TY  - CHAP
M1  - Book, Section
TI  - Menopause and Perimenopausal Issues
A1  - Kaufman, Leah
A2  - Silverman, Robert K.
Y1  - 2017
N1  - 
T2  - Obesity Medicine: Management of Obesity in Women's Health Care
AB  - Menopause  is  defined  as  the  natural  end  to  a  woman’s  menstrual  cycle  at  the  average  age  of  51  years  and  ranging  between  45  and  55  years.1  This  period  of  time  may  also  be  associated  with  physiologic  symptoms,  such  as  vasomotor  symptoms  or  “hot  flashes,”  mood  lability,  anxiety,  depression,  weight  gain,  insomnia,  and  fatigue.  Many  of  these  symptoms  have  been  attributed  to  the  menopausal  transition  secondary  to  a  decline  in  ovarian  function.1  The  percentage  of  obese  individuals  in  our  population  can  be  assessed  through  the  National  Health  and  Nutrition  Examination  Survey  (NHANES).  The  2011–2012  survey  data  were  assessed  for  body  mass  index  (BMI)  stratification2;  they  revealed  that  33.9%  of  US  adults  aged  20  years  and  older  were  overweight,  35.1%  were  obese,  and  6.4%  were  extremely  obese,  with  a  BMI  greater  than  or  equal  to  40.  These  numbers  jump  significantly  in  the  perimenopausal  period.  When  assessed  in  the  NHANES  data  set  last  so  stratified  in  2007  (showing  no  change  in  trends  since  2003–2004),  41.1%  of  women  aged  40–59  were  obese  compared  to  30.5%  aged  20–39  years.  When  evaluated  by  ethnicity,  53%  of  non-Hispanic  black  women,  51%  of  Mexican  women,  and  39%  of  non-Hispanic  white  women  aged  40–59  were  obese.  Over  age  60,  these  numbers  increased  to  61%  for  non-Hispanic  black  women  but  decreased  to  37%  for  both  non-Hispanic  white  and  Mexican  women.3  Baseline  obesity  can  affect  many  of  the  symptoms  described  as  well  as  potentially  affect  the  perimenopausal-to-menopausal  transition.1  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - obgyn.mhmedical.com/content.aspx?aid=1139758971
ER  -