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  1. Article ; Online: Menopause hormone therapy and physical performance: The Canadian Longitudinal Study on Aging.

    Macêdo, Pedro R S / Macêdo, Sabrina G G F / Velez, Maria P / Câmara, Saionara M A

    Maturitas

    2024  Volume 184, Page(s) 107959

    Abstract: Objective: To examine the association between menopause hormone therapy (MHT) and physical performance among women from the Canadian Longitudinal Study on Aging.: Study design: Cross-sectional study of 12,506 postmenopausal Canadian women.: Main ... ...

    Abstract Objective: To examine the association between menopause hormone therapy (MHT) and physical performance among women from the Canadian Longitudinal Study on Aging.
    Study design: Cross-sectional study of 12,506 postmenopausal Canadian women.
    Main outcome measures: Grip strength (kg), gait speed (m/s), timed up and go (s), chair rise (s), and balance (s) were assessed following standard procedures. The association between MHT and physical performance was evaluated using linear regression models adjusted for age, education, study site, smoking, alcohol consumption, body mass index, diabetes, hypertension, and hysterectomy. Sensitivity analyses were conducted according to age at study visit (<65 vs. ≥65 years), body mass index (<25 kg/m
    Results: Compared with those who never used MHT, prior or current use was associated with better performance on the timed up and go test (β: -0.19; 95%CI: -0.28; -0.11) and faster gait speed (β = 0.01, 95%CI = 0.00; 0.02). No association was found for grip strength, balance, and chair rise. Results did not change by body mass index, physical activity, or duration of MHT use. When stratified by age at study visit, the effect remained significant only in among those aged 65 years or more. Starting MHT <5 years after menopause was associated with better physical performance.
    Conclusions: MHT was associated with better physical performance in gait speed and timed up and go tests. The cross-sectional design of the study limits causal interpretation. Prospective studies are needed to confirm our results.
    MeSH term(s) Humans ; Female ; Cross-Sectional Studies ; Middle Aged ; Longitudinal Studies ; Canada ; Aged ; Hand Strength ; Physical Functional Performance ; Walking Speed ; Aging/physiology ; Menopause ; Estrogen Replacement Therapy ; Postural Balance ; Body Mass Index ; Exercise ; Postmenopause/physiology
    Language English
    Publishing date 2024-03-01
    Publishing country Ireland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80460-5
    ISSN 1873-4111 ; 0378-5122
    ISSN (online) 1873-4111
    ISSN 0378-5122
    DOI 10.1016/j.maturitas.2024.107959
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Menopause hormone therapy and sarcodynapenia: the Canadian Longitudinal Study on Aging.

    Câmara, Saionara M A / Macêdo, Pedro R S / Velez, Maria P

    Menopause (New York, N.Y.)

    2022  Volume 30, Issue 3, Page(s) 254–259

    Abstract: Objective: To study the association between menopause hormone therapy (MHT) and sarcodynapenia in women from the Canadian Longitudinal Study on Aging.: Methods: We conducted a cross-sectional study of 10,834 eligible postmenopausal women. The ... ...

    Abstract Objective: To study the association between menopause hormone therapy (MHT) and sarcodynapenia in women from the Canadian Longitudinal Study on Aging.
    Methods: We conducted a cross-sectional study of 10,834 eligible postmenopausal women. The exposure was prior or current use of MHT (never, ever). Sarcopenia was defined as an appendicular lean mass less than 5.72 kg/m 2 using dual-energy X-ray absorptiometry, and dynapenia as a grip strength less than 20.4 kg. Sarcodynapenia was defined as the concomitant presence of sarcopenia and dynapenia. Poisson regression analysis produced prevalence ratios (PR) for the associations between MHT use and sarcodynapenia adjusted for age at interview, education, study site, smoking, diabetes, hypertension, and body mass index. Additional analyses were conducted according to duration of MHT (5 years or less, more than 5 years), age categories (45-64 years, 65 years or older), and physical activity level as per the Physical Activity Scale for the Elderly score (less active, more active).
    Results: Menopause hormone therapy was not associated with sarcodynapenia (PR, 1.10; 95% CI, 0.89-1.35). When subdivided by years of use and physical activity, relative to no MHT use, MHT use for 5 years or less was associated with a higher prevalence of sarcodynapenia among less active women (PR, 1.57; 95% CI, 1.11-2.21) and with a lower prevalence among those more active (PR, 0.60; 95% CI, 0.39-0.92). The use of MHT for more than 5 years was not associated with sarcodynapenia.
    Conclusions: Menopause hormone therapy for 5 years or less is associated with a lower prevalence of sarcodynapenia among physically active women and with a higher prevalence of sarcodynapenia in those less active. Strategies to promote an active lifestyle in all postmenopausal women, including MHT users, are needed to attain benefits for musculoskeletal health.
    MeSH term(s) Female ; Humans ; Aged ; Middle Aged ; Menopause ; Sarcopenia/epidemiology ; Longitudinal Studies ; Cross-Sectional Studies ; Canada ; Aging ; Hormones ; Estrogen Replacement Therapy ; Hormone Replacement Therapy
    Chemical Substances Hormones
    Language English
    Publishing date 2022-12-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1205262-0
    ISSN 1530-0374 ; 1072-3714
    ISSN (online) 1530-0374
    ISSN 1072-3714
    DOI 10.1097/GME.0000000000002127
    Database MEDical Literature Analysis and Retrieval System OnLINE

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