Quality of life among postmenopausal Ecuadorian women participating in a metabolic syndrome screening program
Quality of life among postmenopausal Ecuadorian women participating in a metabolic syndrome screening program
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DOI：
10.1016/j.maturitas.2006.05.008
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发表时间：
2007-01-20
期刊：
影响因子：
4.9
通讯作者：
Huc, Angelica
中科院分区：
文献类型：
--
作者：
Chedraui, Peter;Hidalgo, Luis;Huc, Angelica
背景：生活质量在绝经后下降，因为它已经被几个设计的工具评估。尽管如此，很少有研究报道生活质量与代谢综合征及其决定因素之间的相关性。目的：评价厄瓜多尔绝经后妇女的生活质量并确定与生活质量损害相关的因素。方法：在厄瓜多尔瓜亚基尔天主教大学生物医学研究所参加代谢综合征筛查和教育项目的绝经后妇女使用更年期特异性生活质量问卷（MENQOL）进行访谈。在问卷的每个领域（血管舒缩、心理社会、身体和性）中，确定了平均领域得分以及与高分相关的因素。结果：325名绝经后妇女（n = 325）被调查。参与者的平均年龄为55.9±8.1岁（中位数：54岁）。女性出现代谢综合征、高血压、高血糖、高甘油三酯血症和腹部肥胖的比例分别为41.5%、38.8%、16.6%、56.9%和54.2%。每个区域的平均得分为：血管舒缩：3.5 +/- 2.5（中位数3）；心理-社会：3.7 +/- 1.5（中位数3.6）；体格：3.8±1.2（中位数3.8）；性：4.9 +/- 2.3（中位数5.3）。超过50%的女性在问卷各领域的得分都高于中位数。Logistic回归表明血管舒缩评分随年龄的增长而下降。腹部肥胖增加了血管舒缩、心理社会和身体得分高于中位数的风险。高血压和高血糖分别增加了在社会心理和性方面得分较高的风险。结论：在绝经后的厄瓜多尔人群中，发现生活质量的损害与年龄和腹部肥胖、高血压和高甘油血症等相关疾病有关。2006爱思唯尔爱尔兰有限公司版权所有。
Background: Quality of life decreases after the menopause as it has been assessed by several designed tools. Despite this, few studies have reported correlations between quality of life and the metabolic syndrome and its determinants.Objective: Evaluate quality of life and determine factors related to its impairment among postmenopausal Ecuadorian women.Methods: Postmenopausal women that participated in a metabolic syndrome screening and educational program at the Institute of Biomedicine of the Universidad Catolica of Guayaquil, Ecuador were interviewed using the Menopause-Specific Quality of Life Questionnaire (MENQOL). Mean domain scores as well as factors associated to higher scores within each of the domains of the questionnaire (vasomotor, psycho-social, physical and sexual) were determined.Results: Three hundred twenty-five postmenopausal women (n = 325) were surveyed. Mean age of participants was 55.9 +/- 8.1 years (median: 54 years). Women presented metabolic syndrome, hypertension, hyperglycemia, hypertriglyceridemia and abdominal obesity in 41.5%, 38.8%, 16.6%, 56.9% and 54.2% respectively. Mean scores obtained for each domain were: vasomotor: 3.5 +/- 2.5 (median 3); psycho-social: 3.7 +/- 1.5 (median 3.6); physical: 3.8 +/- 1.2 (median 3.8); sexual: 4.9 +/- 2.3 (median 5.3). More than 50% of women had scores above the median for each domain of the questionnaire. Logistic regression determined that vasomotor score decreased with age. Abdominal obesity increased the risk of having vasomotor, psycho-social and physical scores above the median. Hypertension and hyperglycemia increased the risk for higher scores within the psycho-social and sexual domain respectively.Conclusion: In this postmenopausal Ecuadorian population, impairment of quality of life was found to be associated to age and related conditions such as abdominal obesity, hypertension and hyperglycernia. (c) 2006 Elsevier Ireland Ltd. All rights reserved.