Women's health (London, England)最新文献

{"title":"Adapting and validating the satisfaction, alertness, timing, efficiency, and duration-breast cancer (SATED-BC) scale for measuring sleep health in Spanish women treated for breast cancer.","authors":"Ángela González-Santos, Mario Lozano-Lozano, Irene Cantarero-Villanueva, Paula Postigo-Martín, Lydia Martín-Martín, Rocío Gil-Gutiérrez, Roberto Muelas-Lobato, Maria Lopez-Garzon","doi":"10.1177/17455057241309779","DOIUrl":"10.1177/17455057241309779","url":null,"abstract":"<p><strong>Background: </strong>After breast cancer (BC), women may face other severe symptoms such as sleep problems. The use of simple, fast, and reliable scales is necessary in the clinic to improve patient benefits, and sleep is an important aspect to be addressed.</p><p><strong>Objective: </strong>This study was conducted to adapt and validate the Spanish version of the satisfaction, alertness, timing, efficiency, and duration (SATED) scale for measuring sleep health in women who have completed treatment for BC in Spain (SATED-BC).</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>The adaptation process involved adding a sixth item to the SATED-BC scale: \"the impact of symptoms experienced after completing breast cancer treatment on sleep\" item was not considered for scoring. The SATED-BC score ranged from 0 (poorest sleep health) to 10 (best sleep health). A validation analysis was performed using the Pittsburgh Sleep Quality Index, the Consensus Sleep Diary, and actigraphy, and the results were compared with those obtained using the SATED-BC scale.</p><p><strong>Results: </strong>The SATED-BC scale was reliable in terms of its internal consistency (Cronbach's α = 0.70; McDonald's ω = 0.72), showed high intrasubject reliability (<i>r</i> = 0.90), and was shown to be valid for use in women who have completed treatment for breast cancer.</p><p><strong>Conclusion: </strong>The SATED-BC scale is a reliable and valid tool for comprehensively evaluating sleep health in women who have completed treatment for breast cancer.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241309779"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142966670","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":"\"Listening to understand,\" exploring postpartum women's perceptions of their social networks and social support in relation to their health behaviors and weight: A qualitative exploratory study.","authors":"Jacqueline Kent-Marvick, Kristin G Cloyes, Ana Clark, Monica Angulo, Kayla de la Haye, Michelle Precourt Debbink, Cristina Creal, Bob Wong, Sara E Simonsen","doi":"10.1177/17455057241309774","DOIUrl":"10.1177/17455057241309774","url":null,"abstract":"<p><strong>Background: </strong>Postpartum is a critical period to interrupt weight gain across the lifespan, decrease weight-related risk in future pregnancies, promote healthy behaviors that are often adopted during pregnancy, and improve long-term health. Because the postpartum period is marked by unique challenges to a person's ability to prioritize healthy behaviors, a multi-level/domain approach to intervention beyond the individual-level factors of diet and activity is needed.</p><p><strong>Objectives: </strong>The purpose of this study was to understand postpartum people's perceptions about the relationship between their social networks and support, and their health behaviors and weight.</p><p><strong>Design: </strong>We used a qualitative descriptive approach and in-depth interviews.</p><p><strong>Methods: </strong>Participants (aged 18+, 12-15 months postpartum, who had a pre-pregnancy body mass index ⩾25) engaged in one-on-one, in-depth interviews conducted via Zoom (<i>n</i> = 28). Additional qualitative data came from open-ended responses to an online survey (<i>n</i> = 84) and a personal social-network survey (<i>n</i> = 84). Qualitative analysis used content and thematic analysis in stages of deductive coding applying codes derived from social-network and support theories, followed by inductive coding.</p><p><strong>Results: </strong>Thirty-eight participants (38.4%) returned to or weighed less than pre-pregnancy weight. We identified two overarching themes grounded in social-network and support theories. They were: (1) normative influence impacts health behaviors, body image, and experiences of weight stigma, and (2) network social support is related to health goals and overall postpartum health. Postpartum networks/support hindered and supported participants' goals. Partners provided an important source of accountability but were often associated with barriers to healthier behaviors.</p><p><strong>Conclusion: </strong>Our findings reinforce the importance of the social context when considering how to support healthy behaviors and weight during the postpartum period. Healthcare providers should focus on health indicators other than maternal weight, and those wishing to support healthy postpartum behaviors could focus on child and family health, rather than solely on maternal weight and health behaviors.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241309774"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142966687","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 violence and its associations: Insights from nationally representative data in India.","authors":"Monisha Mary P, Ankeeta Menona Jacob, Avinash K Shetty","doi":"10.1177/17455057241310633","DOIUrl":"10.1177/17455057241310633","url":null,"abstract":"<p><strong>Background: </strong>Empowerment is vital for individuals' control over their lives but is often constrained for women in India due to deep-rooted patriarchal norms. This affects health, and resource distribution, and increases domestic violence. Domestic violence including physical, sexual, emotional, economic, and psychological abuse is a significant human rights and public health issue. Understanding the link between women's empowerment and attitudes toward physical violence is essential for addressing this problem.</p><p><strong>Objectives: </strong>To explore the relationship between various aspects of women's empowerment and their attitudes toward the justification of physical violence in specific circumstances. The study aimed to provide insights into how empowerment can serve as a protective factor against domestic violence.</p><p><strong>Design: </strong>A cross-sectional study was conducted using the data from the National Family Health Survey-5 (NFHS-5), collected from 2019 to 2021. The study was carried out between July 2023 and March 2024.</p><p><strong>Methods: </strong>Data from NFHS-5, focusing on women aged 15-49 who completed the domestic violence module, were analyzed. Women's empowerment was measured through employment, asset ownership, and decision-making autonomy. The study assessed 8 indicators of employment, 12 of asset ownership, 9 of decision-making, 5 justifying physical violence, and 11 indicators of physical abuse. Frequencies, percentages, Fischer's exact test, and logistic regression were used, with significance set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Of 4562 women, 23 (0.7%) were employed, 3397 (74.5%) owned mobile phones, and 744 (21.9%) used them for transactions. Joint financial decisions were made by 2692 (75.2%) couples. Restrictions on meeting friends were reported by 376 (10.1%), and 431 (11.6%) had trust issues with partners. Physical violence was justified by 934 (20.5%) for neglecting children, and 3365 (90.4%) experienced partner violence. Land ownership was reported by 383 (8.4%) women. Empowered women were less likely to justify or experience violence, with mobile phone use and decision-making autonomy linked to reduced violence.</p><p><strong>Conclusion: </strong>Women's empowerment through employment, asset ownership, and decision-making is associated with reduced justification and prevalence of physical violence. Despite progress, entrenched societal norms persist. Interventions should focus on economic and social empowerment, addressing cultural attitudes and promoting gender equality.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241310633"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916419","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":"Analyzing the association between menstrual coitus and endometriosis' pathogenesis: A narrative review.","authors":"Giulia Emily Cetera, Maria Carmen Punzi, Camilla Erminia Maria Merli, Paolo Vercellini","doi":"10.1177/17455057241305072","DOIUrl":"10.1177/17455057241305072","url":null,"abstract":"<p><p>Across studies, the percentage of individuals reporting regularly engaging in menstrual coitus ranges between 4% and 43%. Although no clinical guideline recommends avoiding sexual activity during menstruation, according to some researchers such practice may favor both retrograde menstruation and sexually transmitted diseases, two phenomena that are thought to play a role in endometriosis' pathogenesis. Given this background, we analyzed the existing evidence regarding the association between menstrual coitus and the prevalence of endometriosis by conducting a PubMed database search on February 15, 2024. We considered all original, full-length studies written in English. Results were conflicting. When interviewing 489 infertile women, Filer and Wu found that the frequency of surgically diagnosed endometriosis was significantly higher among those engaging in menstrual coitus (17.5% versus 10.9%; <i>p</i> < 0.05). In their case-control study on 555 women with (<i>n</i> = 185) and without (<i>n</i> = 370) endometriosis, Mollazadeh and co-workers confirmed an increased risk of endometriosis among those engaging in menstrual coitus compared to those who did not (OR 5.23; 95% CI 2.16-12.66). However, in Meaddough and colleagues' retrospective case-control study on 2012 women, with (<i>n</i> = 1517) and without (<i>n</i> = 495) endometriosis, menstrual coitus was significantly less frequent in women with endometriosis compared to controls (27% versus 35%; <i>p</i> = 0.002). Treloar and co-workers also failed to prove such an association. The evidence available at the present moment is insufficient to confirm the hypothesis that menstrual coitus plays a role in the pathogenesis of endometriosis.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241305072"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461088","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":"Associations between social-network characteristics and postpartum health behaviors and weight among a sample of women who were overweight/obese pre-pregnancy.","authors":"Jacqueline Kent-Marvick, Bob Wong, Sara E Simonsen, Kristin G Cloyes, Michelle Precourt Debbink, Cristina Creal, Kayla de la Haye","doi":"10.1177/17455057251321872","DOIUrl":"10.1177/17455057251321872","url":null,"abstract":"<p><strong>Background: </strong>Retention of weight postpartum increases risk for long-term morbidity, including cardiometabolic disease. Although retained weight postpartum is a complex problem, interventions generally address individual diet and activity behaviors.</p><p><strong>Objectives: </strong>We investigated the impact of social-network factors on postpartum health behaviors and weight.</p><p><strong>Design: </strong>We used an explanatory-sequential mixed-methods approach. This article reports our quantitative findings.</p><p><strong>Methods: </strong>Childbearing people receiving care at university-based clinics were eligible if aged 18+, 12-15 months postpartum, with a pre-pregnancy BMI ⩾ 25 kg/m². An online survey collected participants' demographic and outcome data and structured surveys collected personal social-network data. Block stepwise linear regression identified associations between social-network features and postpartum health behaviors and weight.</p><p><strong>Results: </strong>One hundred women completed both surveys; 62% did not return to pre-pregnancy weight. Multivariable models found: (a) participants with lower postpartum weight ate meals with more people in their network (β = -0.173, <i>p</i> = 0.063); (b) lower consumption of sugar-sweetened beverages was associated with greater proportions of the network who were siblings (β = -0.231, <i>p</i> = 0.011), and who were perceived to eat a healthy diet (β = -0.201, <i>p</i> = 0.031); (c) higher consumption of fruit was associated with a greater proportion of the network who helped with participants' healthy-lifestyle goals (β = 0.288, <i>p</i> = 0.004), a smaller proportion of the network who were friends (β = -0.229, <i>p</i> = 0.022), and greater betweenness centrality (β = 0.302, <i>p</i> = 0.002); (d) lower consumption of fat was associated with smaller proportions of the network who were perceived to be sedentary (β = 0.288, <i>p</i> = 0.005), were friends (β = 0.311, <i>p</i> = 0.002), and were perceived to be normal weight (β = 0.202, <i>p</i> = 0.052) and with greater proportions of the network who encouraged participant goals (β = -0.257, <i>p</i> = 0.012) and were perceived to eat a healthy diet (β = -0.258, <i>p</i> = 0.015); (e) increased levels of activity were associated with a greater proportion of the network who were perceived to eat a healthy diet (β = 0.192, <i>p</i> = 0.044).</p><p><strong>Conclusion: </strong>Results revealed evidence for the role of social-network norms, support, and structure in postpartum health behaviors and weight. Understanding social environments' impact on postpartum health behaviors and weight is essential in approaching the problem from a multilevel/domain approach.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251321872"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607529","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":"The Effect of an advanced nurse practitioner led menopause clinic on quality of life and menopausal symptoms.","authors":"Catriona Keye","doi":"10.1177/17455057251324573","DOIUrl":"10.1177/17455057251324573","url":null,"abstract":"<p><strong>Background: </strong>Research suggests women feel there is a lack of information and support around menopause leading them to be unprepared for the transition. Menopause care requires the practitioner to provide women with accurate information regarding symptoms and treatment. Advanced nurse practitioners (ANPs) have been found to have the knowledge and skills to provide high-quality, safe, individualized holistic healthcare. An ANP-led menopause clinic was established following intense mentorship/competency assessment and completion of industry standard courses to ensure evidence-based best practice.</p><p><strong>Objectives: </strong>To evaluate any change in quality of life (QoL) and menopause symptoms of patients pre- and post-education and initiation of menopause hormonal treatment (MHT) using the QoL assessment tool, the Greene Scale in an ANP-led menopause clinic.</p><p><strong>Design: </strong>This interventional study was carried using GUIDED, Guidance for reporting intervention development studies in health research. This quantitative audit used the Greene Scale tool to measure symptoms and QoL before and after the appointment with the ANP.</p><p><strong>Methods: </strong>A search of the patient database was conducted to identify patients returning for the 3-monthly review post initial consultation and initiation of MHT (<i>n</i> = 15). Data were collected on the modified Greene Scale instrument. The sample was randomly selected by identifying every second patient on a single medical surgery database. Statistical analysis was ascertained utilizing central tendency excel functionality. The statistical significance of the data was assessed using a two-tailed paired <i>t</i>-test. <i>p</i>-values of less than 0.05 were considered statistically significant.</p><p><strong>Results: </strong>An ANP-led menopause clinic in accordance with evidence-based guidelines, including education and treatment improved the overall QoL to a statistical significance. In addition, menopausal symptom reduction occurred in all 20 symptoms as measured in the modified Greene Scale, 19 of which to a statistical significance.</p><p><strong>Conclusion: </strong>The study revealed an improvement in QoL and menopausal symptoms in an ANP-led menopause clinic. ANP-led menopause clinics could be a great addition to the workforce providing patients with timely menopause care. Further studies could build on this analysis by including other variables such as comorbidities, demographics, and patient's perspective.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251324573"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766049","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":"Prevalence and predictors of postpartum depression in women in Kosovo.","authors":"Liridona Jemini Gashi, Dardana Fetahu, Berata Sutaj, Morea Sahatqija, Xheneta Selimi","doi":"10.1177/17455057251325944","DOIUrl":"10.1177/17455057251325944","url":null,"abstract":"<p><strong>Background: </strong>Postpartum depression (PPD) is a common mood disorder affecting women's mental health.</p><p><strong>Objectives: </strong>This study aimed to explore the prevalence and predictors of PPD among women in Kosovo, including maternal age, economic status, mode of delivery, infant diet, and social support.</p><p><strong>Design: </strong>This is a quantitative cross-sectional study. Data were collected within a specified time.</p><p><strong>Methods: </strong>The Edinburgh Postnatal Depression Scale (EPDS) and Multidimensional Scale of Perceived Social Support (MSPSS) were administered to 192 women aged 18 to 49 years. Percentage, Kruskal-Wallis, Spearman's correlation, and regression analyses were used to analyze the data based on the research hypotheses.</p><p><strong>Results: </strong>The prevalence of possible PPD disorder was 49.5%. Significant differences were found in average depression based on economic status, maternal age, and diet. Although there were differences in the ranking of the means, no significant differences were found in the modes of delivery. Spearman's correlational analysis showed a significant negative relationship between PPD and the subdimensions of social support, especially family support (ρ = -0.57, <i>p</i> < 0.001). Multiple regression analysis revealed that maternal age, economic status, and infant diet were significant predictors of PPD (<i>p</i> < 0.05), whereas the mode of delivery was not a significant predictor (<i>p</i> > 0.05). Social support emerged as the strongest predictor, with higher perceived social support associated with lower depression scores.</p><p><strong>Conclusion: </strong>These findings highlight the crucial role of social support in alleviating PPD and underscore the importance of providing support during this period to facilitate better outcomes.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251325944"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756346","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":"Knowledge and practices of emergency contraception use and associated factors among female undergraduate students in Northern Uganda: A cross-sectional study.","authors":"Barbra Kelly Acen, Isaac Obonyo, Tonny Ocen, Benedict Arebo, Anna Grace Auma, Humphrey Beja","doi":"10.1177/17455057251321204","DOIUrl":"10.1177/17455057251321204","url":null,"abstract":"<p><strong>Background: </strong>Emergency contraception (EC) can prevent up to 95% of unplanned pregnancies if used correctly. Despite efforts to enhance its accessibility, cost and cultural stigmas persist as formidable barriers.</p><p><strong>Objective: </strong>This study assessed the knowledge and practices of EC use and determined the associated factors among the female undergraduate students of Northern Uganda.</p><p><strong>Design: </strong>This was a descriptive, institutional-based cross-sectional study conducted among the female undergraduate students of Lira University in Northern Uganda.</p><p><strong>Methods: </strong>Data were collected from 328 female undergraduates who were surveyed using self-administered questionnaires after obtaining informed consent from them. Data were analyzed using Statistical Package for Social Sciences (SPSS) and presented as frequencies and percentages, and binary and multiple logistic regressions were used to determine the association between the outcome variable and the independent variables. Results were presented as odds ratios with 95% confidence intervals, and associations were considered statistically significant at <i>p</i> ⩽ 0.05.</p><p><strong>Results: </strong>The response proportion was 328/334 (98%). Majority of the participants were 18-23 years old (233/328; 71.0%), had a consistent sexual partner (221/328; 67.4%), and unmarried (206/328; 62.8%). Almost all the participants (315/328; 96%) had heard about EC, where 150/328 (45.7%) learned about EC from health professionals and 135/328 (41.2%) learned about EC from family members and friends. The most well-known brand of EC was Postinor-2 (Levonorgestrel), as reported by 130/328(39.6%) participants. Of the study participants, 200/328 (61.0%) were knowledgeable about the correct timing of EC. Regarding practices of EC use, 214/328 (65.2%) used EC, of whom 122/214 (57.0%) acquired EC from the pharmacy, and most of the participants who had used EC used Postinor-2 (92/214; 43.0%). Of those who used EC, 175/214 (81.8%) used it to prevent unplanned pregnancy, and 182/214 (85.0%) participants used it with the correct timing. The factors that were associated with EC use were being a student who was studying at the Faculty of Health Sciences (adjusted odds ratio (AOR): 4.27, CI: 1.61, 10.09, <i>p</i> ⩽ 0.003) and the absence of a consistent current sexual partner (AOR: 8.63, CI: 4.49, 16.59, <i>p</i> ⩽ 0.00).</p><p><strong>Conclusion: </strong>Participants showed good EC knowledge and usage, but gaps persist. Factors like being a student who was studying at the Faculty of Health Sciences, and lack of a consistent current sexual partner correlated with EC use. Consistent education efforts are needed to address knowledge gaps, focusing on diverse EC forms, reliable information, and affordability.</p><p><strong>Registration: </strong>Not applicable.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251321204"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11847317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477302","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":"Body mass index is similar to alternative anthropometric indices in evaluating plasma lipids as proxy for cardiovascular disease in women with previous hypertensive disorders of pregnancy: A cross-sectional study.","authors":"Kristina Klepp, Anne Cathrine Staff, Meryam Sugulle, Kjartan Moe","doi":"10.1177/17455057241310316","DOIUrl":"10.1177/17455057241310316","url":null,"abstract":"<p><strong>Background: </strong>Women with previous hypertensive disorders of pregnancy (HDP) have increased risk of cardiovascular disease (CVD). Overweight is a modifiable risk factor for both conditions. Anthropometric indices such as waist circumference, hip circumference, waist-to-hip ratio, estimated total body fat, a body shape index, waist-to-hip-to-height ratio, and index of central obesity improve estimation of cardiovascular death risk in the general population as compared to body mass index (BMI).</p><p><strong>Objectives: </strong>We aimed to assess whether alternative body mass composition indices associate more strongly with postpartum blood lipid levels, as a proxy for CVD risk, than BMI. We also aimed to investigate whether associations differ between women with previous normotensive or hypertensive index pregnancies.</p><p><strong>Design: </strong>In this cross-sectional study, we examined 296 women 1 or 3 years after an index pregnancy that was normotensive (<i>n</i> = 116) or complicated by a hypertensive pregnancy disorder, including preeclampsia (<i>n</i> = 133) or gestational hypertension (<i>n</i> = 47).</p><p><strong>Methods: </strong>Uni- and multivariable regression analyses, adjusted for age and smoking, were conducted to evaluate associations between postpartum body mass composition indices and blood lipids. <i>p</i> < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Median BMI and overweight rates were higher in women with previous HDP than in controls (23.9 kg/m² versus 22.8 kg/m² and 44.4% versus 30.2%, both <i>p</i> ⩽ 0.03). No body mass composition indices in any pregnancy complication group showed stronger associations with adverse lipid levels than BMI. However, women with previous HDP more often displayed significant associations between adverse body mass composition indices and adverse lipid levels, compared with controls.</p><p><strong>Conclusion: </strong>Alternative anthropometric measurements are not better suited to evaluate circulating lipids as proxy for CVD risk after HDP, compared to BMI. We hence recommend using BMI in CVD risk assessment after HDP due to its current widespread use and feasibility.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241310316"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061723","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 level in women with primary dysmenorrhea: A cross-sectional observational study.","authors":"Zeltia Naia, Paula Clara Santos, Olalla Bello","doi":"10.1177/17455057251323014","DOIUrl":"10.1177/17455057251323014","url":null,"abstract":"<p><strong>Background: </strong>Primary dysmenorrhea (PD), menstrual pain in the absence of pathology, is the main cause of gynecological consultation in young women. There are many studies that suggest a possible relationship between a low level of physical activity (PA) and a greater intensity of menstrual pain, and others that find no relationship between these variables.</p><p><strong>Objectives: </strong>To identify the level of PA and menstrual pain intensity among women with PD, as well as the relationship between these variables.</p><p><strong>Design: </strong>An observational, cross-sectional study was carried out on a cohort of adult population.</p><p><strong>Methods: </strong>Data collection instrument was an online self-administered questionnaire. Main variables were pain intensity (Numeric Rating Scale; McGill Pain Questionnaire, short version) and PA level (International Physical Activity Questionnaire).</p><p><strong>Results: </strong>A total number of 216 responses from the total responses obtained were considered PD cases. A 38% of women did not perform any intense PA during the last 7 days, and a 32.4% did not perform any moderate PA. No significant differences were found in menstrual pain intensity during the three last menstruations among women who performed PA, moderate, or intense. Nor were significant differences found between women who performed PA less than 3 days a week, compared with those ones who did it at least three times a week, or more.</p><p><strong>Conclusion: </strong>Menstrual pain intensity does not differ between the types of PA. A large number of participants did not perform any PA in the last 7 days.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251323014"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733539","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}