Relationship between overweight and minor psychiatric disorders in climacteric women
Abstract
Introduction: climacteric is a biological milestone in the life of women, and as frequent complaints are the difficulty of concentration, emotional instability, depressive mood and weight gain. Objective: to examine the relationship between obesity and climacteric symptoms (anxiety, depressed mood and irritability) in women treated at a clinic in southern Brazil. Methods: cross-sectional observational study of women who came after the service of Climacteric and Gynecological Surgery Ambulatory of the University of Caxias do Sul, through a larger study entitled "Metabolic syndrome and menopausal status in women attending a menopause clinic of southern Brazil ". Results: a 46.3% prevalence of obesity was found. Among the variables studied, the ones which had significance in relation to overweight were smoking, number of pregnancies, menopausal status, irritability and anxiety. Conclusions: the lifestyle is associated with the psychological state of women in the climacteric period, where overweight is also related to feelings of irritability and anxiety.
References
-Avis, N.E.; Zhao, X.; Johannes, C.B.; Ory, M. Correlates of sexual function among multi-ethnic middle-aged women: results from the Study of Women? Health Across the Nation (SWAN). Menopause. Vol. 12. Num. 4. 2005. p. 385-398.
-Barazzetti, L.; Pattussi, M.P.; Garcez, A.S.; Mendes, K.G.; Theodoro, H.; Paniz, V.M.V.; Olinto, M.T. Psychiatric disorders and menopause symptoms in Brazilian women. Menopause. Vol. 4. Num. 23. 2015. p. 433-440.
-Bossemeyer, P.R. Atividade física no climatério. In: Fernandes C.E. Menopausa: diagnóstico e tratamento. São Paulo. Segmento. 2003.
-Bromberger, J.T.; Scalea, T.L.D. Longitudinal associations between depression and functioning in midlife women. Maturitas. Vol. 64. Num. 3. 2009. p. 145-159.
-Burnette, M.M.; Meilahn, E.; Wing, R.R.; Kuller, L.H. Smoking cessation, weight gain, and changes in cardiovascular risk factors during menopause: the Healthy Women Study. American Public Health Association. Vol. 1. Num. 88. 1998. p. 93-96.
-Cervellati, C.; Pansini, F.S.; Bonaccorsi, G.; Pascale, G.; Bagni, B.; Castaldini, C.; Ferrazini, S.; Ridolfi, F.; Pedriali, M.; Guariento, A.; Bergamini, C.M. Body mass index is a major determinant of abdominal fat accumulation in pre-, peri-and post-menopausal women. Gynecological Endocrinology. Vol. 25. Num. 6. 2009. p. 413-417.
-Dennerstein, L.; Lehert, P.; Guthrie, J. The effects of the menopausal transition and biopsychosocial factors on well-being.Archives Of Women's Mental Health. Vol. 5. Num. 1. 2002. p. 15-22.
-França, A.P.; Aldrighi, J.M.; Marucci, M.D.F.N. Fatores associados à obesidade global e à obesidade abdominal em mulheres na pós-menopausa. Revista Brasileira de Saúde Materno Infantil. Vol. 8. Num. 1. 2008. p. 65-73.
-Galvão, L.L.L.F.; Farias, M.C.S.; Azevedo, P.R.M.; Vilar, M.J.P.; Azevedo, G.D. Prevalência de transtornos mentais comuns e avaliação da qualidade de vida no climatério. Revista da Associação Médica Brasileira. Vol. 53. Num. 5. 2007. p. 414-420.
-Genazzani, A.R.; Gambacciani, M. Effect of climacteric transition and hormone replacement therapy on body weight and body fat distribution. Gynecological Endocrinology. Vol. 22. Num. 3. 2006. p. 145-150.
-Gonçalves, J.T.T.; Siveira, M.F.; Campos, M.C.C.; Costa, L.H.R. Sobrepeso e obesidade e fatores associados ao climatério. Ciência & Saúde Coletiva. Vol. 21. Num. 4. 2016. p. 1145-1156.
-Gravena, A.A.F.; Brisciliari, S.C.R.; Lopes, T.C.R.; Agnolo, C.M.D.; Carvalho, M.D.B.; Pelloso, S.M. Excess weight and abdominal obesity in postmenopausal Brazilian women: a population-based study. Bmc Women's Health. Vol. 13. Num. 1. 2013. p. 13-46.
-Harding, T.W.; Arango, V.; Baltazar, J.; Climent, C.E.; Ibrahim, H.H.A.; Ladrido-Ignacio, L.; Murthy, R.S.;Wig, N.N. Mental disorders in primary health care: a study of their frequency and diagnosis in four developing countries. Psychological Medicine. Vol. 10. Num. 2. 1980. p. 231-341.
-Heliovaara, M.; Aromaa, A. Parity and obesity.Journal Of Epidemiology & Community Health. Vol. 35. Num. 3. 1981. p. 197-199.
-Kim, S.A.; Stein, A.D.; Martorell, R. Country development and the association between parity and overweight. International Journal of Obesity. Vol. 31. Num. 5. 2006. p. 805-812.
-Kinnunen, T.I.; Luoto, R.; Gissler, M.; Hemmink, E. Pregnancy weight gain from 1960s to 2000 in Finland.International Journal Of Obesity. Vol. 27. Num. 12. 2003. p. 1572-1577.
-Kozakowski, J.; Gietka-Czernel, M.; Leszczyńska, D.; Majos, A. Obesity in menopause -our negligence or an unfortunate inevitability? Menopausal Review. Vol. 16. Num. 2. 2017. p. 61-65.
-Lacerda, M.S.S. Associação entre climatério e indicadores nutricionais de obesidade em mulheres não usuárias de terapia de reposição hormonal. Dissertação de Mestrado. Universidade Federal do Maranhão. Maranhão. 2016.
-Lahmann, P.H.; Lissner, L.; Gullberg, B.; Berglind, G. Sociodemographic factors associated with long-term weight gain, current body fatness and central adiposity in Swedish women. International Journal of Obesity. Vol. 24. Num. 6. 2000. p. 685-694.
-Lassek, W.D.; Gaulin, S.J.C. Changes in body fat distribution in relation to parity in American women: A covert form of maternal depletion. American Journal Of Physical Anthropology. Vol. 131. Num. 2. 2006. p. 295-302.
-Lins, A.P.M.; Sichieri, R. Influência da menopausa no índice de massa corporal. Arquivos Brasileiros de Endocrinologia & Metabologia. Vol. 45. Num. 3. 2001. p. 265-270.
-Lorenzi, D.R.S.; Basso, E.; Fagundes, P.O.; Saciloto, B. Prevalência de sobrepeso e obesidade no climatério. Revista Brasileira de Ginecologia e Obstetrícia. Vol. 27. Num. 8. 2005. p. 479-484.
-Lorenzi, D.R.S.; Danelon, C.; Saciloto, B.; Padilha, Jr. I. Fatores indicadores da sintomatologia climatérica.Revista Brasileira de Ginecologia e Obstetrícia. Vol. 27. Num. 1. 2005. p. 7-11.
-Mari, J.J.; Williams, P. A validity study of a psychiatric screening questionnaire (SRQ-20) in primary care in the city of São Paulo. The British journal of psychiatry: the journal of mental science. Vol. 148. Num. 1. 1986. p. 23-26.
-Matthews, K.A.; Bromberger, J.T. Does the menopausal transition affect health-related quality of life?The American Journal of Medicine. Vol. 118. Num. 12. 2005. p. 25-36.
-Mendes, K.G.; Theodoro, H.; Rodrigues, A.D.; Busnello, F.; Lorenzi, D.R.S.; Olinto, M.T.A. Menopausal Status and Metabolic Syndrome in Women in Climacteric Period Treated at a Clinic in Southern Brazil. Open Journal Of Endocrine And Metabolic Diseases. Vol. 3. Num. 1. 2013. p. 31-41.
-Monteiro, C.A.; Benicio, M.H.D.A.; Conde, W.L.; Popkin, B.M. Shifting obesity trends in Brazil.European Journal Of Clinical Nutrition. Vol. 54. Num. 4. 2000. p. 342-346.
-Pereira, W.M.P.; Schmott, A.C.B.; Buchalla, C.M.; Reis, A.O.A.; Aldrighi, J.M. Ansiedade no climatério: prevalência e fatores associados. Revista Brasileira Crescimento Desenvolvimento Humano. Vol. 9. Num. 1. 2009. p. 89-97.
-Rasmussen, K.M.; Yaktine, A.L. editors. Weight Gain During Pregnancy: Reexamining the Guidelines. Institute of Medicine (US) and National Research Council (US) Committee to Reexamine IOM Pregnancy Weight Guidelines. Washington (DC). National Academies Press (US). 2009.
-Shakhatreh, F.M.N.; Mas'ad, D. Menopausal symptoms and health problems of women aged 50-65 years in Southern Jordan. Climacteric. Vol. 9. Num. 4. 2006. p. 305-311.
-Thomas, J.L.; Brantley, P.J. Factor Structure of the Center for Epidemiologic Studies Depression Scale in Low-Income Women Attending Primary Care Clinics.European Journal of Psychological Assessment. Vol. 20. Num. 2. 2004. p. 106-115.
-World Health Organization. A user’s guide to the Self Reporting Questionnaire. (WHO -Division of Mental Health). Geneva. 1994.
-World Health Organization. Physical status: the use and interpretationof anthropometry. (WHO -Report of the WHO Expert Committee World Health Organ Tech Rep Ser). Geneva.1995.
-Zaffari, D.; Pfaffenzeller, A. Assistência nutricional no climatério. In: Almeida A.B.R. editor. Reavaliando o climatério: enfoque atual e multidisciplinar. São Paulo. Atheneu. 2003. p. 367-381.
-Zöllner, Y.F.; Acquadro, C.; Schaefer, M. Literature review of instruments to assess health-related quality of life during and after menopause. Springer. Vol. 14. Num. 2. 2005. p. 309-327.
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