Study on Body Mass Index and Fasting Serum Glucose in Postmenopausal Women.

Mymensingh medical journal : MMJ Pub Date : 2023-07-01
T Akhter, A Nessa, N A Nisha, A Sharmin, F Naznen, L Afroz, M Rukunuzzaman, T Sharmin, F Yeasmin
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Abstract

Menopause is a normal physiological period that is characterized by the completely stoppage of endometrial cycles in women between the age of 45-55 years due to lack of ovarian follicular function. Several postmenopausal syndromes such as hot flushes, night sweats, vaginal dryness, depression, irritability, headache, and sleep disturbance can occur more frequently in this period which hampers the standard of life. This study was done to assess body mass index and fasting serum glucose changes in postmenopausal women in contrast with reproductive women. This cross-sectional analytical type of study was conducted in the Department of Physiology, Mymensingh Medical College, Bangladesh from January 2021 to December 2021. Total 140 women subject's age ranged between 25-65 years were involved in this study. Among them 25-45 years aged 70 (Seventy) reproductive women were involved as control group (Group I) and 45-65 years aged 70 (Seventy) postmenopausal women were taken as study group (Group II). By Anthropometric measurements, Body Mass Index (BMI) such as height and weight were taken in meter and kilogram respectively and fasting serum glucose was measured by GOD-PAP method. Results were expressed as mean (±SD) and by unpaired Student's 't' test, statistical significance of difference among the group was calculated. The mean±SD of BMI of Group I and Group II were 23.05±4.43kg/m² and 29.01±3.12kg/m² respectively. The mean±SD of body mass index is notably increase in study group in contrast with control group. The mean±SD of fasting serum glucose of control Group I and study Group II were 4.77±2.04mmol/l and 6.11±1.61mmol/l respectively. In study Group II fasting serum glucose was increased. Due to increased fasting serum glucose caused by lower level of female sex hormones specially estrogen hormone increased chance of cardiovascular diseases in postmenopausal women. Assessment of these parameters are important for early detection and prevention of complication related to high BMI and fasting serum glucose level for leading a better life.

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绝经后妇女体重指数和空腹血糖的研究。
绝经是一个正常的生理时期,其特征是45-55岁之间的女性由于卵巢卵泡功能的缺乏而完全停止子宫内膜周期。一些绝经后综合症,如潮热、盗汗、阴道干燥、抑郁、易怒、头痛和睡眠障碍,在这一时期会更频繁地发生,从而影响生活水平。本研究旨在评估绝经后妇女与育龄妇女的体重指数和空腹血糖变化。这项横断面分析型研究于2021年1月至2021年12月在孟加拉国Mymensingh医学院生理学系进行。共有140名年龄在25-65岁之间的女性参与了这项研究。其中25 ~ 45岁70岁育龄妇女为对照组(I组),45 ~ 65岁70岁绝经后妇女为研究组(II组)。通过人体测量,分别以米、公斤为单位测量身高、体重等BMI,采用GOD-PAP法测定空腹血糖。结果以均数(±SD)表示,采用未配对Student’st检验,计算组间差异的统计学意义。I组和II组BMI均值±SD分别为23.05±4.43kg/m²和29.01±3.12kg/m²。与对照组相比,研究组体重指数的平均值±SD明显增加。对照组1和研究组2空腹血糖均值±SD分别为4.77±2.04mmol/l和6.11±1.61mmol/l。研究II组空腹血糖升高。由于女性性激素特别是雌激素水平降低导致空腹血糖升高,绝经后妇女患心血管疾病的机会增加。这些参数的评估对于早期发现和预防与高BMI和空腹血糖水平相关的并发症,过上更好的生活具有重要意义。
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