Objective
The aim of this study was to examine the associations between demographic characteristics, health behaviors, hormone concentrations, and the experiencing of any, current, more severe, and more frequent midlife hot flashes.
Methods
Baseline data were analyzed from 732 women aged 45 to 54 years enrolled in the Midlife Women's Health Study. A clinic visit was conducted to collect blood samples for hormone assays and to measure ovarian volume using transvaginal ultrasound. A self-administered questionnaire ascertained information on demographic factors, health habits, and hot flashes history. Multivariable logistic regression was conducted to examine the associations between potential risk factors and the hot flashes outcomes.
Results
Approximately 45% of participants reported experiencing midlife hot flashes. In the covariate-adjusted models, older age, peri-menopausal status, current and former cigarette smoking, and depressive symptoms were significantly associated with increased odds of all of the hot flashes outcomes. In addition, history of oral contraceptive use was associated with increased odds of any hot flashes. In contrast, higher current alcohol intake was significantly associated with decreased odds of any, current, and more severe hot flashes. Higher estradiol and progesterone concentrations were significantly associated with decreased odds of all hot flashes outcomes.
Conclusions
Although the temporalities of such associations are not known due to the cross-sectional nature of the data, these observed relationships can help to identify women at risk for hot flashes.