Type II diabetes mellitus and menopause: a multinational study

Background Type II diabetes mellitus causes metabolic changes that may lead to early menopause and worsen climacteric symptoms. Objectives To determine the risk factors for type II diabetes mellitus and assess the impact of this disease on the age of menopause and on climacteric symptoms. Methods A...

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Autores:
Monterrosa-Castro, Álvaro
Blumel, Juan E.
Portela Buelvas, K.
Mezones Holguín, E.
Barón, G.
Bencosme, A.
Benítez, Z.
Bravo, L. M.
Tipo de recurso:
Article of investigation
Fecha de publicación:
2013
Institución:
Universidad de Cartagena
Repositorio:
Repositorio Universidad de Cartagena
Idioma:
eng
OAI Identifier:
oai:repositorio.unicartagena.edu.co:11227/20219
Acceso en línea:
https://hdl.handle.net/11227/20219
Palabra clave:
3. Ciencias Médicas y de la Salud
Type II Diabetes
Climacteric Symptoms
Blood Pressure
Menopause
Latin America
ODS 3: Salud y bienestar. Garantizar una vida sana y promover el bienestar de todos a todas las edades
Rights
openAccess
License
https://creativecommons.org/licenses/by-nc/4.0/
Description
Summary:Background Type II diabetes mellitus causes metabolic changes that may lead to early menopause and worsen climacteric symptoms. Objectives To determine the risk factors for type II diabetes mellitus and assess the impact of this disease on the age of menopause and on climacteric symptoms. Methods A total of 6079 women aged between 40 and 59 years from 11 Latin American countries were requested to answer the Menopause Rating Scale and Goldberg Anxiety-Depression Scale. Results The prevalence of diabetes was 6.7%. Diabetes mellitus was associated with arterial hypertension (odds ratio (OR) 4.49; 95% confi dence interval (CI) 3.47 – 5.31), the use of psychotropic drugs (OR 1.54; 95% CI 1.22 – 1.94), hormonal therapy (OR 1.46; 95% CI 1.11 – 1.92), 50 years of age (OR 1.48; 95% CI 1.17 – 1.86), overweight or obese (OR 1.47; 95% CI 1.15 – 1.89), and waist circumference 88 cm (OR 1.32; 95% CI 1.06 – 1.65). Factors associated with lower risk of diabetes were the use of hormonal contraceptives (OR 0.55; 95% CI 0.35 – 0.87), alcohol (OR 0.73; 95% CI 0.54 – 0.98) and living in cities 2500 meters above sea level (OR 0.70; 95% CI 0.53 – 0.91) or with high temperatures (OR 0.67; 95% CI 0.51 – 0.88). In turn, diabetes tripled the risk of menopause in women under 45 years of age. Diabetes did not increase the risk of deterioration of quality of life due to climacteric symptoms. Conclusion Menopause does not increase the risk of type II diabetes mellitus. Diabetes is associated with early menopause in women under 45 years of age