Study on depletion of ovarian function and late-life chronic diseases in India

Int J Gynaecol Obstet. 2023 Sep;162(3):1057-1067. doi: 10.1002/ijgo.14818. Epub 2023 May 9.

Abstract

Objective: The current study aims to understand premature and early menopausal age in association with chronic conditions.

Methods: The present cross-sectional study analyzed nationally representative data from LASI (Longitudinal Aging Study in India) from 2017 to 2018. Bivariate analysis including cross-tabulation and χ2 tests were performed. Further multiple regression analysis was performed, using the generalized linear model of logit link.

Results: Approximately 2533 (8%) older women reported that they had experienced premature menopause (before age 40), while 3889 (12.4%) reported having early menopause (age 40-44). The likelihood of a woman with premature menopause developing cardiovascular diseases (CVDs) is 15% higher (adjusted odds ratio [AOR], 1.15; P < 0.05) than those who do not experience premature menopause, while women with early menopause have a 13% higher risk (AOR, 1.13; P < 0.05). For women who experienced premature menopause and were also smokers, the probability of developing CVDs was higher. Other chronic diseases such as bone or joint problems, diabetes, and eye vision problems were also shown to be significant health problems among women who had premature ovarian failure.

Conclusion: Our results show significant association between women with premature or early depletion of ovarian function and chronic health conditions such as cardiovascular diseases, bone or joint problems, vision problems, and neurological or psychiatric disorders at their later life ages. Comprehensive strategies in the form of lifestyle changes may regulate hormonal levels and allow the body to reach menopause at the appropriate age.

Keywords: chronic conditions; early menopause; late-life health; ovarian function failure; premature menopause; premature ovarian failure.

MeSH terms

  • Adult
  • Aged
  • Cardiovascular Diseases* / epidemiology
  • Cardiovascular Diseases* / etiology
  • Chronic Disease
  • Cross-Sectional Studies
  • Female
  • Humans
  • India / epidemiology
  • Menopause, Premature*
  • Premature Birth*