Abstract

ObjectiveTo evaluate in postmenopausal women the association between menopause symptom intensity and the quality of life and clinical, anthropometric, and lifestyle factors, focusing on food consumption by degree of processing. Study designA cross-sectional study of 288 postmenopausal women using interviews. Main outcome measuresThe Kupperman-Blatt Menopausal Index and the Women's Health Questionnaire were used to evaluate the main outcomes of menopausal symptom intensity and quality of life, respectively. Data on socioeconomic, clinical, anthropometric, and lifestyle variables (smoking, alcohol intake, physical activity, and food consumption) were collected. ResultsMost women had moderate to severe intensity of menopausal symptoms. The highest tertile of ultra-processed food consumption was associated with a greater intensity of vasomotor symptoms (prevalence ratio [PR] 0.73, 95% confidence intervals [CI] 0.55–0.96) and sexual behavior (PR 1.22, CI 1.01–1.49). Higher intakes of sugar-sweetened beverages and sausages were associated with somatic symptoms (PR 1.23, CI 1.01–1.49) and poorer memory/concentration (PR 1.22, CI 1.02–1.47/ PR 1.22, CI 1.01–1.48). The highest tertile of vegetable intake was associated with greater protection against depressive mood (PR 0.64, CI 0.43–0.96), vasomotor symptoms (PR 0.79, CI 0.63–0, 99), and sleep disorders (PR 0.83, CI 0.69–0.99), and better quality of life (PR 0.79, CI 0.62–0.99). ConclusionMore intense vasomotor, sexual, somatic, and memory and concentration symptoms are associated with a higher consumption of ultra-processed foods, whereas those with a higher consumption of vegetables reported lower menopause symptom intensity and a better quality of life.

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