Sarcopenia is loss of muscle mass due to aging. Post menopausal women should limit their alcohol intake. They should lift heavy things and do yoga, both of which have been shown to mitigate muscle loss and increase bone mass.
Led by Yu-Jin Kwon, MD, of Yonsei University College of Medicine in Seoul, prevalence of sarcopenia among post-menopausal women rose as alcohol-drinking patterns increased (7.6% low-risk, 11.0% intermediate-risk, 22.7% high-risk; P=0.003), published in Menopause, The Journal of The North American Menopause Society (NAMS).
In a fully adjusted model, postmenopausal women who consumed the highest levels of alcohol had over four-fold increased odds of developing sarcopenia compared to those who drank the least (OR 4.29, 95% CI 1.87-9.82). Similar findings were reported in an age-adjusted only model (OR 3.97, 95% CI 1.78-8.88).
I don’t find this results surprising, but I’ve already admitted my bias is anti-supplement. Save your money and eat more plants or dairy to achieve your calcium levels. Could the effect of dairy be related to steroid hormones in the milk?
Surprisingly, women who took the recommended daily allowance of calcium (1,000 mg) or more had a significantly increased risk of early menopause compared with those who did not take calcium supplements (odds ratio 1.60; 95% CI 1.19-2.17; P=0.02). The researchers speculated that many of these women may have been taking calcium supplements prescribed by a doctor for conditions that affect sex-steroid hormones, such as autoimmune diseases or a family history of osteoporosis.
Not sure I understand that quote, and I’ve read it three times now.
When the investigators examined the effect of dietary vitamin D and calcium obtained from dairy and non-dairy sources, they found significant risk reductions only for the vitamins that came from dairy. "We think that our findings for dietary vitamin D may be driven, at least in part, by dairy foods themselves," Purdue-Smithe told MedPage Today via email.
"Dairy foods are a rich source of steroid hormones, such as progesterone. Higher intake of progesterone from dairy may influence levels of circulating sex hormones, which in turn may influence ovarian function during the reproductive years." Ongoing research is exploring this possibility, she said.
Fatter women had more hot flashes, joint pain and urinary problems. However, there was no difference related to body mass index (BMI) for psychological symptoms. Fatter women in the survey tended to exercise less, and exercise is known to be one way to mitigate menopausal symptoms. Another reason that movement is essential.
On a 4-point symptom severity scale, obese women scored a mean of 1.4 for hot flashes, compared with 1.2 for overweight women and 1.1 for women of normal weight (P=0.034 for comparison), said senior investigator Lucia Costa-Paiva, MD, PhD, of the State University of Campinas in São Paulo, Brazil, and colleagues.
Obese and overweight women also suffered more severe consequences of hot flashes compared with normal-weight women, including interruptions in sleep (P<0.0001), work activity (P<0.0001), sexual activity (P<0.0001), and leisure time activities (P=0.0002), Costa-Paiva and colleagues reported online in Menopause: The Journal of The North American Menopause Society.
Hypothyroid has numerous side effects, including weight gain, but could it be that what’s diagnosed as hypothyroid might just be a natural again process of thyroid function? Hyperthyroid is a different situation because it can affect heart function. But trying to “speed up” the thyroid strikes me as the same kind of thinking that lead to hormone replacement therapy to “correct” the body’s natural aging process… otherwise known as menopause.
We think, however, that this case highlights a problem of critical importance: the overuse of thyroid replacement, particularly among older patients. In our experience, patients with nonspecific symptoms like fatigue, low energy, or constipation receive a TSH check as part of the work up. If the level is elevated (or even on the high end of normal), the treating clinician will frequently start levothyroxine.