Differential association of modifiable health behaviors with hot flashes in perimenopausal and postmenopausal women

• Published in: Journal of general internal medicine : JGIM 2004-07, Vol.19 (7), p.740-746
• Main Authors: RILEY, Erika Hyde, INUI, Thomas S, KLEINMAN, Ken, CONNELLY, Maureen T
• Format: Article
• Language: English
• Subjects: Adult; Aged; Alcohol Drinking; Biological and medical sciences; Body Mass Index; Confidence intervals; Cross-Sectional Studies; Dermatology; Dietary Fats - administration & dosage; Female; General aspects; Health Behavior; Hormone replacement therapy; Hot Flashes - epidemiology; Hot Flashes - etiology; Humans; Internal medicine; Life Style; Logistic Models; Massachusetts - epidemiology; Medical sciences; Menopause; Middle Aged; Original; Perimenopause; Postmenopause; Randomized Controlled Trials as Topic; Skin involvement in other diseases. Miscellaneous. General aspects; Smoking; Surveys and Questionnaires; Vascular disorders of the skin; Womens health
• ISSN: 0884-8734; 1525-1497
• DOI: 10.1007/s11606-004-0002-3

To determine the association of modifiable factors, such as smoking, body mass index, and alcohol use, with hot flashes, and to ascertain whether the association with hot flashes varies by menopausal stage. A written survey completed by perimenopausal and postmenopausal women enrolling in a randomized, controlled trial of a menopause risk management program in 1999. Survey items included questions on demographics, health status, and health behaviors. A Massachusetts-based health maintenance organization. Female members, age 40 to 65, excluding women with chronic conditions precluding study participation, were randomly selected from an automated medical record system. The majority of the 287 postmenopausal and 468 perimenopausal women participating in the study were white, college educated, and nonsmoking. Approximately 30% of both groups reported experiencing hot flashes. Separate multivariable logistic regression models were developed for perimenopausal and postmenopausal women to identify correlates of reporting any versus no hot flashes. After controlling for age, race, oral contraceptive use, hormone replacement therapy use, and depression, correlates of hot flashes in perimenopausal women were body mass index >/=25 kg/m(2) (odds ration [OR], 2.00; 95% confidence interval [CI], 1.28 to 3.12) and alcohol use of 1 to 5 drinks per week (OR, 0.52; 95% CI, 0.31 to 0.86). The only significant correlate of hot flashes in the postmenopausal population was high dietary fat intake (OR, 0.35; 95% CI, 0.15 to 0.81). Although study respondents were from similiar sociodemographic groups and received their health care in the same health maintenance organization, modifiable factors associated with hot flashes were different for perimenopausal and postmenopausal women.