Details
Category: Volume 06 Issue 04 April 2018
Hits: 1465

Title: Role of Obesity in Menopause

Authors: Dr J. Bindal, Dr Neelam Singh

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i4.06

Abstract

Background: Women during mid-life experience physical and psychological symptoms influenced by aging, endocrine changes, demographics characteristics, psychosocial factors, environmental conditions, ethnic differences, family history, nutritional, and differences by countries. The objective of this study was to assess the effect of obesity on the menopausal symptoms and the menopausal symptom among obese and non obese postmenopausal women in India.

Methodology:11 item questionnaire including sociodemographic characteristics, endocrinal disorders, menopausal history assessment, personal health information, antropometry and clinical assessment was used to assess the menopausal symptom among obese and non obese postmenopausal women of Gwalior visiting Gajra Raja Medical College, Gwalior India. This retrospective observational study was conducted in month of December 2017.

Results: The results have shown that obese women (52 participants) suffer from more menopausal symptoms (psychological, somatic symptoms, urogenital symptom) than among non obese women. The proportion of overweight/obese participants was higher in married (62%) than widow (35%).

Conclusion: There is a need of developing interactive, user friendly, technology based education module for addressing the chronic ailments of postmenopausal women.

References

  1. Li C, Samsioe G, Borgfeldt C, Lidfeldt J, Agardh CD, Nerbrand C. Menopause-related symptoms: What are the background factors? A prospective population-based cohort study of Swedish women (The Women's Health in Lund Area study) Am J Obstet Gynecol. 2003;189:1646–53. 
  2. Fernández-Alonso AM, Cuadros JL, Chedraui P, Mendoza M, Cuadros AM, Pérez-López FR. Obesity is related to increased menopausal symptoms among Spanish women. Menopause Int. 2010;16:105–10. 
  3. Greenblum CA, Rowe MA, Neff DF, Greenblum JS. Midlife women: Symptoms associated with menopausal transition and early postmenopause and quality of life. 2013;20:22–7.
  4. Hess R, Thurston RC, Hays RD, Chang CC, Dillon SN, Ness RB, et al. The impact of menopause on health-related quality of life: Results from the STRIDE longitudinal study. Qual Life Res. 2012;21:535–44. 
  5. Avis NE, Stellato R, Crawford S, Bromberger J, Ganz P, Cain V, et al. Is there a menopausal syndrome? Menopausal status and symptoms across racial/ethnic groups. SocSci Med. 2001;52:345–56. 
  6. Kuh DL, Wadsworth M, Hardy R. Women's health in midlife: The influence of the menopause, social factors and health in earlier life. Br J Obstet Gynaecol. 1997;104:923–33. 
  7. Gold EB, Sternfeld B, Kelsey JL, Brown C, Mouton C, Reame N, et al. Relation of demographic and lifestyle factors to symptoms in a multi-racial/ethnic population of women 40-55 years of age. Am J Epidemiol. 2000;152:463–73. 
  8. Guthrie JR, Smith AM, Dennerstein L, Morse C. Physical activity and the menopause experience: A cross-sectional study. 1994;20:71–80. 
  9. Klinga K, von Holst T, Runnebaum B. Influence of severe obesity on peripheral hormone concentrations in pre- and postmenopausal women. Eur J Obstet Gynecol Reprod Biol. 1983;15:103–12. 
  10. Singh M. Early age of natural menopause in India, a biological marker for early preventive health programs. 2012;15:581–6. 
  11. Kumar N, Gupta N, Kishore J. Kuppuswamy's socioeconomic scale: Updating income ranges for the year 2012. Indian J Public Health. 2012; 56:103–4.
  12. Berlin Centre of Epidemiology and Health Research. MRS-the Menopausal Rating Scale. [Last retrieved on 2015 Apr 26].
  13. Stojanovska L, Apostolopoulos V, Polman R, Borkoles E. To exercise, or, not to exercise, during menopause and beyond. 2014;77:318–23. 
  14. Hoëbes KH, Matengu K. Knowledge and understanding of menopause and menopausal symptoms: A Namibian perspective. Int J Health Sci. 2014;2:163–83.
  15. Nappi RE, Nijland EA. Women's perception of sexuality around the menopause: Outcomes of a European telephone survey. Eur J Obstet Gynecol Reprod Biol. 2008;137:10–6. 
  16. Adewuyi TD, Akinade FE. Perception and attitudes of Nigerian women towards menopause. ProcediaSocBehav Sci. 2010;5:1777–82.
  17. Jahanfar SH, Abdul Rahim A, Reza KS, Azura IN, Nora SA, SitiAsma AR. Age of menopause and menopausal symptoms among Malaysian women who referred to health clinic in Malaysia. Shiraz E-Med J. 2006;7:1–14.
  18. Women's Health Queensland Wide. About Menopause. 2011. [Last retrieved on 2015 Apr 26]. Available from: http://www.womhealth.org.au/documents/About_ menopause.pdf.
  19. Thomas SE. Menopause knowledge and attitudes of English-speaking Caribbean women: Implications for health education. Calif J Health Promot. 2005;3:167–76.
  20. Dillaway HE. Vol. 19. Wayne State University: Sage Publications, Inc; 2005. Menopause is the “Good Old”: Women's thoughts about reproductive aging. Gender and society; pp. 398–417.
  21. Pimenta F, Leal I, Maroco J, Ramos C. Menopause Symptoms' Severity Inventory (MSSI-38): Assessing the frequency and intensity of symptoms. Climacteric 2012;15:143–52.
  22. Jalili L, Zadeh HY, Sharifi N, Abedi P, Najar S, Mobini EA. The relationship between physical activity and the severity of menopause symptoms in menopausal women in Ahvaz, Iran. Iran J Obstet Gynecol Infertil. 2014;17:Pe15–23.

Corresponding Author

Dr Neelam Singh

P.G. Student, Department of Obstetrics,

Kamla Raja Hospital, G.R. Medical College, Gwalior (M.P.), India