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Open Access 01-12-2024 | Nutrition | Research

One-year trajectories of nutritional status in perimenopausal women: a community-based multi-centered prospective study

Authors: Shujuan Liao, Li Zhao, Chuanya Huang, Anqi Xiong, Weijun Xiong, Yirong He, Xiao Huang, Victoria Hunter, Biru Luo

Published in: BMC Public Health | Issue 1/2024

Abstract

Background

Nutritional status is a modifiable factor associated with perimenopausal women’s health and quality of life. Assessing body composition indicators helps to comprehensively understand nutritional status compared with using body mass index (BMI) only. However, few published studies measured the trends in body composition among perimenopausal women.

Objectives

To assess the one-year trajectory of the nutritional status of perimenopausal women and to explore its influential factors.

Methods

A community-based observational study with 3-wave repeated measurements at 6-month intervals was carried out. The nutritional status indicators include weight, body mass index (BMI), and body composition variables. Bioelectrical impedance analysis was used to assess body composition. Repeated measures ANOVA and Chi-square test were used to calculate the changes in nutritional status and generalized estimating equations were performed to explore their influential factors.

Results

2760 participants completed the study. Increasing trajectories in weight (from 56.05 ± 7.55 to 57.02 ± 7.60), fat mass (from 17.99 ± 4.80 to 20.49 ± 4.90), and waist-hip ratio (from 0.86 ± 0.04 to 0.91 ± 0.15) were found (P < 0.001). Decreasing trajectories in skeletal muscle (from 20.30 ± 2.38 to 19.19 ± 2.46), protein level (from 7.39 ± 0.79 to 7.06 ± 0.81), and total body water (from 27.87 ± 2.92 to 27.00 ± 3.01) were found (P < 0.001). Being married/unmarried with a partner and without negative life events were associated with higher total body water, skeletal muscle, and protein level, while negatively associated with fat mass and waist-hip ratio. Age was positively associated with fat mass (P < 0.001). Participants with junior high school education were prone to increased fat mass (P = 0.018) compared with those holding primary school education and below. A per capita monthly income of 1500 to 3000 Yuan was associated with higher total body water, skeletal muscle, and protein level (P < 0.001) compared with a per capita monthly income of less than 1500 Yuan.

Conclusion

Worsening nutritional status exists in perimenopausal women, which is characterized by increased weight, fat mass, and waist-hip ratio, and decreased skeletal muscle, total body water, and protein level. For greater efficiency, precision nutritional interventions are needed, and recipients should be classified into different risk levels based on their sociodemographic background.

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Title: One-year trajectories of nutritional status in perimenopausal women: a community-based multi-centered prospective study
Authors: Shujuan Liao
Li Zhao
Chuanya Huang
Anqi Xiong
Weijun Xiong
Yirong He
Xiao Huang
Victoria Hunter
Biru Luo
Publication date: 01-12-2024
Publisher: BioMed Central
Keyword: Nutrition
Published in: BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-024-18405-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

One-year trajectories of nutritional status in perimenopausal women: a community-based multi-centered prospective study

Abstract

Background

Objectives

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Objectives

Methods

Results

Conclusion

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