- •Younger age at first delivery is a risk factor for poor health-related quality of life in menopausal women.
- •A greater number of deliveries is a risk factor for poor health-related quality of life in menopausal women.
- •We used data from the Korean National Health and Nutrition Examination Surveys.
The study investigated the association between childbirth history and health-related quality of life (QOL) in menopausal South Korean women.
Cross-sectional analysis of data from the 2010–2012 Korean National Health and Nutrition Examination Surveys (KNHANES) for 4277 menopausal women aged over 50. We used the EuroQol index to measure health-related QOL.
Main outcome measures
The relationship between delivery history and health-related QOL in menopausal South Korean women was analyzed.
After adjustment for age (model 1), women who were younger at their first delivery and who had a greater number of deliveries had a significantly higher risk of problems with mobility, self-care, usual activities and pain or discomfort; the risk of anxiety or depression was not increased. After adjustment for age, BMI, smoking, use of alcohol, exercise, income, education, marital status, metabolic syndrome and stress (model 2), women who were younger at their first delivery and who had a greater number of deliveries had a significantly higher risk of problems with mobility, self-care and pain or discomfort. Age at last delivery was not significantly associated with health-related QOL in either model.
South Korean women who were younger at their first delivery and who had more deliveries appear to be at increased risk of health-related QOL problems after menopause.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Maturitas
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Health-related quality of life in postpartum depressed women.Arch. Womens Ment. Health. 2006; 9: 95-102
- Psychometric evaluation of health-related quality of life measures in women after different types of delivery.J. Psychosom. Res. 2007; 63: 275-281
- Quality of life outcomes in pregnancy and postpartum complicated by hypertensive disorders gestational diabetes, and preterm birth.J. Psychosom. Obstet. Gynaecol. 2009; 30: 231-237
- Longitudinal study of depressive symptoms and health-related quality of life during pregnancy and after delivery: the Health Status in Pregnancy (HIP) study.Matern. Child Health J. 2009; 13: 577-587
- Long-term quality of life after pregnancy-related deep vein thrombosis and the influence of socioeconomic factors and comorbidity.J. Thromb. Haemost. 2011; 9: 1931-1936
- The impact of fecal and urinary incontinence on quality of life 6 months after childbirth.Am. J. Obstet. Gynecol. 2007; 197: 636e1-636e6
- Research on the Menopause in the 1990. vol. 866. World Health Organ Tech. Rep. Ser., 1996: 1-107
- Prospective study of the determinants of age at menopause.Am. J. Epidemiol. 1997; 145: 124-133
- Body mass index and age at natural menopause.Gynecol. Obstet. Investig. 1994; 37: 40-42
- Age at natural menopause and sociodemographic status in Finland.Am. J. Epidemiol. 1994; 139: 64-76
- Cross-sectional and case-controlled analyses of the association between smoking and early menopause.Maturitas. 1995; 22: 79-87
- estrogen, and bone density.Clin. Obstet. Gynecol. 1981; 24: 203-218
- Age at natural menopause and stroke mortality: cohort study with 3561 stroke deaths during 37-year follow-up.Stroke. 2004; 35: 1548-1551
- Menopause physical activity, and body composition/fat distribution in midlife women.Med. Sci. Sports Exerc. 2005; 37: 1195-1202
- A prospective study of estrogen replacement therapy and the risk of developing Alzheimer’s disease: the Baltimore Longitudinal Study of Aging.Neurology. 1997; 48: 1517-1521
- EQ-5D Korean Valuation Study Using Time Trade of Method.Centers for Disease Control and Prevention, Seoul2007
- EuroQol: the current state of play.Health Policy. 1996; 37: 53-72
- Long-term health consequences of delayed childbirth: NHANES III.Women’s Health Issues. 2002; 12: 37-45
- Maternal age at first delivery is associated with the risk of metabolic syndrome in postmenopausal women: from 2008-2010 Korean National Health and Nutrition Examination Survey.PLoS One. 2015; 10: e0127860
- Impact of age at first childbirth on glucose tolerance status in postmenopausal women: the 2008–2011 Korean National Health and Nutrition Examination Survey.Diabetes Care. 2014; 37: 671-677
- Reproductive factors and risk of myocardial infarction.Am. J. Epidemiol. 1992; 136: 408-416
- Parity and the metabolic syndrome in older Chinese women: the Guangzhou Biobank Cohort Study.Clin. Endocrinol. (Oxf.). 2006; 65: 460-469
- Endocrinology of pregnancy.in: Creasy R.K. Resnik R. Maternal-Fetal Medicine: Principles and Practice. 7th ed. Saunders, Philadelphia2013: 100-111
- The impact of early age at first childbirth on maternal and infant health.Paediatr. Perinat. Epidemiol. 2012; 26: 259-284
- The risk of maternal nutritional depletion and poor outcomes increases in early or closely spaced pregnancies.J. Nutr. 2003; 133: 1732S-1736S
- EQ-5D: a measure of health status from the EuroQol Group.Ann. Med. 2001; 33: 337-343
- Cross-cultural adaptation and validation of the Korean version of the EQ-5D in patients with rheumatic diseases.Qual. Life Res. 2005; 14: 1401-1406
- Health services utilization of women following a traumatic birth.Arch. Womens Ment. Health. 2015; 18: 829-832
- PRIME. impact of previous mental health problems on health-related quality of life in women with childbirth trauma.Arch. Womens Ment. Health. 2013; 16: 561-564
Published online: July 04, 2016
Accepted: July 1, 2016
Received in revised form: June 21, 2016
Received: May 11, 2016
© 2016 Elsevier Ireland Ltd. All rights reserved.