Menopause: The Journal of The North American Menopause Society最新文献

{"title":"Letter to the Editor.","authors":"Frank Z Stanczyk, Sharon A Winer, Donna Shoupe","doi":"10.1097/GME.0000000000002583","DOIUrl":"https://doi.org/10.1097/GME.0000000000002583","url":null,"abstract":"","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor.","authors":"Sarah Glynne","doi":"10.1097/GME.0000000000002584","DOIUrl":"https://doi.org/10.1097/GME.0000000000002584","url":null,"abstract":"","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of menstrual cycle phases and reproductive aging stages on arousal symptoms: observations from the Seattle Midlife Women's Health Study.","authors":"Nancy Fugate Woods, Ellen Sullivan Mitchell","doi":"10.1097/GME.0000000000002570","DOIUrl":"https://doi.org/10.1097/GME.0000000000002570","url":null,"abstract":"<p><strong>Objective: </strong>Although investigators have devoted significant effort to understanding women's experiences of depressed mood and clinical depression during the menopausal transition and early postmenopause, they have focused less on women's experiences of emotional arousal, including emotions such as anxiety, irritability, and anger during these reproductive aging stages. The purpose of these analyses was to examine the influence of menstrual cycle phases and reproductive aging stages on women's reports of symptoms reflecting emotional arousal.</p><p><strong>Methods: </strong>A subset of Seattle Midlife Women's Health Study (SMWHS) participants (N=301) in late reproductive stages 1 or 2 (LRS1, LRS2) or early menopausal transition (EMT) rated the severity of symptoms daily for a complete menstrual cycle during the first year of SMWHS. They rated symptom severity daily on a 1-4 scale (least to most severe) in a health diary for anxiety symptoms (anxiety, out of control, tension, nervousness, panic, and palpitations) and anger symptoms (anger, hostility, impatience, and irritability). A two-way mixed ANOVA was used to test the cycle phase (postmenses/premenses) and reproductive aging stages on each symptom for LRS1, LRS2, and EMT and also for LRS2 versus EMT.</p><p><strong>Results: </strong>When all three groups were included in the analyses, only anger and irritability differed by menstrual cycle phase and were significantly more severe during premenses than during postmenses. There were no significant effects of reproductive aging stages and no interactions between cycle phases and stages. When analyses focused only on women in LRS2 versus EMT, anger, irritability, and feeling out of control were significantly more severe premenses than postmenses. Women in EMT versus LRS2 experienced more severe irritability, impatience, and out-of-control feelings. There were no significant interaction effects of the cycle phase and reproductive aging stages on any of the symptoms.</p><p><strong>Conclusions: </strong>Although there were no significant differences in the severity of the arousal or anxiety symptoms when comparing LRS1, LRS2, and EMT, comparison of LRS2 versus EMT ratings revealed significant stage effects on irritability, impatience, and feeling out of control and significant cycle phase effects on anger, irritability, and feeling out of control.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hormone therapy and oral contraceptives in the risk of knee osteoarthritis: a prospective cohort study.","authors":"Junjie Wang, Xiaoyue Zhang, Liru Ge, Xing Xing, Xusheng Cheng, Jianqiao Wang, Jingyi Yin, Xianzhe Zhu, Guoqi Cai","doi":"10.1097/GME.0000000000002560","DOIUrl":"https://doi.org/10.1097/GME.0000000000002560","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the association of hormone therapy (HT) and oral contraceptives (OC) with the risk of knee osteoarthritis (KOA).</p><p><strong>Methods: </strong>Using data from the UK Biobank, we included 211,345 women (mean 56.5 y) who were free of KOA and had self-reported data on the use of HT and OC at baseline. The outcome was an incident KOA during the follow-up. Cox regression models were used to evaluate the association of the status (never, former, current) and duration of HT and OC use with the risk of KOA. We also assessed the association between specific exogenous sex hormones and the risk of KOA.</p><p><strong>Results: </strong>During a median follow-up of 13.6 years, 14,878 (7.0%) women developed KOA. Compared with women who had never used HT, both former and current users had an increased risk of KOA [former: hazard ratio (HR)=1.25, 95% CI: 1.20-1.31; current: HR=1.46, 95% CI: 1.35-1.58; Ptrend<0.001). There was a dose-responsive association between the duration of HT use and the risk of KOA (HR=1.20-1.43, Ptrend<0.001). Former use of OC increased KOA risk only in women <60 years (HR=1.15, 95% CI: 1.04-1.27). In addition, both estrogen and progestogen and their combination were associated with an increased risk of KOA (HR=1.33-1.47).</p><p><strong>Conclusions: </strong>There is a dose-responsive association between the duration of HT use and the risk of KOA among middle-aged and older women. History of OC use may increase the risk of KOA in women younger than 60 years.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bladder health in the menopausal transition: a critical yet underrecognized dimension of midlife health.","authors":"Bence Kozma, Peter Takacs","doi":"10.1097/GME.0000000000002591","DOIUrl":"https://doi.org/10.1097/GME.0000000000002591","url":null,"abstract":"","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Equivalence of self-selected versus imposed intensity in resistance training: effects on muscle mass, strength, and performance in postmenopausal women.","authors":"Sebastião Henrique Assis Silva, Mariana L de Lima, Cláudio de Oliveira Assumpção, Markus Vinicius C Souza, Fábio L Orsatti","doi":"10.1097/GME.0000000000002535","DOIUrl":"https://doi.org/10.1097/GME.0000000000002535","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to investigate the equivalence between resistance training protocol with self-selected intensity (RT-SSI) and resistance training protocol with imposed intensity (RT-II) in postmenopausal women.</p><p><strong>Methods: </strong>A randomized study involving 49 women was carried out. Participants were randomly assigned to either RT-II or RT-SSI. The RT-II group performed with a training load initially imposed at 60%, increasing to the 70%-85% range of one maximum repetition (1RM), while the RT-SSI group performed with a training load self-selected by the volunteers for 12 weeks. Muscle strength (1RM), the 6-minute walk test (6MWT), and body composition were assessed before and after the intervention.</p><p><strong>Results: </strong>Both groups showed significant improvements in strength (P<0.001), muscle mass (P=0.027), and physical performance (P=0.023) after the 12-week intervention. However, there were no significant differences in the effects of the time/group interaction on muscle mass (P=0.750), strength (P=0.651), and physical performance (P=0.724). The equivalence analysis indicated Cohen d values for the effect estimate above the lower limit value for equivalence (d=-0.5). These results suggest that there is no evidence of the inferiority of RT-SSI in relation to RT-II for muscle mass, muscle strength, and physical performance. However, equivalence between interventions was not established, as the upper limits for equivalence were exceeded by the 90% CI.</p><p><strong>Conclusion: </strong>Our findings indicated that RT-SSI is comparable to RT-II in terms of muscle mass, muscle strength, and physical performance gains in postmenopausal women.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor.","authors":"Sarah Glynne","doi":"10.1097/GME.0000000000002582","DOIUrl":"https://doi.org/10.1097/GME.0000000000002582","url":null,"abstract":"","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor.","authors":"Susan R Davis, Rodney Baber, Paula Briggs, Haitham Hamoda, Martha Hickey, Rossella E Nappi, Tommaso Simoncini","doi":"10.1097/GME.0000000000002581","DOIUrl":"https://doi.org/10.1097/GME.0000000000002581","url":null,"abstract":"","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The clinical performance of different cervical cancer screening strategies in premenopausal and postmenopausal women.","authors":"Qiang Zhou, Tingyuan Li, Lingling Zhu, Yining Chang, Jingjing Yang, Wen Chen, Ying Yang, Yong He, Chanjuan He, Jingchang Du, Xiaoli Peng, Yuqian Zhao","doi":"10.1097/GME.0000000000002546","DOIUrl":"https://doi.org/10.1097/GME.0000000000002546","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluates the clinical performance of high-risk human papillomavirus (HR-HPV) testing, liquid-based cytology (LBC), and HR-HPV and LBC co-testing for detecting cervical intraepithelial neoplasia (CIN) in premenopausal and postmenopausal women.</p><p><strong>Methods: </strong>A total of 6,085 premenopausal and 4,766 postmenopausal women were recruited for cervical cancer screening using LBC and HR-HPV testing. Following screening, colposcopy and biopsy for pathology were performed according to established protocols. We calculated the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and area under the curve (AUC) for detecting CIN2/3 or worse (CIN2/3+).</p><p><strong>Results: </strong>The sensitivity of LBC for detecting CIN2+ was 73.4% (95% CI=60.7%-83.3%) in premenopausal women and 58.8% (95% CI=44.2%-72.1%) in postmenopausal women. In contrast, significantly higher sensitivities were observed for HR-HPV testing and HR-HPV and LBC co-testing, both of which showed sensitivities of 96.9% (95% CI=88.2%-99.5%) in premenopausal women and 98.0% (95% CI=88.2%-99.9%) in postmenopausal women. While HR-HPV and LBC co-testing demonstrated superior specificity compared with HR-HPV testing alone [95.8% (95% CI=95.2%-96.3%) vs. 86.3% (95% CI=85.4%-87.1%) in premenopausal women; 93.7% (95% CI=92.9%-94.3%) vs. 80.6% (95% CI=79.5%-81.7%) in postmenopausal women], it also exhibited the highest PPV for CIN2+ prediction [19.6% (95% CI=15.4%-24.4%) in premenopausal women; 14.5% (95% CI=10.9%-18.6%) in postmenopausal women] compared with LBC or HR-HPV testing alone.</p><p><strong>Conclusions: </strong>HR-HPV and LBC co-testing demonstrates comparable high clinical accuracy for detecting CIN2+ in both premenopausal and postmenopausal women, with a preference for its use in postmenopausal screening.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychoeducation in the management of menopause symptoms for women living with a serious mental illness: a scoping review.","authors":"Tania Perich, Kelly Kakakios","doi":"10.1097/GME.0000000000002540","DOIUrl":"https://doi.org/10.1097/GME.0000000000002540","url":null,"abstract":"<p><strong>Importance and objective: </strong>People living with a serious mental illness (SMI) may require additional management during the menopause transition and may have specific education needs regarding menopause. The aim of this scoping review was to assess the literature on psychoeducation programs that have been developed to address the menopause knowledge needs of people living with a mental illness.</p><p><strong>Methods: </strong>A scoping review of the literature was conducted in November 2024, focussing on psychoeducation programs for menopause developed for women living with a SMI using PsycINFO, Medline, Embase, and Google Scholar using the \"Population, Concept, and Context\" framework. The population considered was individuals with SMI, mental illness, bipolar disorder, schizophrenia, schizoaffective disorder, personality disorder, post-traumatic stress disorder, depression, anxiety disorders, obsessive-compulsive disorder, alcohol use, substance use, and eating disorders. Five studies were found that utilized psychoeducation in the context of cognitive behavior therapy delivered as a treatment of either depression or menopause symptoms. Participants in these studies included women living with depression or bipolar disorder. No studies were identified that delivered any psychoeducation intervention for the majority of conditions assessed. Population groups with no research included schizophrenia or schizoaffective disorder, personality disorder, post-traumatic stress disorder, anxiety disorders, obsessive-compulsive disorder, alcohol use, substance use, and eating disorders.</p><p><strong>Discussion and conclusion: </strong>More research is needed to further explore how people living with a mental illness may be best prepared for the menopause transition considering both menopause symptoms and psychiatric symptoms. The development and assessment of psychoeducation programs and materials addressing individual needs should be further considered for those living with a mental illness.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}