Body weight and body fat are negatively associated with severe dyspareunia in postmenopausal women.
aging
body mass index
body weight
dyspareunia
hormones
menopause
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
revised:
18
08
2022
received:
13
07
2022
accepted:
22
08
2022
pubmed:
7
9
2022
medline:
6
12
2022
entrez:
6
9
2022
Statut:
ppublish
Résumé
This cross-sectional study aimed to investigate the factors associated with dyspareunia in pre-, peri-, and postmenopausal Japanese women participating in the health and nutrition education program at a menopause clinic. First-visit records of 1702 pre-, peri-, and postmenopausal Japanese women (aged 40-79 years) were analyzed. The relationship between severe dyspareunia and background characteristics was examined by multivariate logistic regression analysis. The average age of the participants was 53.0 ± 6.3 years. The percentage of women who suffered from severe dyspareunia in the pre-, peri-, postmenopausal, and the hormone therapy receiving groups were 7.1%, 10.5%, 14.6%, and 7.8%, respectively. In the postmenopausal group, the percentage of women affected by severe dyspareunia was the highest between 2 and 5 years after menopause (18.8%), presumably owing to the gradual postmenopausal decline in the number of sexually active women. In sexually active postmenopausal women, body weight, body mass index (BMI), and body fat percentage (BF%) differed significantly among those who had severe dyspareunia (N = 119) and those who did not (N = 334). BMI and BF% were negatively associated with severe dyspareunia, even after adjustment for age and years since menopause (adjusted odds ratio [95% confidence interval]: BMI, 0.894 [0.825-0.964], p = 0.003; BF%, 0.947 [0.909-0.985], p = 0.006). BMI and BF% were negatively associated with dyspareunia in sexually active postmenopausal women. In addition to aging, the loss of body weight and fat could negatively impact intercourse in sexually active postmenopausal women.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3279-3285Subventions
Organisme : Ibaraki Prefecture
ID : 91AA193108
Informations de copyright
© 2022 Japan Society of Obstetrics and Gynecology.
Références
The 2020 genitourinary syndrome of menopause position statement of the North American Menopause Society. Menopause. 2020;27(9):976-92. https://doi.org/10.1097/GME.0000000000001609
Portman DJ, Gass ML, Vulvovaginal Atrophy Terminology Consensus Conference Panel. Genitourinary syndrome of menopause: new terminology for vulvovaginal atrophy from the International Society for the Study of Women's sexual health and the North American Menopause Society. Climacteric. 2014;17:557-63. https://doi.org/10.3109/13697137.2014.946279
Kingsberg SA, Wysocki S, Magnus L, Krychman ML. Vulvar and vaginal atrophy in postmenopausal women: findings from the REVIVE (REal Women's VIews of treatment options for menopausal vaginal ChangEs) survey. J Sex Med. 2013;10:1790-9. https://doi.org/10.1111/jsm.12190
Terauchi M, Obayashi S, Akiyoshi M, Kato K, Matsushima E, Kubota T. Insomnia in Japanese peri- and postmenopausal women. Climacteric. 2010;13:479-86. https://doi.org/10.3109/13697130903353478
Terauchi M, Hiramitsu S, Akiyoshi M, Owa Y, Kato K, Obayashi S, et al. Associations between anxiety, depression and insomnia in peri- and post-menopausal women. Maturitas. 2012;72:61-5. https://doi.org/10.1016/j.maturitas.2012.01.014
Terauchi M, Horiguchi N, Kajiyama A, Akiyoshi M, Owa Y, Kato K, et al. Effects of grape seed proanthocyanidin extract on menopausal symptoms, body composition, and cardiovascular parameters in middle-aged women: a randomized, double-blind, placebo-controlled pilot study. Menopause. 2014;21:990-6. https://doi.org/10.1097/GME.0000000000000200
Terauchi M, Hirose A, Akiyoshi M, Owa Y, Kato K, Kubota T. Prevalence and predictors of storage lower urinary tract symptoms in perimenopausal and postmenopausal women attending a menopause clinic. Menopause. 2015;22:1084-90. https://doi.org/10.1097/GME.0000000000000432
Hirose A, Terauchi M, Akiyoshi M, Owa Y, Kato K, Kubota T. Subjective insomnia is associated with low sleep efficiency and fatigue in middle-aged women. Climacteric. 2016;19:369-74. https://doi.org/10.1080/13697137.2016.1186160
Hirose A, Terauchi M, Hirano M, Akiyoshi M, Owa Y, Kato K, et al. Higher intake of cryptoxanthin is related to low body mass index and body fat in Japanese middle-aged women. Maturitas. 2017;96:89-94. https://doi.org/10.1016/j.maturitas.2016.11.008
Terauchi M, Hirose A, Akiyoshi M, Kato K, Miyasaka N. Feelings of unattractiveness in peri- and postmenopausal women are associated with depressed mood, poor memory and unsatisfactory sexual relationships. Climacteric. 2017;20:228-32. https://doi.org/10.1080/13697137.2017.1293647
Odai T, Terauchi M, Hirose A, Kato K, Akiyoshi M, Miyasaka N. Severity of hot flushes is inversely associated with dietary intake of vitamin B6 and oily fish. Climacteric. 2019;22:617-21. https://doi.org/10.1080/13697137.2019.1609440
Terauchi M, Odai T, Hirose A, Kato K, Miyasaka N. Chilliness in Japanese middle-aged women is associated with anxiety and low n-3 fatty acid intake. Climacteric. 2020;23:178-83. https://doi.org/10.1080/13697137.2019.1653841
Enomoto H, Terauchi M, Odai T, Kato K, Iizuka M, Akiyoshi M, et al. Independent association of palpitation with vasomotor symptoms and anxiety in middle-aged women. Menopause. 2021;28:741-7. https://doi.org/10.1097/GME.0000000000001776
Hunter M, Battersby R, Whitehead M. Relationships between psychological symptoms, somatic complaints and menopausal status. Maturitas. 1986;8:217-28. https://doi.org/10.1016/0378-5122(86)90029-0
Hunter M. The south-East England longitudinal study of the climacteric and postmenopause. Maturitas. 1992;14:117-26. https://doi.org/10.1016/0378-5122(92)90004-n
Odai T, Terauchi M, Suzuki R, Kato K, Hirose A, Miyasaka N. Depressive symptoms in middle-aged and elderly women are associated with a low intake of vitamin B6: a cross-sectional study. Nutrients. 2020;12:3437. https://doi.org/10.3390/nu12113437
Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361-70. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
Parish SJ, Nappi RE, Krychman ML, Kellogg-Spadt S, Simon JA, Goldstein JA, et al. Impact of vulvovaginal health on postmenopausal women: a review of surveys on symptoms of vulvovaginal atrophy. Int J Women's Health. 2013;5:437-47. https://doi.org/10.2147/IJWH.S44579
Nappi RE, Kokot-Kierepa M. Vaginal health: insights, views & attitudes (VIVA) - results from an international survey. Climacteric. 2012;15:36-44. https://doi.org/10.3109/13697137.2011.647840
Palma F, Xholli A, Cagnacci A, as the writing group of the AGATA study. The most bothersome symptom of vaginal atrophy: evidence from the observational AGATA study. Maturitas. 2018;108:18-23. https://doi.org/10.1016/j.maturitas.2017.11.007
Palacios S, Nappi RE, Bruyniks N, Particco M, Panay N, EVES Study Investigators. The European vulvovaginal epidemiological survey (EVES): prevalence, symptoms and impact of vulvovaginal atrophy of menopause. Climacteric. 2018;21:286-91. https://doi.org/10.1080/13697137.2018.1446930
Ruan X, Zhang L, Cui Y, Gu M, Mueck AO. Genitourinary syndrome of menopause in Chinese perimenopausal and postmenopausal women. Climacteric. 2021;24:297-304. https://doi.org/10.1080/13697137.2021.1889498
Lindau ST, Schumm LP, Laumann EO, Levinson W, O'Muircheartaigh CA, Waite LJ. A study of sexuality and health among older adults in the United States. N Engl J Med. 2007;357:762-74. https://doi.org/10.1056/NEJMoa067423
Nappi RE, Kokot-Kierepa M. Women's voices in the menopause: results from an international survey on vaginal atrophy. Maturitas. 2010;67:233-8. https://doi.org/10.1016/j.maturitas.2010.08.001
Sturdee DW, Panay N, International Menopause Society Writing Group. Recommendations for the management of postmenopausal vaginal atrophy. Climacteric. 2010;13:509-22. https://doi.org/10.3109/13697137.2010.522875
Cecchini M, Vuik S. The heavy burden of obesity. The Economics of Prevention. OECD Library. 2019.
Mernone L, Fiacco S, Ehlert U. Positive body perception and its link to sexual satisfaction in aging women - findings from the Women 40+ Healthy Aging Study. J Women Aging. 2021;1-16. https://doi.org/10.1080/08952841.2021.2002647