Menopausal Transition Is Not Associated with Dietary Change in Swiss Women.

Grisotto, Giorgia; Raguindin, Peter Francis; Glisic, Marija; Bally, Lia; Bano, Arjola; Franco, Oscar H; Marques-Vidal, Pedro; Muka, Taulant (2021). Menopausal Transition Is Not Associated with Dietary Change in Swiss Women. Journal of nutrition, 151(5), pp. 1269-1276. American Society for Nutrition 10.1093/jn/nxab003

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BACKGROUND

Adherence to a healthy diet could contribute to maintaining adequate health throughout the menopausal transition, but data are scarce.

OBJECTIVE

We evaluated the association between menopausal status and changes in dietary intake in Swiss adult women.

METHODS

Cross-sectional (n = 2439) and prospective analyses (n = 1656) were conducted between 2009 and 2012 (first follow-up) among women (mean age ± SD, 58.2 ± 10.5 y) living in Lausanne, Switzerland. In both visits, dietary intake was assessed using a validated FFQ, and menopausal status was classified based on the presence or absence of menstruations. Multivariable linear and logistic regression models were used to investigate the cross-sectional association of menopausal status (postmenopausal compared with premenopausal) at the first follow-up with food intake and dietary recommendations. To examine whether menopausal status (premenopausal as reference group, menopausal transition, and postmenopausal) during 5 y of follow-up was associated with longitudinal changes in diet, including adherence to dietary Swiss recommendations, we applied multivariable linear and logistic mixed models adjusted for several covariates.

RESULTS

At the first follow-up, postmenopausal women consumed less (P < 0.002) meat [median (IQR) 57.2 (35-86.2) compared with 62.5 (41.2-95.2) g/d], pasta [61.8 (37.5-89.2) compared with 85 (57.8-128) g/d], and added sugar [0.1 (0-4) compared with 0.7 (0-8) g/d] and more dairy products [126 (65.4-214) compared with 109 (64.5-182) g/d] and fruit [217 (115-390) compared with 174 (83.2-319) g/d] than premenopausal women. However, linear regression analysis adjusted for potential confounding factors showed no independent (cross-sectional) associations of menopausal status with total energy intake (TEI) and individual macro- or micronutrient intakes. In the prospective analysis, compared with women who remained premenopausal during follow-up (n = 244), no differences were found in changes in TEI, dietary intakes, or adherence to the Swiss dietary recommendations in women transitioning from premenopausal to postmenopausal (n = 229) and who remained postmenopausal (n = 1168).

CONCLUSION

The menopausal transition is not associated with changes in dietary habits among Swiss women.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Endocrinology, Diabetology and Clinical Nutrition
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

Graduate School:

Graduate School for Health Sciences (GHS)

UniBE Contributor:

Grisotto, Giorgia, Raguindin, Peter Francis, Glisic, Marija, Bally, Lia Claudia, Bano, Arjola, Franco Duran, Oscar Horacio, Muka, Taulant

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

0022-3166

Publisher:

American Society for Nutrition

Funders:

[4] Swiss National Science Foundation

Language:

English

Submitter:

Andrea Flükiger-Flückiger

Date Deposited:

16 Mar 2021 13:15

Last Modified:

18 Jan 2023 13:36

Publisher DOI:

10.1093/jn/nxab003

PubMed ID:

33693728

Uncontrolled Keywords:

Switzerland cross-sectional dietary habits dietary recommendation menopause transition population-based study

BORIS DOI:

10.48350/153993

URI:

https://boris.unibe.ch/id/eprint/153993

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