0 169

Cited 2 times in

Role of social determinants and lifestyle on women's metabolic risk during the perimenopausal transition: results from a cohort study

Authors
 Kim, Sue  ;  Ko, Yunhee  ;  Yi, Gihong 
Citation
 MENOPAUSE-THE JOURNAL OF THE NORTH AMERICAN MENOPAUSE SOCIETY, Vol.23(4) : 403-409, 2016 
Journal Title
 MENOPAUSE-THE JOURNAL OF THE NORTH AMERICAN MENOPAUSE SOCIETY 
ISSN
 1072-3714 
Issue Date
2016
Abstract
OBJECTIVE: Social determinants have been understudied in relation to metabolic risk and menopause; this study aimed to identify metabolic risk factors during menopausal transition, changes in lifestyle, and other social determinants. METHODS: The Korean Genetic Epidemiologic Survey Community cohort data available for baseline, 2-year, and 4-year follow-up time points were analyzed. Healthy women ages 45 to 55 years, not taking hormonal therapy, were selected; 1,228 were analyzed. Menopausal transition was categorized as premenopausal, perimenopausal, and postmenopausal. Lifestyle patterns consisted of alcohol consumption, exercise, ever smoking, indirect smoking, and eating breakfast. Generalized estimating equations were used for analysis. RESULTS: During the period of study, roughly 30% had become postmenopausal and metabolic syndrome was found in 11.5% to 14.4%. Controlling for other variables, lower income levels showed more than 2 times greater risk for metabolic syndrome in postmenopausal women and those who continued to menstruate. Body mass index was a consistent factor of metabolic risk, which was more pronounced when analyzed by menopausal status, especially in obese menstruating women (odds ratio 30.72, P < 0.0001). Among women who experienced menopause during the observed time frame, less education and sedentary lifestyle were also significant factors in metabolic risk differences, showing 1.7 times and 1.59 times greater risk, respectively. Such differences in education, income, and sedentary lifestyle as significant risk factors in subgroups according to menstrual status change, may suggest vulnerable points in the transition. CONCLUSIONS: Implications include the need for stronger emphasis on weight control before midlife and experiencing menopause, promoting exercise across the menopausal transition, and supportive policy measures for economically disadvantaged women.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00042192-201604000-00010&LSLINK=80&D=ovft
DOI
10.1097/GME.0000000000000544
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Sue(김수) ORCID logo https://orcid.org/0000-0003-3785-2445
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152872
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse