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The menopausal transition was associated in a prospective study with decreased health functioning in women who report menopausal symptoms

Kumari, M; Stafford, M; Marmot, M; (2005) The menopausal transition was associated in a prospective study with decreased health functioning in women who report menopausal symptoms. J CLIN EPIDEMIOL , 58 (7) 719 - 727. 10.1016/j.jclinepi.2004.09.016.

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Abstract

Objective: To examine change in health functioning as women progress through the menopausal transition. StudyDesign and Setting: Prospective study of 2,489 women followed through four phases of the Whitehall II study. Health functioning was assessed with the eight subscales of the SF-36.Results: Compared with peri- and postmenopausal women who did not experience menopausal symptoms, women who reported vasomotor symptoms or menopausal depression experienced large and significant declines on most scales of the SF-36. Women who reported the greatest symptom severity experienced the. largest declines in functioning. For example, decline in physical functioning for perimenopausal women experiencing severe vasomotor symptoms was 3.3 (standard error SE = 1.1) greater than those who experienced no vasomotor symptoms. Decline in role limitation-emotional for perimenopausal women experiencing severe menopause-associated depression was 18.4 (SE = 2.3), compared with those who did not experience these symptoms. Vasomotor symptom reporting was predicted by low socioeconomic position, high body mass index, and limiting long-term illness at baseline. Menopause-associated depression was additionally predicted by smoking and depression.Conclusion: The menopausal transition is associated with decreased health functioning in women who report menopausal symptoms. Menopausal symptoms are strongly related to all aspects of health functioning assessed by the SF-36. Socioeconomic and behavioral risk factors for menopausal symptoms and associated declines in health functioning have been identified. (c) 2005 Elsevier Inc. All rights reserved.

Type: Article
Title: The menopausal transition was associated in a prospective study with decreased health functioning in women who report menopausal symptoms
DOI: 10.1016/j.jclinepi.2004.09.016
Keywords: health functioning, menopausal symptoms, menopause, SF-36, obesity, vasomotor symptoms, depression, QUALITY-OF-LIFE, HOT FLASHES, RISK-FACTORS, MENTAL-HEALTH, WHITEHALL-II, MULTIETHNIC COMMUNITY, POSTMENOPAUSAL WOMEN, MIDLIFE WOMEN, DEPRESSION, SF-36
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Cardiovascular Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: http://discovery.ucl.ac.uk/id/eprint/117032
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