DOI QR코드

DOI QR Code

Changes in Health Status and Quality of Life in Middle-aged Women in Menopause: Using Data from the 4th (2007~2009) and 7th (2016~2018) Korea National Health and Nutrition Examination Survey over the Past 10 Years

폐경 중년여성의 건강상태 및 삶의 질의 변화 양상: 최근 10년 국민건강영양조사 제4기(2007~2009)와 제7기(2016~2018) 자료 이용

  • Received : 2023.06.08
  • Accepted : 2023.06.25
  • Published : 2023.08.31

Abstract

Purpose: This study aims to compare and analyze the changes in the physical and mental health status of middle-aged women before and after menopause and their quality of life over the past 10 years. Methods: A descriptive study was conducted by using secondary data from the 4th and 7th Korea National Health and Nutrition Examination Survey (KNHANES) involving middle-aged women in menopause (N=8,363). Data were analyzed using the complex sample x2 test. Results: Compared to 10 years ago, notable changes were observed in general characteristics. These included increase in age, education level, economic activity, and urban residency. In addition, there was an increase in alcohol consumption, a decrease in smoking, and a decline in regular exercise. The study also observed changes in obesity rates and an increase in dyslipidemia and stress levels, along with positive changes across all aspects of quality of life. Conclusion: The results indicate temporal changes in general characteristics, major physical and mental health factors, and the quality of life of middle-aged women in menopause. Thus, it is essential to consider these changes when designing health interventions such as health promotions and education initiatives for middle-aged women experiencing menopause. Further research is necessary for identifying factors influencing the quality of life of middle-aged women in menopause.

Keywords

References

  1. Anderson, D. J., & Yoshizawa, T. (2007). Cross-cultural comparisons of health-related quality of life in Australian and Japanese midlife women: The Australian and Japanese midlife women's health study. Menopause, 14(4), 697-707. https://doi.org/10.1097/gme.0b013e3180421738
  2. Aso, T. (2002). Quality of life: Asian women and the menopause. In R. A. Lobo, P. G., Crosignani, R. Paoletti, & F. Bruschi (Eds), Women's health and menopause. medical science symposia series (pp. 353-360), Boston, MA: Springer. https://doi.org/10.1007/978-1-4615-1061-1_42
  3. Avis, N. E., Colvin, A., Bromberger, J. T., Hess, R., Matthews, K. A., Ory, M., et al. (2009). Change in health-related quality of life over the menopausal transition in a multiethnic cohort of middle-aged women: Study of women's health across the nation. Menopause, 16(5), 860-869. https://doi.org/10.1097/gme.0b013e3181a3cdaf
  4. Blumel, J. E., Castelo-Branco, C., Binfa, L., Gramegna, G., Tacla, X., Aracena, B., et al. (2000). Quality of life after the menopause: A population study. Maturitas, 34(1), 17-23. https://doi.org/10.1016/S0378-5122(99)00081-X
  5. Choi, K. J., & Kim, K. H. (2017). Factors influencing bone mineral density by postmenopausal ages. The Korean Journal of Health Service Management, 11(4), 145-155. https://doi.org/10.12811/kshsm.2017.11.4.145
  6. Chung, M. S., Kim, Y. H., & Lim, K. C. (2018). The influence of health status and type of health management on depression in middle-aged women. Journal of Korean Academy Society Nursing Education, 24(3), 250-258. https://doi.org/10.5977/jkasne.2018.24.3.250
  7. Harlow, S. D., Gass, M., Hall, J. E., Lobo, R., Maki, P., Rebar, R. W., et al. (2012). Executive summary of the stages of reproductive aging workshop +10: Addressing the unfinished agenda of staging reproductive aging. Menopause, 19(4), 387-395. https://doi.org/10.1097/gme.0b013e31824d8f40
  8. Hoga, L., Rodolpho, J., Goncalves, B., & Quirino, B. (2015). Women's experience of menopause: A systematic review of qualitative evidence. JBI Database of Systematic Reviews and Implementation Reports, 13(8), 250-337. https://doi.org/10.11124/jbisrir-2015-1948
  9. Huang, Y., Chatooah, N. D., Qi, T., Wang, G., Ma, L., Ying, Q., et al. (2018). Health-related quality of life and its associated factors in Chinese middle-aged women. Climacteric, 21(5), 483-490. https://doi.org/10.1080/13697137.2018.1476133
  10. Jenabi, E., Shobeiri, F., Hazavehei, S. M., & Roshanaei, G. (2015). Assessment of questionnaire measuring quality of life in menopausal women: A systematic review. Oman Medical Journal, 30(3), 151-156. https://doi.org/10.5001/omj.2015.34
  11. Kang, J. H., & Kim, M. J. (2022). Factors influencing the health-related quality of life in Korean menopausal women: A crosssectional study based on the theory of unpleasant symptoms. Korean Journal of Women Health Nursing, 28(2), 100-111. https://doi.org/10.4069/kjwhn.2022.05.29
  12. Kim, E. S. (2020). Factors affecting quality of life in postmenopausal women with osteoporosis: secondary analysis using data from the 7th Korea National Health and Nutrition Examination Survey (KAHANES, 2016). Journal of the Korean Data Analysis Society, 22(1), 403-417. https://doi.org/10.37727/jkdas.2020.22.1.403
  13. Kim, H. J., & Kim, H. Y. (2022). Factors influencing the health-related quality of life of postmenopausal women with diabetes and osteoporosis: a secondary analysis of the Seventh Korea National Health and Nutrition Examination Survey (2016-2018). Korean Journal of Women Health Nurses, 28(2), 112-122. https://doi.org/10.4069/kjwhn.2022.05.25
  14. Kim, H. Y. (2010). The influence of physical activities on mental health of menopause women -Using the 2010 Korea National Health and Nutritional Examination Survey Data-. Unpublished master's thesis, Inha University, Incheon.
  15. Kim, J., & Ahn, S. (2016) Impact of menopausal status, metabolic syndrome and its risk factors on impaired quality of life above middle-aged women. Korean Journal of Women Health Nursing, 22(4), 275-286. https://doi.org/10.4069/kjwhn.2016.22.4.275
  16. Kim, S., & Park, S. (2021). Association between age at natural menopause and prevalence of obesity, hypertension, diabetes, and hypercholesterolemia. Korean Public Health Research, 47(1), 1-9. https://doi.org/10.22900/kphr.2021.47.1.001
  17. Korean Centers for Disease Control and Prevention. (2007). The report of quality weighted health related quality of life. Seoul: Author.
  18. Korean Women's Development Institute. (2017). Gender statistics in Korea. Retrieved July 10, 2018, from http://www.ndsl.kr/ndsl/commons/util/ndslOriginalView.do?dbt=TRKO&cn=TRKO201800022397&rn=&url=&pageCode=PG18
  19. Lee, S., Jeong, S., & Choi, Y. (2022). Effects of psychological wellbeing and depression on menopausal symptoms in middleaged South Korean women and the necessity of exercise. Journal of Environmental and Public Health, Volume 2022, 1-8. https://doi.org/10.1155/2022/6529393
  20. Lym, G. Y. (2013). The study of menopause-related quality of life and management of climacteric in a middle-aged female population in Korea. Public Health Weekly Report, 6(31), 609-613.
  21. Ministry of Health and Welfare & Korean Center for Disease Control and Prevention (MHW&KCDC). (2011). Korea health statistics: Korea National Health and Nutrition Examination Survey (KNHANES V-1) (Issue No. 11-1351159-000027-10). Seoul: Author.
  22. Na, Y. J. (2019). Impact of menopause on the women's health. Journal of the Korean Medical Association, 62(3), 141-144. https://doi.org/10.5124/kjma.2019.62.3.141
  23. Nam, S. N., Jeong, J. H., Shin, H. K., Kim, J. H., Choi, J. S., & Jeong, Y. R. (2008). The effect of elastic band and Swiss ball training on body composition and the blood lipids of middle-aged women. The Korea Journal of Sports Science, 17(3), 1081-1090.
  24. Park, H. S., Sung, M. H., & Lee, Y. M. (2003). Effects of health management program on body composition, self-efficacy and health promotion behavior in middle-aged women. Korean Journal of Women Health Nurses, 9(2), 152-160.  https://doi.org/10.4069/kjwhn.2003.9.2.152
  25. Samsung Medical Center. (2019). Assessment of women's health during menopausal periods. Seoul: Korea Disease Control and Prevention Agency.
  26. Shin, H., & Lee, E. (2020). Factors influencing quality of life in postmenopausal women, Korean Journal of Women Health Nursing, 26(4), 336-345. https://doi.org/10.4069/kjwhn.2020.11.14
  27. Sohn, J. N. (2018). Factors influencing depression in middle aged women: Focused on quality of life on menopause. Journal of Health Informatics and Statistics, 43(2), 148-157. https://doi.org/10.21032/jhis.2018.43.2.148
  28. Song, R. Y., Lee, E. O., & Lee, I. O. (2002). Pre-post comparisons on physical symptoms, balance, muscle strength, physical functioning, and depression in women with osteoarthritis after 12 week Tai Chi exercise. The Journal of Rheumatology Health, 9(1), 28-39.
  29. Tanaka, H., Sasazawa, Y., Suzuki, S., Nakazawa, M., & Koyama, H. (2011). Health status and lifestyle factors as predictors of depression in middle-aged and elderly Japanese adults: A seven-year follow-up of the Komo-Ise cohort study. BMC Psychiatry, 11, 20. https://doi.org/10.1186/1471-244X-11-20
  30. Whiteley, J., DiBonaventura, M., Wagner, J. S., Alvir, J., & Shah, S. (2013). The Impact of menopausal symptoms on quality of life, productivity, and economic outcomes. Journal of Women's Health, 22(11), 983-990. https://doi.org/10.1089/jwh.2012.3719