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Vorobeľová L, Falbová D, Candráková Čerňanová V. The importance of female reproductive history on self-reported sleep quality, mood, and urogenital symptoms in midlife. Menopause 2023; 30:1157-1166. [PMID: 37889612 DOI: 10.1097/gme.0000000000002277] [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: 10/29/2023]
Abstract
OBJECTIVE This study investigated the importance of reproductive history on somatic and psychological symptoms in midlife women. METHODS A total of 503 women from 39 to 65 years of age were recruited from different localities in Slovakia. These were interviewed about their reproductive and menstrual history, sociodemographic background, and lifestyle and health status after submitting pretested questionnaires. All variables were measured by self-reporting, and multivariable logistic and ordinal regression analyses tested the associations. RESULTS Women who experienced miscarriage had a greater likelihood of waking early and then sleeping poorly, and they also felt unattractive in midlife. Moreover, women with two or more miscarriages were four times more likely to experience this sleep symptom than those without miscarriage (odds ratio [OR], 4.2; 95% confidence interval [CI], 1.70-10.38; P = 0.002). In addition, women with one or two children suffered significantly less often with severe depressed mood and lack of enjoyment than women with three and more children (lack of enjoyment: with one child, the OR was 0.39 [95% CI, 0.16-0.96; P = 0.041]; with two children, the OR was 0.47 [95% CI, 0.23-0.97; P = 0.040]; depressed mood: with one child, the OR was 0.32 [95% CI, 0.12-0.84; P = 0.021]). Finally, the premenopausal and perimenopausal women were less likely to experience severe vaginal dryness than those in postmenopause. CONCLUSIONS This cross-sectional pilot study suggests that women's reproductive history, as determined by parity and miscarriage, may be relevant to their midlife health and well-being. Future research is warranted.
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Affiliation(s)
- Lenka Vorobeľová
- From the Department of Anthropology, Faculty of Natural Sciences, Comenius University in Bratislava, Bratislava, Slovakia
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Hutchings HA, Taylor N, Remesh A, Rafferty J. A study evaluating quality of life and factors affecting it before, during and after menopause. Eur J Obstet Gynecol Reprod Biol 2023; 289:100-107. [PMID: 37657139 DOI: 10.1016/j.ejogrb.2023.08.373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 07/31/2023] [Accepted: 08/21/2023] [Indexed: 09/03/2023]
Abstract
OBJECTIVE To determine if quality of life (QoL) changes before, during and after menopause and whether these changes are linked to symptoms, demographics, and/or lifestyle factors. METHODS We undertook a cross-sectional online survey. We invited women aged between 35 and 60 years to complete the survey which included the Short-Form 36 (SF-36) generic quality of life measure, the menopause specific Utian-Quality of life (UQOL) measure, and questions about health and wellbeing, menopause symptoms and hormonal stage. The data were analysed with one-way ANOVA analysis and multivariate regression modelling. RESULTS 279 women completed the survey. Most were aged between 51 and 55 years. In the unadjusted analysis there was a tendency for QoL to deteriorate from pre to peri to menopause and then increase slightly post menopause. This was however not significant in multivariate analysis. Multivariate analysis identified that lifestyle factors significantly influenced QoL. Regular exercise resulted in better QoL scores across a number of the UQol and SF-36 sub-scales. Being very overweight and having more menopause symptoms resulted in worse QoL. CONCLUSIONS Although there was a trend towards worse quality of life in the peri and menopause stages this was not significantly different in adjusted multivariate analyses. Those experiencing more symptoms had significantly worse QoL. Lifestyle factors may affect QoL, but the picture is not straightforward. It is promising that there was a trend toward improved QoL in the post-menopausal stage. These findings should inform education material and promote awareness of the menopause and its impact on QoL. (245).
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Affiliation(s)
- Hayley A Hutchings
- School of Medicine, Faculty of Medicine, Health and Life Science, Swansea University, Swansea University, Singleton Park, SA2 8PP, Wales.
| | - Nia Taylor
- School of Medicine, Faculty of Medicine, Health and Life Science, Swansea University, Swansea University, Singleton Park, SA2 8PP, Wales
| | - Anagha Remesh
- School of Medicine, Faculty of Medicine, Health and Life Science, Swansea University, Swansea University, Singleton Park, SA2 8PP, Wales
| | - James Rafferty
- School of Medicine, Faculty of Medicine, Health and Life Science, Swansea University, Swansea University, Singleton Park, SA2 8PP, Wales
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Гаспарян СА, Чотчаева АМ, Карпов СМ. [Cognitive and psychoemotional changes in menopausal transition: The possibility of medical correction]. PROBLEMY ENDOKRINOLOGII 2023; 69:86-95. [PMID: 36842081 PMCID: PMC9978879 DOI: 10.14341/probl13205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 01/18/2023] [Accepted: 02/01/2023] [Indexed: 02/27/2023]
Abstract
The increasing of older age group in the population determines studying of age related diseases and emergence of new investigations in this area. In Female body, entering the menopausal transition is the start of «aging» of reproductive function and linked with decreasing of sex hormons levels. A direct connection between changes of estrogen, progesterone, androgen ratios and cognitive function of women was revealed. The anatomical localization of sex hormone receptors, the mechanisms of interaction of hormones with these receptors determine the ways of implementing biological effects of steroids on the CNS. Modern theories of «healthy nerve cells» and «eu-estrogenemia» explains the role of additional criteria, such as the absence of neurological diseases history and the duration of hypoestrogenia, to the outcome of menopausal hormone therapy. Additional factors that can affect to MHT action include: the composition of hormone therapy, administration methods, regimens (cyclic, continuous), duration of treatment, history of endocrine diseases, diabetes mellitus, gynecological history (parity, menarche age, COC use), heredity. The sections present the effect of menopausal transition on the development of depression, mood changes, sleep disturbances and mental disabilities. The explanation of negative effects of menopausal hormone therapy to cognitive health is also described by modern point of view. The ambivalent opinions of researchers, the potential of new reading of the results of earlier studies, confirms the necessity of continuing study of this topic.
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Affiliation(s)
| | | | - С. М. Карпов
- Ставропольский государственный медицинский университет
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Barkoot S, Saeed A, AlMetrek M, AlShahrani S, AِlHomedi H, AlShahrani A, AlQahtani O, AlShehri S. The Quality of Life of and Social Determinants Affecting Menopausal Women in Aseer’s Healthy Cities in Saudi Arabia: A Cross-Sectional Study. Cureus 2022; 14:e31942. [DOI: 10.7759/cureus.31942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/27/2022] [Indexed: 11/29/2022] Open
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Psychological and social health outcomes of physical activity around menopause: A scoping review of research. Maturitas 2022; 164:88-97. [DOI: 10.1016/j.maturitas.2022.07.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 06/30/2022] [Accepted: 07/27/2022] [Indexed: 12/18/2022]
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Vaudry H, Ubuka T, Soma KK, Tsutsui K. Editorial: Recent Progress and Perspectives in Neurosteroid Research. Front Endocrinol (Lausanne) 2022; 13:951990. [PMID: 35966056 PMCID: PMC9365233 DOI: 10.3389/fendo.2022.951990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 05/27/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- Hubert Vaudry
- Université de Rouen Normandie, Mont-Saint-Aignan, France
- *Correspondence: Hubert Vaudry,
| | | | - Kiran K. Soma
- University of British Columbia, Vancouver, BC, Canada
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Lewandowska J, Tomaczak M, Wilk I, Lwow F. Obesity and low levels of physical activity are associated with a decreased health-related quality of life
in postmenopausal women: a Wroclaw pilot study. MEDICAL SCIENCE PULSE 2021. [DOI: 10.5604/01.3001.0015.3944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background: Menopause is associated with numerous somatic dysfunctions, an increased risk of chronic
diseases, and complications in the mental and social components of health that lower the quality of life
(QoL). Obesity and related comorbidities affect over 60% of postmenopausal women in Poland. A significant
role for systematic physical activity (PA) in the prevention of dysfunctions and chronic diseases, including
obesity and mental disorders, has been observed previously. A low level of PA is observed across the Polish
population, especially in postmenopausal women.
Aim of the study: To examine QoL in postmenopausal women participating in a community health promotion
program as it relates to obesity and levels of PA.
Material and methods: The study sample consisted of 76 postmenopausal women (aged 65.75±5.14 years)
participating in the Active Wrocław 55+ program. Before starting the program, anthropometric measurements
were taken, and QoL and PA were assessed using the 36-Item Short Form Health Survey (SF-36) and
the International Physical Activity Questionnaire-Short Form (IPAQ-SF), respectively.
Results: Most women had a PA level above 600 MET -min/week (78.95%), and were overweight or obese
(86.84%). A waist circumference over 80 cm, indicating an increased risk for metabolic syndrome, was observed
in 85.89% of the participants. BMI and waist circumference negatively correlated with the level of PA
(p=0.001 and p=0.017, respectively). Women exhibiting low levels of PA and higher BMIs showed a significantly
lower QoL compared to those with higher PA and lower BMIs, particularly with regard to the physical
domains of QoL.
Conclusions: Obesity and a low level of PA are associated with a significant decline in the health-related QoL
(especially in the PF and PCS domains) of postmenopausal women an urban setting.
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Affiliation(s)
- Joanna Lewandowska
- Department of Physiotherapy, University School of Physical Education in Wroclaw, Poland
| | - Mateusz Tomaczak
- Department of Physiotherapy, University School of Physical Education in Wroclaw, Poland
| | - Iwona Wilk
- Department of Physiotherapy, University School of Physical Education in Wroclaw, Poland
| | - Felicja Lwow
- Department of Physiotherapy, University School of Physical Education in Wroclaw, Poland
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Renczés E, Borbélyová V, Steinhardt M, Höpfner T, Stehle T, Ostatníková D, Celec P. The Role of Estrogen in Anxiety-Like Behavior and Memory of Middle-Aged Female Rats. Front Endocrinol (Lausanne) 2020; 11:570560. [PMID: 33117285 PMCID: PMC7575693 DOI: 10.3389/fendo.2020.570560] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Accepted: 09/02/2020] [Indexed: 12/21/2022] Open
Abstract
Aging in women is associated with low estrogen, but also with cognitive decline and affective disorders. Whether low estrogen is causally responsible for these behavioral symptoms is not clear. Thus, we aimed to examine the role of estradiol in anxiety-like behavior and memory in rats at middle age. Twelve-month old female rats underwent ovariectomy (OVX) or were treated with 1 mg/kg of letrozole-an aromatase inhibitor. In half of the OVX females, 10 μg/kg of 17β-estradiol was supplemented daily for 4 weeks. Vehicle-treated sham-operated and OVX females served as controls. For behavioral assessment open field, elevated plus maze and novel object recognition tests were performed. Interaction between ovarian condition and additional treatment had the main effect on anxiety-like behavior of rats in the open field test. In comparison to control females, OVX females entered less frequently into the center zone of the open field (p < 0.01) and showed lower novel object discrimination (p = 0.05). However, estradiol-supplemented OVX rats had higher number of center-zone entries (p < 0.01), spent more time in the center zone (p < 0.05), and showed lower thigmotaxis (p < 0.01) when compared to OVX group. None of the hormonal manipulations affected anxiety-like behavior in the elevated plus maze test significantly, but a mild effect of interaction between ovarian condition and treatment was shown (p = 0.05). In conclusion, ovariectomy had slight negative effect on open-field ambulation and short-term recognition memory in middle-aged rats. In addition, a test-specific anxiolytic effect of estradiol supplementation was found. In contrast, letrozole treatment neither affected anxiety-like behavior nor memory.
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Affiliation(s)
- Emese Renczés
- Institute of Molecular Biomedicine, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia
| | - Veronika Borbélyová
- Institute of Molecular Biomedicine, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia
| | - Manuel Steinhardt
- Institute of Molecular Biomedicine, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia
| | - Tim Höpfner
- Institute of Molecular Biomedicine, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia
| | - Thomas Stehle
- Institute of Molecular Biomedicine, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia
| | - Daniela Ostatníková
- Institute of Physiology, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia
| | - Peter Celec
- Institute of Molecular Biomedicine, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia
- Institute of Pathophysiology, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia
- Department of Molecular Biology, Faculty of Natural Sciences, Comenius University in Bratislava, Bratislava, Slovakia
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