Portal de Periódicos da CAPES

Hysterectomy and weight gain

2009; Lippincott Williams & Wilkins; Volume: 16; Issue: 2 Linguagem: Inglês

10.1097/gme.0b013e3181865373

1530-0374

David M. Fitzgerald, Janneke Berecki‐Gisolf, Richard Hockey, Annette J. Dobson,

Diverticular Disease and Complications

In Brief Objective: To investigate whether overweight women are more likely to have a hysterectomy and whether hysterectomy leads to increased weight gain. Methods: Survey data of middle-aged women participating in the Australian Longitudinal Study on Women's health in 1996 (ages 45-50 y; n = 13,125), 1998 (n = 10,612), 2001 (n = 10,293), and 2004 (n = 9309) included self-reported height, weight, and hysterectomy. First, we conducted a cohort analysis, comparing body mass index (BMI) of women categorized according to hysterectomy status. Second, we used a nested case-control analysis to compare weight gain between women who underwent hysterectomy and women who did not have a hysterectomy, matched for prehysterectomy weight, height, menopause status, and educational level. Results: At survey 1, the mean BMI of women who subsequently had a hysterectomy was greater than that of women without a hysterectomy by survey 2 (difference, 1.1 kg/m2; 95% CI, 0.5-1.6). Results were similar for surveys 2 to 3 (BMI difference, 0.8 kg/m2; 95% CI, 0.3-1.3) and surveys 3 to 4 (BMI difference, 0.8 kg/m2; 95% CI, 0.1-1.4). Having a hysterectomy between surveys 1 and 2 was not associated with percentage of weight gain over the 3 or 6 years after survey 2 (odds ratio, 0.98 [95% CI, 0.96-1.01] and 0.99 [95% CI, 0.97-1.01], respectively). Having a hysterectomy between surveys 2 and 3 was weakly associated with percentage of weight gain over 3 years (odds ratio, 1.03 [95% CI, 1.00-1.05]). Conclusions: Among women older than 45 to 50 years, hysterectomy did not lead to greater weight gain but was more likely to be performed in heavier women. This study explores whether overweight women are more likely to have a hysterectomy and whether hysterectomy leads to increased weight gain. The findings indicate the among women aged above 45-50 years, hysterectomy does not lead to greater weight gain, but is more likely to be performed in heavier women.