中华全科医学2024,Vol.22Issue(1) :77-81.DOI:10.16766/j.cnki.issn.1674-4152.003335

浙江省40~69岁女性的生活方式与绝经相关症状的相关性研究

Correlation between lifestyle and menopausal syndrome of females aged 40-69 in Zhejiang Province

胡凯灵 许凌 丁悦虹 马麟娟 应倩 周坚红 宁玉梅
中华全科医学2024,Vol.22Issue(1) :77-81.DOI:10.16766/j.cnki.issn.1674-4152.003335

浙江省40~69岁女性的生活方式与绝经相关症状的相关性研究

Correlation between lifestyle and menopausal syndrome of females aged 40-69 in Zhejiang Province

胡凯灵 1许凌 2丁悦虹 2马麟娟 3应倩 4周坚红 3宁玉梅2
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作者信息

  • 1. 慈溪市第三人民医院医疗健康集团妇产科,浙江宁波 315324;杭州师范大学医学院临床医学系,浙江杭州 311121
  • 2. 浙江省妇幼和生殖保健中心临床医务部,浙江杭州 310012
  • 3. 浙江大学医学院附属妇产科医院妇三科,浙江杭州 310006
  • 4. 浙江省肿瘤医院肿瘤研究所,浙江杭州 310022
  • 折叠

摘要

目的 探讨女性生活方式与绝经相关症状的相关性.方法 采用多阶段分层整群抽样方法抽取浙江省40~69岁女性7 856名进行问卷调查,有序变量采用Mantel-Haenszel检验,无序变量采用Kruskal-Wallis H检验,联合多因素logistic回归分析对生活方式与绝经相关症状的相关性进行分析,绘制ROC曲线.结果 年龄与绝经及绝经相关症状均具有相关性(P<0.05).生活方式中被动吸烟、饮酒、饮茶、体育锻炼强度、烫染发频率(P<0.05)均与绝经相关症状具有相关性.年龄大(OR=1.103,95%CI:1.094~1.112)、绝经(OR=4.011,95%CI:3.573~4.503)、家属吸烟(OR=1.346,95%CI:1.206~1.501)和工作环境被动吸烟(OR=1.432,95%CI:1.175~1.745)均是绝经相关症状的危险因素(P<0.05).低强度体育锻炼(OR=0.881,95%CI:0.822~0.944)、低频率烫发(OR=0.823,95%CI:0.774~0.876)均是绝经相关症状的保护因素(P<0.05).生活方式相关因素预测绝经相关症状的ROC曲线下面积为0.731.结论 浙江省40~69岁女性生活方式与绝经相关症状具有相关性,可以对女性进行生活方式指导以减少或缓解绝经相关症状.

Abstract

Objective To investigate the correlation between lifestyle and menopausal syndrome of females.Methods A multi-stage stratified cluster sampling method was used to randomly select 7 856 females aged 40-69 in Zhejiang Prov-ince for a questionnaire survey.Mantel-Haenszel test was used for ordered categorical variables,Kruskal-Wallis H test was used for disordered variables and multiple logistic aggression analysis were used to determine the correlation between lifestyle and menopausal syndrome and drawn ROC curve.Results Age was associated with menopause and menopausal syndrome(P<0.05).Passive smoking,drinking,tea drinking,physical exercise intensity,frequency of hair perming and dyeing were associated with menopausal syndrome(P<0.05).Older age(OR=1.103,95%CI:1.094-1.112),menopause(OR=4.011,95%CI:3.573-4.503),family members smoking(OR=1.346,95%CI:1.206-1.501),and passive smoking in the working environment(OR=1.432,95%CI:1.175-1.745)were risk factors for menopausal syndrome(P<0.05).Lower physical activity intensity(OR=0.881,95%CI:0.822-0.944)and low frequency of hair perming(OR=0.823,95%CI;0.774-0.876)were protective factors for menopausal syndrome(P<0.05).The area under the ROC curve for lifestyle-related factors predicting menopause-related symptoms was 0.731.Conclusion The lifestyle of females aged 40-69 in Zhejiang Province is correlated with menopausal syndrome.Lifestyle coaching is recom-mended for females to reduce or relieve menopausal syndrome.

关键词

绝经相关症状/绝经/生活方式

Key words

Menopausal syndrome/Menopause/Lifestyle

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基金项目

浙江省医药卫生重大科技计划项目(WKJ-ZJ-1921)

出版年

2024
中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
参考文献量23
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