卵巢衰老对生殖衰老各阶段肌力及生活质量的影响。

IF 2.9 4区 医学 Q1 OBSTETRICS & GYNECOLOGY
Aiyue Luo, Hongyu Li, Xing Lv, Peizhe Zheng, Kehan Lin, Aiting Liang, Shuhong Yang
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引用次数: 0

摘要

目的:卵巢衰老显著影响女性的整体衰老,影响包括肌肉骨骼系统在内的各个系统。本研究探讨卵巢功能和握力(HGS)在生殖衰老阶段的相关性及其与健康相关生活质量(HRQoL)的关系。方法:横断面研究进行了女性参与者跨越卵巢功能的各个阶段。用测功机测量HGS,通过激素水平(雌二醇[E2]、促卵泡激素[FSH]、促黄体生成素[LH]、催乳素[PRL]、孕激素[P4]和睾酮)评估卵巢功能。HRQoL采用肌少症特异性生活质量问卷(SarQoL)进行评估。数据分析包括方差分析和Pearson相关性分析,并对混杂因素进行调整。结果:可能的肌肉减少症患病率从绝经前妇女的3.8%增加到绝经后妇女的10.3%。调整协变量(年龄、SarQoL、FSH、LH、FSH/LH比值、PRL、E2、P4、睾酮)后,HGS与KMI的负相关不再显著。然而,HGS和SarQoL之间的正相关在总体人群和绝经后人群中仍然是显著的。控制年龄、KMI、LH、E2后,HGS与FSH的负相关不再显著;然而,在控制了SarQoL、FSH/LH比值、PRL、P4和睾酮后,这种情况仍然存在。结论:人群中HGS与SarQoL呈正相关,与年龄呈负相关。HGS与睾酮、E2、LH或FSH/LH比值无显著相关性。需要进一步的研究来阐明HGS与KMI或FSH之间的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of ovarian aging on muscle strength and life quality in various reproductive aging stages.

Objective: Ovarian aging significantly impacts women's overall aging, affecting various systems including the musculoskeletal system. This study investigates the correlation between ovarian function and handgrip strength (HGS) across reproductive aging stages and their relation to health-related quality of life (HRQoL).

Method: A cross-sectional study was conducted with female participants spanning all stages of ovarian function. HGS was measured using a dynamometer, and ovarian function was assessed via hormone levels (estradiol [E2], follicle stimulating hormone [FSH], luteinizing hormone [LH], prolactin [PRL], progesterone [P4] and testosterone). HRQoL was evaluated using the Sarcopenia-specific Quality of Life questionnaire (SarQoL). Data analysis involved analysis of variance and Pearson's correlations, adjusted for confounding factors.

Results: The prevalence of possible sarcopenia increased from 3.8% in premenopausal women to 10.3% in postmenopausal women. After adjusting for covariates (age, SarQoL, FSH, LH, FSH/LH ratio, PRL, E2, P4 and testosterone), the negative correlation between HGS and the Kupperman Menopausal Index (KMI) was no longer significant. However, the positive correlation between HGS and the SarQoL remained significant in both the overall population and the postmenopausal group. The negative correlation between HGS and FSH was no longer significant after controlling for age, KMI, LH and E2; however, it persisted after controlling for the SarQoL, FSH/LH ratio, PRL, P4 and testosterone.

Conclusion: HGS is positively correlated with the SarQoL and negatively correlated with age in the overall population. No significant association was found between HGS and testosterone, E2, LH or FSH/LH ratio. Further research is needed to clarify the relationship between HGS and the KMI or FSH.

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来源期刊
Climacteric
Climacteric 医学-妇产科学
CiteScore
1.70
自引率
7.10%
发文量
53
审稿时长
1 months
期刊介绍: Climacteric is the official journal of the International Menopause Society (IMS). As an international peer-reviewed journal it publishes original research and reviews of all aspects of aging in women. Climacteric was founded by the IMS in 1998 and today has become a leading journal in the publication of peer-reviewed papers on the menopause, climacteric and mid-life health. Topics covered include endocrine changes, symptoms attributed to the menopause and their treatment, hormone replacement and alternative therapies, lifestyles, and the counselling and education of peri- and postmenopausal women. Climacteric, published bimonthly, also features regular invited reviews, editorials and commentaries on recent developments. The editorial review board of Climacteric includes leading scientific and clinical experts in the field of midlife medicine and research and is headed by its Editor-in-Chief, Professor Rod Baber of Australia. He and his team of Associate Editors act independently to set a clear editorial policy, co-ordinate peer review, and ensure a rapid response to submitted papers.
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