PERIMENOPAUSAL FEATURES AND QUALITY OF LIFE IN SLOVENIAN WOMEN IN THE YEARS 1990, 2000 AND 2010 - A PROSPECTIVE STUDY Helena Meden-Vrtovec, Renata Ko

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PERIMENOPAUSAL FEATURES AND QUALITY OF LIFE IN
SLOVENIAN WOMEN IN THE YEARS 1990, 2000 AND
2010- A PROSPECTIVE STUDYHelena Meden-Vrtovec,
Renata Košir Pogacnik, Nina Slabe, Ivan
VerdenikVIII hrvatski kongres o ginekološkoj
endokrinologiji, humanoj reprodukciji i
menopauzi8. 11. 9. 2011Brijuni
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The main question Has the changing face of
modern life that includes - new
technologies - global crisis -
increasingly stressful life - changes in
ethical and moral valuesany impact on QoL
in perimenopausal women over the last 2 decades?
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Study designProspective, cross-sectional,
observationalHealth related quality of life
(HRQoL) questionsEQ-SD questionnaire (modified)
Survey in 1990, 2000 and 2010
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ParticipantsPerimenopausal women aged 45-54
years1990 585 women2000 655 women2010
334 womenLess than 2 million inhabitants in
Slovenia
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Content of questionnairespersonalsocial
historyreproductivelife habitsvasomotorneurov
egetative symptomspsychicsexual
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General characteristics of
women Mean, SD or percent Characteristic
1990 2000 2010 (n585)
(n655) (n334)Age (yrs) 49.9 3.0 49.6
2.8 50.3 2.7Age at menarche (yrs) 14.2
1.0 13.4 1.6 13.4 1.7Deliveries (number)
1.9 1.0 1.83 0.8 1.7 0.7
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Sexual activity (percentages)
1990 2000 2010 (n585)
(n655) (n334) no sexual intercourse
17.3 8.2 8.7 lt once a month ()
12.8 15.9 15.9 once a month ()
67.0 70.6 69.1 no answer () 2.9
5.4 6.3
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Eating habits Percent (no. of
women)Consumption 1990 2000
2010of dairy products (n585) (n655)
(n334)Milk 80.9 (473) 95.2 (540) 93.7
(310)Yoghurt 63.6 (372) 95.8 (549) 97.0
(319)Curd 55.7 (326) 93.8 (527) 93.3
(307)Cheese 66.2 (387) 97.4 (557) 99.1 (329)
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Cigarette smoking Non smoking ()
Up to 15 More than 15 per day ()
per day ()1990 85.0 9.4
5.62000 79.2 12.3 8.72010 75.7 16.9
7.4
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Physical activity On daily basis ()
Occasionally () Never ()1990 7.2
10.9 81.9 2000 46.6 22.9 30.6 2010
53.1 21.6 18.5
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Urinary incontinence, joint muscle diseases,
gynecologic diseases Without UI ()
Jointmuscle () Gynec. disease ()
1990 69.4 25.8 20.9 2000 65.2
30.4 21.9 2010 73.9 18.4
25.5
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Low incidence of the following diseases among
Slovene perimenopausal womenDiabetesKidneyHear
tVessels
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Perimenopausal vasomotor symptoms
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Perimenopausal neurovegetative symptoms
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Perimenopausal sexual symptoms
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Conclusions general changes observed from
1990 to 2010Age at the menopause increased from
47.7 in 1990 to 51.0 years in 2010Mean values
of systolic and diastolic pressures
decreasedDaily physical activity undertaken by
more women 7 in 1990 vs. 56 in
2010Consumption of healthy food
increasedSmoking (especially moderate)
increasedSexual desire decreased in about 50
of women
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Conclusions climacteric symptomsMost frequent
nervousnessMost intensive and bothersome
sweatingChest pain significantly decreased
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ConclusionThe QoL in Slovenian perimenopausal
women has improved over the last two decades,
presumably due to healthier life style.