Changes in women's physical function in mid-life by reproductive age and hormones: a longitudinal study.

Background: Whether women's physical function in mid-life is related to their reproductive age is not known. The objectives of this study were to examine and compare changes in physical function in women by reproductive age, measured as time since final menstrual period (FMP), and chronological age,...

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Publicado en:BMC Women's Health Vol. 22; no. 1; pp. 1 - 11
Autores principales: Kilpi, Fanny, Soares, Ana Goncalves, Clayton, Gemma L., Fraser, Abigail, Welsh, Paul, Sattar, Naveed, Nelson, Scott M., Tilling, Kate, Lawlor, Deborah A.
Formato: research tables/charts Journal Article
Publicado: BioMed Central 11/24/2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 11/24/2022
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      pub: BioMed Central
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        10.1186/s12905-022-02070-9
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        atl: Changes in women's physical function in mid-life by reproductive age and hormones: a longitudinal study.
      aug:
        au:
          Kilpi, Fanny
          Soares, Ana Goncalves
          Clayton, Gemma L.
          Fraser, Abigail
          Welsh, Paul
          Sattar, Naveed
          Nelson, Scott M.
          Tilling, Kate
          Lawlor, Deborah A.
        affil: MRC Integrative Epidemiology Unit, University of Bristol, Oakfield House, Oakfield Grove, BS8 2BN, Bristol, UK
      sug:
        subj:
          Aging
          Menopause
          Prospective Studies
          Follicle-Stimulating Hormone
          Child
          Reproduction
          Female
          Funding Source
          Human
          Child: 6-12 years
          Female
      ab: Background: Whether women's physical function in mid-life is related to their reproductive age is not known. The objectives of this study were to examine and compare changes in physical function in women by reproductive age, measured as time since final menstrual period (FMP), and chronological age, and to explore associations with repeatedly assessed levels of reproductive hormones.Methods: We used data from 2319 UK women with up to three repeated measurements of physical function (median length of follow up: 2 years), focusing on changes occurring in women experiencing a natural menopausal transition. The main outcome was a composite physical function score that incorporated assessments of strength (grip strength), balance (one-leg stand) and cardiorespiratory fitness (timed chair rises). Associations with time since FMP, age, and time-updated measures of anti-Müllerian hormone, follicle-stimulating hormone and luteinizing hormone were assessed by multilevel models and generalised estimating equations models adjusted for the underlying effects of chronological age and confounding by education, age at first birth and smoking.Results: The results showed that, adjusted for these confounders, time since FMP (- 0.21 SD per 10 years, 95% CI - 0.37, - 0.06) and chronological age (- 0.31 SD per 10 years, 95% CI - 0.46, - 0.15) were inversely associated with the physical function composite score. Grip strength seemed to be the main contributor to the decline in the composite score by time since FMP. There was no strong evidence of associations between any of the three reproductive hormones and the composite score.Conclusions: Physical function in women in mid-life declined with both chronological and reproductive age. The decline with reproductive age was independent of chronological age but did not seem to be driven by changes in reproductive hormones.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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