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  1. Abstract Background

    The COVID-19 pandemic presented challenges that disproportionately impacted women. Household roles typically performed by women (such as resource acquisition and caretaking) became more difficult due to financial strain, fear of infection, and limited childcare options among other concerns. This research draws from an on-going study of hot flashes and brown adipose tissue to examine the health-related effects of the COVID-19 pandemic among 162 women aged 45–55 living in western Massachusetts.


    We compared women who participated in the study pre- and early pandemic with women who participated mid-pandemic and later-pandemic (when vaccines became widely available). We collected self-reported symptom frequencies (e.g., aches/stiffness in joints, irritability), and assessments of stress, depression, and physical activity through questionnaires as well as measures of adiposity (BMI and percent body fat). Additionally, we asked open-ended questions about how the pandemic influenced women’s health and experience of menopause. Comparisons across pre-/early, mid-, and later pandemic categories were carried out using ANOVA and Chi-square analyses as appropriate. The Levene test for homogeneity of variances was examined prior to each ANOVA. Open-ended questions were analyzed for yes/no responses and general themes.


    Contrary to our hypothesis that women would suffer negative health-related consequences during the COVID-19 pandemic, we found no significant differences in women’s health-related measures or physical activity across the pandemic. However, our analysis of open-ended responses revealed a bi-modal distribution of answers that sheds light on our unexpected findings. While some women reported higher levels of stress and anxiety and lower levels of physical activity, other women reported benefitting from the remote life that the pandemic imposed and described having more time to spend on physical activity or in quality time with their families.


    In this cross-sectional comparison of women during the pre-/early, mid-, and later-pandemic, we found no significant differences across means in multiple health-related variables. However, open-ended questions revealed that while some women suffered health-related effects during the pandemic, others experienced conditions that improved their health and well-being. The differential results of this study highlight a need for more nuanced and intersectional research on risk, vulnerabilities, and coping among mid-life women.

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  2. null (Ed.)
    This presentation compares methods of estimating brown adipose tissue (BAT). As part of an ongoing study of BAT activity in relation to hot flashes, we asked women aged 45-55 to place their hand in cool (17oC) water. We took a thermal image of each woman (Flir camera) before and after the cooling of her hand. To estimate BAT activity, we compared the change in temperature in the supraclavicular area with a control area. Initially, we used a point on the mid-sternum as the control. Because we were concerned that there may be BAT tissue along the sternum, we also tried a control region on the mid-right arm. We used two equations to estimate BAT activity. The first computed the difference in maximum supraclavicular temperature (SCT) minus the difference in the control temperature [(PostMaxSupraclavicular – PreMaxSupraclavicular) - (PostControlMean - PreControlMean)]. Mean BAT estimated from the maximum SCT and arm temperature was higher (0.80, s.d. 0.51, range 0 to 2.10) than from the maximum SCT and sternal temperature (0.63, s.d. 0.45, range 0 to 1.70). There was no relationship between biceps skinfold and arm temperature, or between other anthropometric measures (summed skinfolds, BMI, percent body fat) and estimates of BAT. The sample size is, to date, too small to draw conclusions (n=36), but as the reported severity of hot flashes increased (“none,” “a little,” “somewhat,” “a lot”) the mean BAT estimated with the sternal control also increased (0.49, 0.65, 0.68, 0.74). This was not true when the arm was used as the control. Support: NSF #BCS-1848330 
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