Longitudinal Assessment of the Menopausal Transition, Endogenous Sex Hormones, and Perception of Physical Functioning: The Study of Women’s Health Across the Nation
Identifieur interne : 002382 ( Main/Exploration ); précédent : 002381; suivant : 002383Longitudinal Assessment of the Menopausal Transition, Endogenous Sex Hormones, and Perception of Physical Functioning: The Study of Women’s Health Across the Nation
Auteurs : Samar R. El Khoudary ; Candace K. Mcclure ; Trang Vopham ; Carrie A. Karvonen-Gutierrez ; Barbara Sternfeld ; Jane A. Cauley ; Naila Khalil ; Kim Sutton-TyrrellSource :
- The Journals of Gerontology Series A: Biological Sciences and Medical Sciences [ 1079-5006 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- chemical , physiology : Gonadal Steroid Hormones.
- physiology : Menopause.
- Activities of Daily Living, Adult, Cohort Studies, Female, Health Status, Health Status Indicators, Humans, Middle Aged, Motor Activity, Self Report, Women's Health.
Abstract
To evaluate the longitudinal associations between menopausal status, related hormonal changes, and level of self-reported physical functioning.
Study included 2,495 women (age: 45–57 between 2000 and 2001) from the Study of Women’s Health Across the Nation. Physical functioning scale of the Medical Outcomes Study Short-Form (SF-36; score 0–100) was categorized as: no limitation (86–100), moderate limitation (51–85), and substantial limitation (0–50). Study variables were collected between 2000 (visit-04) and 2011 (visit-12) at five timepoints. Statistical models were adjusted for age at visit-04, time since visit-04, ethnicity, site, economic status, level and change in body mass index, level and change in physical activity, and presence of comorbid conditions.
In final models, natural and surgical postmenopausal women had significantly higher odds of functional limitation, compared with premenopausal women. Less reduction in estradiol and testosterone since visit-04 were significantly associated with lower odds of functional limitation, while greater increase in sex hormone-binding globulin was associated with higher odds of functional limitation.
Our findings suggest the menopause-related changes in endogenous sex hormones as a possible mechanism of action to explain the greater limitation in physical functioning reported in women at midlife.
Url:
DOI: 10.1093/gerona/glt285
PubMed: 24465026
PubMed Central: 4158400
Affiliations:
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<series><title level="j">The Journals of Gerontology Series A: Biological Sciences and Medical Sciences</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term>
<term>Adult</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Gonadal Steroid Hormones (physiology)</term>
<term>Health Status</term>
<term>Health Status Indicators</term>
<term>Humans</term>
<term>Menopause (physiology)</term>
<term>Middle Aged</term>
<term>Motor Activity</term>
<term>Self Report</term>
<term>Women's Health</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Activité motrice</term>
<term>Activités de la vie quotidienne</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Autorapport</term>
<term>Femelle</term>
<term>Hormones sexuelles stéroïdiennes (physiologie)</term>
<term>Humains</term>
<term>Indicateurs d'état de santé</term>
<term>Ménopause (physiologie)</term>
<term>Santé des femmes</term>
<term>État de santé</term>
<term>Études de cohortes</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="physiology" xml:lang="en"><term>Gonadal Steroid Hormones</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Hormones sexuelles stéroïdiennes</term>
<term>Ménopause</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Menopause</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term>
<term>Adult</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Health Status</term>
<term>Health Status Indicators</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Motor Activity</term>
<term>Self Report</term>
<term>Women's Health</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Activité motrice</term>
<term>Activités de la vie quotidienne</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Autorapport</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indicateurs d'état de santé</term>
<term>Santé des femmes</term>
<term>État de santé</term>
<term>Études de cohortes</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background.</title>
<p>To evaluate the longitudinal associations between menopausal status, related hormonal changes, and level of self-reported physical functioning.</p>
</sec>
<sec><title>Methods.</title>
<p>Study included 2,495 women (age: 45–57 between 2000 and 2001) from the Study of Women’s Health Across the Nation. Physical functioning scale of the Medical Outcomes Study Short-Form (SF-36; score 0–100) was categorized as: no limitation (86–100), moderate limitation (51–85), and substantial limitation (0–50). Study variables were collected between 2000 (visit-04) and 2011 (visit-12) at five timepoints. Statistical models were adjusted for age at visit-04, time since visit-04, ethnicity, site, economic status, level and change in body mass index, level and change in physical activity, and presence of comorbid conditions.</p>
</sec>
<sec><title>Results.</title>
<p>In final models, natural and surgical postmenopausal women had significantly higher odds of functional limitation, compared with premenopausal women. Less reduction in estradiol and testosterone since visit-04 were significantly associated with lower odds of functional limitation, while greater increase in sex hormone-binding globulin was associated with higher odds of functional limitation.</p>
</sec>
<sec><title>Conclusions.</title>
<p>Our findings suggest the menopause-related changes in endogenous sex hormones as a possible mechanism of action to explain the greater limitation in physical functioning reported in women at midlife.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list></list>
<tree><noCountry><name sortKey="Cauley, Jane A" sort="Cauley, Jane A" uniqKey="Cauley J" first="Jane A." last="Cauley">Jane A. Cauley</name>
<name sortKey="El Khoudary, Samar R" sort="El Khoudary, Samar R" uniqKey="El Khoudary S" first="Samar R." last="El Khoudary">Samar R. El Khoudary</name>
<name sortKey="Karvonen Gutierrez, Carrie A" sort="Karvonen Gutierrez, Carrie A" uniqKey="Karvonen Gutierrez C" first="Carrie A." last="Karvonen-Gutierrez">Carrie A. Karvonen-Gutierrez</name>
<name sortKey="Khalil, Naila" sort="Khalil, Naila" uniqKey="Khalil N" first="Naila" last="Khalil">Naila Khalil</name>
<name sortKey="Mcclure, Candace K" sort="Mcclure, Candace K" uniqKey="Mcclure C" first="Candace K." last="Mcclure">Candace K. Mcclure</name>
<name sortKey="Sternfeld, Barbara" sort="Sternfeld, Barbara" uniqKey="Sternfeld B" first="Barbara" last="Sternfeld">Barbara Sternfeld</name>
<name sortKey="Sutton Tyrrell, Kim" sort="Sutton Tyrrell, Kim" uniqKey="Sutton Tyrrell K" first="Kim" last="Sutton-Tyrrell">Kim Sutton-Tyrrell</name>
<name sortKey="Vopham, Trang" sort="Vopham, Trang" uniqKey="Vopham T" first="Trang" last="Vopham">Trang Vopham</name>
</noCountry>
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