Effects of Age at First Childbirth and Other Factors on Central Obesity in Postmenopausal Women: The 2013–2015 Korean National Health and Nutrition Examination Survey
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Waist circumference is one of the key components of metabolic syndrome. Recent studies demon-strated that the reproductive profile was associated with metabolic syndrome in postmenopausal women. This study focused on the association between central obesity and age at first childbirth. It also considered other factors associated with central obesity in postmenopausal women.Methods: This study was based on the 2013–2015 Korean National Health and Nutrition Examination Survey and involved 3,143 naturally postmenopausal women. These women were divided into three groups according to their age at first childbirth: 19 years or younger (n=252), 20–29 years (n=2,695), and 30 years or older (n=196). Multivari-ate analysis using logistic regression was performed to evaluate the effects of various reproductive factors, including other confounding factors.Results: During adjustment for confounding factors, in the early age at first childbirth group, odds ratios (95% con-fidence intervals) for central obesity decreased. In the final model, younger age at first childbirth was not signifi-cantly related to central obesity (waist circumference more than 85 cm) in naturally postmenopausal women after adjusting for other confounding factors.Conclusion: Younger age at first childbirth was not significantly associated with central obesity after adjustment for confounding factors.
Abstract
Background: Waist circumference is one of the key components of metabolic syndrome. Recent studies demon-strated that the reproductive profile was associated with metabolic syndrome in postmenopausal women. This study focused on the association between central obesity and age at first childbirth. It also considered other factors associated with central obesity in postmenopausal women.Methods: This study was based on the 2013–2015 Korean National Health and Nutrition Examination Survey and involved 3,143 naturally postmenopausal women. These women were divided into three groups according to their age at first childbirth: 19 years or younger (n=252), 20–29 years (n=2,695), and 30 years or older (n=196). Multivari-ate analysis using logistic regression was performed to evaluate the effects of various reproductive factors, including other confounding factors.Results: During adjustment for confounding factors, in the early age at first childbirth group, odds ratios (95% con-fidence intervals) for central obesity decreased. In the final model, younger age at first childbirth was not signifi-cantly related to central obesity (waist circumference more than 85 cm) in naturally postmenopausal women after adjusting for other confounding factors.Conclusion: Younger age at first childbirth was not significantly associated with central obesity after adjustment for confounding factors.
참고문헌 (24)
- Kaaja RJ, "Manifestations of chronic disease during pregnancy", JAMA, 294, pp.2751~2757 (2005)[DOI]
- Grundy E, "Fertility history and health in later life: a record linkage study in England and Wales", Soc Sci Med, 61, pp.217~228 (2005)[DOI]
- Grundy E, "Fertility history and cause-specific mortality: a register-based analysis of complete cohorts of Norwegian women and men", Soc Sci Med, 70, pp.1847~1857 (2010)[DOI]
- Vandenheede H, "The associations between nationality, fertility history and diabetes-related mortality: a retrospective cohort study in the Brussels-Capital Region (2001-2005)", J Public Health (Oxf), 34, pp.100~107 (2012)[DOI]
- Feng Y, "Effects of age at menarche, reproductive years, and menopause on metabolic risk factors for cardiovascular diseases", Atherosclerosis, 196, pp.590~597 (2008)[DOI]
- Lao XQ, "Parity and the metabolic syndrome in older Chinese women: the Guangzhou Biobank Cohort Study", Clin Endocrinol (Oxf), 65, pp.460~469 (2006)[DOI]
- Alberti KG, "The metabolic syndrome: a new worldwide definition", Lancet, 366, pp.1059~1062 (2005)[DOI]
- Lee SY, "Appropriate waist circumference cutoff points for central obesity in Korean adults", Diabetes Res Clin Pract, 75, pp.72~80 (2007)[DOI]
- Mathew S, "Toxicity of abdominal fat", Health, 5, pp.96~99 (2013)
- Toth MJ, "Effect of menopausal status on body composition and abdominal fat distribution", Int J Obes Relat Metab Disord, 24, pp.226~231 (2000)[DOI]
- Park HS, "The metabolic syndrome and associated lifestyle factors among South Korean adults", Int J Epidemiol, 33, pp.328~336 (2004)[DOI]
- Ball K, "Socioeconomic status and weight change in adults: a review", Soc Sci Med, 60, pp.1987~2010 (2005)[DOI]
- Umberson D, "Parenthood and trajectories of change in body weight over the life course", Soc Sci Med, 73, pp.1323~1331 (2011)[DOI]
- Alberti KG, "Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity", Circulation, 120, pp.1640~1645 (2009)[DOI]
- Patchen L, "Early parturition: is young maternal age at first birth associated with obesity", J Pediatr Adolesc Gynecol, 30, pp.553~559 (2017)[DOI]
- Laopaiboon M, "Advanced maternal age and pregnancy outcomes: a multicountry assessment", BJOG, 121(Suppl 1), pp.49~56 (2014)[DOI]
- Cho GJ, "The relationship between reproductive factors and metabolic syndrome in Korean postmenopausal women: Korea National Health and Nutrition Survey 2005", Menopause, 16, pp.998~1003 (2009)[DOI]
- Glasier A, "Sexual and reproductive health: a matter of life and death", Lancet, 368, pp.1595~1607 (2006)[DOI]
- Fowler-Brown AG, "Parity and the association with diabetes in older women", Diabetes Care, 33, pp.1778~1782 (2010)[DOI]
- Nicholson WK, "Parity and risk of type 2 diabetes: the Atherosclerosis Risk in Communities Study", Diabetes Care, 29, pp.2349~2354 (2006)[DOI]
- Gunderson EP, "Childbearing may increase visceral adipose tissue independent of overall increase in body fat", Obesity (Silver Spring), 16, pp.1078~1084 (2008)[DOI]
- Pirkle CM, "Early maternal age at first birth is associated with chronic diseases and poor physical performance in older age: cross-sectional analysis from the International Mobility in Aging Study", BMC Public Health, 14, pp.293~ (2014)[DOI]
- Mauvais-Jarvis F, "The role of estrogens in control of energy balance and glucose homeostasis", Endocr Rev, 34, pp.309~338 (2013)[DOI]
- Chang CJ, "Relationships of age, menopause and central obesity on cardiovascular disease risk factors in Chinese women", Int J Obes Relat Metab Disord, 24, pp.1699~1704 (2000)[DOI]
