폐경전후기 여성의 폐경증상과 식이섭취의 관계

Association of Diet with Menopausal Symptoms in Korean Middle-aged Women

  • 박영주 (고려대학교 간호대학) ;
  • 백희영 (서울대학교 생활과학대학) ;
  • 김영주 (서울대학교 생활과학대학) ;
  • 홍성숙 (고려대학교 병원 건강검진실) ;
  • 김미진 (고려대학교 병원 건강검진실) ;
  • 윤지원 (고려대학교 간호대학) ;
  • 문소현 (고려대학교 간호대학)
  • 발행 : 2003.06.01

초록

Purpose: This study was designed to explore the association of diet with menopausal symptoms in Korean women, Method: For this cross-sectional survey, 276 women aged between 45-55 years visiting two branches of K-university hospital located in Seoul and Ansan of Kyunggi province were recruited from April to July, 2002. A menopause-specific quality-of-life questionnaire and a food frequency questionnaire were used to measure menopause-related symptoms and the intake of 28 types of foods. Result: No differences were found in the levels of bothersome total menopausal symptoms, physical symptoms, psychosocial symptoms, and sexual symptoms according to the intake of each food. Only higher intake of fishes, seaweeds, and vegetable oils were inversely associated with bothersome levels of vasomotor symptoms. Women with higher intake of yellow-green vegetables and lower intake of coffee, confectionery, and processed foods reported lower hot flush rate. Conclusion: The results suggest that higher intake of yellow-green vegetables and lower intake of coffee, confectionery and processed foods may relieve hot flushes. Further study needs to be pursued to study the relationship with nutrients of these foods and hot flushes.

키워드

참고문헌

  1. Adlercreutz, H., & Major, W. (1997). Phytoestrogens and western diseases. AnnMed, 29, 95-120
  2. Adlercruetz, H., Hamalainen, E., & Gorbach, S. (1992). Dietary phytoestrogens and the menopause in Japan. Lancet, 339, 123
  3. Albertazzi, P., Pansini, M. F., Bottazzi, G., Bonaccori, G., Aloysio, D. de, & Morton, M. S. (1999). Dietary soy supplementation and phytoestrogen levels. Obstet Gynecol, 94(2), 229-231
  4. Anderson, J. W., Johnstone, B. M., Cervetti, R., et al. (1995). Meta-analyses of the \effects of soy protein intake on serum lipids. N Engl J Med, 333, 276-282 https://doi.org/10.1056/NEJM199508033330502
  5. Baird, D. D., Tylavsky, F. A., & Anderson, J. J. B. (1988). Do vegetarians have earlier menopause? Am J Epidemiol, 128, 907-908
  6. Bromberger, J. T., Matthews, K. A., Kuller, L. H., Wing, R. R., Meilahn, E. N., & Plantinga, P. (1997). Prospective study of the determinants of age at menopause. Am J Epidemiol, 145(2), 124-133
  7. Han, I. K., Park, K., Kim, H., & Cho., N. (1998). Climacteric symptoms and perception in middle-aged Korean women. The Journal of the Korea Society of Menopause, 4(1), 3-15
  8. Hilditch, J. R., Lewis, 1. Peter, A., van Maris, B., Ross, A. Franssen, E., Guyatt, G. H., Norton, P. G., & Dunn, E. (1996). A menopause-specific quality of life questionaire, Maturitas, 24(3), 161-75 https://doi.org/10.1016/S0378-5122(96)82006-8
  9. Kass-Annese, B. (2000). Alternative therapies for menopause. Clin Obstet Gynecol, 43(1), 162-183
  10. Kass-Annese, B. (2000). Alternative therapies for menopause. Clin Obstet Gynecol, 43(1), 162-183
  11. Kim, Y. J. (2002). Effect of variation of dietary intake on food list of food frequency questionnaire in Korean adults. Seoul national University: Thesis for Master's Degree
  12. Lampe, J. W. (1999). Health effects of vegetables and fruit: assessing mechanisms of action in human experimental studies. Am J Clin Nutr, 70(suppl), 475s-490s
  13. Murkies, A. L, Lombard, c., Strauss, B. J. G., Wilcox, G., Burger, H. G., & Morton, M. S. (1995). Dietary flour supplementation decreases postmenopausal hot flushes: Effect of soy and wheat. Maturitas, 21(3), 189-195
  14. Nagata, C., Takatsuka, N., lnaba, S., Kawakami, N., & Shimizu, H. (1998). Association of diet and other lifestyle with onset of menopause in Japanese women. Maturitas, 29(1), 105-113
  15. Nagata, C., Takatsuka, N., Kawakami, N., & Shimizu, H. (2001). Sou product and hot flashes in Japanese women: Results from a community-based prospective study. Am J Epidemiol, 153(8). 790-793
  16. Paik, H. Y., Rhu, C. Y., Choi, C. S., Ahn, Y. J., Moon, H. K., Park, Y. S., Lee, H. K., & Kim, Y. J. (1995). The development and validation of food frequency questionnaire for measuring the food frequencies of Korean adults in rural area. J. of Korean Nutrition Society, 28(9), 914-922
  17. Paik, H. Y., Moon, H. K, Choi, Y. S., Ahn, Y. O., Lee, H. K, & Lee, S. O. (1997). Diet and Disease of Korean. Seoul: Seoul National University Press
  18. Paik, H. Y, et al. (1997). Nutritional survey of Korean. Seoul: Seoul National University Press
  19. Park, Y. J., Kim. H. S., Koo, B. S., Kang, H. C., & Chun, S. H. (2001). Climacteric symptoms and life-style behavioral factors. Women & Health, 34(1), 17-28
  20. Seong, J. J., Choi, S. H., Kim, M. H., Park, M. H., Kho, B. S., & Kim, H. K. (2000). A study on dietary Isoflavone intake from soy foods and urinary Isoflavone excretion and, menopausal symptoms in Korean women in rural areas. J of Korean Academy of Community Nutrition, 5(1), 120-129
  21. The Korean nutrition society (2001). Recommended dietary allowances for Koreans 7th edi., Seoul : Chungang Publications
  22. Won, H. J., Lee, B. S., Lee, S. K, Choi, Y., Yoon, S., Park, K H., Cho, D. J., & Song, C. H. (2001). The effect of Isoflavone on postmenopausal symptoms and hormonal changes in postmenopausal women. J of the Korea Society of Menopause, 7(1), 54-63