Journal of Mid-life Health最新文献

{"title":"Effects of Obesity on Severity of Menopausal Symptoms in Urban and Rural Women.","authors":"Sudha Bakthavathsalam Sreenivas,&nbsp;Pranav Balaji Kashyap","doi":"10.4103/jmh.jmh_220_22","DOIUrl":"10.4103/jmh.jmh_220_22","url":null,"abstract":"<p><strong>Background: </strong>According to the WHO, obesity is an epidemic and is quantified by obesity indices. Menopause is a crucial period with a tendency toward weight gain and has profound implications on the morbidity and mortality of women. This study provides a greater insight into the aggravating adverse effects of obesity on the lifestyles of urban and rural women during their menopausal phase. Hence, this cross-sectional study aims at analyzing the effects of obesity indices on the severity of menopausal symptoms in urban and rural women.</p><p><strong>Objectives: </strong>1. To compare the obesity indices in rural and urban women and to study the severity of menopausal symptoms in them. 2. To assess the influence of the area and body mass index (BMI) on menopausal symptoms.</p><p><strong>Materials and methods: </strong>This cross-sectional study comprised 120 women, of which 60 healthy women volunteers between the age group of 40 and 55 years from the urban area and 60 age-matched healthy women volunteers from the rural area were recruited. The sample size was calculated based on stratified random sampling. After obtaining informed consent anthropometric measurements were recorded and the Menopausal Rating Scale was used for assessing the severity of menopausal symptoms.</p><p><strong>Results: </strong>A positive correlation was observed between the severity of menopausal symptoms and BMI as well as waist circumference in urban women. The problems related to menopausal symptoms were milder in rural women.</p><p><strong>Conclusions: </strong>Our study concludes that obesity worsens the severity of several menopausal symptoms which is greater among obese urban women owing to the urban lifestyle and increased stress levels.</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/50/49/JMH-13-304.PMC10266575.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9656809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serous Cystadenoma with Ectopic Adrenal Cell Rest of Ovary: A Rare Case Report.","authors":"Yasmeen Singh,&nbsp;Jyotsna Naresh Bharti,&nbsp;Jeewan Ram Vishnoi","doi":"10.4103/jmh.jmh_156_22","DOIUrl":"10.4103/jmh.jmh_156_22","url":null,"abstract":"<p><p>Ectopic adrenal tissue is an uncommon entity in females. It is usually seen in male children, and the commonly involved sites are the kidney, retroperitoneum, spermatic cord, and paratesticular region. The ectopic adrenal gland in adults has been described in few studies only. Ectopic adrenal tissue was diagnosed as an incidental finding in histopathological examination of serous cystadenoma of the ovary. A 44-year-old female presented with a complaint of vague abdominal discomfort for the past few months. Ultrasound was suggestive of a left ovarian complex cystic lesion. The histopathological examination revealed serous cystadenoma with ectopic adrenal cell rest. Here, we present this case as it is a rare finding incidentally detected in a patient being operated on for a different pathology.</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fb/3b/JMH-13-325.PMC10266566.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9656813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical Activity Levels, Motivators and Barriers to Exercise among Men and Women Aged 30 to 50 Years in Rourkela, India.","authors":"Mitravinda Aneesh,&nbsp;Nirupama Mahanta","doi":"10.4103/jmh.jmh_83_22","DOIUrl":"10.4103/jmh.jmh_83_22","url":null,"abstract":"<p><strong>Background: </strong>Literature suggests that middle age is a period with increasing sedentary behavior and health risks.</p><p><strong>Objective: </strong>We conducted the present study to assess physical activity levels of the adults aged 30-50 years and understand the motivators and barriers to regular physical activity.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted among 100 adults aged 30-50 years residing in Rourkela, Odisha. The physical activity levels of the adults were assessed using Bouchard's Physical Activity Record. Height, weight, and waist circumference of the participants were measured using standard procedures. A self-administered questionnaire was prepared to identify the motivators and barriers to physical activity/exercise behavior.</p><p><strong>Results: </strong>Nearly half of the participants were obese, 23.3% were overweight and 28% had a normal body mass index. Based on WC and waist-to-height ratio (WHtR), 84% and 79.3% of the participants had metabolic risk, respectively. Over half of the participants were physically inactive. Predominantly, low-intensity activities (yoga, slow walking) were performed as it was assumed to be sufficient. The main motivators of physical activity/exercise behavior were health scare, health benefits, weight loss, availability of resources at convenient time, and better looks. The chief barriers for exercise behavior were lack of motivation, weather, safety concerns, and lack of time.</p><p><strong>Conclusion: </strong>Despite over two-third of participants being overweight/obese, 90% of the physically active participants failed to meet the World Health Organization recommendations. Government, community, and individual participation are imperative to formulate interventions strategies to reduce the barriers to physical activity.</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/d7/JMH-13-278.PMC10266563.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9656814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Challenges in Midlife.","authors":"Yashodhara Pradeep,&nbsp;Maninder Ahuja","doi":"10.4103/jmh.jmh_63_23","DOIUrl":"10.4103/jmh.jmh_63_23","url":null,"abstract":"The question remains, are Health care provider (HCP) are able to give them QOL? 4. There is inequality in life expectancy across gender in India, makes women outlive men and face financial social and psychological problems, which in turn affects their QOL 5. In India, chronic NCDs: CVDs, cancers, chronic respiratory diseases, and diabetes, typically start a decade earlier (around 45 years and older) than in high‐income countries. Multimorbidity steeply rises in middle‐aged adults with the accumulation of different chronic conditions, which plateaus among the elderly cause of poor QOL 6. At most important, there is no government focus on programs related to the midlife health of men and women. Government of India (GOI) focus is confined to sexual and reproductive health; there is an urgent need for political will to roll out health programs for midlife of the health of men and women to improve their health QOL productivity so they can contribute to nation building.","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0e/ec/JMH-13-267.PMC10266567.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9656807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasonography for Assessment of Sarcopenia: A Primer.","authors":"Monica Gupta,&nbsp;Sarabmeet Singh Lehl,&nbsp;Amtoj Singh Lamba","doi":"10.4103/jmh.jmh_234_22","DOIUrl":"10.4103/jmh.jmh_234_22","url":null,"abstract":"ABSTRACT The human skeletal muscle has a pivotal role in preserving health by maintaining mobility, balance, and metabolic homeostasis. Significant muscle loss as a part of aging and accelerated by disease leads to sarcopenia which becomes an important predictor of quality of life in older persons. Therefore, clinical screening for sarcopenia and validation by precise qualitative and quantitative measurement of skeletal muscle mass (MM) and function is at the center-stage of translational research. Many imaging modalities are available, each having their strengths and limitations, either in interpretation, technical processes, time constraints, or expense. B-mode ultrasonography (US) is a relatively novel approach to evaluating muscle. It can measure several parameters such as MM and architecture simultaneously including muscle thickness, cross-sectional area, echogenicity, pennate angle, and fascicle length. It can also evaluate dynamic parameters like muscle contraction force and muscle microcirculation. US has not gained global attention due to a lack of consensus on standardization and diagnostic threshold values to diagnose sarcopenia. However, it is an inexpensive and widely available technique with clinical applicability. The ultrasound-derived parameters correlate well with strength and functional capacity and provide potential prognostic information. Our aim is to present an update on the evidence-based role of this promising technique in sarcopenia, its advantages over the existing modalities, and its limitations in actual practice with the hope that it may emerge as the “stethoscope” for community diagnosis of sarcopenia.","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bc/10/JMH-13-269.PMC10266568.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9660509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sclerosing Perivascular Epithelioid Cell Tumor of the Uterus: A Rare Entity Posing Diagnostic Challenge.","authors":"Reetu Kundu,&nbsp;Pradip Kumar Saha,&nbsp;Pranab Dey","doi":"10.4103/jmh.jmh_120_22","DOIUrl":"10.4103/jmh.jmh_120_22","url":null,"abstract":"<p><p>Perivascular epithelioid cell tumor (PEComa) is a rare mesenchymal uterine tumor and the histological variant, sclerosing PEComa is exceedingly rare. Sclerosing PEComas preferentially occur in the retroperitoneum and occurrence in the uterine corpus is seldom seen. These tumors pose a diagnostic challenge and need distinction from morphological mimickers such as epithelioid smooth muscle tumors, endometrial stromal sarcoma, and metastatic carcinoma. Accurate diagnosis can be established coupling histomorphology with immunostaining. The distinction from other entities is of prime importance considering the therapeutic and prognostic implications. Herein, we describe a case of uterine sclerosing variant of PEComa with diagnostic difficulties and key to diagnose this entity.</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/84/71/JMH-13-328.PMC10266564.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9656808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between Frailty, Glycemic Control, and Nutritional Status among the Elderly with Diabetes Mellitus Residing in an Urban Community of Mysuru.","authors":"Praveen Kulkarni,&nbsp;Poorvika K Babu,&nbsp;A Vanmathi,&nbsp;A Ashwini,&nbsp;M R Narayana Murthy","doi":"10.4103/jmh.jmh_30_22","DOIUrl":"10.4103/jmh.jmh_30_22","url":null,"abstract":"<p><strong>Background: </strong>In India, the elderly (aged 60 and above) constitute 8.2% of the total population and are expected to increase to 10% by the year 2020. Globally, around 450 million people are suffering from diabetes mellitus. Frailty is regarded as a predisability state and, therefore, if identified early, may avert many adverse health outcomes in the elderly. Diabetes and frailty are found to be close associates.</p><p><strong>Materials and methods: </strong>This community-based cross-sectional study was conducted among 104 elderlies with diabetes mellitus residing in an urban slum situated in Mysuru for a period of 6 months. Pretested structured questionnaire was used to collect the information on sociodemographic characteristics and details of diabetes. The Tilburg's Frailty Scale was used to assess frailty, and the Mini Nutritional Assessment Scale was used to assess the nutritional status.</p><p><strong>Results: </strong>The prevalence of frailty among the study population was 53.8%. 51% of the subjects were found to have their glycemic status under control, 16.3% were malnourished, and 70.2% were at risk of malnutrition (RMN). The majority of the subjects with malnourishment were frail (76.5%) followed by those at RMN, 36 (49.3%). Gender, marital status, engaging in occupation, socio economic status, poor glycemic control were found to be significantly associated with frailty.</p><p><strong>Conclusion: </strong>The prevalence of frailty is significantly higher among elderly diabetics. The poorer glycemic control is a significant factor associated with frailty, and malnourished elderlies are more at risk of developing frailty.</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1f/b9/JMH-13-294.PMC10266571.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9660502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thyroid Dysfunction: An Alternate Plausibility in Perimenopausal Women!","authors":"S M R Usha,&nbsp;C M Bindu,&nbsp;N Chandrika","doi":"10.4103/jmh.jmh_67_22","DOIUrl":"10.4103/jmh.jmh_67_22","url":null,"abstract":"<p><strong>Introduction: </strong>Perimenopause phase of a woman's life is featured by decline in the ovarian activity, predisposing her to several health consequences. The signs and symptoms of thyroid disorders simulate those of menopausal features which may go unnoticed and can cause untoward complications in these women.</p><p><strong>Aims and objective: </strong>The primary objective is to screen women of perimenopausal age for thyroid disorders. The secondary objective is to examine the variations in thyroid hormone levels in these women with advancing age.</p><p><strong>Materials and methods: </strong>One hundred and forty-eight apparently healthy women between the age group of 46 and 55 years were study subjects. They were divided into, Group I which constituted women between 46 and 50 years and Group II consisted of women between 51 and 55 years. Thyroid profile comprising serum thyroid-stimulating hormone (TSH), serum total triiodothyronine (T₃), and serum total thyroxine (T₄) were estimated for all the women recruited in the study.</p><p><strong>Results: </strong>Subclinical hypothyroidism (SCH) and overt hypothyroidism (OH) were detected in 22 and 8 women who constituted 14.9% and 5.4%, respectively, of the total women populace. In Group I, it was noted that 17.1% and 1.8% of women were suffering from SCH and OH, respectively. In Group II, while 8.1% of the women had SCH, 16.2% of women had progressed to OH. TSH levels were significantly higher (<i>P</i> = 0.002) in women of Group II than in Group I, suggesting increase in TSH levels with advancing age.</p><p><strong>Conclusion: </strong>Screening of perimenopausal women for thyroid disorders will assure timely detection and proper management which will aid in reducing the morbidity and associated complications.</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/4e/JMH-13-300.PMC10266572.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9660504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Elderly Population Has Higher Prevalence of Polypharmacy Associated with Poor Quality of Life and Low Compliance after Recovery from COVID-19.","authors":"Jyotsana Nivatti,&nbsp;Sumita Halder,&nbsp;Ashish Goel,&nbsp;Rachna Gupta,&nbsp;Rhea Wason","doi":"10.4103/jmh.jmh_146_22","DOIUrl":"10.4103/jmh.jmh_146_22","url":null,"abstract":"<p><strong>Background: </strong>Long term effects of COVID are not fully understood yet. The geriatric population has been badly affected. The impact of COVID-19 on the health-related quality of life after recovery and patient compliance is a matter of concern especially in the geriatric population where polypharmacy is often prevalent.</p><p><strong>Aims and objectives: </strong>This study intended to observe the occurrence of polypharmacy (PP) among COVID-19 recovered older patients with multimorbidity and explore its association with health-related quality of life and compliance in these patients.</p><p><strong>Materials and methods: </strong>Total 90 patients, above 60 years of age having two or more co-morbidities and recovered from COVID-19 infection were included in this cross-sectional study. Number of pills taken daily by each patient was noted, to determine the occurrence of PP. WHO-QOL-BREF was used to assess the effect of PP on health-related quality of life (HRQOL). Medication adherence was measured using a self-reported questionnaire.</p><p><strong>Results: </strong>PP was found in 94.4% while hyper polypharmacy was found in 45.56% of patients. The overall mean score of HRQOL in patients with PP was 187.91 ± 32.98, indicating poor quality of life with PP (<i>p</i> value 0.0014) whereas the overall mean score of HRQOL in patients with hyper polypharmacy was 177.41 ± 26.11, showing poor quality of life with hyper polypharmacy (<i>p</i> value 0.0005). Increased number of pills corelated with poor quality of life (<i>r</i> =0.49). The medication adherence was found to be poor in patients who received mean number of pills 10.44 ± 2.62 whereas the adherence was good if the mean number of pills was 8.20 ± 2.63, (<i>p</i> value of 0.0001).</p><p><strong>Conclusion: </strong>Polypharmacy is highly prevalent among COVID-19 recovered patients and is associated with poor quality of life as well as poor medication adherence.</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1d/39/JMH-13-288.PMC10266574.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9710078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retraction: Combination of B-Mode Ultrasound and Doppler Ultrasound in Approaching to Uterine Intracavitary Pathologies among Women above 40 Years with Abnormal Uterine Bleeding: A Multicenter-Based Study from Vietnam.","authors":"","doi":"10.4103/0976-7800.367765","DOIUrl":"10.4103/0976-7800.367765","url":null,"abstract":"<p><p>[This retracts the article on p. 145 in vol. 13, PMID: 36276626.].</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8a/4b/JMH-13-266.PMC10025826.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9174594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}