PMID- 30363011 OWN - NLM STAT- MEDLINE DCOM- 20200414 LR - 20200414 IS - 1530-0374 (Electronic) IS - 1072-3714 (Linking) VI - 26 IP - 4 DP - 2019 Apr TI - Dietary patterns and their association with menopausal symptoms: a cross-sectional study. PG - 365-372 LID - 10.1097/GME.0000000000001245 [doi] AB - OBJECTIVE: Although menopause is a natural event in a woman's life, some of its symptoms can be severe enough to adversely affect her health. There is some evidence to suggest that diet has an influence on menopausal symptoms, but less attention has been paid to dietary patterns. The purpose of this study is to determine the association of dietary patterns with physical, mental, and genitourinary menopausal symptoms. METHODS: A cross-sectional study design was applied using a sample of 400 postmenopausal women who attended health centers in the south of Tehran, Iran. The menopausal symptoms were assessed by a Menopause Rating Scale (MRS) questionnaire; a 147-item, semi-quantitative food-frequency questionnaire was used to collect dietary information, and major dietary patterns were identified by principal component analysis. Linear regression was used to evaluate the relationship between menopausal symptoms and dietary patterns. RESULTS: Three major dietary patterns were identified: vegetables and fruits (VF); mayonnaise, liquid oils, sweets, and desserts (MLSD); and solid fats and snacks (SFS). It has been found that the VF dietary pattern is inversely associated with general (beta = -1.37; SE = 1.08; P for trend <0.001), physical (beta = -1.54; SE = 1.09; P for trend <0.001), and mental (beta = -1.58; SE = 1.11; P for trend <0.001) symptoms. A stronger adherence to the MLSD dietary pattern was directly associated with general (beta = 1.15; SE = 1.08; P for trend <0.001) and genitourinary symptoms (beta = 1.54; SE = 1.1; P for trend <0.001). Moreover, the SFS dietary pattern was directly related to the general (beta = 1.23; SE = 1.09; P for trend = 0.01), physical (beta = 1.24; SE = 1.09; P for trend = 0.04), and mental (beta = 1.29; SE = 1.12; P for trend < 0.001) symptoms. CONCLUSION: The present study demonstrated that there is an inverse association between VF dietary pattern and menopausal symptoms. In contrast, the MLSD and SFS dietary patterns were correlated to an increased risk of these symptoms. FAU - Soleymani, Mahshid AU - Soleymani M AD - Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Siassi, Fereydoun AU - Siassi F AD - Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Qorbani, Mostafa AU - Qorbani M AD - Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran. FAU - Khosravi, Shahla AU - Khosravi S AD - Department of Social Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. FAU - Aslany, Zahra AU - Aslany Z AD - Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Abshirini, Maryam AU - Abshirini M AD - Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Zolfaghari, Ghazal AU - Zolfaghari G AD - Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. AD - Islamic Azad University, Science and Research Branch of Tehran, Tehran, Iran. FAU - Sotoudeh, Gity AU - Sotoudeh G AD - Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Menopause JT - Menopause (New York, N.Y.) JID - 9433353 RN - 0 (Dietary Fats) SB - IM MH - Anxiety/physiopathology MH - Arthralgia/physiopathology MH - Atrophy MH - Attention/physiology MH - Cross-Sectional Studies MH - Depression/physiopathology MH - *Diet MH - Dietary Fats/administration & dosage/adverse effects MH - Energy Intake MH - Exercise MH - Female MH - Fruit MH - Hot Flashes/physiopathology MH - Humans MH - Memory Disorders/physiopathology MH - *Menopause/physiology MH - Middle Aged MH - Myalgia/physiopathology MH - Sexual Dysfunction, Physiological/physiopathology MH - Sexual Dysfunctions, Psychological/physiopathology MH - Sleep Initiation and Maintenance Disorders/physiopathology MH - Surveys and Questionnaires MH - Sweating/physiology MH - Vagina/pathology MH - Vegetables EDAT- 2018/10/27 06:00 MHDA- 2020/04/15 06:00 CRDT- 2018/10/27 06:00 PHST- 2018/10/27 06:00 [pubmed] PHST- 2020/04/15 06:00 [medline] PHST- 2018/10/27 06:00 [entrez] AID - 10.1097/GME.0000000000001245 [doi] PST - ppublish SO - Menopause. 2019 Apr;26(4):365-372. doi: 10.1097/GME.0000000000001245.