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Age at Natural Menopause and Related Factors in Isfahan, Iran

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Objective: This study was aimed to evaluate the age at natural menopause and related factors among women in a population based study in 2015 in Isfahan, Islamic Republic of Iran.Methods: In this cross-sectional study 960 menopausal women were selected by cluster sampling. Demographic, socioeconomic, lifestyle behavior and reproductive history aspects were collected using a structured questionnaire. Woman and her husband’s educational level and occupation with family income were the variables to construct socioeconomic status using principal component analysis.Results: Mean and median of natural menopause age were 48.66 and 48 years, respectively. Women body mass index (BMI) more than 30 kg/m2 had significantly higher menopausal age than women with lower BMI (P value = 0.022). The mean of menopausal age was not statistically significant in regard to marital status, physical activity, smoking status, menarche age, age at first pregnancy and history of abortion. Menopause age with pregnancy numbers and age at last pregnancy had a significant positive association. Women with better socioeconomic status had significantly higher natural menopause age. Multiple linear regression shows significant relationship between lower age at menopause with higher age at marriage, higher number of pregnancy and lower socioeconomic status.Conclusion: Age at menopause in our studied sample is similar to previous estimates reported for other Iranian populations. Age at marriage, higher number of pregnancy and lower socioeconomic status were the significant factors in relations to age at menopause. (J Menopausal Med 2016;22:87-93)

Abstract

Objective: This study was aimed to evaluate the age at natural menopause and related factors among women in a population based study in 2015 in Isfahan, Islamic Republic of Iran.Methods: In this cross-sectional study 960 menopausal women were selected by cluster sampling. Demographic, socioeconomic, lifestyle behavior and reproductive history aspects were collected using a structured questionnaire. Woman and her husband’s educational level and occupation with family income were the variables to construct socioeconomic status using principal component analysis.Results: Mean and median of natural menopause age were 48.66 and 48 years, respectively. Women body mass index (BMI) more than 30 kg/m2 had significantly higher menopausal age than women with lower BMI (P value = 0.022). The mean of menopausal age was not statistically significant in regard to marital status, physical activity, smoking status, menarche age, age at first pregnancy and history of abortion. Menopause age with pregnancy numbers and age at last pregnancy had a significant positive association. Women with better socioeconomic status had significantly higher natural menopause age. Multiple linear regression shows significant relationship between lower age at menopause with higher age at marriage, higher number of pregnancy and lower socioeconomic status.Conclusion: Age at menopause in our studied sample is similar to previous estimates reported for other Iranian populations. Age at marriage, higher number of pregnancy and lower socioeconomic status were the significant factors in relations to age at menopause. (J Menopausal Med 2016;22:87-93)

참고문헌 (40)

  1. Torgerson DJ, "Mothers and daughters menopausal ages: is there a link?", Eur J Obstet Gynecol Reprod Biol, 74, pp.63~66 (1997)
  2. Achie LN, "Age at natural menopause among Nigerian Women in Zaria, Nigeria", Asian J Med Sci, 3, pp.151~153 (2011)
  3. Taher YA, "Menopausal age, related factors and climacteric symptoms in Libyan women", Climacteric, 16, pp.179~184 (2013)
  4. Kaur M, "Age at natural menopause among rural and urban Punjabi Brahmin females", Anthropologist, 11, pp.255~258 (2009)
  5. Cooper GS, "Age at natural menopause and mortality", Ann Epidemiol, 8, pp.229~235 (1998)
  6. Jacobsen BK, "Does age at natural menopause affect mortality from ischemic heart disease?", J Clin Epidemiol, 50, pp.475~479 (1997)
  7. van Der Voort DJ, "Early menopause: increased fracture risk at older age", Osteoporos Int, 14, pp.525~530 (2003)
  8. He L, "Menopause with cardiovascular disease and its risk factors among rural Chinese women in Beijing: a population-based study", Maturitas, 72, pp.132~138 (2012)
  9. Colditz GA, "Cancer epidemiology and prevention", pp.995~1012 (2006), Oxford University Press
  10. Hidayet NM, "Correlates of age at natural menopause: a community-based study in Alexandria", East Mediterr Health J, 5, pp.307~319 (1999)
  11. Reynolds RF, "Age at natural menopause in Beirut, Lebanon: the role of reproductive and lifestyle factors", Ann Hum Biol, 28, pp.21~29 (2001)
  12. Gold EB, "Factors associated with age at natural menopause in a multiethnic sample of midlife women", Am J Epidemiol, 153, pp.865~874 (2001)
  13. Sowers MR, "Menopause: its epidemiology and potential association with chronic diseases", Epidemiol Rev, 17, pp.287~302 (1995)
  14. Chang C, "Age of menopause of Chinese women in Taiwan", Int J Gynaecol Obstet, 49, pp.191~192 (1995)
  15. Loh FH, "The age of menopause and the menopause transition in a multiracial population: a nation-wide Singapore study", Maturitas, 52, pp.169~180 (2005)
  16. Ayatollahi SM, "Menstrual-reproductive factors and age at natural menopause in Iran", Int J Gynaecol Obstet, 80, pp.311~313 (2003)
  17. Abdollahi F, "Age at natural menopause in Mazandaran", J Mazandaran Univ Med Sci, 14, pp.61~68 (2004)
  18. Nohjah S, "Age at natural menopause and its related factors in Ahvaz", J Ahvaz Univ Med Sci, 4, pp.216~221 (2006)
  19. Tavasoli F, "Study of the average menopausal age and a comparison of the prevalence of its complications before and after treatment", J Sabzevar Uni Med Sci, 1, pp.10~16 (2001)
  20. Mortazavimoghadam G, "Average of age at natural menopause and related factors in Birjand", J Shahekord Univ Med Sci, 5, pp.53~61 (2004)
  21. Bromberger JT, "Prospective study of the determinants of age at menopause", Am J Epidemiol, 145, pp.124~133 (1997)
  22. Harlow BL, "Factors associated with early menopause", Maturitas, 35, pp.3~9 (2000)
  23. Dvornyk V, "Predictive factors for age at menopause in Caucasian females", Maturitas, 54, pp.19~26 (2006)
  24. Elias SG, "Caloric restriction reduces age at menopause: the effect of the 1944-1945 Dutch famine", Menopause, 10, pp.399~405 (2003)
  25. Murphy L, "Life course effects on age at menopause among Bangladeshi sedentees and migrants to the UK", Am J Hum Biol, 25, pp.83~93 (2013)
  26. Morris DH, "Body mass index, exercise, and other lifestyle factors in relation to age at natural menopause: analyses from the breakthrough generations study", Am J Epidemiol, 175, pp.998~1005 (2012)
  27. Henderson KD, "Predictors of the timing of natural menopause in the Multiethnic Cohort Study", Am J Epidemiol, 167, pp.1287~1294 (2008)
  28. Ayatollahi SM, "Sociodemographic factors and age at natural menopause in Shiraz, Islamic Republic of Iran", East Mediterr Health J, 11, pp.146~154 (2005)
  29. Fallahzadeh H, "Age at natural menopause in Yazd, Islamic Republic of Iran", Menopause, 14, pp.900~904 (2007)
  30. Ansari H, "Evaluation of socio-economic factors related to the natural menopause age in Zahedan, Southeastern Iran", Maturitas, 63(Suppl 1), pp.S67~ (2009)
  31. Ashrafi M, "Factors associated with age at natural menopause in Iranian women living in Tehran", Int J Gynaecol Obstet, 102, pp.175~176 (2008)
  32. Shobeiri F, "Age at menopause and its main predictors among Iranian women", Int J Fertil Steril, 8, pp.267~272 (2014)
  33. Abdollahi AA, "The menopausal age and associated factors in Gorgan, Iran", Med J Islam Repub Iran, 27, pp.50~56 (2013)
  34. Schoenaker DA, "Socioeconomic position, lifestyle factors and age at natural menopause: a systematic review and meta-analyses of studies across six continents", Int J Epidemiol, 43, pp.1542~1562 (2014)
  35. Ortiz AP, "Age at natural menopause in a sample of Puerto Rican women", PR Health Sci J, 22, pp.337~342 (2003)
  36. Parente RC, "The relationship between smoking and age at the menopause: A systematic review", Maturitas, 61, pp.287~298 (2008)
  37. Mishra GD, "Early life circumstances and their impact on menarche and menopause", Womens Health, 5, pp.175~190 (2009)
  38. Rödström K, "Evidence for a secular trend in menopausal age: a population study of women in Gothenburg", Menopause, 10, pp.538~543 (2003)
  39. Castelo-Branco C, "Age at menopause in Latin America", Menopause, 13, pp.706~712 (2006)
  40. Santoro N, "Helping midlife women predict the onset of the final menses: SWAN, the Study of Women's Health Across the Nation", Menopause, 14, pp.415~424 (2007)

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