Moderate alcohol consumption contributes to women's well-being through the menopausal transition

Alati, Rosa; Dunn, Nathan; Purdie, David M.; Roche, Ann; Dennerstein, Lorraine; Darlington, Steven; Guthrie, Janet R.; Green, Adèle C.

doi:10.1080/13697130701739118

Cited by 11 publications

(6 citation statements)

References 29 publications

(36 reference statements)

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“…A positive association between moderate alcohol consumption and sexual activity/wellbeing of women in the menopause has been reported in other studies [21][22][23]. Apart from the disinhibiting or relaxing effect of alcohol, this factor could also be a marker for unmeasured characteristics of the sexually active women.…”

Section: Discussionmentioning

confidence: 53%

Sexual Function in the Late Postmenopause: A Decade of Follow-Up in a Population-Based Cohort of Australian Women

Lonnée-Hoffmann

Dennerstein

Lehert

et al. 2014

The Journal of Sexual Medicine

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Introduction There is a paucity of longitudinal studies assessing sexual function of women in the late postmenopause. Aim This study aims to describe sexual function of women in the late postmenopause and to investigate change from early postmenopause. Methods Cross-sectional analysis of 2012/13 and longitudinal analysis from 2002/04 of the population based, Australian cohort of the Women's Healthy Ageing Project, applying validated instruments: Short Personal Experience Questionnaire (SPEQ), Female Sexual Distress Scale (FSDS), Hospital Anxiety and Depression Scale, Geriatric Depression Scale, and California Verbal Learning Test. Main Outcome Measures Sexual activity, SPEQ, and FSDS. Results Two hundred thirty women responded (follow-up rate 53%), mean age was 70 years (range 64–77), 49.8% were sexually active. FSDS scores showed more distress for sexually active women (8.3 vs. 3.2, P < 0.001). For 23 (23%) sexually active and for five (7%) inactive women, the diagnosis of female sexual dysfunction could be made. After adjustment, available partner (odds ratio [OR] 4.31, P < 0.001), no history of depression (OR 0.49, P = 0.036), moderate compared with no alcohol consumption (OR 2.43, P = 0.019), and better cognitive function score (OR1.09, P = 0.050) were significantly predictive for sexual activity. Compared with early postmenopause, 18% more women had ceased sexual activity. For women maintaining their sexual activity through to late postmenopause (n = 82), SPEQ and FSDS scores had not changed significantly, but frequency of sexual activity had decreased (P = 0.003) and partner difficulties had increased (P = 0.043). [Correction added on 10 July 2014, after first online publication: Mean age of respondents was added.] Conclusions In late postmenopause, half of the women were sexually active. Most important predictors were partner availability and no history of depression. However, being sexually active or having a partner were associated with higher levels of sexual distress. Compared with early postmenopause, sexual function scores had declined overall but were stable for women maintaining sexual activity. Further research into causes of sexual distress and reasons for sexual inactivity at this reproductive stage is warranted.

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Section: Discussionmentioning

confidence: 53%

Sexual Function in the Late Postmenopause: A Decade of Follow-Up in a Population-Based Cohort of Australian Women

Lonnée-Hoffmann

Dennerstein

Lehert

et al. 2014

The Journal of Sexual Medicine

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“…Prior outcomes have identified a moderate alcohol intake (when accompanied with physical exercise and absence of smoking behavior) as beneficial to menopausal women's well-being [36]. Although perceived loss of control is treated as a dependent variable in the present study, it would be pertinent to explore, in future researches, if subjective loss of control is a significant mediator of menopausal symptoms' severity.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, in a previous study, everyday stressful experiences had a negative impact in middle-aged women [36] and negative life events were presented as a risk factor for menopausal symptoms [2]. Specifically, negative events perceived as having an important impact in women's lives (as well as family dysfunction) incremented the risk for psychological symptoms: depression, anxiety and stress [3].…”

Section: Discussionmentioning

confidence: 99%

Menopausal symptoms: Do life events predict severity of symptoms in peri- and post-menopause?

et al. 2012

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a b s t r a c tObjective: Hormonal changes during menopausal transition are linked to physical and psychological symptoms' emergence. This study aims to explore if life events predict menopausal symptoms. Methods: This cross-sectional research encompasses a community sample of 992 women who answered to socio-demographic, health, menopause-related and lifestyle questionnaires; menopausal symptoms and life events were assessed with validated instruments. Structural equation modeling was used to build a causal model. Conclusions: Although women in peri-and post-menopausal manifested higher symptoms' severity than their pre-menopausal counterparts, only three of the menopausal symptoms assessed were predicted by menopausal status. Since the vast majority of menopausal symptoms' severity was significantly influenced by the way women perceived their recent life events, it is concluded that the symptomatology exacerbation, in peri-and post-menopausal women, might be due to life conditions and events, rather than hormonal changes (nonetheless, the inverse influence should be investigated in future studies). Therefore, these should be accounted for in menopause-related clinical and research settings.

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“…Data from prospective cohort studies and cross-sectional surveys also suggest that light to moderate alcohol consumption may protect against cognitive impairment and dementia in older adults (Bond et A prospective observational study found that among women undergoing menopausal transition, moderate alcohol consumption was one of a range of protective factors contributing to women's perceptions of general and emotional well-being, but that the effects of alcohol were different depending on the women's other lifestyle patterns (Alati et al 2007).…”

Section: Benefits Of Light To Moderate Drinking For Older Peoplementioning

confidence: 99%

Survey of alcohol-related presentations to Australasian emergency departments

et al. 2014

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Objective: To determine the proportion of alcohol‐related presentations to emergency departments (EDs) in Australia and New Zealand, at a single time point on a weekend night shift. Design, setting and participants: A point prevalence survey of ED patients either waiting to be seen or currently being seen conducted at 02:00 local time on 14 December 2013 in 106 EDs in Australia and New Zealand. Main outcome measures: The number of ED presentations that were alcohol‐related, defined using World Health Organization ICD‐10 codes. Results: At the 106 hospitals (92 Australia, 14 New Zealand) that provided data, 395 (14.3%; 95% CI, 13.0%–15.6%) of 2766 patients in EDs at the study time were presenting for alcohol‐related reasons; 13.8% (95% CI, 12.5%–15.2%) in Australia and 17.9% (95% CI, 13.9%–22.8%) in New Zealand. The distribution was skewed left, with proportions ranging from 0 to 50% and a median of 12.5%. Nine Australian hospitals and one New Zealand hospital reported that more than a third of their ED patients had alcohol‐related presentations; the Northern Territory (38.1%) and Western Australia (21.1%) reported the highest proportions of alcohol‐related presentations. Conclusions: One in seven ED presentations in Australian and New Zealand at this 02:00 snapshot were alcohol‐related, with some EDs seeing more than one in three alcohol‐related presentations. This confirms that alcohol‐related presentations to EDs are currently underreported and makes a strong case for public health initiatives.

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Moderate alcohol consumption contributes to women's well-being through the menopausal transition

Abstract: Among women undergoing menopausal transition, well-being is positively associated with moderate alcohol consumption along with other lifestyle factors in a synergistic fashion, rather than any individual factor having a dominant or an independent effect.

Cited by 11 publications

References 29 publications

Sexual Function in the Late Postmenopause: A Decade of Follow-Up in a Population-Based Cohort of Australian Women

Sexual Function in the Late Postmenopause: A Decade of Follow-Up in a Population-Based Cohort of Australian Women

Menopausal symptoms: Do life events predict severity of symptoms in peri- and post-menopause?

Survey of alcohol-related presentations to Australasian emergency departments

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