Menopausal Symptoms and Associated Social and Environmental Factors in Midlife Chinese Women

Lingyan Zhang,1 Xiangyan Ruan,1,2 Yamei Cui,1 Muqing Gu,1 Alfred O Mueck1,2 1Department of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, People’s Republic of China; 2Department of Women’s Health, University Wo...

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Autores principales:	Zhang L, Ruan X, Cui Y, Gu M, Mueck AO
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	menopausal symptoms age menopause hrt associated factors Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/fb78ccccdb7448c783de29d1d94b67b0
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spelling	oai:doaj.org-article:fb78ccccdb7448c783de29d1d94b67b02021-12-02T11:12:54ZMenopausal Symptoms and Associated Social and Environmental Factors in Midlife Chinese Women1178-1998https://doaj.org/article/fb78ccccdb7448c783de29d1d94b67b02020-11-01T00:00:00Zhttps://www.dovepress.com/menopausal-symptoms-and-associated-social-and-environmental-factors-in-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Lingyan Zhang,1 Xiangyan Ruan,1,2 Yamei Cui,1 Muqing Gu,1 Alfred O Mueck1,2 1Department of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, People’s Republic of China; 2Department of Women’s Health, University Women’s Hospital and Research Center for Women’s Health, University of Tuebingen, Tuebingen D-72076, GermanyCorrespondence: Xiangyan RuanDepartment of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, No. 251, Yaojiayuan Road, Chaoyang District, Beijing 100026, People’s Republic of ChinaTel +86-13011215678Email ruanxiangyan@163.comObjective: To investigate the dependency of menopausal symptoms on age and/or menopausal status and association with social and environmental factors.Methods: The cross-sectional study was conducted on 4595 women (40– 83 years) coming from 31 provinces during two years to our “Menopause Clinic”, the first official center in China. Menopausal symptoms were assessed: negative mood, cognitive symptoms, sleep disorder, vasomotor symptoms (VMS), urogenital symptoms, autonomic nervous disorder, limb pain/paresthesia. Social and environmental factors were collected; simple and unconditional logistic regression with adjustments by all analyzed factors were used to assess associations.Results: Urogenital symptoms were the most common and VMS the least common complaints. All symptoms, except cognitive and urogenital symptoms, worsened age-dependently up to 60 years but improved beyond this age. Most symptoms also were associated with menopause, except negative mood and autonomic nervous disorders. Soya-rich diet decreased all symptoms, but only if consumed daily. Exercise was beneficial for some symptoms. Hormone replacement therapy (HRT) was most effective but only with regular use. Increased alcohol consumption aggravated VMS. Higher education was associated with less symptoms; no relationship was found for smoking, gravidity, parity, and menarche.Conclusion: All symptoms, except cognitive and urogenital symptoms, worsened age-dependently up to 60 years but improved beyond this age; most were also associated with menopause. For the first time in a large study population, it was observed that soy-rich diet is protective but only with daily consumption. Exercising can protect against some of the symptoms. HRT decreased all symptoms, but regular use is necessary. Women with higher education reported less symptoms, but after adjustments no other relationships were observed (ChiCTR2000035047).Key/words: menopausal symptoms, age, menopause, HRT, associated factorsZhang LRuan XCui YGu MMueck AODove Medical Pressarticlemenopausal symptomsagemenopausehrtassociated factorsGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 2195-2208 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	menopausal symptoms age menopause hrt associated factors Geriatrics RC952-954.6
spellingShingle	menopausal symptoms age menopause hrt associated factors Geriatrics RC952-954.6 Zhang L Ruan X Cui Y Gu M Mueck AO Menopausal Symptoms and Associated Social and Environmental Factors in Midlife Chinese Women
description	Lingyan Zhang,1 Xiangyan Ruan,1,2 Yamei Cui,1 Muqing Gu,1 Alfred O Mueck1,2 1Department of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, People’s Republic of China; 2Department of Women’s Health, University Women’s Hospital and Research Center for Women’s Health, University of Tuebingen, Tuebingen D-72076, GermanyCorrespondence: Xiangyan RuanDepartment of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, No. 251, Yaojiayuan Road, Chaoyang District, Beijing 100026, People’s Republic of ChinaTel +86-13011215678Email ruanxiangyan@163.comObjective: To investigate the dependency of menopausal symptoms on age and/or menopausal status and association with social and environmental factors.Methods: The cross-sectional study was conducted on 4595 women (40– 83 years) coming from 31 provinces during two years to our “Menopause Clinic”, the first official center in China. Menopausal symptoms were assessed: negative mood, cognitive symptoms, sleep disorder, vasomotor symptoms (VMS), urogenital symptoms, autonomic nervous disorder, limb pain/paresthesia. Social and environmental factors were collected; simple and unconditional logistic regression with adjustments by all analyzed factors were used to assess associations.Results: Urogenital symptoms were the most common and VMS the least common complaints. All symptoms, except cognitive and urogenital symptoms, worsened age-dependently up to 60 years but improved beyond this age. Most symptoms also were associated with menopause, except negative mood and autonomic nervous disorders. Soya-rich diet decreased all symptoms, but only if consumed daily. Exercise was beneficial for some symptoms. Hormone replacement therapy (HRT) was most effective but only with regular use. Increased alcohol consumption aggravated VMS. Higher education was associated with less symptoms; no relationship was found for smoking, gravidity, parity, and menarche.Conclusion: All symptoms, except cognitive and urogenital symptoms, worsened age-dependently up to 60 years but improved beyond this age; most were also associated with menopause. For the first time in a large study population, it was observed that soy-rich diet is protective but only with daily consumption. Exercising can protect against some of the symptoms. HRT decreased all symptoms, but regular use is necessary. Women with higher education reported less symptoms, but after adjustments no other relationships were observed (ChiCTR2000035047).Key/words: menopausal symptoms, age, menopause, HRT, associated factors
format	article
author	Zhang L Ruan X Cui Y Gu M Mueck AO
author_facet	Zhang L Ruan X Cui Y Gu M Mueck AO
author_sort	Zhang L
title	Menopausal Symptoms and Associated Social and Environmental Factors in Midlife Chinese Women
title_short	Menopausal Symptoms and Associated Social and Environmental Factors in Midlife Chinese Women
title_full	Menopausal Symptoms and Associated Social and Environmental Factors in Midlife Chinese Women
title_fullStr	Menopausal Symptoms and Associated Social and Environmental Factors in Midlife Chinese Women
title_full_unstemmed	Menopausal Symptoms and Associated Social and Environmental Factors in Midlife Chinese Women
title_sort	menopausal symptoms and associated social and environmental factors in midlife chinese women
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/fb78ccccdb7448c783de29d1d94b67b0
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_version_	1718396152716460032

Menopausal Symptoms and Associated Social and Environmental Factors in Midlife Chinese Women

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