Endogenous hormones, participant characteristics, and symptoms among midlife women

Gallicchio, Lisa; Schilling, Chrissy; Romani, William A.; Miller, S.; Zacur, Howard A.; Flaws, Jodi A.

doi:10.1016/j.maturitas.2008.01.003

Cited by 21 publications

(12 citation statements)

References 44 publications

(56 reference statements)

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“…Detailed methods of this study have been published (Gallicchio et al, 2008; Visvanathan et al, 2005). Participants gave written informed consent according to procedures approved by the University of Maryland School of Medicine, University of Illinois, and Johns Hopkins University Institutional Review Boards.…”

Section: Methodsmentioning

confidence: 99%

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Depressive symptoms and self-reported fast-food intake in midlife women

Crawford

Khedkar

Flaws

et al. 2011

Preventive Medicine

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OBJECTIVE-To examine the association between depressive symptoms and fast-food intake in midlife women. METHODS-Datawere analyzed from a cross-sectional study of 626 women aged 45-54 years conducted from 2000-2004 in Baltimore, Maryland. Presence of depressive symptoms was measured using the Center for Epidemiologic Studies-Depression scale and defined as a score of 16 or greater. The frequency of fast-food intake was assessed using self-reported questionnaire data, and was categorized as "at least weekly", "at least monthly, but less than weekly" and "less than monthly".RESULTS-Approximately 25% of the study sample reported depressive symptoms; 14% consumed fast-food "at least weekly," and 27% "at least monthly, but less than weekly". Compared to their counterparts, women with depressive symptoms had significantly greater odds of reporting higher fast-food intake (confounder-adjusted odds ratio: 1.54; 95% confidence interval: 1.06-2.25). Other covariates associated with a higher frequency of fast-food intake included black race and body mass index ≥30 kg/m 2 .CONCLUSIONS-Findings from this study indicate that the presence of depressive symptoms is positively associated with fast-food intake in midlife women. These results may have important health implications given that both depression and dietary consumption patterns are risk factors for a number of diseases.

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Section: Methodsmentioning

confidence: 99%

“…The collection of data pertaining to these covariates has been reported previously (Gallicchio et al, 2008; Visvanathan et al, 2005). …”

Section: Methodsmentioning

confidence: 99%

Depressive symptoms and self-reported fast-food intake in midlife women

Crawford

Khedkar

Flaws

et al. 2011

Preventive Medicine

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“…MacLennan and Sturdee (4) argue that hormonal testing at menopause may be ''unnecessary and inaccurate.'' Changes in hormone levels were shown to be associated with non-hormonal factors that influence the experience of hot flashes and other symptoms of menopausal transition (9)(10)(11). The goals of this pilot clinical study were to (i) compare the profile of systemic gonadal hormone levels between menopausal women with and without hot flashes (HF), and (ii) to find out if ovarian steroids can be associated with specific measures of HF, as assessed with the Menopausal Vasomotor Symptom (MVS) survey in menopausal women (12).…”

Section: Introductionmentioning

confidence: 99%

Association of Various Dimensions of Hot Flashes with Systemic Levels of Gonadal Steroids

Ratka

Miller

Brown

et al. 2009

Exp Biol Med (Maywood)

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Hot flashes, the cardinal sign of menopausal vasomotor symptoms, are experienced by millions of women. The experience of hot flashes is characterized by significant inter- and intra-individual variability among women. The goals of this study were to compare concentrations of gonadal hormones between menopausal women with hot flashes (HF) and those with no HF, and to characterize the association between steroid levels and multiple dimensions of hot flashes. Menopausal women, with HF and with no HF, participated in four study sessions, one every 2 months. The Menopausal Vasomotor Symptom (MVS) survey was used to collect subjective data on various dimensions of hot flashes. Concentrations of gonadal hormones were measure at each bi-monthly session. Steroid levels were correlated to duration, frequency, length of each episode, timing, intensity, and bothersomeness of hot flashes. Data from twenty (n = 20) women with HF and fifteen (n = 15) with no HF with similar demographic profiles were analyzed. The results from the present study showed that systemic levels of estrone and progesterone were significantly lower in women experiencing HF than in asymptomatic women. There was a significant association between levels of estradiol, estrone, progesterone, and androstenedione, but not testosterone, with duration, frequency, timing, intensity, and bothersomeness of HF. The findings from this preliminary study suggest that management of symptoms associated with vasomotor HF should be individualized and guided by two factors: (i) thorough assessment of subjectively reported multiple dimensions of hot flashes, and (ii) levels of circulating gonadal steroids representing an average from 2-4 measures. This approach may lead to more targeted, effective, and safe management of vasomotor symptoms in the rapidly growing population of menopausal women.

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“…-The evidence was gathered and synthesized and conclusions of studies questioned because of their limitations. Journals that published the articles were the Journal Sleep Medicine [10] , the Brazilian Journal of Gynecology and Obstetrics [11] , São Paulo Medical Journal/Evidence for Health Care [19] , American Journal of Obstetrics and Gynecology [18] Magazine Maturitas [12,17] , The journal of Urology [14] , Journal Behavioral sleep medicine [13] and Journal Sleep [15,16] .…”

Section: Th ) Presentation Of Synthesis Of Knowledgementioning

confidence: 99%

“…After reviewing the research, the factors related to insomnia, referred to by the authors were: vasomotor symptoms [15,16,[18][19] ; depressive symptoms [12,15,18] ; hormonal changes [15][16][17] ; menopausal transition [16] ; aortic calcification [10] ; nervousness [11] ; nocturia [14] ; negative self-perception of health [11] ; anxiety [15] ; stress [15] ; Premenstrual Disorder -PMD [15] ; and decreased libido [18] . All the evidence, as expressed in Frame 2, were statistically proven, through multivariate analysis with logistic regression model, except for one study [15] , whose analysis was bivariate.…”

Section: Evidence On the Factors Relating To Insomnia In Climactericmentioning

confidence: 99%

Insomnia During Climacteric: an Integrative Review

et al. 2015

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Introduction: Climacteric is a stage in women's lives in which occurs the passage from reproductive period to non-reproductive, marked by menopause. This phase can be seen as something natural, free of complaints. However, some women complain with climacteric symptoms, especially with disorders that affect sleep. Objective: Identifying the factors related to insomnia during climacteric, based on the analysis of scientific production. Method: The method of integrative literature review was requested, using descriptors insomnia, climacteric, menopause; the databases consulted were PubMed, LILACS and SciELo, from 2004 to May 2014. The results were obtained by selecting 10 articles, by means careful reading, critical and reflective of the texts, followed by the organization of synoptic charts from the data obtained. Results: The evidence were gathered and synthesized, pointing to a set of physiological changes that can affect the quality of sleep during climacteric, including vasomotor symptoms, psychogenic, hormonal changes and menopause transition. Conclusions: The methodological designs of the studies analyzed were strong evidence for evidence-based practice. However, the data can be questioned, once the insomnia was self-reported. Therefore it needs that research be conducted approaching insomnia, with assessment by examinations which allow accuracy of the findings, such as polysomnography.

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Endogenous hormones, participant characteristics, and symptoms among midlife women

Cited by 21 publications

References 44 publications

Depressive symptoms and self-reported fast-food intake in midlife women

Depressive symptoms and self-reported fast-food intake in midlife women

Association of Various Dimensions of Hot Flashes with Systemic Levels of Gonadal Steroids

Insomnia During Climacteric: an Integrative Review

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