TITLE

Anthropometric and gynaecological history according to the socioeconomic status of postmenopausal women: poverty and the menopause

AUTHOR(S)
Navarro, Manuel Carmen; Sosa, Manuel; Saavedra, Pedro; Gil-Antullano, Santiago Palacios; Castro, Rosa; Bonet, Mario; Travesí, Isabel; De Miguel, Emilio
PUB. DATE
March 2010
SOURCE
Menopause International;Mar2010, Vol. 16 Issue 1, p12
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background. Less advantaged social classes usually have unhealthier lifestyles and have more difficult access to health resources. In this work we study the possible association between poverty and the prevalence of obesity and oophorectomy in a population of postmenopausal women. Design. Cross-sectional observational study. Objective. To study in a population of postmenopausal women in poverty the possible differences in the prevalence of obesity and oophorectomy, and to compare some other gynaecological data: age at menarche, age at menopause, fertile years, number of pregnancies, breastfeeding and the use of hormonal replacement therapy (HRT). Method. All patients were interviewed personally. A questionnaire was used to find out about their lifestyles and the medication they were taking. Their medical records were reviewed to confirm the existence of some diseases. A complete physical examination was performed with every patient. Weight and height were measured with the patient dressed in light clothes. Blood was obtained in a fasting state in order to carry out some analyses. Poverty was defined according to the Spanish National Institute of Statistics criteria. Results. We enrolled 1225 postmenopausal women; 449 (36.6%) were under the threshold of poverty, defined by the Spanish National Institute of Statistics. Postmenopausal women in poverty had higher body mass index (29.2 ± 4.8 versus 27.0 ± 4.7 kg/m² P < 0.001), and a higher prevalence of obesity than postmenopausal women not in poverty (44.2% versus 24.3%, P = 0.001). The prevalence of oophorectomy was also higher in women in poverty (32.7% versus 27.2%, P < 0.04). Women in poverty had had a greater number of pregnancies (3 versus 2, P = 0.001). They also showed a higher rate of breastfeeding than women in medium and high social classes (65% versus 59%, P = 0.037). There were no statistically significant differences between the groups in either the age of menopause or fertile years, nor in the use of HRT. Conclusions. Postmenopausal women in poverty have higher levels of obesity, and also a greater prevalence of oophorectomy than women of medium and high social classes. They also presented a higher rate of breastfeeding and a greater number of pregnancies than those women not in poverty.
ACCESSION #
51832720

 

Related Articles

  • Quality-of-life benefits found in near-forgotten study. Brown, Simon // Menopause International;Dec2008, Vol. 14 Issue 4, p141 

    The article discusses the findings of the WISDOM trial on health-related quality of life in older women. It aimed to assess the long-term benefits and risks of HRT in postmenopausal women over a 10-year period. Results indicated that fewer women from the hormone replacement therapy (HRT) group...

  • Chronic Treatment with Physiological Doses of Estradiol Affects the GH-IGF-1 Axis and Fat Metabolism in Young and Middle-aged Ovariectomized Rats. Böttner, M.; Wuttke, W. // Biogerontology;Apr2006, Vol. 7 Issue 2, p91 

    Estrogen deficiency may be partly responsible for the metabolic syndrome and the condition may be reversible with hormone replacement therapy. However, after the heart and estrogen/progestin replacement study and the women’s health initiative study the prospect of HRT on CVD has changed...

  • Efficacy and tolerability of continuous combined hormone replacement therapy in early postmenopausal women. Mattsson, L. A.; Skouby, S.; Rees, M.; Heikkinen, J.; Kudela, M.; Stadnicki-Kolendo, A.; Mattila, L.; Salminen, K.; Vuorela, A.; Mustonen, M. // Menopause International;Sep2007, Vol. 13 Issue 3, p124 

    Objective. Continuous combined hormone replacement therapy (ccHRT) based on estradiol valerate (E2V) and medroxyprogesterone acetate (MPA) is effective for relief of menopausal symptoms three years or more after the menopause. This study was undertaken to examine the efficacy and tolerability of...

  • HRT use declines following publication of HERS, WHI results.  // PharmacoEconomics & Outcomes News;2/28/2004, Issue 447, p9 

    Provides information on a study regarding the reduced use of hormone replacement therapy (HRT) among postmenopausal women following the publication of the Heart and Estrogen or Progestin Replacement Study (HERS) and the Women's Health Initiative (WHI) trials, as of February 2004. Rate in the...

  • Menopausia inducida quirúrgicamente. Couto Núñez, Dayana; Nápoles Méndez, Danilo; Mustelier Ferrer, Héctor Luis // MEDISAN;2012, Vol. 16 Issue 12, p92 

    A descriptive, prospective and longitudinal study was conducted in 221 women with artificial menopause by double oophorectomy, who attended the specialized department for climacteric and menopause care of "Dr. Juan Bruno Zayas Alfonso" General Teaching Hospital in Santiago de Cuba, from January...

  • Ovary removal linked to early death in younger women.  // Journal of Business (10756124);9/28/2006, Vol. 21 Issue 20, pA21 

    The article reports on the results of a Mayo Clinic study which showed an increase in death rates when women under 45 years old undergo bilateral ovariectomy, the surgical removal of both ovaries, and failed to receive proper hormone-replacement therapy. According to the study, which will be...

  • women's health. Danner, Valerie // Access;Feb2001, Vol. 15 Issue 2, p4 

    Focuses on the health of women in the United States. Considerations in taking hormone replacement therapy (HRT); Effect of HRT on the occurrence of peripheral arterial disease in post-menopausal; List of medications to avoid during pregnancy; Importance of folic acid during pregnancy.

  • THE HORMONE DILEMMA. Larson, Christine // U.S. News & World Report;3/6/2006, Vol. 140 Issue 8, p66 

    The article looks at changing views on hormone therapy. After the U.S. federal Women's Health Initiative (WHI) concluded that the risks, including breast cancer and stroke, of hormone therapy outweighed the possible heart benefits, women across the U.S. stopped the therapy. Two studies now...

  • Clinical digest. Postmenopausal patients using HRT have stronger muscles than non-HRT users.  // Nursing Standard;5/22/2013, Vol. 27 Issue 38, p14 

    The article discusses research which was reported in the article "Hormone Replacement Therapy Improves Contractile Function and Myonuclear Organization of Single Muscle Fibres From Postmenopausal Monozygotic Female Twin Pairs" by R. Qaisar et al., was published in "The Journal of Physiology" and...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics