Abstract
Objective
Recent reports from our laboratory and others suggest that the menopausal transition may represent a window of vulnerability for eating disorders in women. Here, we present new findings regarding this issue.
Methods
We surveyed 230 women aged 40–60 years using an anonymous questionnaire focused on eating-disorder and body-image symptomatology. We then compared groups of respondents based on (a) menopausal stage as assessed by World Health Organization (WHO) criteria and (b) menopausal symptomatology as assessed by the Menopause Rating Scale (MRS).
Results
WHO-defined menopausal stage (premenopausal, perimenopausal, and postmenopausal) showed no significant associations with eating and body-image measures. However, MRS scores showed strong associations with most measures of the Eating Disorder Examination Questionnaire, as well as with questions regarding satisfaction with body image. These associations remained little changed even when removing the four psychological items from the MRS score and examining only the association of the MRS somato-vegetative and urogenital items with these outcome variables.
Discussion
Our data augment existing evidence that the menopausal transition may be associated with eating and body-image disturbances. However, reported menopausal stage, which is difficult to define reliably, may be less informative than menopausal symptoms as a predictor of disordered eating and associated symptoms.
Level of evidence
V—descriptive survey study.
Data availability
The data that support the findings of this study are available from the corresponding author upon reasonable request.
Change history
05 March 2022
A Correction to this paper has been published: https://doi.org/10.1007/s40519-022-01389-4
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Funding
This study was not supported by any funding.
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Contributions
BM-M contributed to conception and design, development of methodology, analysis and interpretation of data, drafting and revision of the manuscript, and study supervision. BM-M has full access to all data of the study and takes responsibility for the integrity of the data and the accuracy of the analysis. SV contributed to conception and design, development of methodology, acquisition, analysis and interpretation of data, and drafting and revision of the manuscript. VD contributed to conception and design, development of methodology, acquisition, analysis and interpretation of data, and drafting and revision of the manuscript. PH contributed to conception and design, development of methodology, analysis and interpretation of data, drafting and revision of the manuscript. MD contributed to conception and design, development of methodology, and revision of the manuscript. CI-R contributed to conception and design, development of methodology, drafting and revision of the manuscript, and study supervision. HG-P contributed to analysis and interpretation of data and drafting and revision of the manuscript.
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All procedures were approved by the Ethics Commission of the Medical University Innsbruck and were conducted in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Informed consent was obtained from all individual participants included in the study.
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Mangweth-Matzek, B., Rupp, C.I., Vedova, S. et al. Disorders of eating and body image during the menopausal transition: associations with menopausal stage and with menopausal symptomatology. Eat Weight Disord 26, 2763–2769 (2021). https://doi.org/10.1007/s40519-021-01141-4
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DOI: https://doi.org/10.1007/s40519-021-01141-4