Byambasuren, Myagmardagva

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Association of Menopausal Symptoms with Body Composition Pattern and Body Mass Index Across Menopausal Age Among Mongolian Women
(Mongolian National University of Medical Sciences, 2020-06-25)
Choijamts, Batsuren
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Sodnomdorj, Enkhee
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Byambasuren, Myagmardagva
;
Ulziisuren, Erdenechimeg
Objectives: To investigate the correlation of body fat distribution pattern and body mass index (BMI) on the prevalence and clinical manifestation of menopausal symptoms across the menopausal stage among Mongolian women. Methods: A survey was conducted amongst a total of 1084 women aged 40-65 years Ulaanbaatar city and selected provinces representing five main remote regions of Mongolia. A questionnaire was used to collect demographic and socioeconomic data. Menopause related characteristics were evaluated using the Menopause-specific Quality of Life (MENQOL) questionnaire. Further, measurements were recorded to determine waist-to-hip-ratio and body mass index (BMI). Pearson's Chi-Square test was used to correlate. Results: Using the waist-to-hip-ratio, 84.4% of participants had the android type, and 15.6% were of the gynoid type. As for BMI, 38.4% were overweight, and 28.8% were obese. In multiple regression analysis, BMI had significant relationships with psychosocial and sexual problems (p<0.05). Moreover, BMI and menopause status were independent risk factors for the development of cardiovascular disease. Postmenopausal obese and overweight women were 1.6 times more likely to have cardiovascular disease than women in the perimenopausal status (p<0.05). Conclusions: Overweight and obese perimenopausal women have a lower quality of life due to the prevalence of sexual and psychosocial symptoms. Obese postmenopausal Mongolian women are at significantly higher risk of developing cardiovascular disease.
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Impact of perimenopausal symptomatology on quality of life in Mongolian women
(2022-10)
Choijamts, Batsuren
;
Byambasuren, Myagmardagva
;
Ariunbold, Oyun-Erdene
;
Sodnomdorj, Enkhee
;
Davaatseren, Munkhtsetseg
This cross-sectional study focussed on perimenopausal Mongolian women and aimed to determine the quality of life (QOL) and risk factors in this population. We collected data on 392 women using a predesigned questionnaire and classified the participants according to menopausal status. We used The Menopause Rating Scale (MRS) and the World Health Organisation Quality of Life (WHOQOL)-BREF. Blood pressure (p = .003) and body mass index (p = .02) were significantly high, whereas sexual activity was significantly decreased in postmenopausal women (p = .001). In perimenopausal women, somatovegetative (p = .003) and psychological (p = .025) symptoms were significantly severe, and menopausal symptom severity was significantly higher (p = .017). Menopausal symptoms (p = .02) and monthly sexual activity (p = .005) significantly influenced overall QOL. Sexuality had a significantly negative effect on psychological health (p = .03). Age, occupation, menopausal stage and somatovegetative symptoms have significant effects on health-related QOL (p< .05). Our findings showed that menopausal symptoms and sexual activity significantly affect QOL in middle-aged Mongolian women.Impact StatementWhat is already known on this subject? Women experience physiological changes at the onset of menopause. However, as their oestrogen levels decline, many women also experience physical, psychological and somatovegetative symptoms. Postmenopausal health has been the main issue affecting middle-aged women, until recently. Here, we showed that menopausal transition is a turning point for middle-aged women and suggest that more attention should be paid to the health of perimenopausal women in Mongolia.What do the results of this study add? The study results showed that perimenopausal women had a higher prevalence of health-related problems than postmenopausal women, including weight gain, cardiovascular symptoms and vasomotor symptoms. The prevalence of genitourinary health problems increased with age.What are the implications of these findings for clinical practice and/or further research? General practitioners and gynaecologists in Mongolia should acquire a better understanding of the physiological changes that occur during menopause and pay greater attention to genitourinary issues as they affect general, health-related quality of life.
Scopus© Citations 3

Byambasuren, Myagmardagva

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