Early menopause onset

EATING lots of refined carbohydrates, particularly white pasta and rice, may advance the start of menopause by about one-and-a-half years, warns a study.

The findings showed that high intake of healthy foods, such as oily fish and fresh legumes, such as peas and green beans, was associated with a later onset of menopause.

“There are a number of causes that have been considered for the relationship between age and start of menopause, such as genetic factors or behavioural and environmental exposures,” said a study by lead author Yashvee Dunneram, a post-doctoral researcher at the University of Leeds in Britain.

The study used data from more than 14 150 women living in Britain. Along with a detailed diet questionnaire, an initial survey collected information on reproductive history and health.

When a follow-up survey and questionnaire were conducted four years later, the researchers were able to assess the diets of the women who had experienced the onset of a natural menopause in the interim. The average age at the start of the menopause for women in Britain is 51 years.

More than 900 women between the ages of 40 and 65 had experienced a natural start of their menopause at the time of the follow-up survey, meaning they had not had menstrual periods for at least 12 consecutive months and menopause had not been brought on by such things as cancer, surgery or pharmaceutical treatments.

Analysis of their diet showed that high intakes of oily fish were associated with a delayed start of menopause by nearly three years.

A diet with lots of refined pasta and rice showed that menopause was more likely to occur one-and-a-half years earlier than average.

“The age at which menopause begins can have serious health implications for some women,” study co-author Professor Janet Cade, of the University of Leeds, said.

Previous studies have suggested that earlier onset of menopause is associated with lower bone density, osteoporosis and increased risk of cardiovascular diseases, while later menopause has been associated with a higher risk for breast, ovarian and endometrial cancers.

The researchers offer some possible explanations behind their findings, according to a BBC report.

For example, legumes contain antioxidants, which may preserve menstruation for longer. Similarly, omega-3 fatty acids found in oily fish, also stimulate antioxidant capacity in the body.

On the other hand, refined carbs increase the risk of insulin resistance, which can interfere with sex hormone activity and raise oestrogen levels.

This might increase the number of menstrual cycles leading to the egg supply running out faster, the BBC report said.