Abstract
Menopause can cause mental, physical, vasomotor, and sexual symptoms and problems, which negatively affect the quality of life (QOL). The aim of this study was to systematically evaluate QOL among Iranian postmenopausal women. This systematic review was conducted on cross-sectional studies that were published between 2000 and 2018. An online search to find studies published in English or Persian was conducted in the databases of Web of Science, PubMed, ScienceDirect, Scopus, Google Scholar, Scientific Information Database, Magiran, and IranMedex. Search key terms were "quality of life", "menopause", and "Iran". Fourteen studies were eligible for this study. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist was used for quality appraisal. The mean and standard deviation of QOL and its domains were extracted from the selected studies. Study data were analyzed using the Review Manager (v. 5.0) and the STATA (v. 12.0) software. The mean of total QOL among 3413 postmenopausal women was 57.89±12.8 (in the possible range of 0–174). The means of its vasomotor, psychosocial, physical, and sexual domains were 7.86±2.14, 19.43±2.05, 40.58±3.33, and 6.71±1.77, respectively. The QOL among Iranian postmenopausal women is nearly higher than the moderate level. The lowest and the highest levels of QOL are related to the physical and sexual domains, respectively. Health authorities need to develop educational interventions to promote postmenopausal women’s QOL, particularly in the physical domain.
Highlights
A s a physiological phenomenon, menopause is the termination of menstruation and reproduction
The quality of life (QOL) among Iranian postmenopausal women is nearly higher than the moderate level
Different studies reported the negative effects of menopause on QOL [5, 9,10,11,12,13]
Summary
A s a physiological phenomenon, menopause is the termination of menstruation and reproduction. QOL measurement could provide valuable data about patients’ feelings, problems, and needs and about the effects of preventive and health-promoting measures and programs[13].previous studies reported varying levels of QOL among menopausal women [4, 5, 9,10,11,12,13]and there is no conclusive evidence about their QOL status. To fill this gap, this study was conducted. The means and standard deviations of QOL and its four domains were extracted from each study and were combined proportional to the sample size of each study using the fixed effects model
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