Physical activity as a protective factor for climacteric symptoms
DOI:
https://doi.org/10.12820/rbafs.27e0260Keywords:
Motor activity, Menopause, Women’s healthAbstract
The aim of this study was to investigate the association between the symptoms and quality of life (QOL) in climacteric with the level and intensity of physical activity (PA), body mass index (BMI), use of menopausal hormone therapy (MHT) and education level. The study was carried out with 641 climacteric women, 56 ± 6 years of age, who completed four questionnaires: Kupperman-Blatt Index (KBI) and Menopause Rating Scale (MRS) to assess climacteric symptoms, the Cervantes Scale (CS) for assess QOL, the International Physical Activity Questionnaire – short version (IPAQ) to assess PA and questions about weight, height, use of MHT and level of education. Spearman’s correlation was performed in SPSS 26 software and binary logistic regression in Stata 14.0 software, adopting a p < 0.05. Having a university education (KBI = 44%), practicing more than 150 minutes of total PA/week (KBI = 48%) and more than 10 minutes of vigorous PA/week (KBI = 36%) were protective factors for vasomotor symptoms, weakness, headache, paresthesia, vertigo, arthralgia or myalgia, palpitations, tingling and symptoms related to moderate/high mood. Having a normal BMI (CS =4 3%), university level of education (CS = 46%) and practicing more than 150 minutes of total PA/week (CS = 61%) are protective factors for better QOL. For psychological, somatic and urogenital symptoms, assessed by MRS, there was no association with exposure factors. Thus, reaching the PA recommendations, having a university education level and having a normal BMI are protective factors for moderate and severe climacteric symptoms and QOL.
Downloads
References
Bacon JL. The menopausal transition. Obstet Gynecol Clin North Am. 2017;44(2):285–96. DOI: https://doi.org/10.1016/j.ogc.2017.02.008
Williams RE, Levine KB, Kalilani L, Lewis J, Clark RV. Menopause-specific questionnaire assessment in US population-based study shows negative impact on health-related quality of life. Maturitas. 2009;62(2):153–9. DOI: https://doi.org/10.1016/j.maturitas.2008.12.006
Santoro N, Epperson CN, Mathews SB. Menopausal symptoms and their management. Endocrinol Metab Clin North Am. 2015;44(3):497–515. DOI: https://doi.org/10.1016/j.ecl.2015.05.001
Utian WH. Psychosocial and socioeconomic burden of vasomotor symptoms in menopause: A comprehensive review. Health Qual Life Outcomes. 2005;3:1–10. DOI: https://doi.org/10.1186/1477-7525-3-47
North American Menopause Society. The 2017 hormone therapy position statement of the North American Menopause Society. Menopause. 2017;24(7):728–53. DOI: https://doi.org/10.1097/GME.0000000000000921
Guérin E, Biagé A., Goldfield G, Prud’homme D. Physical activity and perceptions of stress during the menopause transition: a longitudinal study. Journal of Health Psychology. 2019;24(6):799–811. DOI: https://doi.org/10.1177/1359105316683787
Bucciarelli V, Bianco F, Mucedola F, Blasio A, Izzicupo P, Tuosto D, et al. Effect of adherence to physical exercise on cardiometabolic profile in postmenopausal women. Int J Environ Res Public Health. 2021;18(2):1–12. DOI: https://doi.org/10.3390/ijerph18020656
Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet Glob Heal. 2018;6(10):e1077–86. DOI: https://doi.org/10.1016/S2214-109X(18)30357-7
El Hajj A, Wardy N, Haidar S, Bourgi D, El Haddad M, El Chammas D, et al. Menopausal symptoms, physical activity level and quality of life of women living in the Mediterranean region. PLoS One. 2020;15(3):1–16. DOI: https://doi.org/10.1371/journal.pone.0230515
Kupperman HS, Blatt MHG, Wiesbader H, Filler W. Comparative clinical evaluation of estrogenic preparations by the menopausal and amenorrheal indices. J Clin Endocrinol Metab. 1953;13(6):688-703. DOI: https://doi.org/10.1210/jcem-13-6-688
Heinemann K, Ruebig A, Potthoff P, Schneider HPG, Strelow F, Heinemann LAJ, et al. The Menopause Rating Scale (MRS) scale: A methodological review. Health Qual Life Outcomes. 2004;2:45. DOI: https://doi.org/10.1186/1477-7525-2-45
Lima JEM, Palacios S, Wender MCO. Quality of life in menopausal women: A brazilian portuguese version of the Cervantes scale. Sci World J. 2012;2012. DOI: https://doi.org/10.1100/2012/620519
Tabachnick B, Fidell L. Using multivariate statistics. 7th ed. Using multivariate statistics. Boston: Pearson; 2019.
Matsudo S, Araújo T, Matsudo V, Andrade D, Andrade E, Oliveira LC, Braggion G. Questionário Internacional de Atividade Física (IPAQ): Estudo de validade e reprodutibilidade no Brasil. Rev Bras de Ativ Fís Saúde. 2001;6(2):05-18.
Sousa RL, Sousa ESS, Silva JCB, Filizola RG. Fidedignidade do teste-reteste na aplicação do Índice Menopausal de Blatt e Kupperman. Rev. Bras. Ginecol. Obstet. 2000;22(8):481-87. DOI: https://doi.org/10.1590/S0100-72032000000800003
Lorenzi DRS, Danelon C, Saciloto B, Padilha Jr I. Fatores indicadores da sintomatologia climatérica. Rev Bras Ginecol Obs. 2005;27(1):12–9. DOI: https://doi.org/10.1590/S0100-72032005000100004
Martinelli PM, Sorpreso ICE, Raimundo RD, Souza LO, Zangirolami-Raimundo J, Lima MVM, et al. Heart rate variability helps to distinguish the intensity of menopausal symptoms: A prospective, observational and transversal study. PLoS One. 2020;15(1):1–11. DOI: https://doi.org/10.1371/journal.pone.0225866
Heinemann LAJ, Potthoff P, Schneider HPG. International versions of the Menopause Rating Scale (MRS). Health Qual Life Outcomes. 2003;1:1–4. DOI: https://doi.org/10.1186/1477-7525-1-28
Freeman EW, Sammel MD, Sanders RJ. Risk of long-term hot flashes after natural menopause: Evidence from the penn ovarian aging study cohort. Menopause. 2014;21(9):924–32. DOI: https://doi.org/10.1097/GME.0000000000000196
Avis NE, Crawford SL, Greendale G, Bromberger JT, Everson-Rose SA, Gold EB, et al. Duration of menopausal vasomotor symptoms over the menopause transition. JAMA Intern Med. 2015;175(4):531–9. DOI: https://doi.org/10.1001/jamainternmed.2014.8063
Koyuncu T, Unsal A, Arslantas D. Evaluation of the effectiveness of health education on menopause symptoms and knowledge and attitude in terms of menopause. J Epidemiol Glob Health. 2018;8(1–2):8–12. DOI: https://doi.org/10.2991/j.jegh.2018.08.103
Pinkerton JV, Conner EA, Kaunitz AM. Management of menopause and the role for hormone therapy. Clin Obstet Gynecol. 2019;62(4):677–86. DOI: https://doi.org/10.1097/GRF.0000000000000487
Nguyen TM, Thanh T, Do T, Tran TN. Exercise and quality of life in women with menopausal symptoms: a systematic review and meta-analysis of randomized controlled trials. Int J Environ Res Public Heal Rev. 2020;17(19):7049. DOI: https://doi.org/10.3390/ijerph17197049
Sharifi N, Jalili L, Khazaeian S, Health P, Sciences M, Member F, et al. The relationship between physical activity and general health among menopausal women in Ahvaz, Iran. Electron Physician. 2017;9(2):3639–45. DOI: https://doi.org/10.19082/3639
Elavsky S, McAuley E. Physical activity, symptoms, esteem, and life satisfaction during menopause. Maturitas. 2005;52:374–85. DOI: https://doi.org/10.1016/j.maturitas.2004.07.014
Dabrowska-Gala M, Dabrowska J, Ptaszkowski K, Plinta R. High physical activity level may reduce menopausal symptoms. Medicina (B Aires). 2019;55(8):1–12. DOI: https://doi.org/10.3390/medicina55080466
Daley A, Macarthur C, Stokes-lampard H, Mcmanus R, Wilson S, Mutrie N. Exercise participation, body mass index, and health-related quality of life in women of menopausal age. Br J Gen Pract. 2007;2:130–5.
Ul-haq Z, Mackay DF, Fenwick E, Pell J. Meta-analysis of the association between body mass index and health-related quality of life among children and adolescents, assessed using the pediatric quality of life inventory index. J Pediatr. 2013;162(2):280-86.e1. DOI: https://doi.org/10.1016/j.jpeds.2012.07.049
Ul-haq Z, Mackay DF, Fenwick E, Pell JP. Meta-analysis of the association between body mass index and health-related quality of life among adults, assessed by the SF-36. Obes (Silver Spring). 2013;21(3):322–7. DOI: https://doi.org/10.1002/oby.20107
Bracht JR, Vieira-Potter VJ, Santos RDS, Palmer BF, Clegg DJ, Öz OK. The role of estrogens in the adipose tissue milieu. Ann N Y Acad Sci. 2019;1461(1):1–17. DOI: https://doi.org/10.1111/nyas.14281
Colpani V, Spritzer PM, Lodi AP, Dorigo GG, Miranda IAS, Hahn LB, Palludo LP, Pietroski RL, Oppermann K. Physical activity in climacteric women: comparison between self-reporting and pedometer. Rev. Saúde Pública. 2014;48(2):258-65. DOI: https://doi.org/10.1590/S0034-8910.2014048004765
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Brazilian Journal of Physical Activity & Health
This work is licensed under a Creative Commons Attribution 4.0 International License.
When submitting a manuscript to the Revista Brasileira de Atividade Física & Saúde, the authors retain the copyright to the article and authorize the Revista Brasileira de Atividade Física & Saúde to publish the manuscript under the Creative Commons Attribution 4.0 License and identify it as the original publication source.