![]() ![]() 14 The association was present whether obesity was assessed using waist-to-hip ratio, waist circumference, weight change from age 18 years, or body mass index (BMI). 14 A meta-analysis of 325 899 women among whom 19 593 had UF showed association with obesity. Overweight and obesity are independent risk factors for UF. 3 13 The risk reduction among multiparous women ranges from 20% to 50% compared with nulliparous women. 3 11 12 Multiparity is linearly associated with reduced risk of UF. 1 3 Several studies show that early age at menarche is associated with higher risk UF. In general, the risk of UF is about 4–11 times higher in women aged 40–60 years compared with 20–30 years old women and women older than 60 years. 3 8–10 Age is consistently associated with the incidence and prevalence of UF irrespective of ethnicity, race and other risk factors. These include advanced age, race, age at menarche, low or nulliparity, family history, obesity, diet, physical activity, smoking, oral contraceptives, hormone replacement therapy, environmental exposure to high levels of oestrogen and progesterone and vitamin D deficiency. There are several epidemiological risk factors for UF. 5 In another longitudinal study conducted in UK, the crude incidence of UF based on primary care physicians’ diagnosis with USS, hysteroscopy, laparoscopy or pelvic examination was 5. 4–6 For example, a large longitudinal study (Nurses’ Health Study II) in the USA showed that the incidence of UF confirmed by pelvic examination, ultrasound (USS) or hysterectomy per 1000 woman-years was 37.9 in African American, 14.5 in Hispanic, 12.5 in white and 10.4 in Asian women. Studies show that the incidence and prevalence of UF in women of African ancestry is higher than that in other races. Variations in the incidence and prevalence of UF by race and ethnic groups have been widely reported. 1 3 The cumulative incidence of UFs by the age of 50 years in women in developed countries is 70%–80%. The incidence and prevalence of UF reported in the literature varies significantly by study design, methods of diagnosis, ethnic composition and age distribution of study participants. 2 They tend to be multiple and may be found in any part of the uterus however, they are the most common in the muscular wall of the uterus (the myometrium). 1 They are typically composed of disordered fascicles of smooth-muscle cells, vascular smooth-muscle cells, fibroblasts, leiomyoma-associated fibroblasts and an excess of acellular extracellular matrix. Choose which group you would like to import your EDIS publications into.Uterine fibroids or uterine leiomyomas (UF) are the most common neoplasms affecting women. Select “EndNote Import” from the filter list.ġ0. Clicking the “Browse” button and select the. You will be presented with the EndNote Basic import interface pictured below:Ĩ. Select the “Collect” tab from the EndNote Basic main menu.ħ. (Give the file a name be sure to select “Text (.txt)” from the file type drop down menu. ![]() Above your results list, you will see an option to “Output your results in EndNote format” and a button labeled “Export.” Click the “Export” button to export in EndNote format.Ĥ. You should see the screen similar to the one displayed below:ģ. A similar process may be used for all ".txt" format imports to EndNote Basic.ġ. These directions are designed to assist IFAS faculty with preparing publication lists. ![]()
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