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The madwoman in the Volvo : my year of raging hormones
\"In a voice that is wry, disarming, and totally candid, Sandra Tsing Loh tells the moving and laugh-out-loud tales of her roller coaster through 'the change.' This is not your grandmother's menopause story. Loh chronicles the utterly relatable, everyday perils: raising preteen daughters, weathering hormonal changes, and the ups and downs of a career and a relationship. She writes also about an affair and the explosion of her marriage, while managing the legal and marital hijinks of her eighty-nine-year-old dad. The upbeat conclusion: it does get better.\"--Back cover.
Book
Trajectories of physical activity from mid to older age in women: 21 years of data from the Australian Longitudinal Study on Women’s Health
Background
Women’s physical activity varies across the adult lifespan. However, changes in physical activity among mid-aged women are not well understood. We analysed 21 years of data from women born in 1946–51 to identify: (1) trajectories of physical activity in the transition from mid- to old-age and (2) determinants of different physical activity trajectories.
Methods
Data were from the 1946–51 cohort of the Australian Longitudinal Study on Women’s Health (
N
= 10,371). Surveys were mailed at three-year intervals from 1998 (age 47–52) to 2019 (age 68–73) to collect data on physical activity, sociodemographic factors (country of birth, area of residence, educational attainment, marital status, income management, paid work hours, living with children age < 18, providing care), health indicators (menopause status, BMI, physical and mental health, chronic conditions), and health behaviours (smoking, alcohol status). Group-based trajectory modelling was used to identify trajectories of physical activity. Multinomial logistic regression models were used to examine the determinants of physical activity trajectories.
Results
Five trajectories were identified: Low-stable (13.3% of participants), Moderate-stable (50.4%), Moderate-increasing (22.2%), High-declining (7.7%), and High-stable (6.6%). Sociodemographic characteristics (area of residence, education, income management, living with children, and providing care) were determinants of physical activity trajectories, but the strongest factors were BMI, physical and mental health. Women who were overweight/obese and had poor physical and mental health were less likely to be in the High-stable group than in any other group. Changes in these variables (increasing BMI, and declining physical and mental health) and in marital status (getting married) were positively associated with being in trajectories other than the High-stable group.
Conclusions
Although most women maintained physical activity at or above current guidelines, very low physical activity levels in the Low-stable group, and declining levels in the High-declining group are concerning. The data suggest that physical activity promotion strategies could be targeted to these groups, which are characterised by socioeconomic disadvantage, high (and increasing) BMI, and poor (and worsening) physical and mental health. Removing barriers to physical activity in these women, and increasing opportunities for activity, may reduce chronic disease risk in older age.
Journal Article
How not to look old : fast and effortless ways to look 10 years younger, 10 pounds lighter, 10 times better
\"Boot camp for a younger, hipper makeover, packed with no-holds-barred advice on little beauty and fashion changes that pay off big time\"--Provided by the publisher.
Book
Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis
Background
Women at middle age are puzzled by a series of menopausal disturbances, can be distressing and considerably affect the personal, social and work lives. We aim to estimate the global prevalence of nineteen menopausal symptoms among middle-aged women by performing a systematic review and meta-analysis.
Methods
Comprehensive search was performed in multiple databases from January, 2000 to March, 2023 for relevant studies. Random-effect model with double-arcsine transformation was used for data analysis.
Results
A total of 321 studies comprised of 482,067 middle-aged women were included for further analysis. We found varied prevalence of menopausal symptoms, with the highest prevalence of joint and muscular discomfort (65.43%, 95% CI 62.51–68.29) and lowest of formication (20.5%, 95% CI 13.44–28.60). Notably, South America shared dramatically high prevalence in a sort of menopausal symptoms including depression and urogenital symptoms. Besides, countries with high incomes (49.72%) had a significantly lower prevalence of hot flashes than those with low (65.93%), lower-middle (54.17%), and upper-middle (54.72%,
p
< 0.01), while personal factors, such as menopausal stage, had an influence on most menopausal symptoms, particularly in vaginal dryness. Prevalence of vagina dryness in postmenopausal women (44.81%) was 2-fold higher than in premenopausal women (21.16%,
p
< 0.01). Furthermore, a remarkable distinction was observed between body mass index (BMI) and prevalence of sleep problems, depression, anxiety and urinary problems.
Conclusion
The prevalence of menopausal symptoms affected by both social and personal factors which calls for attention from general public.
Journal Article
Pronated foot and reactive balance: A preliminary comparative study of older women
Older adults with pronated foot may face greater challenges in maintaining balance, which increases their risk of falling. Reactive balance, which refers to the ability to restore stability following an unforeseen disturbance, is a key component in evaluating fall-related postural control. Evaluating reactive balance can provide insights about balance capabilities and potential fall risks in this population.
This study compared the reactive balance (center of mass displacement and reaction time) between older women with and without pronated foot.
Thirty-two older women comprising 16 with bilateral pronated foot and 16 without pronated foot participated in the study. To assess reactive balance, a three-dimensional motion analysis was conducted. Each participant was equipped with 29 retroreflective markers and compensatory stepping corrections were performed in the forward direction. Independent t-test was used to compare the center of mass displacement and reaction time between the two groups.
The older women with pronated foot exhibited significantly slower reaction times than those without pronated foot (p = 0.017). However, no significant difference was determined for the center of mass displacement between the two groups (p = 0.367).
This study indicated that older women with pronated foot had significantly prolonged reaction times, suggesting an impairment in reactive response. However, the lack of significant differences in the center of mass displacement between those with and without pronated foot suggest that although older women with pronated foot maintain balance similar to those without pronated foot, their delayed reaction times may hinder the ability to make quick, involuntary stepping adjustments, potentially increasing fall risks.
Journal Article
Beauty 40+ : 24 looks to feel beautiful
A guide to beauty for mature women covers age-appropriate makeup looks, with twenty-five step-by-step, illustrated instructions, and offers beauty advice, essential tools, and helpful tips for beauty care from head to toe.
Book
The effect of support surface and footwear condition on postural sway and lower limb muscle action of the older women
Diminished somatosensory function is a critical age-related change which is related to postural instability in the older population. Footwear is a cost-effective way to modulate the postural stability by altering sensorimotor inputs via mechanoreceptors on the plantar surface of the feet. Compared to insoles with indentions in the entire surface, we innovatively developed a textured insole with site-specific nodulous protrudous. This study thus aimed to investigate the immediate effect of the nodulous insole and supporting surface condition on static postural stability and lower limb muscle activation for healthy older women.
This is a single-session study with repeated measurements. Twenty-three healthy older women stood on the firm (i.e., concrete floor) and foam surfaces with their eyes open in the three footwear conditions, namely barefoot, plain shoes and shoes with an innovative textured insole, for 30 seconds. Static postural sway and muscle activation of biceps femoris (BF), vastus lateralis (VL), tibialis anterior (TA), and lateral gastrocnemius (LG) of the dominant leg were measured during each testing condition.
Compared to a firm surface, standing on the foam could significantly increase the body sway and lower limb muscle activation (p<0.05). When standing on the foam, compared to barefoot, wearing footwear significantly decreased the VL and TA muscle activation and minimize the postural sway in medial-lateral and anterior-posterior direction, while the influence is larger for the shoes with nodulous insloe compared to the plain shoes. No significant differences between the footwear conditions for static stability and muscle activation were observed on firm surface condition.
For older women, footwear could improve the postural stability in the unstable surface, particularly the footwear with nodulous insole, with the underlying mechanism as enhancing the mechanoreceptors on the plantar surface of the feet.
Journal Article
Family pictures
Two women who live on opposite coasts but whose lives are connected in ways they never could have imagined.
Book
Changes in phase angle and body composition induced by resistance training in older women
Background:
Resistance training (RT) has selective effects on body composition that may counteract the deleterious effects of aging. Changes in phase angle (PhA) may serve to monitor the influence of RT in older people.
Objectives:
To describe the effect of RT in training, detraining and retraining on body composition, including PhA in older women.
Subjects/methods:
Thirty-three older women (⩾60 years old) participated. The RT program was carried out over 12 weeks for each stage (training, detraining and retraining). Whole-body fat-free mass and fat mass (FM) and appendicular lean soft tissue (ALST) measurements were carried out using a dual energy X-ray absorptiometry. Bioimpedance spectroscopy was used to estimate total body water (TBW), intra (ICF) and extracellular (ECF) fluids, whole-body resistance (
R
) and reactance (Xc) and PhA. Upper and lower body muscle strength were also assessed.
Results:
From baseline to after training muscle strength, ALST and PhA significantly (
P
<0.05) increased. In detraining, significant (
P
<0.05) reductions in muscle strength, TBW, ECF, ICF and PhA along with significant (
P
<0.05) increases in
R
were observed, with the greatest magnitude observed for PhA (Δ=−7.6%). From detraining to retraining a significant reduction in FM along with increases in Xc, PhA and muscle strength were observed. Although an increase was observed from detraining to retraining in PhA, the values were still lower than baseline PhA.
Conclusions:
In untrained older women, a RT is associated with increases in PhA, whereas detraining results in a marked decrease in PhA, and more time may be required in retraining to counteract the negative influence of absence of exercise stimulus.
Journal Article