alonso AM, Cuadros-Celorrio ÁM, Fernández-Luzón N, Guadix-Peinado MJ, del Cid-Martín N, Chedraui P, Pérez-López FR. Perceived stress, insomnia and related factors in women around the menopause. Maturitas 2012; 72:367-72. [DOI: 10.1016/j.maturitas.2012.05.012] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2012] [Revised: 05/23/2012] [Accepted: 05/24/2012] [Indexed: 11/29/2022]
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