Yıl: 2015 Cilt: 12 Sayı: 1 Sayfa Aralığı: 43 - 49 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Factors affecting age of onset of menopause and determination of quality of life in menopause

Öz:
Menopoz, over aktivitelerinin azalması, doğurganlık olasılığının düşmesi, bir takım semptomların ve düzensiz menstrüasyon aralıklarının görülmesiyle karakterize bir süreç olan klimakterik dönem içerisinde bir kesittir. Menopoza girme yaşı çoğunlukla 40lı yaşlarda başlamakla birlikte kadından kadına değişiklik göstermektedir. Menopoz yaşını etkileyen pek çok faktör olmasına karşın, söz konusu faktörlerin kesin olduğuna dair görüş birliği yoktur. Yapılan çalışmalarda anne menopoz yaşı, menarş yaşı, gebelik yaşı, oral kontraseptif kullanımı, düzensiz menstrual döngü, gebelik sayısı, vücut kitle indeksi, sigara ve alkol kullanımı, fiziksel aktivite, unilateral ooferektomi, serum kurşun düzeyi, çoklu doymamış yağ tüketimi, sosyo-ekonomik durum ve eğitim seviyesi gibi faktörlerin menopoz yaşını etkilediği görülmektedir. Bu dönem süresince ortaya çıkan hormonal ve biyokimyasal farklılaşmalar kadın vücudunda çeşitli semptomlara yol açmaktadır. Menopozal dönemde fiziksel, psikolojik, sosyal ve cinsellik yönünden gözlenen değişimler, kadınların yaşam kalitesini olumsuz yönde etkilemektedir. Son yıllarda menopozal geçiş dönemindeki kadınların yaşam kalitesini değerlendirmede farklı ölçekler kullanılmaktadır. Bu derlemenin amacı menopoza girme yaşını etkileyen faktörlerin ve menopoza özgü yaşam kalitesi ölçeklerinin irdelenmesidir.
Anahtar Kelime:

Konular: Cerrahi

Menopoza girme yaşını etkileyen faktörler ve menopozda yaşam kalitesinin belirlenmesi

Öz:
Menopause is a process in the climacteric period, characterized by a reduction in ovarian activity, a fall in the fertility rate, and a range of symptoms including irregular menstruation intervals. Most women enter menopause in their 40s, but this can vary from one individual to another. Although there are many factors affecting the age of menopause onset, there is no general agreement on them. Studies have shown many factors to affect the age of menopause, such as the mother s age at menopause, the age at menarche, gestational age, use of oral contraceptives, irregular menstrual cycle, number of pregnancies, body mass index, use of tobacco and alcohol, physical activity, unilateral oophorectomy, serum lead levels, consumption of polyunsaturated fat, socioeconomic status and educational level. During this period, hormonal and biochemical changes give rise to various symptoms in the woman s body. In menopause period, physical, psychological, social and sexual changes have a negative effect on quality of life in women. Recently, different measures have been used to assess women s quality of life in this period of change. The purpose of this review was to examine the factors affecting the onset age of menopause and the measures of quality of life related to menopause.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
  • 1. Özkan S. Klimakteriyum ve menopoz. İç: Şirin A, Kavlak O, Ed. Kadın Sağlığı Kitabı, Bedray Yayıncılık, İstanbul, 2008:234-58.
  • 2. Population Reference Bureau, 2014 World Population Data Sheet, Available at: http://www.prb.org/pdf14/2014-world-populationdata-sheet_eng.pdf (Accessed 28 Oct. 2014).
  • 3. Ertüngealp E. Türkiye Menopoz ve Osteoporoz Derneği & Türk Jinekoloji Derneği “Hormon Replasman Tedavisi” Konsensus Grubu Kararları, J Turkish German Gynecol Assoc 2003;4:7-8.
  • 4. Şirin A. Kadın ve Menopoz. Ege Üniversitesi Basımevi, İzmir, 1995:5.
  • 5. Ertüngealp E, Seyisoğlu H. Klimakterium ve menopoz. İç: Kişnişçi HA Ed. Temel Kadın Hastalıkları ve Doğum Bilgisi, Güneş Kitabevi, Ankara, 1996:1319-51.
  • 6. Taşkın L. Doğum ve Kadın Sağlığı Hemşireliği, Sistem Ofset Matbaacılık, IV.Baskı, Ankara, 2000:451-64.
  • 7. Budakoğlu İ, Özcan C, Eroğlu D, Yanık, F. Quality of life and postmenopausal symptoms among women in a rural district of the capital city of the Turkey. Gynecol Endocrinol 2007;23:404- 9.
  • 8. Chen Y, Lin SQ, Wei Y, Gao HL, Wu ZL. Menopause-specific quality of life satisfaction in community-dwelling menopausal women in China. Gynecol Endocrinol 2007;23:166-72.
  • 9. Fuh J, Wang S, Lee S, Lu S, Juang K. Quality of life and menopausal transition for middle-aged women on Kinmen island. Qual Life Res 2003;12:53-61.
  • 10. Hafız I, Liu J, Eden J. A quantitative analysis of the menopause experience of Indian women living in Sydney. Aust N Z J Obstet Gynaecol 2007;47:329-34.
  • 11. Liu J, Eden JA. The menopausal experience of Greek women living in Sydney. Menopause 2008 May;15:476-81.
  • 12. Mishra GD, Brown WJ, Dobson AJ. Physical and mental health: Changes during menopause transition. Qual Life Res 2003;12:405- 12.
  • 13. Peeyananjarassri K, Cheewadhanaraks S, Hubbard M, Zoa Manga R, Manocha R, Eden J. Menopausal symptoms in a hospital-based sample of women in southern Thailand. Climacteric 2006;9:23-9.
  • 14. Syed Alwi SA, Lee PY, Awi I, Malik PS, Haizal MN. The menopausal experience among indigenous women of Sarawak, Malaysia. Climacteric 2009;12:548-56.
  • 15. Tokuç B, Kaplan PB, Balık GÖ, Gül H. Trakya üniversitesi hastanesi menopoz polikliniğine başvuran kadınlarda yaşam kalitesi. Trakya Üniversitesi Tıp Dergisi 2006;3:281-7.
  • 16. Waidyasekera H, Wijewardena K, Lindmark G, Naessen T. Menopausal symptoms and quality of life during the menopausal transition in Sri Lankan women. Menopause 2009;16:164-70.
  • 17. Williams RE, Levine KB, Kalilani L, Lewis J, Clark RW. Menopausespecific questionnaire assessment in US population-based study shows negative impact on Health-related quality of life. Maturitas 2009;62:153-9.
  • 18. Abdollahi AA, Qorbani M, Asayesh H, Rezapour A, Noroozi M, Mansourian M, et al. The menopausal age and associated factors in Gorgan, Iran. Med J Islam Repub Iran 2013;27:50-6.
  • 19. Aydın ZD, Erbaş B, Karakuş N, Aydın O, Özkan ŞK. Sun exposure and age at natural menopause: A cross-sectional study in Turkish women. Maturitas 2005;52:235-48.
  • 20. Palacios S, Henderson VW, Siseles N, Tan D, Villaseca P. Age of menopause and impact of climacteric symptoms by geographical region. Climacteric 2010;13:419-28.
  • 21. Çoban A, Nehir S, Demirci H, Özbaşaran F, İnceboz Ü. Klimakterik dönemdeki evli kadınların eş uyumları ve menopoza ilişkin tutumlarının menopozal yakınmalar üzerine etkisi. Fırat Üniversitesi Sağlık Bilimleri Dergisi 2008;22:343-9.
  • 22. Çaylan A, Aydemir I, Dağdeviren N, Aktürk Z, Set T, Öztora S, et al. Evaluation of health related quality of life among perimenopausal Turkish women. Health Med 2011;5:741-52.
  • 23. Yanıkkerem E, Koltan SO, Tamay AG, Dikayak Ş. Relationship between women’s attitude towards menopause and quality of life. Climacteric 2012;15:552-62.
  • 24. Yangın HB, Kukulu K, Sözer GA. The perception of menopause among Turkish women. J Women Aging 2010;22:290-305.
  • 25. Türkiye Nüfus ve Sağlık Araştırması 2008, Available at: http://www. hips.hacettepe.edu.tr/tnsa2008/data/TNSA-2008_ana_Rapor-tr.pdf (Accessed 08 Aug. 2014).
  • 26. Canavez FS, Werneck GL, Parente RC, Celeste RK, Faerstein E. The association between educational level and age at the menopause: a systematic review. Arch Gynecol Obstet 2011;283:83-90.
  • 27. Özdemir O, Çöl M. The age at menopause and associated factors at the health center area in Ankara, Turkey. Maturitas 2004;49:211- 9.
  • 28. Li L, Wu J, Pu D, Zhao Y, Wan C, Sun L, et al. Factors associated with the age of natural menopause and menopausal symptoms in Chinese women. Maturitas 2012;73:354-60.
  • 29. Reynolds RF, Obermeyer CM. Correlates of the age at natural menopause in Morocco. Ann Hum Biol 2003;30:97-108.
  • 30. Parazzini F; Progetto Menopausa Italia Study Group. Determinants of age at menopause in women attending menopause clinics in Italy. Maturitas 2007;56:280-7.
  • 31. Gold EB, Crawford SL, Avis NE, Crandall CJ, Matthews KA, Waetjen LE, et al. Factors related to age at natural menopause: longitudinal analyses from SWAN. Am J Epidemiol 2013;178:70-83.
  • 32. Nagel G, Altenburg HP, Nieters A, Boffetta P, Linseisen J. Reproductive and dietary determinants of the age at menopause in EPICHeidelberg. Maturitas 2005;52:337-47.
  • 33. Sapre S, Thakur R. Lifestyle and dietary factors determine age at natural menopause. J Midlife Health 2014;5:3-5.
  • 34. Eum KD, Weisskopf MG, Nie LH, Hu H, Korrick SA. Cumulative lead exposure and age at menopause in the Nurses’ Health Study cohort. Environ Health Perspect 2014;122:229-34.
  • 35. Butts SF, Sammel MD, Greer C, Rebbeck TR, Boorman DW, Freeman EW. Cigarettes, genetic background and menopausal timing: the presence of single nucleotide polymorphisms in cytochrome P450 genes is associated with increased risk of natural menopause in European-American smokers. Menopause 2014;21:694-701.
  • 36. Hayatbakhsh MR, Clavarino A, Williams GM, Sina M, Najman JM. Cigarette smoking and age of menopause: A large prospective study. Maturitas 2012;72:346-52.
  • 37. Stepaniak U, Szafraniec K, Kubinova R, Malyutina S, Peasey A, Pikhart H, et al. Age at natural menopause in three central and eastern European urban populations: the HAPIEE study. Maturitas 2013;75:87-93.
  • 38. Morris DH, Jones ME, Schoemaker MJ, McFadden E, Ashworth A, Swerdlow AJ. Body mass index, exercise, and other lifestyle factors in relation to age at natural menopause: analyses from the breakthrough generations study. Am J Epidemiol 2012;175:998-1005.
  • 39. Kinney A, Kline J, Levin B. Alcohol, caffeine and smoking in relation to age at menopause. Maturitas 2006;54:27-38.
  • 40. Gudmundsdottir SL, Flanders WD, Augestad LB. Physical activity and age at menopause: the Nord-Trøndelag population-based health study. Climacteric 2013;16:78-87.
  • 41. Pérez-Alcalá I, Sievert LL, Obermeyer CM, Reher DS. Cross cultural analysis of factors associated with age at natural menopause among Latin-American immigrants to Madrid and their Spanish neighbors. Am J Hum Biol 2013;25:780-8.
  • 42. Bjelland EK, Wilkosz P, Tanbo TG, Eskild A. Is unilateral oophorectomy associated with age at menopause? A population study (the HUNT2 Survey). Hum Reprod 2014;29:835-41.
  • 43. OlaOlorun F, Lawoyin T. Age at menopause and factors associated with attainment of menopause in an urban community in Ibadan, Nigeria. Climacteric 2009;12:352-63.
  • 44. Lee BK, Kim Y. Menopause may be the common link that resulted in the association between higher serum ferritin level and lower bone mineral density in women ≥ 45 years of age. Osteoporos Int 2014;25:787.
  • 45. Yunus FM, Rahman MJ, Alam MZ, Hore SK, Rahman M. Relationship between arsenic skin lesions and the age of natural menopause. BMC Public Health 2014;14:419.
  • 46. Shuster LT, Rhodes DJ, Gostout BS, Grossardt BR, Rocca WA. Premature menopause or early menopause: long-term health consequences. Maturitas.2010;65:161-6.
  • 47. Benetti-Pinto CL, de Almeida DM, Makuch MY. Quality of life in women with premature ovarian failure. Gynecol Endocrinol 2011;27:645-9.
  • 48. Başaran S, Güzel R, Sarpel T. Yaşam kalitesi ve sağlık sonuçlarını değerlendirme ölçütleri. Romatizma 2005;20:55-63.
  • 49. Elavsky S. Physical activity, menopause, and quality of life: the role of affect and self-worth across time. Menopause 2009;16:265-71.
  • 50. Kharbouch SB, Şahin, NH. menopozal dönemlerdeki yaşam kalitesinin belirlenmesi, İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü Doğum ve Kadın Hastalıkları Hemşireliği Anabilim Dalı, Yüksek Lisans Tezi, 2005, İstanbul.
  • 51. Fallahzadeh H. Quality of life after the menopause in Iran: a population study. Qual Life Res 2010;19:813-9.
  • 52. Kharbouch SB, Şahin NH. Menopozal dönemlerdeki yaşam kalitesinin belirlenmesi. İ.Ü.F.N. Hem. Derg 2007;15:82-90. 53. Som N, Ray S. Menopause-specific quality of life of urban women in West Bengal, India. Menopause International 2012:18:99-105.
  • 54. de Azevedo Guimarães AC, Baptista F. Influence of habitual physical activitym on the symptoms of climacterium/menopause and the quality of life of middle-aged women. International Journal of Women’s Health 2011;3:319-28.
  • 55. İnceboz Ü, Demirci H, Özbaşaran F, Çoban A, Nehir S. Factors affecting the quality of life in climacteric women in Manisa region. Trakya Univ Tip Fak Derg 2010;27:111-6.
  • 56. Shin H, Shin HS. Measurement of quality of life in menopausal women: A systematic review. West J Nurs Res 2012;34:475-503.
  • 57. Zöllner YF, Acquadro C, Schaefer M. Literature review of instruments to assess health-related quality of life during and after menopause. Qual Life Res 2005;14:309-27.
  • 58. Shin H. Comparison of quality of life measures in Korean menopausal women. Research in Nursing & Health 2012;35:383-96.
  • 59. Mishra GD, Kuh D. Quality of life measures during the menopause, In: Preedy VR, Watson RR, eds. Handbook of Disease Burdens and Quality of Life Measures 2010:2601-2609.
  • 60. Schneider HPG, MacLennan AH, Feeny D. Assessment of healthrelated quality of life in menopause and aging. Climacteric 2008;11:93-107.
  • 61. Girod I, Loge C, Keininger D, Hunter MS. Development of a revised version of the Women’s Health Questionnaire. Climacteric 2006;9;4-12.
  • 62. Buendıa Bermejo J, Valverde Martinez JA, Romero Saiz A, Ulla Diez SM, Cobo Rodrigo A, Martinez Vizcaino V. Validation of a menopause quality of life scale: The MENCAV scale. Maturitas 2008;59:28-37.
  • 63. Brazier JE, Roberts J, Platts M, Zoellner YF. Estimating a preferencebased index for a menopause specific health quality of life questionnaire. Health Qual Life Outcomes 2005;3:13.
  • 64. Chen RQ, Davis SR, Wong CM, Lam TH. Validity and cultural equivalence of the standard Greene Climacteric Scale in Hong Kong. Menopause 2010;17:630-5.
  • 65. Dennerstein L, Guthrie J, Birkhäuser M, Sherman S. Symptoms and The Menopause, Available at: http://www.lorenzinifoundation.org/ download/whm/cap3.pdf (Accessed 10 July 2014).
  • 66. Gürkan ÖC. Menopoz semptomları değerlendirme ölçeğinin Türkçe formunun güvenirlik ve geçerliliği. Hemşirelik Forumu Dergisi, Mayıs-Haziran 2005:30-35.
  • 67. Bekiroğlu N, Gürbüz A, Konyalıoğlu R, Ayas S, Alkan A, Eren S. Menopoz Semptomlarını Değerlendirme Ölçeği (MSDÖ), Kupperman Menopoz Ölçeği (KMÖ) ve Nothingam Sağlık Profili (NSP) ölçeklerinin güvenilirlik ve yanıtlama etki büyüklüklerinin yeni menopozlu hastalarda karşılaştırılması. Zeynep Kamil Tıp Bülteni 2008;39:11-6.
  • 68. Varma GS, Karadağ F, Oğuzhanoğlu NK, Özdel O, Kökten S. Menopoz: Klimakterik belirtiler ve cinsel doyum arasındaki ilişki, New/Yeni Symposium Journal 2006;44:182-8.
  • 69. Api M, Ünal O, Ağaoğlu C. Hormon Replasman Tedavisinin Kupperman İndeksi, Serum Östradiol Düzeyi ve Hipoöstrojenemik İndeks İle Monitorizasyonu. Turkiye Klinikleri J Gynecol Obst 1998;8:159-64.
  • 70. Karşıdağ AYK, Çamlıyer NA, Büyükbayrak EE, Kars B, Pirimoğlu M, Ünal O, et al. Osteopenik Postmenopozal Kadınlarda Düşük Dozlu Hormon Tedavisi ve Raloksifen’in Lipid Profili, Glikoz Metabolizması ve Tiroid Hormonları Üzerine Etkilerinin Karşılaştırılması. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi 2010;21:57-66.
  • 71. Öztürk CŞ, Güneş H. Menopozla İlişkilendirilen Belirtiler Üzerine Psikodramanın Etkisi. Jinekoloji ve Obstetrik Dergisi 2007;21:160-7.
APA CEYLAN B, Özerdoğan N (2015). Factors affecting age of onset of menopause and determination of quality of life in menopause. , 43 - 49.
Chicago CEYLAN Burcu,Özerdoğan Nebahat Factors affecting age of onset of menopause and determination of quality of life in menopause. (2015): 43 - 49.
MLA CEYLAN Burcu,Özerdoğan Nebahat Factors affecting age of onset of menopause and determination of quality of life in menopause. , 2015, ss.43 - 49.
AMA CEYLAN B,Özerdoğan N Factors affecting age of onset of menopause and determination of quality of life in menopause. . 2015; 43 - 49.
Vancouver CEYLAN B,Özerdoğan N Factors affecting age of onset of menopause and determination of quality of life in menopause. . 2015; 43 - 49.
IEEE CEYLAN B,Özerdoğan N "Factors affecting age of onset of menopause and determination of quality of life in menopause." , ss.43 - 49, 2015.
ISNAD CEYLAN, Burcu - Özerdoğan, Nebahat. "Factors affecting age of onset of menopause and determination of quality of life in menopause". (2015), 43-49.
APA CEYLAN B, Özerdoğan N (2015). Factors affecting age of onset of menopause and determination of quality of life in menopause. Türk Jinekoloji ve Obstetrik Derneği Dergisi, 12(1), 43 - 49.
Chicago CEYLAN Burcu,Özerdoğan Nebahat Factors affecting age of onset of menopause and determination of quality of life in menopause. Türk Jinekoloji ve Obstetrik Derneği Dergisi 12, no.1 (2015): 43 - 49.
MLA CEYLAN Burcu,Özerdoğan Nebahat Factors affecting age of onset of menopause and determination of quality of life in menopause. Türk Jinekoloji ve Obstetrik Derneği Dergisi, vol.12, no.1, 2015, ss.43 - 49.
AMA CEYLAN B,Özerdoğan N Factors affecting age of onset of menopause and determination of quality of life in menopause. Türk Jinekoloji ve Obstetrik Derneği Dergisi. 2015; 12(1): 43 - 49.
Vancouver CEYLAN B,Özerdoğan N Factors affecting age of onset of menopause and determination of quality of life in menopause. Türk Jinekoloji ve Obstetrik Derneği Dergisi. 2015; 12(1): 43 - 49.
IEEE CEYLAN B,Özerdoğan N "Factors affecting age of onset of menopause and determination of quality of life in menopause." Türk Jinekoloji ve Obstetrik Derneği Dergisi, 12, ss.43 - 49, 2015.
ISNAD CEYLAN, Burcu - Özerdoğan, Nebahat. "Factors affecting age of onset of menopause and determination of quality of life in menopause". Türk Jinekoloji ve Obstetrik Derneği Dergisi 12/1 (2015), 43-49.