Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
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Impact of Menopausal Status, Metabolic Syndrome and its Risk Factors on Impaired Quality of Life above Middle-aged Women

중년 이후 여성에서 삶의 질 저하에 영향을 미치는 요인: 폐경 형태와 대사증후군 위험요인을 중심으로

  • Kim, Jisoon (College of Nursing, Graduate School, Chungnam National University) ;
  • Ahn, Sukhee (College of Nursing, Chungnam National University)
  • 김지순 (충남대학교 대학원 간호학과) ;
  • 안숙희 (충남대학교 간호대학)
  • Received : 2016.09.30
  • Accepted : 2016.11.02
  • Published : 2016.12.20
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Abstract

Purpose: This study explored influencing factors on quality of life (QoL) above middle-aged women in relation to demographic factors, health-related factors, menopausal status, metabolic syndrome (MS) and its risk factors. Methods: This study was secondary data analysis from the Sixth Korea National Health and Nutrition Examination Survey 2013~2015 that utilized a complex, multi-stage probability sample design. Study sample of 2,310 was inclusive of (28.8%) of women who were over 40. To evaluate the factors that would influence an impaired quality of life, $x^2$ test, GLM, and logistic regression analysis were done. Results: Level of quality of life was lower in women with late post-menopause(over 10 years since menopause) than women with pre-menopause. Factors influencing impaired QoL were as follows: graduated middle school and elementary school or less (OR=2.43, 4.42, respectively, p<.05), no job (OR=1.92, p<.001), stress (OR=1.92, p=.001), depression (OR=1.93, p=.001), insufficient sleep (OR=1.64, p=.003), late post-menopause (OR=2.61, p=.044) and over 85cm of waist circumference (OR=1.76, p=.01). Conclusion: These results suggest that late post-menopause may be an independent factor influencing an impaired QoL. To promote post-menopausal womens' health, a nursing strategy is required to teach women how to manage levels of stress, depression, insufficient sleep, and abdominal obesity through health education, nutritional counselling, and physical activity program.

Keywords

References

  1. Nam HS. South Korean time trade-off values for EQ-5D health states [Internet]. Seoul: Korea Center for Disease Control and Prevention. 2007 [cited 2016 May 16]. Available from:http://www.cdc.go.kr/CDC/info/CdcKrInfo0301.jsp?menuIds=HOME001-MNU1132-MNU1138-MNU0037-MNU1380&cid=12449
  2. Statistics Korea. 2014 Life tables for Korea [Internet]. Daejeon:Statistics Korea; 2014 [cited 2016 January 8]. Available from:http://kosis.kr/nsportalStats/nsportalStats_0102Body.jsp?menuId=6
  3. Ko HY, Lee JK, Shin JY, Jo EI. Health-related quality of life and cardiovascular disease risk in Korean adults. Korean Journal of Family Medicine. 2015;36(6):349-356. https://doi.org/10.4082/kjfm.2015.36.6.349
  4. Mohamed HA, Lamadah SM, Zamil LG. Quality of life among menopausal women. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2014;3(3):552-561.
  5. Leem GY. The study of menopause-related quality of life and management of climacteric in a middle-aged female population in Korea. Public Health Weekly Report, KCDC. 2013;6(31):609-613.
  6. Shyu YK, Pan CH, Lin WM, Hsueh JY, Hsu CS, Tasi PS. Healthrelated quality of life and healthcare resource utilization in Taiwanese women with menopausal symptoms: A nationwide survey. Journal of Nursing Research. 2012;20(3):208-218. https://doi.org/10.1097/jnr.0b013e318265619b
  7. Kim HS. The affecting factors of mental health and quality of life for the menopausal women［dissertation]. Gyeongbuk:Daegu Haany University; 2015.
  8. Park YR, Son YJ. Relationship of satisfaction with appearance, self-esteem, depression, and stress to health related quality of life in women across the lifespan. Journal of Korean Academy of Fundamentals of Nursing. 2009;16(3):353-361.
  9. Kim JH, Kim KR, Cho KH, Yoo KB, Kwon JA, Park EC. The association between sleep duration and self-related health in the Korean general population. Journal of Clinical Sleep Medicine. 2013;9(10):1057-1064.
  10. Han MS. Metabolic syndrome emerging from menopause. Journal of Menopausal Medicine. 2011;17(3):127-135. https://doi.org/10.6118/jksm.2011.17.3.127
  11. Grundy SM, Brewer HB, Cleeman JI, Smith SC, Lenfant C. Definition of Metabolic syndrome: Report of the National Heart, Lung, and Blood Institute/American Heart Association conference on scientific issues related to definition. Arteriosclerosis, Thrombosis, and Vascular Biology. 2004;24(2):e13-e18. https://doi.org/10.1161/01.ATV.0000111245.75752.C6
  12. Bang SY, Cho IG. The effects of menopause on the metabolic syndrome in Korean women. Journal of the Korea Academia-Industrial Cooperation Society. 2015;16(4):2704-2712. https://doi.org/10.5762/KAIS.2015.16.4.2704
  13. Lim S, Shin H, Song JH, Kwak SH, Kang SM, Yoon JW, et al. Increasing prevalence of metabolic syndrome in Korea: The Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care. 2011;34(6):1323-1328. https://doi.org/10.2337/dc10-2109
  14. Ali SB, Belfki-Benali H, Aounallah-Skhiri H, Traissac P, Maire B, Delpeuch F, et al. Menopause and metabolic syndrome in Tunisian women. BioMed Research International. 2014; Article ID 457131:1-7.
  15. Lee BG, Lee JY, Kim SA, Son DM, Ham OK. Factors associated with self-related health in metabolic syndrome and relationship between sleep duration and metabolic syndrome risk factors. Journal of Korean Academy of Nursing. 2015;45(3):420-428. https://doi.org/10.4040/jkan.2015.45.3.420
  16. Jeon JH, Kim SH. Depression, stress and how they are related with health behaviors and metabolic syndrome among women over 40 years. Journal of the Korean Society Maternal and Child Health. 2012;16(2):263-273. https://doi.org/10.21896/jksmch.2012.16.2.263
  17. Han KS, Park YH, Kim SN, Lee SJ, Yang SH. Influencing factors on quality of life in patients with metabolic syndrome. Korean Journal of Stress Research. 2013;21(4):303-311.
  18. Amiri P, Hosseinpanah F, Rambod M, Montazeri A, Azizi F. Metabolic syndrome predicts poor health-related quality of life in women but not in men: Tehran Lipid and Glucose Study. Journal of Women's Health. 2010;19(6):1201-1207. https://doi.org/10.1089/jwh.2009.1710
  19. Amiri P, Deihim T, Nakhoda K, Hasheminia M, Montazeri A, Azizi F. Metabolic syndrome and health-related quality of life in reproductive age and post-menopausal women: Tehran Lipid and Glucose Study. Archives of Iranian Medicine. 2014;17(6):423-428.
  20. So ES. Waist circumference and health-related quality of life by sex in the Korean elderly. Journal of Aging and Health. 2014;26(6):887-899. https://doi.org/10.1177/0898264314531618
  21. van Reenen M, Oppe M. EQ-5D-3L user guide: Basic information on how to use the EQ-5D-3L instrument version 5.1 [Internet]. Rotterdam: EuroQol Research Foundation; 2015 [cited 2016 January 16]. Available from:http://www.euroqol.org/fileadmin/user_upload/Documenten/PDF/Folders_Flyers/EQ-5D-3L_UserGuide_2015.pdf
  22. The Korean Society of Menopause. Management of menopausal women. Seoul: Koonja; 2007.
  23. Jang YH, Kim SH, Kim YS, Jung SH, Park J. The relationship between walking exercise and quality of life for Korean adults. Journal of Digital Policy & Management. 2013;11(5):325-334.
  24. Choi H, Lee HK, Park HM. The Korean menopausal women's attitudes and awareness on menopause: Results of Korean Gallup epidemiologic survey on menopause and HRT. Journal of Menopausal Medicine. 2003;9(1):36-43.
  25. Lee KS, Kim SC, Jung JE, Son JB, Joo JK. Differences of prevalence and components of metabolic syndrome according to menopausal status. Journal of Korean Society Menopause. 2012;18(3):155-162. https://doi.org/10.6118/jksm.2012.18.3.155
  26. Polo-Kantola P. Sleep problems in midlife and beyond. Maturitas. 2011;68(3):224-232. https://doi.org/10.1016/j.maturitas.2010.12.009
  27. Hess R, Thurston RC, Hays RD, Chang CC, Dillon SN, Ness RB, et al. The impact of menopause on health-related quality of life: Results from the STRIDE longitudinal study. Quality of Life Research. 2012;21(3):535-544. https://doi.org/10.1007/s11136-011-9959-7
  28. Bang SY. The effects of metabolic syndrome on quality of life. Journal of the Korea Academia-Industrial Cooperation Society. 2015;16(10):7034-7042. https://doi.org/10.5762/KAIS.2015.16.10.7034
  29. Vetter ML, Wadden TA, Lavenberg J, Moore RH, Volger S, Perez JL, et al. Relation of health-related quality of life to metabolic syndrome, obesity, depression and comorbid illnesses. International Journal of Obesity. 2011;35(8):1087-1094. https://doi.org/10.1038/ijo.2010.230
  30. Koh CY, Yang JS, Choi IS. Study on women's quality of life during menopause and suggestions for policy support. Policy Study Report. Suwon: Gyeonggido Family & Women's Research Institute; 2011.

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