• Title/Summary/Keyword: postmenopausal

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Risk Factors for Breast Cancer in Postmenopausal Women in Brazil

  • Borghesan, Deise Helena Pelloso;Dell'Agnolo, Catia Millene;Gravena, Angela Andreia Francam;de Oliveira Demitto, Marcela;Lopes, Tiara Cristina Romeiro;de Barros Carvalho, Maria Dalva;Pelloso, Sandra Marisa
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3587-3593
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    • 2016
  • Purpose: To analyze risk factors for postmenopausal breast cancer. Methods: The present case-control study included 600 women treated at a cancer center reference hospital in a municipality in the South of Brazil. Results: Totals of 100 patients and 500 control subjects were evaluated. The mean age of the women was $52.5{\pm}11.9$ years; the average was $57.4{\pm}11.8$ years, and the average age of the control subjects was $51.5{\pm}11.7$ years. The risk factors for breast cancer that were considered included an age ${\geq}40$ years, postmenopausal status, a body mass index $(BMI){\geq}30kg/m^2$, and reduced physical activity. Variables like postmenopausal status and an obese BMI were associated with cases of breast cancer. Women who were postmenopausal or obese were 3.80 or 1.80 times more likely to develop breast cancer, respectively, and physically inactive women were 1.72 times more likely to develop breast cancer. Conclusions: Obesity and postmenopausal status are associated with the occurrence of breast cancer in this population. Being over 40 years of age was also a statistically significant factor for postmenopausal women.

Intake of dietary phytoestrogen and indices of antioxidant and bone metabolism of pre- and post-menopausal Korean women

  • Jang, Jeong-Hee;Yoon, Ji-Young;Cho, Sung-Hee
    • Nutrition Research and Practice
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    • v.1 no.4
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    • pp.305-312
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    • 2007
  • A group of 101 women, aged 40-65 years consisted of 48 premenopausal subjects and 53 postmenopausal ones living in Daegu and Gyeongbuk area in Korea were evaluated with their general characteristics, lifestyle factors, nutrient and phytoestrogen intakes, blood and urinary indices concerning antioxidant status and bone metabolism. Body mass index (BMI), waist hip ratio (WHR) and systolic blood pressure (SBP) of the postmenopausal women were significantly higher (23.8, 0.86, and 126.9 mmHg, respectively) than those of the premenopausal women (22.6, 0.82, and 115.9 mmHg; respectively). Nutrient intakes of the postmenopausal and premenopausal groups were not different except lower fat intake and higher dietary fiber and iron intakes in the postmenopausal group. Daily total phytoestrogen intake was significantly higher in the postmenopausal group (48.54 mg) than the premenopausal (31.41 mg) and was resulted mostly from higher intakes of daidzein and genistein from soy and soy products (45.42 mg vs 28.91 mg). Serum genistein level and excretion of enterolactone, major lignan metabolite, were not very different between the two groups. Serum retinal and ${\alpha}$- tocopherol levels were higher in the postmenopausal group but TBARS levels were not different between the two groups. Serum osteocalcin (7.18 ng/mL) and urinary deoxypyridinoline (7.15 nmol/mmol creatinine), in the postmenopausal group were significantly higher than those in the premenopausal group (4.80 ng/mL, 5.95 nmol/mmol creatinine). Urinary excretion of enterolactone was positively correlated with serum osetocalcin in premenopausal women and serum genistein negatively correlated with the urinary DPD in postmenopausal women. Dietary phytoestrogen intake was negatively correlated with serum level of TBARS in all subjects. It is concluded that the effect of total phytoestrogen intake is beneficial on body antioxidant status in all middle-aged women regardless of menopause but the effect on bone metabolism appears different by the type of the phytoestrogen and the menopausal state.

Effect of Childbirth Age on Bone Mineral Density in Postmenopausal Women

  • We, Ji Sun;Han, Kyungdo;Kwon, Hyuk-Sang;Kil, Kicheol
    • Journal of Korean Medical Science
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    • v.33 no.48
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    • pp.311.1-311.10
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    • 2018
  • Background: In postmenopausal women, there is rapid bone loss due to estrogen depletion. In women, reproductive factors such as age at menarche, breastfeeding, and parity are considered risk factors of osteoporosis. Many reports suggest that obesity is associated with a reduced risk of osteoporosis. This nationwide, population-based study aims to identify the association between maternal age and osteoporosis risk in postmenopausal women of different obesity classifications. Methods: We assessed data from the Korean National Health and Nutrition Examination Survey 2010-2012. The study included 1,328 postmenopausal women, after excluding women with missing data for reproductive history among 4,546 postmenopausal women in the survey. Multivariate regression was used to identify the association between childbirth age and postmenopausal bone mineral density after adjustments for confounding factors. Results: The prevalence of postmenopausal osteoporosis was 35.24% (n = 468). After dividing the subjects into obese and non-obese groups based on body mass index (BMI) and waist circumference, there were significant differences between non-osteoporosis and osteoporosis groups with regard to age at first childbirth, age at last childbirth, and parity in the BMI-based general obesity group. The prevalence of osteoporosis was highest in women older than 35 years old at last childbirth. The prevalence of osteoporosis was also greater in women with parity ${\geq}4$ compared to those with lower parity levels. Conclusion: Postmenopausal women of older age at last childbirth and higher parity were at increased risk of osteoporosis in the BMI-based non-general obesity group.

The Effects of Vitamin K Supplements on Serum Osteocalcin Caraboxylation in Postmenopausal Women (폐경후 여성에서 비타민 K보충이 혈중 오스테오칼신의 카복실화에 미치는 영향)

  • 홍주영
    • Journal of Nutrition and Health
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    • v.32 no.6
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    • pp.726-731
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    • 1999
  • Many studies show that the bone loss in postmenopausal women is closely related with status of vitamin K. The purpose of this study is to observe the effects of the vitamin K supplements on the carboxylation of serum osteocalcin in postmenopausal women. Twenty-four healthy postmenopausal women were recruited for the double-blind controlled study. Before and after daily administration of 1.0mg of phylloquinone for one month, the levels of serum vitamin K, osteocalcin, undercarboxylated osteocalcin were measured. Daily intake of vitamin K was also calculated. After the 4-weeks of supplements of 1.0mg/day of vitamin K, there were no significant differences for the levels of serum vitamin K, osteocalcin, and ucOC between the experimental and placebo groups. In this study, it was not found that the supplements of vitamin K to the postmenopausal women had any positive effects on.

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3 Cases of Postmenopausal Hot Flush Treated with Hwangryunhaedoktang-Gamibang (황연해독탕가미방(黃連解毒湯加味方)을 처방한 갱년기 안면홍조 환자 3례 증례 보고)

  • Lee, A-Rin;Son, Sang-Hyun;Park, Seon-Jeong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.30 no.4
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    • pp.176-183
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    • 2017
  • Objectives : The purpose of this study is to report the effect of Hwangryunhaedoktang-Gamibang on Postmenopausal Hot Flushes. Methods : This case study was done on 3 Postmenopausal Hot Flush patients who have visited Korean Medicine Clinic. Hwangryunhaedoktang-Gamibang was prescribed to all 3 patients and evaluated the symptom change through photographs and questionnaire. Investigator's Global Assessment(IGA) was used to evaluate the objective symptom and Visual Analogue Scale(VAS) was used to evaluate the subjective change. Results & Conclusions : The IGA and VAS were decreased in all patients. Most symptoms of 3 patients were improved. As a result of examining IGA, VAS scores and photographs, Hwangryunhaedoktang-Gamibang can be effective on Postmenopausal hot flush.

Influencing Factors on Quality of Life in Pre- and Postmenopausal Women (폐경전후 여성의 삶의 질에 미치는 영향요인)

  • Yeo Jung-Hee
    • Journal of Korean Academy of Nursing
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    • v.34 no.7
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    • pp.1334-1342
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    • 2004
  • Purpose: This study was to investigate the factors influencing quality of life and difference of quality of life in a postmenopausal group compared to premenopausal women. Method: The subjects consisted of 213 women from 40 to 64 years old. The data were collected from June 1, 2003 to June 31, 2004 using structured questionnaires which included questions relating to demographic and obstetric background and 4 scales(climacteric symptoms scale, marital satisfaction scale, sex-role attitude scale, quality of life scale). Result: Comparing pre- and postmenopausal women, significant statistical differences were demonstrated in climacteric symptoms and sex-role attitude. However, quality of life was not different between pre- and postmenopausal women. In premenopausal women, marital satisfaction($32.7\%$) and educational level($8.0\%$) were significant predictors to explain quality of life. Marital satisfaction($12.9\%$) was significant predictor to explain quality of life in postmenopausal women. Conclusion: No difference of quality in life between pre- and postmenopausal women provides information for changing traditional approaches of menopause according to physiological changes as illness. In addition the study showed that it is necessary to use marital satisfaction information when developing nursing interventions to promote the quality of life.

A Literature Review on Obesity in Postmenopausal Women (폐경기 비만의 임상적 의의에 대한 문헌적 고찰)

  • Yang, Mi-Sung;Shin, Mi-Suk;An, Hye-Lim
    • Journal of Korean Medicine for Obesity Research
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    • v.8 no.2
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    • pp.1-13
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    • 2008
  • Objective This study was designed to collect latest papers and to find more effective approach for Postmenopausal Women Methods We searched 85 papers in English from Pubmed(www.ncbi.nlm.nih.gov) and selected 40 in favor of our study. In addition to that, we searched 24 papers in Korean from Kiss(www.kiss.kstudy.com) and Medric(www.medric.or.kr). Results are as follows. Results and conclusion Many studies showed that postmenopausal obesity causes cardiovascular disease, osteoporosis, breast cancer and decrease in immunity. To prevent and treat obesity, many studies suggested that dietary and exercise are most effective methods. If needed, medicine and hormone therapy may be recommended as next steps. But, Herb medication and acupuncture are not used yet as postmenopausal obesity treatment around the world. Postmenopausal obesity is significant, resulting in many medical problems. We hope more effective treatment based on these studies and combined with Korean traditional medicine could be developed after.

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Correlation between Bone Mineral Density(BMD) and Degenerative Lumbar Disease in Postmenopausal Patients with Low Back Pain (폐경 후 요통환자에서 골밀도와 퇴행성 요추 병변과의 관계)

  • Park, Young-Eun;Kim, Chul-Soo;Kim, Kyu-Tae;Lee, Je-Kyun;Ahn, Gun-Sang;You, Hye-Kyung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.19 no.3
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    • pp.203-213
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    • 2006
  • Purpose : This study was carried out to evaluate correlation between Bone Mineral Density(BMD) and degenerative lumbar disease in postmenopausal low back pain patients. Methods : 69 postmenopausal patients with low back pain were examined. Magnetic resonance imaging was performed to evaluate degenerative lumbar disease and bone mineral density of lumbar spine was measured by Dual energy X-ray absorptiometry. Data were analyzed by Pearson's Linear Correlation Coefficient. Results : In postmenopausal patients with low back pain, BMD(T-score, Z-score) had negative correlation with the grade of intervertebral disc herniation and positive correlation with weight. Other lumbar diseases including Spinal stenosis, Spondylolisthesis and Facet joint arthrosis didn't have significant correlation with BMD. Conclusion : In postmenopausal patients with low back pain, BMD(T-score, Z-score) had inverse relationship with the grade of intervertebral disc herniation.

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Effect of Vitamin K2 (Menaquinone-7) in Cheongukjang Powder on Bone Health Circulation in Postmenopausal Women (비타민 K2(Menaquinone-7) 함유 청국장 분말의 섭취가 폐경기 여성의 뼈건강 개선에 미치는 효과)

  • Bang, Seon-Ok;Kim, Kum-Suk;Jeong, Min-Hong
    • The Korean Journal of Food And Nutrition
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    • v.29 no.6
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    • pp.978-984
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    • 2016
  • Osteoporosis is a disease that often occurs in postmenopausal women. The purpose of this study was to examine the positive effects of Cheongukjang powder containing menaquinone-7 (MK-7) on bone health circulation in postmenopausal women. Fifty-six postmenopausal women were recruited into a randomised double-blind placebo-controlled trial. The participants were randomly assigned into two groups. For 12 weeks, one group received $800{\mu}g$ MK-7 in the form of Cheongukjang packs (CMK-7), and the other group received the same amount of identical-looking placebo packs containing barley meal for 12 weeks. Femoral bone mineral density (BMD), bone-specific alkaline phosphatase (ALP), deoxypyridinoline (DPD), osteocalcin (OSC), serum Ca, and serum P were measured at baseline (0 weeks) and 12 weeks. After 12 weeks in the CMK-7 group, it was found that BMD, serum Ca, and serum P had increased above the baseline (p<0.0001, p=0.0028, p<0.0001), whereas bone-specific ALP, DPD, and OSC had decreased below the baseline (p=0.0003, p<0.0001, p<0.0001). Therefore, MK-7 taken as Cheongukjang is expected to prevent osteoporosis in postmenopausal women.

Influence of the Reproductive Factor and Life Style Factor in Postmenopausal Women's Bone Mineral Density (폐경 여성의 생식 관련 요인과 생활양식이 골밀도에 미치는 영향)

  • Kim, Tae-Im;Lee, Mi-Kyeong
    • Women's Health Nursing
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    • v.14 no.1
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    • pp.12-19
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    • 2008
  • Purpose: This study was to identify the influencing factors in postmenopausal women's bone mineral density (BMD). Method: The sample for the study was 107 postmenopausal women who took the BMD test. For BMD measurement, lumbar spine BMD(L2-5) was measured by Dual-energy X-ray absorptiometry(DEXA). Data was collected by questionnaires on the selected variables such as reproductive factors and life style factors. Result: In reproductive factors, parity shows significant differences with BMD (F=4.16, p=.02). In life style factors, diet (F=3.01, p=.05) and exercise (F=7.39, p=.00) show significant differences with BMD. Excercise, diet and parity accounted for 42.0% of the influencing factors in Postmenopausal Women's Bone Mineral Density. Conclusion: The influencing factors in postmenopausal women's bone mineral density were excercise, diet and parity. In this paper, it is suggested that the influence of reproductive and life style factors in postmenopausal women's BMD should be studied by long term and needs repeated research. This study can be used as foundation material for nursing education program development for osteoporosis prevention and improvement.

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