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H
ow
to
evaluate
quality
of
life
in
overweight
and
obese
women
during
climacterium
?
R
ev
A
ssoc
M
ed
B
ras
2014; 60(5):484-489
485
tion to menopause and post-menopause), through a sys-
tematic review of the literature.
M
ethods
A systematic search was performed using the Embase,
Pubmed and Cochrane databases, and the following key-
-words: menopause/climacteric, quality of life, overweight/
obesity. Full articles and editorials in English, Portugue-
se and Spanish were selected. Inclusion criteria were: full
articles that used at least one questionnaire to assess
quality of life or questionnaire related to climacteric
symptoms, being at least part of the sample comprised
of patients with overweight, obesity or metabolic syn-
drome who were also in transition to menopause and
post-menopause. Exclusion criteria were: case reports
and systematic reviews. Using these criteria were selec-
ted twenty-two articles after reading the title and abs-
tract. After reading the full articles, three were excluded
for the following reasons: the first examined only psycho-
logical well-being, the second used questionnaires of
quality of life specific to women with breast cancer, and
the third used specific questionnaires for urinary incon-
tinence and sexual function. In the end, 19 articles were
selected for this systematic review.
R
esults
Nineteen articles were found in the systematic literature
search. The characteristics of both the articles and ques-
tionnaires used are summarized in Table 1. The studies
were published between 1999 and 2013, and ten of these
were dated 2009 or later. The different populations ran-
ged from 40 to 70 years of age, n ranged from 30 to 161.393
women, with the majority (13) of research having n of
200-1,194.
Table 1
Summary of articles that used questionnaires to assess quality of life in overweight or obese women in transition to
menopause and post-menopause, identifying the year of publication, the instrument used, age range and/or mean population
and number of participants
Year
Author
Instruments
Age (mean)
n
2013 Ashok P et al.
22
World Health Organization five-item well-being index (WHO-
5)
40-60
60
2012 Gallon CW et al.
33
Menopause Rating Scale (MRS)
40-65 (52.8)
200
2011 Imayama I et al.
23
SF-36; Brief Symptom Inventory-18; Perceived Stress Scale;
Social Support Survey
50-75 (58)
439
2011 Heidelberg DA et al.
24
SF-12
35-74
983
2010 Lynch CP et al.
25
Items taken from instruments used in the WHI trial to assess
emotional aspects of quality of life; SF-36 to evaluate physical
aspects of quality of life
50-79
161,393
2010 Alonso AMF et al.
9
Kupperman Index
(49.9)
574
2010 Riesco E et al.
26
SF-36
Pre-menopausal women (49)
Post-menopausal women (52)
30
2009 González FG et al.
27
EuroQol 5-D; Rosenberg Self-Esteem Scale
(60.53)
106
2009 Castelo-Branco C et al.
34
Cervantes Scale
45-64 (54.38)
284
2009 Llaneza P et al.
35
Cervantes Scale
50-65
496
2009 Messier V et al.
28
Medical Outcomes Study General Health Survey (MOS)
46-70
136
2008 Karelis AD et al.
29
Medical Outcomes Study General Health Survey (MOS);
Perceived Stress Scale; Self- Esteem Scale; Body-Esteem
Scale; Scale of perceived risk for developing heart disease
or diabetes
46-70
137
2008 Yankura DJ
30
SF-36
52-62
580
2007 Llaneza P et al.
36
Cervantes Scale
50-64
250
2007 Lemoine S et al.
31
SF-36; Three-Factor Eating Questionnaire
Pre-menopausal women 30-45(39)
Post-menopausal women 49-64 (56)
40
2007 Daley A et al.
37
Women’s Health Questionnaire (WHQ)
46-55 (50.5)
1,194
2007 Chedraui P et al.
38
MENQOL
40-70 (55.9)
325
2006 Mirzaiinjmabadi K et al.
39
Greene Scale
45-60
883
1999 Raikkonen K et al.
32
SF-36; Beck Depression Inventory; Spielberg Trait Anger/
Anxiety Questionnaire; Scale for distress; Interpersonal
Support Evaluation List (ISEL)
45-53
345