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What Voice-Related Metrics Change With Menopause? A Systematic Review and Meta-Analysis Study

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dc.contributor.authorArdura Martínez, Diego
dc.contributor.authorFilipa M.B., Lã
dc.date.accessioned2024-05-20T11:20:43Z
dc.date.available2024-05-20T11:20:43Z
dc.date.issued2022-05
dc.description.abstractVoice complaints associated with menopause have been reported by a substantial number of studies. However, to assess the clinical relevance of menopause to voice is still difficult as the extent to which menopausal symptoms are reflected on voice metrics remains unclear. A comprehensive review and meta-analysis were carried out to identify voice-related metrics that change with menopause and to quantify the magnitude of those changes. Academic Search Premier, Medline, SciELO, Scopus, PubMed, and Web of Science were searched without restriction of publication year until January 2020. Cross-sectional studies comparing voice-related metrics between pre- and post-menopausal women were included. Studies assessing effects of hormonal-replacement therapy were excluded. Datasets with more than one publication were also disregarded. Methodological quality of included studies was assessed applying the Newcastle-Ottawa Scale for cross-sectional studies. Given the heterogeneous nature of the primary studies, random-effects models were applied to pool the estimates. Eight articles were considered eligible for meta-analyses, assessing the effects of menopause on 6 voice metrics: mean fundamental frequency (fo), extracted from (1) speech and (2) from sustained vowel /a/; frequency perturbation measures (3) jitter, (4) shimmer and (5) noise-to-harmonics ratio; and (6) maximum phonation time. Both speech fundamental frequency and fo for sustained vowel /a/ were found to be 0.94 and 1.18 semitones lower in post- as compared to pre-menopausal women, respectively. Although significant, the magnitude of these decreases is below the just noticeable interval difference and well above the cutting point for distinguishing female from male voices. No significant differences were found for jitter, shimmer, noise-to-harmonics ratio, and maximum phonation time. The evaluation of acoustic metrics that reflect a single aspect of voice production at a time may conceal the effects of hormonal shifts during menopause. In addition, several variables interplay during voice production and acoustical measures may constitute weak predictors of vocal folds’ status, where changes associated to sex steroid hormones are most likely to occur.en
dc.description.versionversión final
dc.identifier.doihttps://doi.org/10.1016/j.jvoice.2020.06.012
dc.identifier.issn0892-1997
dc.identifier.urihttps://hdl.handle.net/20.500.14468/11745
dc.journal.issue3
dc.journal.titleJournal of Voice
dc.journal.volume36
dc.language.isoen
dc.publisherElsevier
dc.relation.centerFacultad de Educación
dc.relation.departmentDidáctica, Organización Escolar y Didácticas Especiales
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0
dc.subject.keywordsSex steroid hormones
dc.subject.keywordsMenopause
dc.subject.keywordsVoice-related metrics
dc.subject.keywordsMeta-analysis
dc.titleWhat Voice-Related Metrics Change With Menopause? A Systematic Review and Meta-Analysis Studyes
dc.typejournal articleen
dc.typeartículoes
dspace.entity.typePublication
relation.isAuthorOfPublication82dc4865-b6ab-4e70-86d3-305666b6a00b
relation.isAuthorOfPublicationb43e54ea-8c7f-4c09-bdea-6cc1c0b9710f
relation.isAuthorOfPublication.latestForDiscovery82dc4865-b6ab-4e70-86d3-305666b6a00b
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