PMID- 17970824 OWN - NLM STAT- MEDLINE DCOM- 20080116 LR - 20161124 IS - 1398-9995 (Electronic) IS - 0105-4538 (Linking) VI - 63 IP - 1 DP - 2008 Jan TI - The association of asthma, atopy and lung function with hormone replacement therapy and surgical cessation of menstruation in a population-based sample of English women. PG - 95-102 AB - BACKGROUND: Gynaecological surgery that may lead to cessation of menstruation is a major indication for the use of hormone replacement therapy (HRT) which in turn has been associated with asthma. METHODS: Information on asthma-like symptoms, lung function and immunoglobulin E (IgE) sensitization to house dust mite (HDM) and on menstrual status and use of HRT was collected from 3724 women aged between 35 and 64 years living in England. Association of health outcomes with use of HRT and with surgery resulting in cessation of menstruation was examined in multivariable models. RESULTS: Over a third of women who had ever used HRT had undergone surgery resulting in cessation of menstruation. Current use of HRT was associated with frequent wheeze, particularly in lean women [body mass index (BMI) < 25; odds ratio (OR) 1.90; 95% confidence interval (CI) 1.17-3.05; BMI 25+; OR 1.02; 95% CI 0.69-1.51]. Wheeze was associated with the reporting of menstrual cessation that was due to surgery even if women denied ever using HRT (OR 1.55; 95% CI 1.09-2.20). There was some evidence that HRT use was associated with airway obstruction in leaner women but little evidence that it was associated with IgE sensitization to HDM. CONCLUSIONS: In this cross-sectional study use of HRT was associated with asthma-like symptoms, particularly in those who have lower BMI. A substantial proportion of women whose periods have stopped because of surgery use HRT but this does not fully explain their increased morbidity. FAU - Jarvis, D AU - Jarvis D AD - Department of Respiratory Epidemiology and Public Health, National Heart and Lung Institute, Imperial College London, London, UK. FAU - Leynaert, B AU - Leynaert B LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20071029 PL - Denmark TA - Allergy JT - Allergy JID - 7804028 SB - IM MH - Adult MH - Age Distribution MH - Age of Onset MH - Asthma/*chemically induced/epidemiology/physiopathology MH - Body Mass Index MH - Cross-Sectional Studies MH - Female MH - Health Surveys MH - Hormone Replacement Therapy/*adverse effects/methods MH - Humans MH - Hypersensitivity, Immediate/*chemically induced/epidemiology/physiopathology MH - Hysterectomy/*adverse effects MH - Incidence MH - Menopause/drug effects MH - Middle Aged MH - Prognosis MH - Respiratory Function Tests MH - Risk Factors MH - Sampling Studies MH - Severity of Illness Index MH - United Kingdom/epidemiology EDAT- 2007/11/01 09:00 MHDA- 2008/01/17 09:00 CRDT- 2007/11/01 09:00 PHST- 2007/11/01 09:00 [pubmed] PHST- 2008/01/17 09:00 [medline] PHST- 2007/11/01 09:00 [entrez] AID - ALL1530 [pii] AID - 10.1111/j.1398-9995.2007.01530.x [doi] PST - ppublish SO - Allergy. 2008 Jan;63(1):95-102. doi: 10.1111/j.1398-9995.2007.01530.x. Epub 2007 Oct 29.