Menopause and the risk of metabolic syndrome among middle-aged Chinese women

Strand, Mark; Huseth-Zosel, Andrea; He, Meizi; Perry, Judith

doi:10.15212/fmch.2015.0106

Cited by 3 publications

(9 citation statements)

References 34 publications

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“…Tables 1 and 2 show the characteristics of the 44 studies included in the systematic review. The studies were from the following countries: China [21][22][23]26,27,30,[39][40][41][42][43][44][45] (n = 13), Brazil 15,16,28,[47][48][49][50] (n = 7), Iran 25,[31][32][33][34][35][36][37][38] (n = 9), India [51][52][53][54] (n = 4), Tunisia 18,20,24 FIG. 1.…”

Section: Study Characteristics and Populationsmentioning

confidence: 99%

The association of menopause with cardiometabolic disease risk factors in low- and middle-income countries: a systematic review and meta-analyses

Chikwati,

Chikowore,

Mahyoodeen

et al. 2023

Menopause

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Importance Menopause is an integral part of women's health, and studies in high-income countries have shown an increase in cardiometabolic disease (CMD) risk factors in postmenopausal compared with premenopausal women. However, to date, no study has combined and assessed such studies across low- and middle-income countries. This would better inform early monitoring and intervention strategies for reducing CMD risk factor levels in midlife women in these regions. Objective This study aimed to evaluate evidence from the literature on differences in CMD risk factors between premenopausal and postmenopausal midlife women living in low- and middle-income countries. Evidence Review A systematic review with meta-analysis of original articles of all study designs from the databases PubMed, PubMed Central, Scopus, and ISI Web of Science was conducted from conception until April 24, 2023. Studies that met the inclusion criteria were included in the analysis. Quality assessment of the articles was done using the Newcastle-Ottawa Scale, adapted for each study design. The study protocol was registered with the International Prospective Register of Systematic Reviews and adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. For the meta-analysis, fixed-effects models were used to pool the odds ratios (OR), as measures of association. Findings Our search identified 4,849 relevant articles: 44 for the systematic review and 16 for the meta-analysis, in accordance with our inclusion criteria. Compared with premenopausal women, the postmenopausal stage was associated with metabolic syndrome (OR, 1.18 [95% CI, 1.11-1.27]), high waist-to-hip ratio (OR, 1.22 [95% CI, 1.12-1.32]), hypertension (OR, 1.10 [95% CI, 1.04-1.16]), elevated triglycerides (OR, 1.16 [95% CI, 1.11-1.21]), and elevated plasma glucose (OR, 1.21 [95% CI, 1.15-1.28]). Conclusions and Relevance This study confirmed that CMD risk factors are present at higher levels in postmenopausal than premenopausal women. This demonstrates an urgent need for public health policies that focus on early monitoring and interventions targeted at reducing CMD risk and related adverse outcomes in midlife women in these nations.

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Section: Study Characteristics and Populationsmentioning

confidence: 99%

The association of menopause with cardiometabolic disease risk factors in low- and middle-income countries: a systematic review and meta-analyses

Chikwati,

Chikowore,

Mahyoodeen

et al. 2023

Menopause

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“…In a population-based study on 17 954 subjects in North-Eastern China, MetS was found to be more prevalent in men than women younger than 55 years, whereas it was higher in women than men older than 55 years 10 . Similarly, many investigators have shown that the prevalence of MetS increases with age in women—a trend not observed in men 11,13 . Sex-specific differences may be caused by testosterone and estrogen imbalances related to menopause 9 .…”

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confidence: 99%

“…10 Similarly, many investigators have shown that the prevalence of MetS increases with age in women-a trend not observed in men. 11,13 Sex-specific differences may be caused by testosterone and estrogen imbalances related to menopause. 9 Lower estrogen levels in postmenopausal women may lead to physiological changes, including visceral fat accumulation, insulin resistance, increased free fatty acid concentration, and increased hepatic lipase activity, contributing to MetS.…”

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confidence: 99%

“…4,5 Several possible characteristics are associated with MetS, including sex, higher body mass index (BMI), family history of diabetes, low levels of physical activity (PA) or sedentary lifestyles, unhealthy diet, shorter sleep duration, high levels of stress, and reproductive factors. [6][7][8][9][10][11][12] There are sex-specific differences in the prevalence of MetS. In a population-based study on 17 954 subjects in North-Eastern China, MetS was found to be more prevalent in men than women younger than 55 years, whereas it was higher in women than men older than 55 years.…”

mentioning

confidence: 99%

“…Now is the time to rethink this important global health issue because individuals with MetS are at an increased risk of developing cardiovascular diseases (CVDs), stroke, and type 2 diabetes 4,5 . Several possible characteristics are associated with MetS, including sex, higher body mass index (BMI), family history of diabetes, low levels of physical activity (PA) or sedentary lifestyles, unhealthy diet, shorter sleep duration, high levels of stress, and reproductive factors 6–12 …”

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Behavior Characteristics and Risk for Metabolic Syndrome Among Women in Rural Communities in China

et al. 2021

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BackgroundRapid economic growth and lifestyle changes in China have resulted in increased metabolic syndrome (MetS) rates. Few investigators have examined sex-specific risk factors and the role of menopause, stress, and sleep on MetS among women in China.ObjectiveIn this study, we aimed to identify the risk factors for MetS among women in rural China.MethodsA cross-sectional study design was used, and participants were recruited from rural areas in China. Female participants older than 18 years were eligible to participate. Participants had their weight, height, waist circumference, blood pressure, and fasting blood measured at study sites. They also completed validated questionnaires regarding sociodemographic information and MetS-related health behaviors.ResultsA total of 646 women were included in this study. The overall prevalence of MetS was 26.2%. The MetS group had a greater number of overweight/obese women than the non-MetS group did. For premenopausal women, a higher income, being overweight/obese, and eating salty/marinated food increased their risk for MetS (odds ratio [OR], 2.56, 4.55, and 3.1, respectively). For postmenopausal women, a low level of education (OR, 0.44) and being overweight/obese (OR, 4.98) increased their risk of MetS.ConclusionAlmost half of the women in this study were overweight/obese, and many of them did not meet the national recommendations for a healthy lifestyle, increasing their risk for MetS. Developing cultural and behavioral interventions tailored for overweight/obese women is critical in reducing MetS.

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Physical Domain of Quality of Life in Premenopause and Post Menopause Women in Central of Java

Marni,

Husna

2023

Kemas

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Abstract. Background: Premenopause and menopause would affect changes in a woman's body. Physical changes during premenopause and menopause would affect a woman's quality of life. Physical changes also caused physical symptoms that were very disturbing in daily activities. This study analyzes the factors that influence physical symptoms on the quality of life of premenopausal and postmenopausal women. Methods: This research method was a descriptive study with a cross sectional study approach. This research was conducted in Central Java province from March to December 2022. The population in this study were premenopausal and postmenopausal women in Central Java. The sampling technique was carried out using the clustered random sampling method. Respondents to this study were taken from 4 districts from 4 corners of Central Java province, namely Kudus Regency, Sukoharjo Regency, Tegal Regency and Semarang Regency. Each district taken 25 respondents. Respondents' quality of life was measured using the Menopause Specific Quality of Life (MENQOL) questionnaire. This study was analyzed using chi square. Results: education, religion, occupation, age at menarche, parity, income, history of illness, current activity, history of sexual intercourse, frequency of sexual intercourse significantly influence the physical domain of quality of life of postmenopausal women with a p-value 0.005. Age, education, occupation, age at menarche, marital status, parity, income, medical history, current activity, history of sexual intercourse, frequency of sexual intercourse significantly influence the physical domain of quality of life of premenopausal women with a p-value 0.005. Conclusion: The physical domain of quality of life for postmenopausal and premenopausal women is influenced by the same factors, namely education, occupation, age at menarche, parity, income, medical history, current activity, history of sexual intercourse, and frequency of sexual intercourse. Physical symptoms in postmenopausal women are in the mild category, while premenopausal women have severe physical symptoms

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Menopause and the risk of metabolic syndrome among middle-aged Chinese women

Cited by 3 publications

References 34 publications

The association of menopause with cardiometabolic disease risk factors in low- and middle-income countries: a systematic review and meta-analyses

The association of menopause with cardiometabolic disease risk factors in low- and middle-income countries: a systematic review and meta-analyses

Behavior Characteristics and Risk for Metabolic Syndrome Among Women in Rural Communities in China

Physical Domain of Quality of Life in Premenopause and Post Menopause Women in Central of Java

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