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EN
The aim of this study was to analyse differences in body composition of women with and without cardiovascular complications. Bioelectrical parameters were measured with bioimpedance monofrequency analyser (BIA 101) and tissue electric properties were analysed by bioelectric impedance vector analysis (BIVA). The clinical sample (with CVD) consisted of 254 women ranging in age between 39 and 65 years. The sample of women without CVD consisted of 318 women in the same age range and was created from database of our previous studies. Statistical analysis adjusted for age showed significant differences in body composition characteristics of the studied samples. The results of vector analysis showed significantly different tissue electric properties of women in studied groups, what was confirmed by the Hotelling T2- test (p=0.0000). More women with CVD attained risky mean values of obesity indices of BMI and WHR than their “healthy” counterparts. Among women with CVD 80.2% had higher value of the BMI index than optimal one (>24.9 kg/m2) and 74.4% of women had higher value of the WHR index than optimal (>0.80). From the BIA parameters strong correlation coefficient was found between BMI and FM in both groups (r=0.962 for women with CVD; r=0.968 for relatively healthy women). Our data confirmed that cardiovascular disease complications are strongly linked in body composition changes. The cross-sectional nature of our study makes it difficult to draw conclusions regarding causal pathways, though variables of obesity are in line with unhealthy conditions.
EN
A lot of midlife women experience a great deal of menopausal symptoms. Their frequency within a given population may vary and depend on several factors such as age, menopausal status, health factors, including obesity. This study aims to investigate the incidence of menopausal symptoms among obese and non-obese midlife women, and to evaluate contribution of obesity as predisposing factor for menopausal symptoms to their manifestation. The studied cohort consisted of 297 women ranging from 39 to 59 years of age. Among them there were 63 women with obesity (body mass index, BMI ≥ 30.0 kg/m2) and of 39 women with abdominal obesity (waist to hip ratio, WHR>0.89). Women were recruited from the western and middle parts of Slovakia. All participants completed a menopause-specific questionnaire. Anthropometric measurements were taken using the standard anthropometric techniques. All statistical computations were performed by the SPSS 17.0 software programme (SPSS Inc., Chicago, IL). Stepwise logistic regression analysis demonstrated that increase in facial hair was influenced by age (p<0.001) and obesity (p=0.015). Low backache was influenced by WHR (p=0.031), obesity (p=0.008) and cardiovascular disease (p=0.024). The significant impact of BMI was recorded on the involuntary urination (p=0.002). The menopausal symptom „more clumsy then usual“ was influenced by marital status (p=0.044), hypertension (p=0.021) and the presence of cardiovascular disease (p=0.023). We investigated the effect of menopausal status (p=0.010) and abdominal obesity (p=0.035) on the loss of sexual interest. Herein we present evidence that obesity could be involved in menopausal symptomatology among Slovak midlife women. We demonstrate that obese women have a higher susceptibility to increase in facial hair and backache, and women with abdominal obesity to loss of sexual interest.
EN
Various changes in body composition and body fat distribution are accompaniments of biological ageing, presented mostly in the middle age and significantly notable during the menopause transition. This study aimed to examine the effect of menopausal status on body composition characteristics in 368 apparently healthy women aged 38-61 years. Bioelectrical parameters were measured with a bioimpedance monofrequency analyser (BIA 101) and bioelectric impedance vector analysis (BIVA) was used to analyse tissue electric properties. Data dealing with menopausal status and symptoms as well as life style variables were obtained by the Menopause specific questionnaire. Statistical analysis adjusted for age did not show differences either in the body composition characteristics or in the nutrition and obesity indices between pre- and post-menopausal women. Regression analyses pointed on statistically significant effect (p<0.05) of physical exercise on Xc (B=2.353), FM % (B=-1.746) and MM % (B=1.201), of hypertension on R (B=-22.381), FM % (B=4.468), MM % (B=-2.306), of smoking on Xc (B=1.835), FM % (B=-1.227), MM % (B=0.767), of muscle and joint ache on the FM % (B=1.923) and on MM % (B=-1.061). The age had impact on Xc (B=-13.468) and on the phase angle (B=-1.320). To conclude, in our study group of pre- and postmenopausal Slovak women, age, health and life style factors seem to have more important effect on the body composition characteristics than menopausal status alone
EN
Menopause is associated with various physiological symptoms which can be related to the most common health problems in menopausal women and a decrease in their quality of life. Determinants of experiencing menopausal symptoms are complex because they include reproductive, environmental, lifestyle and social factors. The aim of this study is to assess whether selected reproductive, lifestyle and health factors are associated with the occurence of hot flushes, night sweats, palpitations, dizzy spells and/or pins and needles in the hands and feet. A total of 346 women aged between 39 and 59 years living in Slovakia were recruited for this cross-sectional survey. Data on menopausal symptoms and potential confounders were collected by questionnaire. Logistic regression analysis revealed an independent effect of peri-/postmenopausal status and depressed mood on the manifestation of hot flushes. Analysis results for night sweats were significant for age, depressed mood and current smoking at p<0.05 while, of all input parameters, only age and depressed mood were significant predictors of palpitations. Logistic regression also revealed the effect of sport and depressed mood on dizzy spells. Depressed women, (B=0.677) and those who did not participate in sporting activities (B= -0.969) suffered more often from dizzy spells. Pins and needles in hands and feet were influenced by peri-/postmenopausal status (B=1.036), by higher numbers of pregnancy (B=0.260) and depressed mood (B=0.505). Potentially modifiable factors, such as current smoking, lack of sport, depressed mood and the number of pregnancies can predispose a woman to a higher prevalence of some of these physiological menopausal symptoms.
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