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Soares JM, Mota BS, Nobrega GB, Filassi JR, Sorpreso ICE, Baracat EC. Breast cancer survivals and hormone therapy: estrogen and melatonin. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2023; 69:e6910EDI. [PMID: 37792874 PMCID: PMC10547489 DOI: 10.1590/1806-9282.6910edi] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2023] [Accepted: 07/24/2023] [Indexed: 10/06/2023]
Affiliation(s)
- José Maria Soares
- Laboratório de Ginecologia Estrutural e Molecular (LIM-58), Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo – São Paulo (SP), Brazil
| | - Bruna Salani Mota
- Laboratório de Ginecologia Estrutural e Molecular (LIM-58), Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo – São Paulo (SP), Brazil
| | - Gabriela Bezerra Nobrega
- Laboratório de Ginecologia Estrutural e Molecular (LIM-58), Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo – São Paulo (SP), Brazil
| | - José Roberto Filassi
- Laboratório de Ginecologia Estrutural e Molecular (LIM-58), Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo – São Paulo (SP), Brazil
| | - Isabel Cristina Espósito Sorpreso
- Laboratório de Ginecologia Estrutural e Molecular (LIM-58), Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo – São Paulo (SP), Brazil
| | - Edmund Chada Baracat
- Laboratório de Ginecologia Estrutural e Molecular (LIM-58), Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo – São Paulo (SP), Brazil
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Acevedo-Fernández M, Porchia LM, Elguezabal-Rodelo RG, López-Bayghen E, Gonzalez-Mejia ME. Concurrence of hyperinsulinemia and hyperuricemia significantly augmented all-cause mortality. Nutr Metab Cardiovasc Dis 2023; 33:1725-1732. [PMID: 37407310 DOI: 10.1016/j.numecd.2023.05.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Revised: 05/16/2023] [Accepted: 05/19/2023] [Indexed: 07/07/2023]
Abstract
BACKGROUND AND AIMS Hyperinsulinemia and hyperuricemia are known to increase the risk of mortality due to certain complications, such as Type 2 Diabetes and cardiovascular disease. However, despite their common comorbidities, their combined effect has not been evaluated. The study's aim was to evaluate the combine effect of hyperinsulinemia and hyperuricemia on all-cause mortality. METHODS AND RESULTS NHANES datasets (cycles 2003-2018) were examined. Differences between groups were evaluated using Rao-Scott Chi-square and General Linear Model for categorical and continuous data, respectively. Hazard Ratios (HR) were calculated using Cox regression with 95% confidence intervals (95%CI). There was significant difference (p < 0.05) in the mortality rate between the control group (2.3 ± 0.2%), the hyperinsulinemia only group (3.1 ± 0.3%), the hyperuricemia only group (4.0 ± 0.8%), and both conditions (5.1 ± 0.8%). Individually, when compared to the control group, there was a significant increase in mortality risk for hyperinsulinemia (HR: 1.50, 95%CI: 1.12-2.01, p = 0.007) and hyperuricemia (HR: 1.80, 95%CI:1.18-2.75, p = 0.006). However, when both conditions were present, there appeared an additive effect in the mortality risk (HR: 2.32, 95%CI: 1.66-3.25, p < 0.001). When stratified by BMI class, only normal weight participants presented with a significant risk (HR: 7.00, 95%CI: 2.50-20.30, p < 0.001). Also, when stratified by age, only participants older than 40 years presented a risk (HR: 2.22, 95%CI: 1.56-3.16, p < 0.001). CONCLUSION Alone, hyperuricemia and hyperinsulinemia significantly increased the mortality rate; however, the combined presence of both pathologies was associated with a significantly augmented mortality rate. Normal weight participant or that were >40 years old had a greater risk for mortality.
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Affiliation(s)
- Maximino Acevedo-Fernández
- Facultad de Medicina, Benemérita Universidad Autónoma de Puebla, Calle 13 Sur 2901, Colonia Volcanes, C.P, 72420, Puebla, Mexico
| | - Leonardo M Porchia
- Departamento de Toxicología, Centro de Investigación y de Estudios Avanzados Del Instituto Politécnico Nacional, México City, 07360, Mexico
| | - Rebeca Garazi Elguezabal-Rodelo
- Facultad de Medicina, Benemérita Universidad Autónoma de Puebla, Calle 13 Sur 2901, Colonia Volcanes, C.P, 72420, Puebla, Mexico
| | - Esther López-Bayghen
- Departamento de Toxicología, Centro de Investigación y de Estudios Avanzados Del Instituto Politécnico Nacional, México City, 07360, Mexico
| | - M Elba Gonzalez-Mejia
- Facultad de Medicina, Benemérita Universidad Autónoma de Puebla, Calle 13 Sur 2901, Colonia Volcanes, C.P, 72420, Puebla, Mexico.
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Wang C, Qin P, Liu Y, Wang L, Xu S, Chen H, Dai S, Zhao P, Hu F, Lou Y. Association between hyperuricemia and hypertension and the mediatory role of obesity: a large cohort study in China. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2023; 69:e20220241. [PMID: 37610925 PMCID: PMC10443908 DOI: 10.1590/1806-9282.20220241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 11/04/2022] [Indexed: 08/25/2023]
Abstract
OBJECTIVE This study aimed to investigate the sex-specific association between hyperuricemia and the risk of hypertension and whether obesity mediates this association. METHODS This study included 31,395 (47.0% women) adults without hypertension, cardiovascular disease, or cancer at baseline who completed at least one follow-up annual examination between 2009 and 2016. Cox regression models were performed to calculate hazard ratios and 95% confidence intervals. Mediation analysis was conducted to estimate the effect of body mass index on the association between hyperuricemia and hypertension. RESULTS During a median 2.9-year follow-up, hyperuricemia was significantly associated with a higher risk of hypertension (HR 1.15, 95%CI 1.07-1.24 for all participants; HR 1.12, 95%CI 1.03-1.22 for men; and HR 1.23, 95%CI 1.02-1.48 for women) after adjustment for potential confounders. Additional adjustment for body mass index attenuated this association (HR 1.09, 95%CI 1.08-1.10 for all participants; HR 1.07; 95%CI 0.98-1.16 for men; HR 1.18; 95%CI 0.96-1.44 for women). Mediation analysis showed that BMI partially mediated the relationship between hyperuricemia and incident hypertension (indirect effect HR 1.09, 95%CI 1.08-1.10; direct effect: HR 1.08, 95%CI 1.02-1.15). The percentage of the mediation effect was 53.2% (95%CI 37.9-84.5). CONCLUSION Hyperuricemia is associated with a risk of hypertension in both sexes, and BMI partially mediates hyperuricemia-related incident hypertension.
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Affiliation(s)
- Changyi Wang
- Shenzhen Nanshan Center for Chronic Disease, Department of Non-communicable Disease Prevention and Control - Shenzhen, China
- Zunyi Medical University, School of Public Health - Zunyi, China
| | - Pei Qin
- Shenzhen University, Health Science Center, School of Public Health, Department of Biostatistics and Epidemiology - Shenzhen, China
| | - Yinxing Liu
- Shenzhen Nanshan Center for Chronic Disease, Department of Non-communicable Disease Prevention and Control - Shenzhen, China
- Zunyi Medical University, School of Public Health - Zunyi, China
| | - Li Wang
- Shenzhen Nanshan Center for Chronic Disease, Department of Non-communicable Disease Prevention and Control - Shenzhen, China
| | - Shan Xu
- Shenzhen Nanshan Center for Chronic Disease, Department of Non-communicable Disease Prevention and Control - Shenzhen, China
| | - Hongen Chen
- Shenzhen Nanshan Center for Chronic Disease, Department of Non-communicable Disease Prevention and Control - Shenzhen, China
| | - Shuhong Dai
- Shenzhen Nanshan Center for Chronic Disease, Department of Non-communicable Disease Prevention and Control - Shenzhen, China
| | - Ping Zhao
- Beijing Xiaotangshan Hospital, Department of Health Management - Beijing, China
| | - Fulan Hu
- Shenzhen University, Health Science Center, School of Public Health, Department of Biostatistics and Epidemiology - Shenzhen, China
| | - Yanmei Lou
- Beijing Xiaotangshan Hospital, Department of Health Management - Beijing, China
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Soares JM, Lopes RD, Sorpreso ICE, Baracat EC. Women health: holistic view. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2023; 69:e2023S127. [PMID: 37556646 PMCID: PMC10411701 DOI: 10.1590/1806-9282.2023s127] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Accepted: 05/28/2023] [Indexed: 08/11/2023]
Affiliation(s)
- José Maria Soares
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Obstetrícia e Ginecologia, LIM-58 da Disciplina de Ginecologia – São Paulo (SP), Brazil
- Revista da Associação Médica Brasileira – São Paulo (SP), Brazil
| | | | - Isabel Cristina Espósito Sorpreso
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Obstetrícia e Ginecologia, LIM-58 da Disciplina de Ginecologia – São Paulo (SP), Brazil
| | - Edmund Chada Baracat
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Obstetrícia e Ginecologia, LIM-58 da Disciplina de Ginecologia – São Paulo (SP), Brazil
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Zangirolami-Raimundo J, Sorpreso ICE, Rebouças CMDP, Bezerra PCDL, Costa LMDPRD, Baracat EC, Soares Junior JM, Raimundo RD. Depression in women in climacteric period: a brief review. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2023; 69:e20230385. [PMID: 37466610 PMCID: PMC10352021 DOI: 10.1590/1806-9282.20230385] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Accepted: 04/26/2023] [Indexed: 07/20/2023]
Affiliation(s)
- Juliana Zangirolami-Raimundo
- Universidade de São Paulo, Hospital das Clínicas, Faculdade de Medicina, Departamento de Obstetrícia e Ginecologia, Disciplina de Ginecologia - São Paulo (SP), Brazil
- Centro Universitário Faculdade de Medicina do ABC, Laboratório de Delineamento de Estudos e Escrita Científica - Santo André (SP), Brazil
| | - Isabel Cristina Esposito Sorpreso
- Universidade de São Paulo, Hospital das Clínicas, Faculdade de Medicina, Departamento de Obstetrícia e Ginecologia, Disciplina de Ginecologia - São Paulo (SP), Brazil
| | - Cleide Maria de Paula Rebouças
- Universidade Federal do Acre, Laboratório Multidiciplinar de Estudos e Escrita Científica em Ciências da Saúde - Rio Branco (AC), Brazil
- Universidad del Norte, Laboratório de Delineamento de Estudos e Escrita Científica - Rio Branco (AC), Brazil
| | - Polyana Caroline de Lima Bezerra
- Universidade Federal do Acre, Laboratório Multidiciplinar de Estudos e Escrita Científica em Ciências da Saúde - Rio Branco (AC), Brazil
| | | | - Edmund Chada Baracat
- Universidade de São Paulo, Hospital das Clínicas, Faculdade de Medicina, Departamento de Obstetrícia e Ginecologia, Disciplina de Ginecologia - São Paulo (SP), Brazil
| | - José Maria Soares Junior
- Universidade de São Paulo, Hospital das Clínicas, Faculdade de Medicina, Departamento de Obstetrícia e Ginecologia, Disciplina de Ginecologia - São Paulo (SP), Brazil
| | - Rodrigo Daminello Raimundo
- Centro Universitário Faculdade de Medicina do ABC, Laboratório de Delineamento de Estudos e Escrita Científica - Santo André (SP), Brazil
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Celik S, Bulbul E, Kolcu M, Anataca G. The relationship between diabetes burden and successful ageing in diabetic elderly patients. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2023; 69:e20221644. [PMID: 37222332 DOI: 10.1590/1806-9282.20221644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Accepted: 02/20/2023] [Indexed: 05/25/2023]
Abstract
OBJECTIVE The aim of this study was to determine the diabetes burden in elderly individuals along with successful ageing, which defines how well individual ages contribute to coping with the disease and diabetes management. This study also aimed to evaluate the relationship between diabetes burden and successful ageing in elderly individuals with type 2 diabetes. METHODS The data for this descriptive study were collected from 526 individuals who were 65 years old patients diagnosed with type 2 diabetes in the diabetes polyclinic of a research and training hospital between January and June 2021. RESULTS It was found that the Successful Ageing Scale score was higher in women, those who had regular diabetes control, and those who had easy access to health services. Elderly Diabetes Burden Scale scores were found to be higher in men, those whose diabetes treatment was insulin, and those with poor perceived health status. No statistically significant relationship was determined between the Elderly Diabetes Burden Scale total score and the Successful Ageing Scale total score (p>0.05). CONCLUSION Accordingly, by enabling the elderly to have easy access to healthcare services, preventing complications, and providing elderly healthcare services, it will be possible to reduce the diabetes burden in the elderly and enable them to age successfully.
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Affiliation(s)
- Selda Celik
- University of Health Sciences, Hamidiye Faculty of Nursing, Department of Internal Medicine Nursing - İstanbul, Turkey
| | - Elif Bulbul
- University of Health Sciences, Hamidiye Faculty of Nursing, Department of Internal Medicine Nursing - İstanbul, Turkey
| | - Merve Kolcu
- University of Health Sciences, Hamidiye Faculty of Nursing, Department of Public Health Nursing - İstanbul, Turkey
| | - Gulden Anataca
- University of Health Sciences, Kanuni Sultan Suleyman Training and Research Hospital - İstanbul, Turkey
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7
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Does temporomandibular disorder correlate with menopausal symptoms? Menopause 2022; 29:728-733. [PMID: 35544600 DOI: 10.1097/gme.0000000000001962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To assess the correlation between menopausal symptoms and pain caused by temporomandibular disorder (TMD) and the impact of sociodemographic factors on the association. METHODS In this cross-sectional study, a total of 74 women with TMD symptoms were enrolled and divided into three groups according to the Stages of Reproductive Aging Workshop + 10 (STRAW + 10) criteria: G1 (n = 25, late menopausal transition), G2 (n = 30, early postmenopause), and G3 (n = 19, late postmenopause). Sociodemo-graphic data were collected, along with data on menopausal symptoms (Blatt-Kupperman menopausal index) and TMD-induced pain (craniomandibular index). Statistical analysis was performed using a chi-squared test and linear correlation tests (Spearman and Pearson). RESULTS Analysis of the three groups showed that TMD-induced pain was more intense in G1 than in G3 (P = 0.0426, r = 0.2364, r2 = 0.05589), and menopausal symptoms correlated with the intensity of TMD-induced pain (P = 0.0004, r = 0.4020). This correlation was more significant during the late menopausal transition (G1: P = 0.0267, r = 0.4427, r2 = 0.1960). In G2, women with fewer than 4 years of schooling had a higher total Blatt-Kupperman menopausal index score (17.0 ± 85.0) and craniomandibular index (0.29 ± 0.23) than women with more than 4 years of schooling (P = 0.02 for both indices). CONCLUSIONS Our results suggest that TMD-induced pain and menopausal symptoms are correlated, and more strongly so in the late menopausal transition. Additionally, sociodemographic factors, such as schooling, have a major influence on symptoms in early postmenopause. Performing the TMD evaluation during the climacteric period may be important.
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Mendes C, Fonseca AMD, Alves MS, Bayer LHCM, Veiga ECDA, Sorpreso ICE, Baracat EC, Soares Júnior JM. Narrative review of Vitex agnus-castus in symptoms in Gynecology. REVISTA DA ASSOCIAÇÃO MÉDICA BRASILEIRA 2022; 68:716-719. [DOI: 10.1590/1806-9282.20220174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 02/18/2022] [Indexed: 11/21/2022]
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9
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Miranda H, Bentes C, Resende M, Netto CC, Nasser I, Willardson J, Marinheiro L. Association between handgrip strength and body composition, physical fitness, and biomarkers in postmenopausal women with metabolic syndrome. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2022; 68:323-328. [PMID: 35442358 DOI: 10.1590/1806-9282.20210673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/12/2021] [Accepted: 12/14/2021] [Indexed: 11/21/2022]
Abstract
OBJECTIVES This study examined the association between handgrip strength and body composition, physical fitness, and biomarkers in postmenopausal women with metabolic syndrome. METHODS A total of 75 postmenopausal women were diagnosed with metabolic syndrome participated in this study. Muscle strength was assessed via a hydraulic grip strength dynamometer; physical fitness tests included a timed-up-and-go, arm curl test, and 30-s chair stand. Body composition was assessed via bioelectrical impedance, from which estimates of fat mass, body fat percentage, fat-free mass, and visceral fat area were determined. Fasting plasma glucose and glycated hemoglobin were measured via blood sample analyses. Multiple linear regression analyses were conducted using handgrip strength as the dependent variable and using body composition, physical fitness, and biomarkers as independent variables. RESULTS The results revealed that 52% of the total sample were classified as obese, 37.3% as overweight, and only 10.7% as normal weight. Significant correlations were present between handgrip strength and fat-free mass (p=0.002; R=0.590), mean blood pressure (p=0.002; R=0.450), and arm curl (p=0.001; R=0.795). CONCLUSION This study showed that handgrip strength was predictive of fat-free mass, blood pressure, and upper limb strength performance.
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Affiliation(s)
- Humberto Miranda
- Fundação Oswaldo Cruz, Fernandes Figueira Institute, Gynecologic and Obstetrics Department - Rio de Janeiro (RJ), Brazil.,Universidade Federal do Rio de Janeiro, School of Physical Education and Sports - Rio de Janeiro (RJ), Brazil.,Universidade Federal do Rio de Janeiro, Laboratory of Performance, Training and Physical Exercise - Rio de Janeiro (RJ), Brazil
| | - Claudio Bentes
- Fundação Oswaldo Cruz, Fernandes Figueira Institute, Gynecologic and Obstetrics Department - Rio de Janeiro (RJ), Brazil
| | - Monique Resende
- Fundação Oswaldo Cruz, Fernandes Figueira Institute, Gynecologic and Obstetrics Department - Rio de Janeiro (RJ), Brazil
| | - Claudia Cardoso Netto
- Universidade Federal do Estado do Rio de Janeiro, Department of Biochemistry - Rio de Janeiro (RJ), Brazil
| | - Igor Nasser
- Universidade Federal do Rio de Janeiro, School of Physical Education and Sports - Rio de Janeiro (RJ), Brazil.,Universidade Federal do Rio de Janeiro, Laboratory of Performance, Training and Physical Exercise - Rio de Janeiro (RJ), Brazil
| | - Jeffrey Willardson
- Montana State University Billings, Health and Human Performance Department - Billings (MT), United States
| | - Lizanka Marinheiro
- Universidade Federal do Estado do Rio de Janeiro, Department of Biochemistry - Rio de Janeiro (RJ), Brazil
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Hutomo DI, Masulili SLC, Tadjoedin FM, Kusdhany LS. Serum Alkaline Phosphatase and Calcium in Relation to Periodontal Status among Perimenopausal and Postmenopausal Women. Open Dent J 2021. [DOI: 10.2174/1874210602115010703] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Background:
Menopause is a physiological phenomenon that occurs in aging women. Periodontal disease is associated with menopausal status. Alkaline phosphatase (ALP) plays a role in general and periodontal bone turnover. Calcium is essential for the maintenance of bone and teeth, and serum ALP and calcium are specific bone markers related to the acceleration of bone mass loss in elderly women and periodontitis.
Objectives:
The aim of this study was to correlate the levels of serum ALP and calcium with periodontal status in perimenopausal and postmenopausal women with periodontitis.
Methods:
A total of 22 perimenopausal and 49 postmenopausal women underwent a full periodontal examination assessing the pocket depth, number of teeth lost, clinical attachment loss, plaque index, calculus index, and papillary bleeding index. Using these measurements, the subjects were divided according to periodontal severity. Serum ALP and calcium were measured using the Enzyme-Linked Immunosorbent Assay (ELISA) method. A correlation between serum ALP and calcium to periodontal status was investigated.
Results:
Serum ALP was significantly correlated with the severity of periodontitis, clinical attachment loss, and the number of teeth lost among perimenopausal and postmenopausal women (p < 0.05). Serum calcium levels were not correlated with periodontal status.
Conclusion:
Postmenopausal women tended to have more periodontal breakdown, and the level of serum ALP was increased in severe periodontitis.
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Abreu ACGD, Alves MS, Zuchelo LTS, Santos SVD, Noll PRES, Baracat EC, Soares Júnior JM, Sorpreso ICE. Full and empty nest syndromes in women in the climacteric period. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2021; 68:109-117. [PMID: 34909969 DOI: 10.1590/1806-9282.20210830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 08/27/2021] [Indexed: 11/22/2022]
Affiliation(s)
| | - Mayara Souza Alves
- Universidade de São Paulo, Faculdade de Medicina, Departamento de Obstetrícia e Ginecologia - São Paulo (SP), Brazil
| | - Lea Tami Suzuki Zuchelo
- Universidade de São Paulo, Faculdade de Medicina, Departamento de Obstetrícia e Ginecologia - São Paulo (SP), Brazil
| | | | | | - Edmund Chada Baracat
- Universidade de São Paulo, Faculdade de Medicina, Departamento de Obstetrícia e Ginecologia - São Paulo (SP), Brazil
| | - José Maria Soares Júnior
- Universidade de São Paulo, Faculdade de Medicina, Departamento de Obstetrícia e Ginecologia - São Paulo (SP), Brazil
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Schlechta Portella CF, Espósito Sorpreso IC, da Silva Menezes de Assis A, de Abreu LC, Soares JM, Baracat EC, de Araujo Moraes SDT, D’Andretta Tanaka AC. Meditation as an approach to lessen menopausal symptoms and insomnia in working women undergoing the menopausal transition period: A randomized controlled trial. ADVANCES IN INTEGRATIVE MEDICINE 2021. [DOI: 10.1016/j.aimed.2020.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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13
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Almeida Júnior ÁDD, Carvalho TDD, Norberto AR, Figueiredo FWDS, Martinelli PM, de Abreu LC, Baracat EC, Soares Júnior JM, Sorpreso ICE. Autonomic cardiac modulation in postmenopausal women with dry eye syndrome: a cross-sectional analytical study. ACTA ACUST UNITED AC 2021; 67:1143-1149. [PMID: 34669860 DOI: 10.1590/1806-9282.20210529] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Accepted: 07/18/2021] [Indexed: 01/07/2023]
Abstract
OBJECTIVE The aim of this study was to assess cardiac autonomic modulation in postmenopausal women with and without dry eye syndrome (DES) and to identify associations between clinical and socioeconomic factors. METHODS A cross-sectional study was carried out at the Institute of Ocular Surgery of the Northeast (ICONE), Brazil. Convenience sample of postmenopausal women, over 40 years old, who were divided into two groups: with and without DES. Clinical, sociodemographic, and ophthalmological characteristics of these women were assessed. Capture of RR intervals was performed using a cardio frequency meter. Differences between the groups were analyzed using the Chi-square test, the Student's t test, and the Mann-Whitney test. RESULTS Women with DES were present in 60.4% (n=58), highest median age (63.5 years, 95%CI 62.0-67.9; p<0.001), median length of time menopause (19 years old, 95%CI 10.4-24.0; p<0.001). There was a difference in the standard deviation of all normal-to-normal index between the groups. However, when the differences were adjusted to the clinical model, no association was found between DES and heart rate variability (HRV). CONCLUSIONS The analysis of cardiac autonomic modulation in postmenopausal women is similar in the presence or absence of DES. Clinical factors, time of menopause, and intensity of symptoms were not associated with HRV indices.
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Affiliation(s)
| | - Tatiana Dias de Carvalho
- Universidade de São Paulo, Faculdade de Medicina, Departamento de Obstetrícia e Ginecologia - São Paulo (SP), Brazil.,Universidad Nacional de la Matanza, Departamento de Ciencias de la Salud, Licenciatura en Kinesiología y Fisiatría - Buenos Aires, Argentina
| | - Alex Rey Norberto
- Universidade de São Paulo, Faculdade de Medicina, Departamento de Obstetrícia e Ginecologia - São Paulo (SP), Brazil
| | | | | | - Luiz Carlos de Abreu
- Universidade Federal do Espírito Santo, Departamento de Educação Integrada em Saúde, Programa de Pós-Graduação em Saúde Coletiva - Vitória (ES), Brazil
| | - Edmund Chada Baracat
- Universidade de São Paulo, Faculdade de Medicina, Departamento de Obstetrícia e Ginecologia - São Paulo (SP), Brazil
| | - José Maria Soares Júnior
- Universidade de São Paulo, Faculdade de Medicina, Departamento de Obstetrícia e Ginecologia - São Paulo (SP), Brazil
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Silva MPD, Fontana F, Campos JG, Mazzardo O, Lima DF, Paludo AC, Campos WD. Time trends of physical inactivity in Brazilian adults from 2009 to 2017. ACTA ACUST UNITED AC 2021; 67:681-689. [PMID: 34550256 DOI: 10.1590/1806-9282.20201077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2021] [Accepted: 02/08/2021] [Indexed: 11/21/2022]
Abstract
OBJECTIVE The aim was to evaluate the changes in the prevalence of physical inactivity in the Brazilian adults from 2009-2017. METHODS This study used a time-series research design based on the cross-sectional data of 462,498 Brazilian adults from 2009-2017. Participants were classified as physically inactive if they indicated not participating in physical activity in the last three months. The Prais-Winsten regression analyzed physical inactivity trends over time. RESULTS The overall prevalence of physical inactivity was stable (p>0.05). Physical inactivity increased for women in four state capitals (annual growth rate: Goiânia 1.62%, Campo Grande 3.28%, Porto Velho 0.93%, and Vitória 2.09%) and decreased in one (annual growth rate: Rio Branco 4.50%). Physical inactivity decreased for men in four state capitals (annual growth rate: Campo Grande 4.72%, Natal 2.73%, São Luís 4.94%, and Rio Branco 2.95%). CONCLUSION The physical inactivity among the Brazilian adults was stable between 2009 and 2017. Physical inactivity increased in women from Goiânia, Campo Grande, Porto Velho, and Vitória and decreased in women from Rio Branco and in men from Campo Grande, Natal, São Luís, and Rio Branco.
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Affiliation(s)
- Michael Pereira da Silva
- Universidade Federal do Rio Grande, Faculty of Medicine, Physical Activity and Public Health Research Group - Rio Grande (RS), Brazil
| | - Fabio Fontana
- University of Northern Iowa, Department of Kinesiology and Physical Education - Iowa, United States of America
| | | | - Oldemar Mazzardo
- Universidade Estadual do Oeste do Paraná, Department of Physical Education, - Marechal Cândido Rondon (PR), Brazil
| | - Dartel Ferrari Lima
- Universidade Estadual do Oeste do Paraná, Department of Physical Education, - Marechal Cândido Rondon (PR), Brazil
| | - Ana Carolina Paludo
- Universidade Estadual do Centro Oeste, Department of Physical Education, - Guarapuava (PR), Brazil
| | - Wagner de Campos
- Universidade Federal do Paraná, Department of Physical Education - Curitiba (PR), Brazil
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Machado MMF, Banin RM, Thomaz FM, de Andrade IS, Boldarine VT, de Souza Figueiredo J, Hirata BKS, Oyama LM, Lago JHG, Ribeiro EB, Telles MM. Ginkgo biloba Extract (GbE) Restores Serotonin and Leptin Receptor Levels and Plays an Antioxidative Role in the Hippocampus of Ovariectomized Rats. Mol Neurobiol 2021; 58:2692-2703. [PMID: 33492645 DOI: 10.1007/s12035-021-02281-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Accepted: 01/05/2021] [Indexed: 01/09/2023]
Abstract
Since Ginkgo biloba extract (GbE) was reported to improve the hypothalamic serotonergic system of ovariectomized (OVX) rats, the present study aimed to verify the GbE effects on hippocampal oxidative stress, inflammation, and levels of the serotonin transporter (5-HTT), and both the serotonin (5-HT1A, 5-HT1B) and leptin receptors of OVX rats. Two-month-old female Wistar rats had their ovaries surgically removed (OVX) or not (SHAM). After 60 days, OVX rats were gavaged daily with GbE 500 mg kg-1 (OVX+GbE), while SHAM and OVX groups received saline 0.9% (vehicle) for 14 days. Rats were then euthanized, and hippocampi were collected. Both 5-HT1A and 5-HT1B levels were significantly reduced in OVX rats compared to SHAM rats, while 5-HT1A was higher in OVX+GbE rats in comparison to OVX rats. Similarly, LepR levels were increased in OVX+GbE rats compared to OVX rats, reaching similar levels to SHAM rats. Superoxide dismutase activity increased in OVX rats in relation to SHAM rats, which was restored to SHAM levels by GbE treatment. Additionally, GbE significantly increased the glutathione peroxidase activity in comparison to the SHAM group. No differences were observed either in catalase activity or in the levels of 5-HTT, PKCα, TLR-4, NF-κBp50, ERK, and CREB. In summary, our results show a potential effect of GbE on hippocampal pathways involved in feeding behavior, and thus, they suggest that GbE activity might improve menopausal-related hippocampal disorders, offering an alternative therapeutic tool particularly for women to whom hormone replacement therapy may be contraindicated.
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Affiliation(s)
- Meira Maria Forcelini Machado
- Post-graduate Program in Chemical Biology, Institute of Environmental Sciences, Chemical and Pharmaceutical, Universidade Federal de São Paulo, Diadema, SP, Brazil
| | - Renata Mancini Banin
- Post-graduate Program in Chemical Biology, Institute of Environmental Sciences, Chemical and Pharmaceutical, Universidade Federal de São Paulo, Diadema, SP, Brazil
| | - Fernanda Malanconi Thomaz
- Post-graduate Program in Chemical Biology, Institute of Environmental Sciences, Chemical and Pharmaceutical, Universidade Federal de São Paulo, Diadema, SP, Brazil
| | - Iracema Senna de Andrade
- Discipline of Nutrition Physiology, Department of Physiology, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | - Valter Tadeu Boldarine
- Discipline of Nutrition Physiology, Department of Physiology, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | - Jéssica de Souza Figueiredo
- Post-graduate Program in Chemical Biology, Institute of Environmental Sciences, Chemical and Pharmaceutical, Universidade Federal de São Paulo, Diadema, SP, Brazil
| | - Bruna Kelly Sousa Hirata
- Post-graduate Program in Chemical Biology, Institute of Environmental Sciences, Chemical and Pharmaceutical, Universidade Federal de São Paulo, Diadema, SP, Brazil
| | - Lila Missae Oyama
- Discipline of Nutrition Physiology, Department of Physiology, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | - João Henrique Ghilardi Lago
- Post-graduate Program in Chemical Biology, Institute of Environmental Sciences, Chemical and Pharmaceutical, Universidade Federal de São Paulo, Diadema, SP, Brazil
- Center of Natural and Human Sciences, Universidade Federal do ABC, Santo André, SP, Brazil
| | - Eliane Beraldi Ribeiro
- Discipline of Nutrition Physiology, Department of Physiology, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | - Mônica Marques Telles
- Post-graduate Program in Chemical Biology, Institute of Environmental Sciences, Chemical and Pharmaceutical, Universidade Federal de São Paulo, Diadema, SP, Brazil.
- Discipline of Nutrition Physiology, Department of Physiology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
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Is there a beneficial effect of gamma-linolenic acid supplementation on body fat in postmenopausal hypertensive women? A prospective randomized double-blind placebo-controlled trial. Menopause 2021; 28:699-705. [PMID: 33534427 DOI: 10.1097/gme.0000000000001740] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
OBJECTIVE Systemic arterial hypertension and obesity are major public health problems that increase risks of serious cardiovascular diseases and kidney failure as well as increase mortality. Substances that can alleviate these problems are desirable. We evaluated the beneficial effects of nutritional supplementation with gamma-linolenic acid in postmenopausal hypertensive women. METHODS This was a prospective, double-blind, placebo-controlled, randomized study involving 96 postmenopausal women. Participants were divided into two groups either receiving 1,000 mg of borage oil rich in gamma-linolenic acid + vitamin E (drug) or only vitamin E (placebo) capsules for 6 months. They were followed up monthly to assess the impact on systemic blood pressure and body composition. To verify group homogeneity, Fisher's exact and Student t tests were performed. To evaluate differences in various parameters between the two groups and at various times, repeated measures analysis of variance was performed, with Bonferroni correction. RESULTS The power of the test was calculated based on the difference in the mean systolic blood pressure between baseline and after 6 months of treatment in the placebo group and in the drug group. A 92.9% test power was found with a 95% confidence interval. There was a significant reduction in the systolic and diastolic pressure as well as a significant change in waist-hip ratio (P < 0.01) in the drug group as compared with the placebo group. CONCLUSIONS Supplementation with borage oil rich in gamma-linolenic acid had significant beneficial short-term effects without showing any adverse effect. There remains a need for further studies to evaluate long-term benefits.
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Soares-Júnior JM, Barbosa MTA, Aguiar LM, Seganfredo IB, de Pereyra EAG, de Melo NR, Haddad JM, Baracat EC. Energy-based devices in gynecology: the new frontier for the treatment of genitourinary syndrome of postmenopause? Clinics (Sao Paulo) 2021; 76:e3066. [PMID: 34190856 PMCID: PMC8221554 DOI: 10.6061/clinics/2021/e3066] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Accepted: 05/06/2021] [Indexed: 12/04/2022] Open
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Harada BS, De Bortolli TT, Carnaz L, De Conti MHS, Hijaz A, Driusso P, Marini G. Diastasis recti abdominis and pelvic floor dysfunction in peri- and postmenopausal women: a cross-sectional study. Physiother Theory Pract 2020; 38:1538-1544. [PMID: 33283590 DOI: 10.1080/09593985.2020.1849476] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Introduction: Diastasis recti abdominis (DRA) and pelvic floor dysfunction (PFD) occurs commonly with aging; however, little is known about what leads to these changes.Objective: We aimed to investigate and compare the presence or absence of DRA and PFD in peri- and postmenopausal women.Methods: This cross-sectional study involved 150 participants who answered questions on their sociodemographic and clinical profiles related to urinary and fecal incontinence and pelvic organ prolapse. Diastasis recti abdominis was diagnosed with a digital caliper.Results: Supra-umbilical diastasis occurred in 37.3% of cases, and 78.6% of participants with DRA had PFD. No significant differences existed between participants with and without DRA in terms of background and clinical variables. However, participants with DRA were 2.6 times more likely to have PFD than participants without DRA. Furthermore, the presence of DRA was significantly shown to be a risk factor for PFD on binary logistic regression analyses (p = .01, OR = 3.2).Conclusions: This cross-sectional study suggests that DRA is a predictive factor of PFD in women aged over 50 years.
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Affiliation(s)
- Beatriz Souza Harada
- Pró Reitoria de Pós Graduação e Pesquisa (PRPGP), Centro Universitário Sagrado Coração - UNISAGRADO, Bauru, São Paulo, Brazil
| | - Thainá Tolosa De Bortolli
- Pró Reitoria de Pós Graduação e Pesquisa (PRPGP), Centro Universitário Sagrado Coração - UNISAGRADO, Bauru, São Paulo, Brazil
| | - Letícia Carnaz
- Pró Reitoria de Pós Graduação e Pesquisa (PRPGP), Centro Universitário Sagrado Coração - UNISAGRADO, Bauru, São Paulo, Brazil
| | - Marta Helena Souza De Conti
- Pró Reitoria de Pós Graduação e Pesquisa (PRPGP), Centro Universitário Sagrado Coração - UNISAGRADO, Bauru, São Paulo, Brazil
| | - Adoniz Hijaz
- Department of Urology, Case Western Reserve University, Cleveland, Ohio, United States
| | - Patricia Driusso
- Department of Physical Therapy, Federal University of Sao Carlos, São Carlos, São Paulo State, Brazil
| | - Gabriela Marini
- Pró Reitoria de Pós Graduação e Pesquisa (PRPGP), Centro Universitário Sagrado Coração - UNISAGRADO, Bauru, São Paulo, Brazil
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Saú HPF, Schmitt ACB, Cardoso MRA, Aldrighi JM. Prevalence of hot flashes in women of 40 to 65 years of age with metabolic syndrome. Rev Assoc Med Bras (1992) 2020; 66:1628-1632. [DOI: 10.1590/1806-9282.66.12.1628] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Accepted: 08/14/2020] [Indexed: 11/22/2022] Open
Abstract
SUMMARY OBJECTIVE: Hot flashes have a negative impact on the quality of life of women during the menopausal transition and thereafter. The progressive reduction in gonadal estrogen levels associated with aging promotes an accumulation of abdominal fat, dyslipidemia, and arterial hypertension, all of which are components of metabolic syndrome (MetS). The objective of the present study was to estimate the prevalence of hot flashes and evaluate their relationship with MetS in women ≥ 40 years of age. METHODS: This was a cross-sectional study involving women aged between 40 and 65 years. We used the Kupperman index to quantify the climacteric symptoms and the National Cholesterol Education Program Adult Treatment Panel III criteria for the diagnosis of MetS. RESULTS: 1,435 women were initially selected, and we obtained information from 647. The mean age at menopause was 45.99 years (SD 6.61 years) and the prevalence of hot flashes and MetS were 55.83% (95% CI: 52.35-59.25%) and 46.29% (95% CI: 44.75-52.53%), respectively. We identified a positive association between MetS and hot flashes (OR 1.16; 95% CI: 1.01-1.33). CONCLUSIONS: In women ≥ 40 years of age, hot flashes are highly prevalent and appear to be associated with MetS.
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Soares JM, Branco-de-Luca AC, da Fonseca AM, Carvalho-Lopes CM, Arruda-Veiga EC, Roa CL, Bagnoli VR, Baracat EC. Acupuncture ameliorated vasomotor symptoms during menopausal transition: single-blind, placebo-controlled, randomized trial to test treatment efficacy. ACTA ACUST UNITED AC 2020; 28:80-85. [PMID: 32898024 DOI: 10.1097/gme.0000000000001651] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES This study aimed to evaluate the effects of acupuncture on women with vasomotor symptoms during the menopausal transition with the aid of the Kupperman-Blatt Menopausal Index. METHOD Crossover, single-blind, sham-controlled trial with 100 women randomly divided into two groups of 50 participants each: G1 and G2. During the first 24 weeks of treatment, the G1 women received acupuncture and the G2 women were given sham acupuncture. The crossover was then applied: the G1 participants were given sham acupuncture, and the G2 participants received acupuncture for 24 more weeks. RESULTS The mean score of hot flashes of the group who first experienced acupuncture (G1) was statistically higher than that of the group that started with sham acupuncture (G2, P = 0.020). Also, both groups had similar mean scores in the middle of the study (both were receiving acupuncture). During the last 6 months of the study, after crossover, the values of G2 (acupuncture) were lower than those of G1 (sham acupuncture). CONCLUSIONS Acupuncture treatment may mitigate hot flashes and other climacteric symptoms during the menopausal transition.
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Affiliation(s)
- Jose M Soares
- Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
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21
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Santos RSD, Andrade MMD, Ribeiro KMOBDF, Nascimento RAD, Vieira MCA, Câmara SMAD, Maciel ÁCC. Relationship between vestibular dysfunction and quality of life in climacteric women. CIENCIA & SAUDE COLETIVA 2020; 25:645-654. [PMID: 32022204 DOI: 10.1590/1413-81232020252.00972018] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Accepted: 06/08/2018] [Indexed: 02/07/2023] Open
Abstract
The hormonal changes in climacteric women may affect the vestibular system; however, it is not clear in the literature whether the presence of vestibular dysfunction associated with climacteric is related to poorer quality of life. The study sample was composed of 374 women (40-65 years). Socioeconomic and demographic data, menopausal status, practice of physical exercises, presence or absence of vestibular dysfunction, hypertension and diabetes, anthropometric measurements and quality of life (using the Utian Quality of Life Scale - UQoL) were collected. Statistical analyses were performed using the Pearson test, Anova, T-test, and multiple regression considering a significance level of 5%. A significant relationship was found between vestibular dysfunction and health (p = 0.02) and emotional (p = 0.01) domains of the UQoL. In addition, physical activity, menopausal status, body mass index (BMI), waist-hip ratio (WHR), household income and diastolic blood pressure (DBP) mean also remained significantly related to quality of life. A relationship between vestibular dysfunction and quality of life for health and emotional domains in climacteric women was observed.
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Affiliation(s)
- Rafaella Silva Dos Santos
- Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte (UFRN). Av. Sen. Salgado Filho 3000, Candelária. 59064-741, Natal, RN, Brasil.
| | | | | | - Rafaela Andrade do Nascimento
- Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte (UFRN). Av. Sen. Salgado Filho 3000, Candelária. 59064-741, Natal, RN, Brasil.
| | - Mariana Carmen Apolinário Vieira
- Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte (UFRN). Av. Sen. Salgado Filho 3000, Candelária. 59064-741, Natal, RN, Brasil.
| | | | - Álvaro Campos Cavalcanti Maciel
- Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte (UFRN). Av. Sen. Salgado Filho 3000, Candelária. 59064-741, Natal, RN, Brasil.
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22
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Martinelli PM, Sorpreso ICE, Raimundo RD, Junior ODSL, Zangirolami-Raimundo J, Malveira de Lima MV, Pérez-Riera A, Pereira VX, Elmusharaf K, Valenti VE, Carlos de Abreu L. Heart rate variability helps to distinguish the intensity of menopausal symptoms: A prospective, observational and transversal study. PLoS One 2020; 15:e0225866. [PMID: 31940354 PMCID: PMC6961890 DOI: 10.1371/journal.pone.0225866] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Accepted: 11/13/2019] [Indexed: 02/02/2023] Open
Abstract
Heart Rate Variability (HRV) represents cardiac autonomic behavior and have been related to menopausal symptoms, mainly vasomotor symptoms and their imbalance to cardiovascular risk. It is not clear in the literature which index represents this imbalance and what is their involvement with the menopausal state. The aim of this study was to evaluate HRV in menopausal transition and post-menopausal symptoms with different intensities. This cross-sectional study was conducted in Rio Branco, State of Acre, Brazil from October 2016 to July 2017. We used Kupperman-Blatt Menopausal Index (KMI) to measure menopausal symptoms intensity. HRV analysis was performed based on the guidelines of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. HRV is lower in the group with moderate/intense menopausal symptoms compared to mild symptoms. (RMSSD: p = 0.005, Cohen’s d = 0.53, pNN50: p = 0.0004, Cohen’s d = 0.68; HF: p = 0.024, Cohen’s d = 0.44). There was association between HRV and KMI (RMSSD: r = -1.248, p = 0.004; and pNN50: r = -0.615, p: 0.029) in inverse relation to the intensity of vasomotor symptoms in women in TM. In conclusion, HRV was able to distinguish menopausal symptoms, indicating reduced vagal control in women with more intense symptoms.
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Affiliation(s)
- Patrícia Merly Martinelli
- Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário Saúde ABC, Santo André, São Paulo, Brazil
- Laboratório de Delineamento de Estudos e Escrita Científica do Laboratório de Práticas Cientíticas, Centro Universitário Uninorte, Acre, Brazil
| | - Isabel Cristina Esposito Sorpreso
- Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário Saúde ABC, Santo André, São Paulo, Brazil
- Disciplina de Ginecologia, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil
| | - Rodrigo Daminello Raimundo
- Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário Saúde ABC, Santo André, São Paulo, Brazil
| | - Osvaldo de Souza Leal Junior
- Laboratório de Delineamento de Estudos e Escrita Científica do Laboratório de Práticas Cientíticas, Centro Universitário Uninorte, Acre, Brazil
| | - Juliana Zangirolami-Raimundo
- Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário Saúde ABC, Santo André, São Paulo, Brazil
| | - Marcos Venicius Malveira de Lima
- Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário Saúde ABC, Santo André, São Paulo, Brazil
- Laboratório de Delineamento de Estudos e Escrita Científica do Laboratório de Práticas Cientíticas, Centro Universitário Uninorte, Acre, Brazil
| | - Andrés Pérez-Riera
- Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário Saúde ABC, Santo André, São Paulo, Brazil
| | - Valdelias Xavier Pereira
- Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário Saúde ABC, Santo André, São Paulo, Brazil
- Disciplina de Ginecologia, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil
| | - Khalifa Elmusharaf
- Graduate Entry Medical School, University of Limerick, Limerick, Ireland
| | - Vitor E. Valenti
- Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário Saúde ABC, Santo André, São Paulo, Brazil
- Centro de Estudos do Sistema Nervoso Autônomo (CESNA), UNESP, Marilia, SP, Brazil
| | - Luiz Carlos de Abreu
- Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário Saúde ABC, Santo André, São Paulo, Brazil
- Graduate Entry Medical School, University of Limerick, Limerick, Ireland
- * E-mail:
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Marques MS, Ferreira Freitas R, Araújo Veloso Popoff D, Piana Santos Lima de Oliveira F, Rodrigues Moreira MH, Araújo Drummond AM, Schmidt França D, Nogueira dos Santos LA, de Siqueira e Rocha ME, Brant Rocha JP, Brant Rocha MC, Santos Figueiredo Brito MF, Prates Caldeira A, Maria Borborema FA, Santos VM, Santos Brant Rocha J. Health conditions associated with overweight in climacteric women. PLoS One 2019; 14:e0218497. [PMID: 31830047 PMCID: PMC6907811 DOI: 10.1371/journal.pone.0218497] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Accepted: 11/18/2019] [Indexed: 01/01/2023] Open
Abstract
This study aims to investigate the association between health conditions and overweight in climacteric women assisted by primary care professionals. It is a cross-sectional study conducted with 874 women from 40 to 65 years of age, selected by probabilistic sampling between August 2014 and August 2015. In addition to the outcome variable, overweight and obesity, other variables such as sociodemographic, reproductive, clinical, eating and behavioural factors were evaluated. Descriptive analyses of the variables investigated were performed to determine their frequency distributions. Then, bivariate analyses were performed through Poisson regression. For the multivariate analyses, hierarchical Poisson regression was used to identify factors associated with overweight and obesity in the climacteric period. The prevalence of overweight and obesity was 74%. Attending public school (PR: 1.30-95% CI 1.14-1.50), less schooling (PR: 1.11-95% CI 1.01-1.23), gout (PR: 1.18-95% CI 1.16-1.44), kidney disease (PR: 1.18-95% CI 1.05-1.32), metabolic syndrome (MS) (PR: 1.19-95% CI 1.05-1.34) and fat intake (PR: 1.12-95% CI 1.02-1.23) were considered risk factors for overweight. Having the first birth after 18 years of age (PR: 0.89-95% CI 0.82 to 0.97) was shown to be a protective factor for overweight and obesity. The presence of overweight and obesity is associated with sociodemographic, reproductive, clinical and eating habits.
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Affiliation(s)
- Maria Suzana Marques
- State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
- Fipmoc University Center (UNIFIPMoc), Montes Claros, Minas Gerais, Brazil
| | | | - Daniela Araújo Veloso Popoff
- State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
- Fipmoc University Center (UNIFIPMoc), Montes Claros, Minas Gerais, Brazil
| | | | | | | | | | - Luís Antônio Nogueira dos Santos
- State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
- Fipmoc University Center (UNIFIPMoc), Montes Claros, Minas Gerais, Brazil
| | | | | | | | | | - Antônio Prates Caldeira
- State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
- Fipmoc University Center (UNIFIPMoc), Montes Claros, Minas Gerais, Brazil
| | | | | | - Josiane Santos Brant Rocha
- State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
- Fipmoc University Center (UNIFIPMoc), Montes Claros, Minas Gerais, Brazil
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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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Sun X, Luo M, Ma M, Tang R, Wang Y, Liu G, Lin S, Chen R. Ovarian aging: an ongoing prospective community-based cohort study in middle-aged Chinese women. Climacteric 2018; 21:404-410. [PMID: 29741107 DOI: 10.1080/13697137.2018.1458833] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Affiliation(s)
- X. Sun
- Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, People’s Republic of China
| | - M. Luo
- Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, People’s Republic of China
| | - M. Ma
- Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, People’s Republic of China
| | - R. Tang
- Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, People’s Republic of China
| | - Y. Wang
- Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, People’s Republic of China
| | - G. Liu
- Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, People’s Republic of China
| | - S. Lin
- Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, People’s Republic of China
| | - R. Chen
- Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, People’s Republic of China
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