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Background. Menopause, also referred to as climacterium, is a period of multiple changes in the structure and functions of a woman organism. Objective. Determination of differences in body composition and fatty tissue distribution in women from groups discriminated based on their menstrual status. Material and Methods. The survey covered 312 women aged 38-75 years. Menstrual status of the surveyed women was established according to WHO guidelines based on answers to a questionnaire, and three groups were discriminated: women in the premenopausal period (group 1), in the perimenopausal period (group 2), and in the postmenopausal period (group 3). The following anthropomological measurements were taken: body height, body mass, waist and hip circumference, and thickness of 6 skinfolds. Their results enabled evaluating the somatic built of women in the separated groups. Fatty tissue distribution was determined based on TER distribution index calculated as a ratio of the sum of trunk skinfolds (TSS) to the sum of extremity skinfolds (ESS). Body composition of the women, including percentage of body fat, lean body mass, soft tissue mass, and total body water, was assessed using an IOI 353 analyzer by JAWON MEDICAL. In addition, percentages of women with underweight, normal content of fatty tissue, and these with overweight and obesity were calculated. The WHR index was computed in the case of obese women. Results. The highest values of body mass, hip circumference and most of the skinfolds were determined in the perimenopausal group, whereas the postmenopausal women were characterized by the highest percentage of body fat (PBF) and by the lowest contents of lean tissue, soft tissue, and total water content in the body. The highest percentage of obese women was found in the postmenopausal group, including 40% of them having visceral type obesity. The occurrence of the menopause contributed to changes in fatty tissue distribution, causing its shift from extremities toward the trunk. Conclusions. The study showed differences in the somatic built and body composition in groups of women distinguished based on their menstrual status.
The Premenstrual Syndrome (PMS) is described as a cyclical disorder related to the hormonal changes during a menstrual cycle, which affects the emotional and physical health of many women during their reproductive period of life. The PMS can obviously change the quality of life. The syndrome is characterized by a complex group of symptoms, such as depression, irritability, mood swings, anxiety, abdominal discomfort. These signs occur during the luteal phase of a menstrual cycle and disappear after the onset of menses. Some studies suggest that a variety of nutrients may play an important role in the mood swings which occur cyclically during the course of the premenstrual syndrome and that some can have a beneficial impact, especially on the estrous phase of a menstrual cycle. The aim of the paper is to review the results of some studies concerning the role of bioelements in patients with the PMS. Concentrations of magnesium, zinc, selenium and manganese are the highest during menses and the lowest in the ovulatory phase. Fluctuations of the magnesium concentration during a menstrual cycle and the involvement of this element in many cellular pathways and neuromuscular activities obviously affect the incidence or intensity of the PMS symptoms. However, we lack firm evidence that magnesium supplementation can have a positive effect on alleviating the the PMSrelated ailments. Some relationship between the PMS and bone demineralization or depressed calcium concentration in blood has been identified. However, further studies are necessary to examine how the calcium concentration in a human body can decrease the intensity of the PMS symptoms.
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