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CC BY 4.0 · Rev Bras Ginecol Obstet 2022; 44(06): 586-592
DOI: 10.1055/s-0042-1745789
Original Article
Menopause

Does Obesity Aggravate Climacteric Symptoms in Postmenopausal Women?

A obesidade agrava os sintomas climatéricos em mulheres na pós-menopausa?
Juliene Gonçalves Costa 
1   Laboratory of Cardiorespiratory and Metabolic Physiology, Faculdade de Educação Física e Fisioterapia, Universidade Federal de Uberlândia, Uberlândia, Minas Gerais, MG, Brazil
,
Raquel Moreira Rodrigues 
1   Laboratory of Cardiorespiratory and Metabolic Physiology, Faculdade de Educação Física e Fisioterapia, Universidade Federal de Uberlândia, Uberlândia, Minas Gerais, MG, Brazil
,
Guilherme Morais Puga 
1   Laboratory of Cardiorespiratory and Metabolic Physiology, Faculdade de Educação Física e Fisioterapia, Universidade Federal de Uberlândia, Uberlândia, Minas Gerais, MG, Brazil
,
Nádia Carla Cheik 
1   Laboratory of Cardiorespiratory and Metabolic Physiology, Faculdade de Educação Física e Fisioterapia, Universidade Federal de Uberlândia, Uberlândia, Minas Gerais, MG, Brazil
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Abstract

Objective To determine if there is a correlation between body mass index (BMI) and climacteric symptoms in postmenopausal women.

Methods The study sample was composed of 109 postmenopausal women with a mean age of 57 ±  8 years, mean body mass index (BMI) of 30 ±  6 kg/m2, and 8 ±  8 years after menopause. For the assessment of the climacteric symptoms, the Blatt-Kupperman Index (BKI), the Menopause Rating Scale (MRS), and the Cervantes Scale (CS) were used. Data analysis was performed through the Chi-squared test, analysis of variance (ANOVA) with the Bonferroni post hoc test, and multiple linear regression. The level of significance adopted was of p < 0.05. The statistical analyses were performed using the Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Armonk, NY, United States) software, version 26.0.

Results The multiple linear regression showed a positive association (p < 0.01) between BMI values and menopause symptoms when adjusted for age and time after menopause in the 3 questionnaires used (BKI: B = 0.432; CS: B = 304; and MRS: B = 302). Regarding symptom scores, the obese women had higher mean scores (p < 0.05) when compared to eutrophic women (BKI = 28 ±  10 and 20 ±  10; and MRS = 20 ±  10 and 13 ±  7, respectively). In the Chi-squared analysis, 28% of obese women had severe symptoms and 46% had moderate symptoms, while only 1% and 46% of eutrophic women had these same symptoms.

Conclusion There is an association between BMI and climacteric symptoms, and overweight or obese women have more intense and moderate symptoms than eutrophic women.

Resumo

Objetivo Verificar se há correlação entre o índice de massa corporal e os sintomas do climatério em mulheres na pós-menopausa.

Métodos Participaram do estudo 109 mulheres na pós-menopausa, com idade média de 57 ±  8 anos, índice de massa corporal (IMC) médio de 30 ±  6 kg/m2 e 8 ±  8 anos após a menopausa. Para a avaliação dos sintomas climatéricos, foram utilizados os questionários específicos para essa população: Índice de Kupperman-Blatt (IKB), Menopause Rating Scale (MRS), e Escala de Cervantes (EC). A análise dos dados foi realizada por meio do teste do chi-quadrado, análise de variância (analysis of variance, ANOVA, em inglês) com o teste post hoc de Bonferroni e regressão linear múltipla. O nível de significância adotado foi p < 0,05. Todas as análises estatísticas foram realizadas no programa Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Armonk, NY, Estados Unidos), versão 26.0.

Resultados A regressão linear múltipla mostrou associação positiva (p < 0,01) entre os valores do IMC e os sintomas do climatério quando ajustados pela idade e pelo tempo após a menopausa nos 3 questionários utilizados (IKB: B = 0,432; CE: B = 304; e MRS: B = 302). Quanto às pontuações dos sintomas, as mulheres com obesidade apresentaram médias maiores (p < 0,05) quando comparadas às mulheres eutróficas (IKB = 28 ±  10 e 20 ± 10; e MRS = 20 ± 10 e 13 ± 7). Na análise pelo chi-quadrado 28% das mulheres obesas apresentaram sintomas graves, e 46%, moderados, ao passo que apenas 1% e 46% das eutrópicas apresentavam esses mesmos sintomas.

Conclusão Há uma associação entre IMC e sintomas climatéricos, e mulheres com sobrepeso ou obesidade apresentam sintomas mais intensos e moderados do que mulheres eutróficas.

Keywords

climacteric symptoms - obesity - overweight - menopause

Palavras-chave

sintomas climatéricos - obesidade - sobrepeso - menopausa

Contributions

Juliene Costa: conceptualization, methodology, investigation, writing of the (original draft, and formal analysis. Raquel Rodrigues: investigation, writing of the original draft, review and editing, and data curation. Guilherme Puga: formal analysis, methodology, review and editing, and data curation. Nádia Cheik: conceptualization, supervision, formal analysis, project administration, and review and editing.




Publication History

Received: 15 April 2021

Accepted: 03 February 2022

Article published online:
12 July 2022

© 2022. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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