Objective: The aim of the study was to evaluate the association between sedentary lifestyle and the severity of menopausal symptoms and obesity in middle-aged women.
Methods: The Menopause Rating Scale, the Goldberg Anxiety and Depression Scale, and the Athens Insomnia Scale were administered to 6,079 Latin American women aged 40 to 59 years. Sedentary lifestyle was defined as fewer than three weekly, 30-minute periods of physical activity.
Results: Sedentary women had more severe menopausal symptoms (total Menopause Rating Scale score: 9.57 ± 6.71 vs 8.01 ± 6.27 points, P < 0.0001) and more depressive symptoms (Goldberg), anxiety (Goldberg), and insomnia (Athens Scale) compared with non-sedentary women. They also had greater mean waist circumference (86.2 ± 12.3 vs 84.3 ± 1.8 cm, P < 0.0001) and a higher prevalence of obesity (20.9% vs 14.3%, P < 0.0001). Logistic regression analysis showed that both obesity (odds ratio [OR] 1.52; 95% CI, 1.32-1.76) and severe menopausal symptoms (OR 1.28; 95% CI, 1.06-1.53), including insomnia and depressive mood, were positively associated with a sedentary lifestyle. Having a stable partner (OR 0.85; 95% CI, 0.76-0.96), using hormone therapy (OR 0.75; 95% CI, 0.64-0.87) and having a higher educational level (OR 0.66; 95% CI, 0.60-0.74) were negatively related to sedentary lifestyle.
Conclusions: There was a high prevalence of sedentary lifestyle in this middle-aged Latin American female sample which was associated with more severe menopausal symptoms and obesity.
1Universidad de Chile, Santiago de Chile, Chile
2Clínica AVANSALUD, Santiago de Chile, Chile
3Universidad Católica de Santiago de Guayaquil, Hospital Enrique C. Sotomayor, Guayaquil, Ecuador
4Instituto Nacional de Salud, Lima, Perú
5Universidad Nacional de Cuyo, Mendoza, Argentina
6Hospital de Clínicas, Buenos Aires, Argentina
7Universidad de Panamá, Panamá
8Clínica SOLCA, Machala, Ecuador
9Universidad de Ciencias Aplicadas y Ambientales, Bogotá, Colombia
10Universidad Andina del Cusco, Cusco, Perú
11UDIME, Santa Cruz de la Sierra, Bolivia
12Universidad de Cartagena, Cartagena de Indias, Colombia
13Facultad de Medicina CLAEH, Punta del Este, Uruguay
14Universidad Nacional de Rosario, Rosario, Argentina
15Atención Médica Integral para la Mujer, Naucalpan, México
16Universidad del Valle, Cali, Colombia
17Instituto de Endocrinología, Cochabamba, Bolivia
18Universidad Diego Portales, Santiago, Chile
19Universidad Central del Ecuador, Quito, Ecuador
20Universidad de Guadalajara, Gaudalajara, México
21Universidad Nacional de Asunción, Asunción, Paraguay
22Hospital Metropolitano de Santiago, Santiago de los Caballeros, República Dominicana
23Universidad El Bosque, Bogotá, Colombia.
Address correspondence to: Juan E. Blümel, MD, PhD, Departamento Medicina Sur, Facultad de Medicina, Universidad de Chile, Orquídeas 1068, Dpto 302, PO Box 7510258, Providencia, Santiago de Chile, Chile. E-mail: email@example.com
Received 6 April, 2015
Revised 13 October, 2015
Accepted 13 October, 2015
Funding/support: None reported.
Financial disclosure/conflicts of interest: None reported.