Does Obesity Aggravate Climacteric Symptoms in Postmenopausal Women?

Abstract

Objective To determine if there is a correlation between body mass index (BMI) and climacteric symptoms in postmenopausal women. Methods The study sample was composed of 109 postmenopausal women with a mean age of 57 ± 8 years, mean body mass index (BMI) of 30 ± 6 kg/m2, and 8 ± 8 years after menopause. For the assessment of the climacteric symptoms, the Blatt-Kupperman Index (BKI), the Menopause Rating Scale (MRS), and the Cervantes Scale (CS) were used. Data analysis was performed through the Chi-squared test, analysis of variance (ANOVA) with the Bonferroni post hoc test, and multiple linear regression. The level of significance adopted was of p < 0.05. The statistical analyses were performed using the Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Armonk, NY, United States) software, version 26.0. Results The multiple linear regression showed a positive association (p < 0.01) between BMI values and menopause symptoms when adjusted for age and time after menopause in the 3 questionnaires used (BKI: B = 0.432; CS: B = 304; and MRS: B = 302). Regarding symptom scores, the obese women had higher mean scores (p < 0.05) when compared to eutrophic women (BKI = 28 ± 10 and 20 ± 10; and MRS = 20 ± 10 and 13 ± 7, respectively). In the Chi-squared analysis, 28% of obese women had severe symptoms and 46% had moderate symptoms, while only 1% and 46% of eutrophic women had these same symptoms. Conclusion There is an association between BMI and climacteric symptoms, and overweight or obese women have more intense and moderate symptoms than eutrophic women.

Repercussões Do Sobrepeso E Obesidade Em Mulher No Climatério

“…relatam que a menopausa altera o impacto do envelhecimento na distribuição central de gordura, sendo que aumentar a conscientização sobre o risco relacionado em mulheres no climatério partindo dos profissionais de saúde pode prevenir resultados adversos relacionados.De acordo comCosta et al, (2022), existe uma correlação entre o índice de massa corpórea e os sintomas climatéricos, sendo que mulheres com sobrepeso ou obesidade apresentam sintomas mais intensos e moderados do que mulheres eutróficas. A prática insuficiente de atividade física associa-se à maior prevalência de obesidade segundo o IMC e o percentual de gordura corporal, sendo este o fator mais claramente associado ao aumento de peso e da massa gordurosa na mulher(FRANÇA et al, 2018).Ainda conformeFrança et al (2018), foi possível verificar em seu estudo que a obesidade, segundo o IMC foi mais prevalente entre as mulheres sedentárias, insuficientemente ativas e que referiram ≥ 3 partos.…”