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Hot flushes and night sweats symptom profiles over a 17-year period in mid-aged women: The role of hysterectomy with ovarian conservation.
Maturitas 2016; 91:1-7M

Abstract

OBJECTIVES

There is limited research on hot flushes and night sweats in women with a hysterectomy with ovarian conservation. We aimed to describe the patterns of these symptoms in a cohort of Australian women and to investigate the relationship between distinct symptom patterns and hysterectomy status.

STUDY DESIGN AND OUTCOME MEASURES

Repeated-measures latent class analysis (LCA) was used to identify hot flushes and night sweats symptom patterns across seven surveys (over 17 years) in the mid-cohort of the Australian Longitudinal Study on Women's Health. Multinomial logistic regression was used to assess the associations of the symptom patterns in women with a hysterectomy with ovarian conservation (n=1129) versus women without a hysterectomy (n=4977).

RESULTS

A higher proportion of women with a hysterectomy than of those without experienced a constant pattern of hot flushes (15% versus 30%) and night sweats (9% versus 19%). Women with a hysterectomy had higher odds of constant hot flushes versus minimal hot flushes (OR=1.97, 95% CI: 1.64, 2.35) and constant versus minimal night sweats (OR=2.09, 95% CI: 1.70, 2.55). Smoking, a 'lower level of education to non-professional occupation' pathway and body mass index (BMI) patterns of 'always obese' and 'increasingly obese' were also associated with a higher risk of constant symptoms.

CONCLUSIONS

Women who have a hysterectomy (with ovarian conservation) have a higher risk of hot flushes and night sweats that persist over an extended period.

Authors+Show Affiliations

The University of Queensland, Centre for Longitudinal and Life Course Research, School of Public Health, Public Health Building, Herston Road, Herston, QLD 4006, Australia. Electronic address: l.wilson8@uq.edu.au.The University of Queensland, Centre for Longitudinal and Life Course Research, School of Public Health, Public Health Building, Herston Road, Herston, QLD 4006, Australia.Research Centre for Generational Health and Ageing, Faculty of Health and Medicine, The University of Newcastle, Australia.The University of Queensland, Centre for Longitudinal and Life Course Research, School of Public Health, Public Health Building, Herston Road, Herston, QLD 4006, Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27451315

Citation

Wilson, Louise F., et al. "Hot Flushes and Night Sweats Symptom Profiles Over a 17-year Period in Mid-aged Women: the Role of Hysterectomy With Ovarian Conservation." Maturitas, vol. 91, 2016, pp. 1-7.
Wilson LF, Pandeya N, Byles J, et al. Hot flushes and night sweats symptom profiles over a 17-year period in mid-aged women: The role of hysterectomy with ovarian conservation. Maturitas. 2016;91:1-7.
Wilson, L. F., Pandeya, N., Byles, J., & Mishra, G. D. (2016). Hot flushes and night sweats symptom profiles over a 17-year period in mid-aged women: The role of hysterectomy with ovarian conservation. Maturitas, 91, pp. 1-7. doi:10.1016/j.maturitas.2016.05.011.
Wilson LF, et al. Hot Flushes and Night Sweats Symptom Profiles Over a 17-year Period in Mid-aged Women: the Role of Hysterectomy With Ovarian Conservation. Maturitas. 2016;91:1-7. PubMed PMID: 27451315.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hot flushes and night sweats symptom profiles over a 17-year period in mid-aged women: The role of hysterectomy with ovarian conservation. AU - Wilson,Louise F, AU - Pandeya,Nirmala, AU - Byles,Julie, AU - Mishra,Gita D, Y1 - 2016/05/24/ PY - 2016/04/14/received PY - 2016/05/20/revised PY - 2016/05/23/accepted PY - 2016/7/25/entrez PY - 2016/7/28/pubmed PY - 2017/4/26/medline KW - Body mass index KW - Hot flashes KW - Hysterectomy KW - Menopause KW - Night sweats KW - Smoking SP - 1 EP - 7 JF - Maturitas JO - Maturitas VL - 91 N2 - OBJECTIVES: There is limited research on hot flushes and night sweats in women with a hysterectomy with ovarian conservation. We aimed to describe the patterns of these symptoms in a cohort of Australian women and to investigate the relationship between distinct symptom patterns and hysterectomy status. STUDY DESIGN AND OUTCOME MEASURES: Repeated-measures latent class analysis (LCA) was used to identify hot flushes and night sweats symptom patterns across seven surveys (over 17 years) in the mid-cohort of the Australian Longitudinal Study on Women's Health. Multinomial logistic regression was used to assess the associations of the symptom patterns in women with a hysterectomy with ovarian conservation (n=1129) versus women without a hysterectomy (n=4977). RESULTS: A higher proportion of women with a hysterectomy than of those without experienced a constant pattern of hot flushes (15% versus 30%) and night sweats (9% versus 19%). Women with a hysterectomy had higher odds of constant hot flushes versus minimal hot flushes (OR=1.97, 95% CI: 1.64, 2.35) and constant versus minimal night sweats (OR=2.09, 95% CI: 1.70, 2.55). Smoking, a 'lower level of education to non-professional occupation' pathway and body mass index (BMI) patterns of 'always obese' and 'increasingly obese' were also associated with a higher risk of constant symptoms. CONCLUSIONS: Women who have a hysterectomy (with ovarian conservation) have a higher risk of hot flushes and night sweats that persist over an extended period. SN - 1873-4111 UR - https://www.unboundmedicine.com/medline/citation/27451315/Hot_flushes_and_night_sweats_symptom_profiles_over_a_17_year_period_in_mid_aged_women:_The_role_of_hysterectomy_with_ovarian_conservation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0378-5122(16)30120-7 DB - PRIME DP - Unbound Medicine ER -