在非自然更年期的妇女中,饮食失调和身体不满是不自然的
Barbara Mangweth-Matzek1, Timo Schurr2, Sophia Vedova3
1Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, University Hospital of Psychiatry II, Medical University of Innsbruck, Innsbruck, Austria. barbara.mangweth@i-med.ac.at.
Archives of gynecology and obstetrics
|April 22, 2025
概括
与自然更年期相比,经历非自然更年期的女性,特别是在卵巢切除术后,患饮食障碍和体重相关自尊问题的风险更高. 对这些女性来说,对饮食行为的临床关注至关重要.
科学领域:
- 生殖内分泌学和心理学 生殖内分泌学和心理学
- 更年期研究研究更年期研究.
- 饮食行为和身体形象研究研究.
背景情况:
- 关于更年期和饮食行为的现有研究主要是检查自然更年期的阶段.
- 非自然的更年期,通常是由于妇科手术造成的,代表了一个独特的人群,其结果可能不同.
- 了解非自然更年期的饮食行为和身体形象对于全面的女性健康至关重要.
研究的目的:
- 研究经历非自然更年期的女性的饮食行为和身体形象.
- 为了比较非自然更年期 (NNMP) 和自然更年期 (NMP) 的女性之间的饮食行为和身体形象.
- 分析经过卵巢切除与子宫切除的女性之间饮食障碍症状 (EDS) 和身体形象的差异.
主要方法:
- 一项涉及330名绝经后妇女 (103名NNMP,227名NMP) 的横截面研究.
- 通过匿名问卷收集的健康,体重史,饮食行为 (包括EDS) 和身体形象的数据.
- 后勤回归模型用于对NNMP和NMP组之间的比较,以及在NNMP组内 (卵巢切除与子宫切除).
主要成果:
- 与NMP妇女相比,NNMP妇女报告了更高的限制性饮食和EDS比率,尽管在控制混因素后,这种差异减少了.
- 卵巢切除术后的女性表现出明显更高的EDS患病率 (29%) 比后宫切除术 (11%),即使在调整后.
- 卵巢切除术的女性表现出自尊与体重的更强的依赖,身体满意度在所有组都低于50%.
结论:
- 卵巢切除术后的女性患EDS的风险高于自然更年期的女性.
- 经过切除子宫的女性,经历更少突然的绝经过渡,并没有表现出相同的EDS风险升高.
- 身体形象问题普遍存在,卵巢切除术的女性对体重的重视程度更高,需要在临床护理中提供综合的饮食行为支持.
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