title: Physical and mental health: changes during menopause transition.
abstract: OBJECTIVE
  To measure changes in physical and mental health in six groups of women defined by menopausal status or use of hormone replacement therapy (HRT).
  
  
  METHODS
  Longitudinal study with 2 years follow-up.
  
  
  METHODS
  Eight thousand six hundred and twenty three women participating in the Australian Longitudinal Study on Women's Health, aged 45-50 years in 1996.
  
  
  METHODS
  Changes in the eight dimensions of the Short Form General Health Survey (SF-36) adjusted for baseline scores, lifestyle, behavioural and demographic factors.
  
  
  RESULTS
  At baseline, mean scores for five of the eight dimensions of the SF-36 were highest (indicating better state of health or well-being) in premenopausal women. There were declines (that is, worsening health) in the SF-36 dimensions in most groups of women. Declines were largest in physical functioning (adjusted mean change of -4.9, standard error (SE) 0.7) and physical role limitation (-5.7, SE: 1.3) in women who remained peri-menopausal throughout the study period and in women taking HRT at the time of either survey (physical functioning: -5.3 (0.7), role physical limitation: -7.5 (1.2)). They were smallest in women who remained pre-menopausal (physical functioning: -3.2 (0.7); role physical limitation: -2.1 (1.1)).
  
  
  CONCLUSIONS
  Physical aspects of general health and well-being decline during the menopausal transition. Sensitive measures and careful analysis are needed to understand why these changes are worse for peri-menopausal women and those taking HRT.
authors.affiliation: Research Centre for Gender and Health, University of Newcastle, Australia. gita.mishra@mrc-hnr.cam.ac.uk
authors.forename: Gita D
authors.initials: GD
authors.lastname: Mishra
authors.forename: Wendy J
authors.initials: WJ
authors.lastname: Brown
authors.forename: Annette J
authors.initials: AJ
authors.lastname: Dobson
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006305:Health Status Indicators; D020249:Hormone Replacement Therapy; D006801:Humans; D008593:Menopause; D008603:Mental Health; D008875:Middle Aged; D011788:Quality of Life; D016387:Women's Health