Menopausia y etnias/razas: ¿hay diferencias en la presentación de los síntomas?

  • Ivette Marina Romero-Pérez
  • Álvaro Monterrosa-Castro
  • Ángel Paternina-Caicedo

Resumen

Introducción: la mayoría de los estudios sobre la sintomatología de la menopausia se han realizado entre mujeres caucásicas de la cultura occidental, lo que lleva a la inquietud de si sus hallazgos son aplicables a mujeres de otros grupos étnicos/raciales. Hay un creciente interés en estudiar el papel de la etnia/raza en los síntomas de la menopausia.

Objetivo: revisar la literatura, identificando estudios que comparen los síntomas menopáusicos en diferentes etnias/razas.

Materiales y métodos: se realizó una búsqueda electrónica en PubMed, Cochrane y SciELO con las palabras clave "menopause", "ethnicity" y "race". Se incluyeron estudios que compararan la presentación de síntomas climatéricos en diferentes etnias. Debido a la dificultad para la comparación de los resultados, no se incluyeron estudios realizados en una sola población étnica.

Resultados: se identificaron 55 estudios, de los cuales 19 cumplieron con los criterios de inclusión. La prevalencia de los síntomas menopáusicos difirió entre los grupos étnicos y se observaron contrastes en la percepción y la experiencia de la menopausia entre las culturas.

Conclusión: los resultados de estos estudios no apoyan un único síndrome menopáusico. El entendimiento de las diferencias entre los grupos étnicos puede mejorar la calidad de la atención en salud que se le brinda a la mujer y promover estilos de vida que contribuyan a disminuir su incidencia y severidad y mejorar la calidad de vida de la mujer.

Descargas

La descarga de datos todavía no está disponible.

Biografía del autor/a

Ivette Marina Romero-Pérez
Gineco-obstetra, Universidad de Cartagena. Investigadora del Grupo: Salud de la Mujer. Candidata a la Maestría de Epidemiología, Universidad del Valle, Cali (Colombia)
Álvaro Monterrosa-Castro
Profesor Titular, Jefe Departamento de Investigaciones, Facultad de Medicina, Universidad de Cartagena. Líder del Grupo de Investigación: Salud de la Mujer, Cartagena (Colombia).
Ángel Paternina-Caicedo
Médico General. Candidato a la Maestría de Epidemiología Clínica, Universidad de Cartagena. Investigador del grupo: Salud de la Mujer, Cartagena (Colombia).

Referencias bibliográficas

Speroff L. The perimenopause: definitions, demography, and physiology. Obstet Gynecol Clin North Am 2002;29:397-410.

Bruce D, Rymer J. Symptoms of the menopause. Best Pract Res Clin Obstet Gynaecol 2009;23:25-32.

Chedraui P, Blümel JE, Baron G, Belzares E, Bencosme A, Calle A, et al. Impaired quality of life among middle aged women: A multicentre Latin American study. Maturitas 2008;61:323-9.

Bankowski BJ, Gallicchio LM, Whiteman MK, Lewis LM, Zacur HA, Flaws JA. The association between menopausal symptoms and quality of life in midlife women. Fertil Steril 2006;86:1006-8.

Hunter M, Rendall M. Bio-psycho-socio-cultural perspectives on menopause. Best Pract Res Clin Obstet Gynaecol 2007;21:261-74.

Avis NE, Brockwell S, Colvin A. A universal menopausal syndrome? Am J Med 2005;118 Suppl 12B:37-46.

Gold EB, Bair Y, Zhang G, Utts J, Greendale G, Upchurch D, et al. Cross-sectional analysis of specific complementary and alternative medicine (CAM) use by racial/ethnic group and menopausal status: the Study of Women's Health Across the Nation (SWAN). Menopause 2007;14:612-23.

Gold EB, Sternfeld B, Kelsey J, Brown C, Mouton C, Reame N, et al. Relation of demographic and lifestyle factors to symptoms in a multi-racial/ethnic population of women 40-55 years of age. Am J Epidemiol 2000;152:463-73.

Avis NE, Stellato R, Crawford S, Bromberger J, Ganz P, Cain V, et al. Is there a menopausal syndrome? Menopausal status and symptoms across racial/ethnic groups. Soc Sci Med 2001;52:345-56.

Freeman EW, Grisso JA, Berlin J, Sammel M, Garcia-Espana B, Hollander L. Symptom reports from a cohort of African American and white women in the late reproductive years. Menopause 2001;8:33-42.

Kowalcek I, Rotte D, Banz C, Diedrich K. Women's attitude and perceptions towards menopause in different cultures. Cross-cultural and intra-cultural comparison of pre-menopausal and post-menopausal women in Germany and in Papua New Guinea. Maturitas 2005;51:227-35.

Haines Cj, Xing Sm, Park KH, Holinka CF, Ausmanas MK. Prevalence of menopausal symptoms in different ethnic groups of Asian women and responsiveness to therapy with three doses of conjugated estrogens/ medroxyprogesterone acetate: the Pan-Asia Menopause (PAM) study. Maturitas 2005;52:264-76.

Loh FH, Khin LW, Saw SM, Lee JJ, Gu K. The age of menopause and the menopause transition in a multiracial population: a nation-wide Singapore study. Maturitas 2005;52:169-80.

Im EO. Ethnic differences in symptoms experienced during the menopausal transition. Health Care Women Int 2009;30:339-55.

Im EO, Lee B, Chee W, Dormire S, Brown A. A national multiethnic online forum study on menopausal symptom experience. Nurs Res 2010;59:26-33.

Gold EB, Colvin A, Avis N, Bromberger J, Greendale GA, Powell L, et al. Longitudinal analysis of the association between vasomotor symptoms and race/ethnicity across the menopausal transition: study of women's health across the nation. Am J Public Health 2006;96:1226-35.

Miller S, Gallicchio LM, Lewis LM, Babus JK, Langenberg P, Zacur HA, et al. Association between race and hot flashes in midlife women. Maturitas 2006;54:260-9.

Appling S, Paez K, Allen J. Ethnicity and vasomotor symptoms in postmenopausal women. J Womens Health (Larchmt) 2007;16:1130-8.

Simpkins JW , Brown K, Bae S, Ratka A. Role of ethnicity in the expression of features of hot flashes. Maturitas 2009;63:341-6.

Brown DE, Sievert LL, Morrison LA, Reza AM, Mills PS. Do Japanese American women really have fewer hot flashes than European Americans? The Hilo Women's Health Study. Menopause 2009;16:870-6.

Kravitz HM, Zhao X, Bromberger JT, Gold EB, Hall MH, Matthews KA, et al. Sleep disturbance during the menopausal transition in a multi-ethnic community sample of women. Sleep 2008;31:979-90.

Avis NE, Brockwell S, Randolph JF Jr, Shen S, Cain VS, Ory M, et al. Longitudinal changes in sexual functioning as women transition through menopause: results from the Study of Women's Health Across the Nation. Menopause 2009;16:442-52.

Bromberger JT, Harlow S, Avis N, Kravitz HM, Cordal A. Racial/ethnic differences in the prevalence of depressive symptoms among middle-aged women: The Study of Women's Health Across the Nation (SWAN). Am J Public Health 2004;94:1378-85.

Sawyer Radloff L. A Self-report depression scale for research in the general population. Applied Psychological Measurement 1977;1:385-401.

Monterrosa A, Blumel J, Chedraui P. Increased menopausal symptoms among Afro-Colombian women as assessed with the Menopause Rating Scale. Maturitas 2008;59:182-90.

Monterrosa A, Blumel JE, Chedraui P, Gomez B, Valdez C. Quality of life impairment among postmenopausal women varies according to race. Gynecological Endocrinology 2009;25:491-7.

Ojeda E, Monterrosa A, Blümel J, Escobar-López J, Chedraui P. Severe menopausal symptoms in mid-aged Latin American women can be related to their indigenous ethnic component. Climacteric 2010 Mar 1.

Blümel J, Chedraui P, Baron G, Belzares E, Bencosme A, Calle A, et al. Sexual dysfunction in middle-aged women: a multicenter Latin American study using the Female Sexual Function Index. Menopause 2009;16:1139-48.

Avis NE, Colvin A, Bromberger J, Hess R, Matthews KA, Ory M, et al. 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 2009;16:860-9.

Gallicchio L, Miller S, Zacur H, Flaws JA. Race and health-related quality of life in midlife women in Baltimore, Maryland. Maturitas 2009;63:67-72.

McCrohon JA, Woo KS, Celermajer DS. A comparison of endothelial function in Caucasian and Chinese women before and after the menopause. Maturitas 2000;35:31-7.

Kardia SR, Chu J, Sowers MR. Characterizing variation in sex steroid hormone pathway genes in women of 4 races/ethnicities: the Study of Women's Health Across the Nation (SWAN). Am J Med 2006;119:S3-15.

Randolph JF Jr, Sowers M, Gold EB, Mohr BA, Luborsky J, Santoro N, et al. Reproductive hormones in the early menopausal transition: relationship to ethnicity, body size, and menopausal status. J Clin Endocrinol Metab 2003;88:1516-22.

Randolph Jf Jr, Sowers M, Bondarenko IV, Harlow SD, Luborsky JL, Little RJ. Change in estradiol and follicle-stimulating hormone across the early menopausal transition: effects of ethnicity and age. J Clin Endocrinol Metab 2004;89:1555-61.

Publicado
2010-12-20
Cómo citar
1.
Romero-Pérez IM, Monterrosa-Castro Álvaro, Paternina-Caicedo Ángel. Menopausia y etnias/razas: ¿hay diferencias en la presentación de los síntomas?. Rev. Colomb. Obstet. Ginecol. [Internet]. 20 de diciembre de 2010 [citado 23 de noviembre de 2020];61(4):319-28. Disponible en: https://revista.fecolsog.org/index.php/rcog/article/view/254
Sección
Artículo de Revisión