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ObjectivesTo examine hot flashes in relation to climate and activity patterns, and to compare subjective and objective hot flashes among Bangladeshi immigrants to London, their white London neighbors, and women still living in their community of origin, Sylhet, Bangladesh ("sedentees").MethodsNinety-five women, aged 40-55, wore the Biolog ambulatory hot flash monitor. Objective measurements and subjective hot flash reports were examined in relation to demographic, reproductive, anthropometric, and lifestyle variables; temperature and humidity at 12:00 and 18:00; and time spent on housework and cooking. Concordance of objective and subjective hot flashes was assessed by Kappa statistics and by sensitivity of hot flash classification.ResultsDuring the study period, Bangladeshi sedentees reported more subjective hot flashes (p DiscussionHot flashes were not associated with warmer temperatures, but were associated with housework and with site-specific patterns of cooking. The number of objective hot flash measures did not differ, but differences in subjective experience suggest the influence of culture.

Original publication





American journal of physical anthropology

Publication Date





620 - 633


Department of Anthropology, University of Massachusetts, Amherst, Massachusetts.


Humans, Hot Flashes, Temperature, Menopause, Middle Aged, Bangladesh, London, Female, Emigrants and Immigrants