Postmenopausal Symptoms in Female Veterans with Type 2 Diabetes: Glucose Control and Symptom Severity
| Autor: | Nancy E. Reame, Sarah L. Krein, Patricia A. Rouen |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Cross-sectional study Comorbidity Type 2 diabetes Anxiety Severity of Illness Index Body Mass Index Age Distribution Internal medicine Diabetes mellitus Severity of illness Prevalence Humans Medicine Veterans Affairs health care economics and organizations Aged Veterans Glycated Hemoglobin Depression business.industry Type 2 Diabetes Mellitus Original Articles General Medicine Middle Aged medicine.disease Arthralgia humanities United States Postmenopause Cross-Sectional Studies Diabetes Mellitus Type 2 Physical therapy Female business Body mass index |
| Zdroj: | Journal of Women's Health. 24:496-505 |
| ISSN: | 1931-843X 1540-9996 |
| Popis: | While type 2 diabetes mellitus (DM) is a common condition of midlife women, few studies have examined its influence on the symptom features of menopause. To explore this relationship, we conducted a study of symptom patterns of diabetic patients using a random sample of female veterans receiving care in the Veterans Affairs Healthcare system.A cross-sectional comparison was conducted with three groups of postmenopausal respondents (ages 45-60 years) to a mailed national survey who also consented to clinical data access: no diabetes (n=90), diabetes with better glucose control (hemoglobin A1c [HbA1c]≤7%, n=135) and diabetes with worse glucose control (HbA1c7%, n=102).Respondents, on average, were obese (body mass index: 33.9±0.4 kg/m(2)), 11.30±0.2 years postmenopause, with more than one chronic illness. Despite higher body mass index and increased comorbidities in women with diabetes compared with nondiabetic women, measures of mental health (anxiety, depressed mood, stress) were similar across groups. The pattern of menopause symptoms did not differ by group. Muscle aches/joint pain was the most prevalent symptom (78.6%), followed by vasomotor symptoms (74.4%). Respondents with elevated HbA1c demonstrated higher total menopausal symptom severity scores (DM-HbA1c7: 15.4±0.8 vs. DM-HbA1c≤7%: 12.2±0.8 vs. No diabetes: 12.3±0.8; p=0.006) than the other two groups.In postmenopausal female veterans with diabetes, glucose control is associated with the severity of those symptoms commonly attributed to menopause. Joint pain is an important part of the postmenopausal symptom complex in this population. |
| Databáze: | OpenAIRE |
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