Characteristics of the sample were described by means (standard deviation) and frequency (%). At baseline, two VMS groups – any or none – were compared for group differences in, and associations among, demographics (age, race/ethnicity, education), quality of life (SF-36 score), and clinical characteristics (weight, hip and waist circumference, menopausal status, fat mass, fat free mass, skeletal mass), and VMS was estimated using chi square test (x dos ) for categorical variables, and Kruskal-Wallis test for continuous variables. A scatter plot matrix was used to examine linear correlations among variables. For the purposes of modelling, LBM is represented by the SMI variable. Additionally, to account for the nonindependence of longitudinal observations derived from the same woman and data in which the number of observations may differ across women, longitudinal modeling using SAS PROC MIXED incorporated a random intercept term to account for the correlated errors among repeated measures of the same woman. Missing values of time-varying variables were interpolated based on prior and subsequent values for gaps of one to two visits as in previous SWAN analyses . To assess Hstep one, incident VMS was modeled as a function of concurrent LBM using logistic regression analysis. To address H2 regarding long term change in LBM, the model was expanded to add within-woman percent change in LBM since baseline and to address H3, regarding recent change in LBM, the model was expanded to add within-woman percent change in LBM since prior visit (approximately 1 year earlier). The overall association between LBM and VMS was estimated in binary logistic regression models. Statistical analyses were one-tailed with an alpha level of 0.05 and conducted using SAS University Edition (© 2012–2018, SAS Institute Inc., Cary, NC).
Overall performance
During the baseline (check out six) there have been 2533 members residing in new SWAN study who were an average of 52 years of age and also the differences in the team characteristics are given into the Dining table step 1. Merely female revealing zero symptoms in the baseline (letter = 1179) was in fact utilized in longitudinal analyses getting VMS with LBM. At the go to 10 there are 800 women residing in the analysis.
At baseline, SMI showed a strong positive correlation to FFMI both for symptoms = none (r0 (864) = 0.931, p Table 2 Association of VMS to lean body mass (Odds Ratios)
Predict probability of symptoms taking place on given degrees of SMI (modified to have FFMI and FMI) in females without VMS at check out six (baseline)
Conversation
With the data because of it high, multiethnic try away from mid-age women from the SWAN investigation, i learned that players having highest cousin quantities of LBM were less inclined to develop VMS because they transitioned through menopausal. That it feeling is actually seen to be independent off sociodemographic https://getbride.org/no/sexy-og-hete-russiske-kvinner/ items and you can amounts of fat bulk. On the other hand, given that average age the players within data increased off 52.0 so you’re able to 56.6 many years together with amount of women who was basically postmenopausal enhanced away from forty% (n = 430) at see 6 so you’re able to 72% (letter = 733) at the see 10, the research managed to file the newest path as a result of menopausal change for some the new cohort.
Considerable latest studies have worried about the latest relationship out-of human body size index (BMI) and you can percent body fat with VMS features recommended an optimistic correlation ranging from broadening Bmi and visibility away from VMS [29, thirty-two,33,34,thirty five,36]. But not, Bmi represents a bad predictor out of looks bulk whilst merely a way of measuring extra weight and does not differentiate ranging from body fat bulk and fat free bulk . All of our investigation examined the components regarding looks structure and found lean mass, influenced by one another fat free size and you may skeletal strength, getting a life threatening affect the chances of developing VMS through the years if you find yourself still due to the potential feeling off lbs mass. A recent cross-sectional examination of 758 female discovered that trunk area slim mass is another defensive basis for modest so you can serious menopausal attacks and you will you to VMS was in fact on their own pertaining to higher Body mass index and you will body weight mass . The underlying elements of one’s dating between muscles composition and you will VMS aren’t entirely clear considering the incomplete comprehension of brand new physiology of VMS .
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