Comparison of Physical Activity, Quality of Life, Depression, Anxiety, Fatigue and Sleep Quality in Early and Late Postmenopausal Women

Yıl 2023, Cilt: 12 Sayı: 3, 1332 - 1345, 26.09.2023

Rüveyda Özge Yılmaz , Gizem Boztaş Elverişli , Esra Atılgan

https://doi.org/10.37989/gumussagbil.1228607

Öz

The aim of the study was to compare the quality of life, physical activity, depression, anxiety, fatigue and sleep quality of women in the early and late postmenopausal period. Relational screening model was used in the study. Research data were obtained from 60 postmenopausal women who volunteered to participate in the study. Women within 1-4 years of postmenopause were included in the early postmenopausal period group, and women within 5-8 years were included in the late postmenopausal period group. Data were collected with demographic information form, International Physical Activity Questionnaire-Long form (IPAQ-LF), SF-36 Quality of Life Questionnaire (SF-36), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAQ), Fatigue Severity Scale (FSS), Pittsburgh Sleep Quality Index (PSQI). Evaluation of data was done with descriptive statistics, Spearman correlation and multiple regression analysis. In the study, it was determined that the physical activity levels of women in the early postmenopausal period were higher than those of the women in the late postmenopausal period. There was a negative, significant and weak correlation between physical activity level and postmenopausal time. A weak positive correlation was found between the emotional role difficulty, which is the sub-parameter of the quality of life scale, and the physical activity levels of the participants. It was found that the level of physical activity decreased as the time passed after menopause increased. It was observed that the decrease in physical activity in postmenopausal women negatively affected the quality of life.

Anahtar Kelimeler

Physical Activity, Postmenopause, Quality of life

Erken ve Geç Dönem Postmenopozal Kadınlarda Fiziksel Aktivite, Yaşam Kalitesi, Depresyon, Anksiyete, Yorgunluk ve Uyku Kalitesinin Karşılaştırılması

Öz

Çalışmanın hedefi, erken ve geç postmenopozal dönemde olan kadınların yaşam kalitesi, fiziksel aktivite, depresyon, anksiyete, yorgunluk ve uyku kalitelerini karşılaştırmaktı. Çalışmada ilişkisel tarama modeli kullanıldı. Araştırma verileri, postmenopozal dönemde olan ve çalışmaya katılmayı gönüllü olarak kabul eden 60 kadından elde edildi. Menopoz sonrası 1-4 yıl içinde olan kadınlar erken postmenopozal dönem grubuna, 5-8 yıl içinde olanlar kadınlar geç postmenopozal dönem grubuna dahil edildi. Veriler kişisel bilgi formu, Uluslararası Fiziksel Aktivite Anketi-Uzun form (UFAA-UF), KF-36 (KF-36) Yaşam Kalitesi Anketi, Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Ölçeği (BAÖ), Yorgunluk Şiddet Ölçeği (YŞÖ), Pittsburgh Uyku Kalite İndeksi (PUKİ) ile toplandı. Verilerin analizi betimsel istatistikler, Spearman korelasyon ve çoklu regresyon analiziyle yapıldı. Çalışmada erken postmenopozal dönemde bulunan kadınların fiziksel aktivite seviyelerinin, postmenozal geç dönemdeki kadınlardan yüksek olduğu belirlendi. Fiziksel aktivite seviyesi ile postmenopozal süre arasında negatif, anlamlı ve zayıf düzeyde bir ilişki olduğu görüldü. Yaşam kalitesi ölçeği alt parametresi olan emosyonel rol güçlüğüyle ve katılımcıların fiziksel aktivite düzeyleri arasında zayıf düzeyde, pozitif ilişki bulundu. Menopoz sonrasında geçen süre uzadıkça fiziksel aktivite düzeyinde azalma olduğu bulundu. Postmenopozal kadınlarda fiziksel aktivitenin azalmasının yaşam kalitesini olumsuz etkilediği görüldü.

Anahtar Kelimeler

Fiziksel Aktivite, Postmenopoz, Yaşam Kalitesi

Kaynakça

• 1. Soules MR, Sherman S, Parrott E, Rebar R, Santoro N, Utian W and Woods N. (2001). “ Executive summary: Stages of reproductive aging workshop (STRAW)”. Climacteric, 4 (4), 267-72.
• 2. Kurt, G. ve Arslan, H. (2020). “Kadınların menopoz döneminde yaşadıkları sağlık sorunları ve baş etme yöntemleri”. Cukurova Medical Journal, 45 (3), 910-920.
• 3. Gartlehner, G, Patel, S. V, Feltner, C, Weber, R. P, Long, R, Mullican, K, Boland, E, Lux, L. and Viswanathan, M. (2017). “Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal Women: Evidence Report and Systematic Review for the US Preventive Services Task Force”. JAMA, 318 (22), 2234–2249. https://doi.org/10.1001/jama.2017.16952
• 4. Bromberger, J. T. and Epperson, C. N. (2018). “Depression During and After the Perimenopause: Impact of Hormones, Genetics, and Environmental Determinants of Disease.” Obstetrics And Gynecology Clinics Of North America, 45 (4), 663–678. https://doi.org/10.1016/j.ogc.2018.07.007
• 5. Goldstein, K. M, McDuffie, J. R, Shepherd-Banigan, M, Befus, D, Coeytaux, R. R, Van Noord, M. G, Goode, A. P, Masilamani, V, Adam, S, Nagi, A. and Williams, J. W. (2016). “Nonpharmacologic, nonherbal management of menopause-associated vasomotor symptoms: an umbrella systematic review (protocol)”. BMC Medicine, 5 (56). https://doi.org/10.1186/s13643-016-0232-6
• 6. Bashar, M, Ahmed, K, Uddin, M. S, Ahmed, F, Emran, A.A. and Chakraborty, A. (2017). “Depression and Quality of Life among Postmenopausal Women in Bangladesh: A Cross-sectional Study”. Journal of Menopausal Medicine, 23 (3),172–181. https://doi.org/10.6118/jmm.2017.23.3.172
• 7. El Hajj, A, Wardy, N, Haidar, S, Bourgi, D, Haddad, M. E, Chammas, D. E, El Osta, N, Rabbaa Khabbaz, L, and Papazian, T. (2020). “Menopausal symptoms, physical activity level and quality of life of women living in the Mediterranean region”. Plos One, 15 (3), e0230515. https://doi.org/10.1371/journal.pone.0230515
• 8. World Health Organization. (2022). “Physical activity”. Erişim adresi: https://www.who.int/news-room/fact-sheets/detail/physical-activity (Erişim tarihi: 26.12.2022).
• 9. Hybholt, M. (2022). “Psychological and social health outcomes of physical activity around menopause: A scoping review of research”. Maturitas, 164, 88–97. https://doi.org/10.1016/j.maturitas.2022.07.014
• 10. Nguyen, T. M, Do, T. T. T, Tran, T. N. and Kim, J. H. (2020). “Exercise and Quality of Life in Women with Menopausal Symptoms: A Systematic Review and Meta-Analysis of Randomized Controlled Trials”. International Journal of Environmental Research and Public Health, 17 (19), 7049. https://doi.org/10.3390/ijerph17197049
• 11. Gökbulut, N, Ibici Akça, E. and Karakayali Ay, Ç. (2022). “The impact of foot massage given to postmenopausal women on anxiety, fatigue, and sleep: a randomized-controlled trial”. Menopause (New York, N.Y.), 29 (11), 1254–1262. https://doi.org/10.1097/GME.0000000000002062
• 12. Öztürk, M. (2005). Üniversitede Eğitim-Öğretim Gören Öğrencilerde Uluslararası Fiziksel Aktivite Anketinin Geçerliliği ve Güvenirliği ve Fiziksel Aktivite Düzeylerinin Belirlenmesi. Yüksek Lisans Tezi. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, Ankara.
• 13. Koçyiğit, H, Aydemir Ö, Ölmez N ve Memiş, A. (1999). ” Kısa Form-36 (KF-36)’nın Türkçe versiyonunun Güvenilirliği ve Geçerliliği”. İlaç ve Tedavi Dergisi, 12, 102-106.
• 14. Hisli, N. (1989). “Beck Depresyon Envanterinin Üniversite Öğrencileri için Geçerliği, Güvenirliği”.Psikoloji Dergisi, 7 (23), 3-13.
• 15. Ulusoy, M, Şahin, N.H. and Erkmen, H. (1998). “Turkish version of the Beck Anxiety Inventory: Psychometric properties”. Journal of Cognitive Psychotherapy, 12 (1), 163-172.
• 16. Armutlu, K, Korkmaz, N. C, Keser, I, Sumbuloglu,V, Akbiyik, D. I, Guney, Z. and Karabudak, R. (2007). “The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients”. International journal of rehabilitation research, 30 (1), 81–85. https://doi.org/10.1097/MRR.0b013e3280146ec4.
• 17. Ağargün M.Y, Kara, H. ve Anlar, O. (1996). “Pittsburgh Uyku Kalitesi İndeksinin Geçerliği ve Güvenirliği”. Türk Psikiyatri Dergisi, 7 (2), 107-115.
• 18. Kong, F, Wang, J, Zhang, C, Feng, X, Zhang, L. and Zang, H. (2019). “Assessment of sexual activity and menopausal symptoms in middle-aged Chinese women using the Menopause Rating Scale”. Climacteric, 22 (4), 370–376. https://doi.org/10.1080/13697137.2018.1547702
• 19. Buck, C, Loyen, A, Foraita, R, Van Cauwenberg, J, De Craemer, M, Mac Donncha, C, Oppert, J. M, Brug, J, Lien, N, Cardon, G, Pigeot, I, Chastin, S and DEDIPAC consortium. (2019). “Factors Influencing Sedentary Behaviour: A System Based Analysis Using Bayesian Networks Within DEDIPAC”. Plos One, 14 (1), e0211546. https://doi.org/10.1371/journal.pone.0211546
• 20. Kwak, L, Berrigan, D, Van Domelen, D, Sjöström, M. and Hagströmer, M. (2016). “Examining Differences in Physical Activity Levels by Employment Status and/or Job Activity Level: Gender-Specific Comparisons Between the United States and Sweden”. Journal of Science and Medicine In Sport, 19 (6), 482–487. https://doi.org/10.1016/j.jsams.2015.05.008
• 21. LaMonte, M. J, Wactawski-Wende, J, Larson, J. C, Mai, X, Robbins, J. A, LeBoff, M. S, Chen, Z, Jackson, R. D, LaCroix, A. Z, Ockene, J. K, Hovey, K. M, Cauley, J. A. and Women’s Health Initiative (WHI). (2019). “Association of Physical Activity and Fracture Risk Among Postmenopausal Women”. JAMA Network Open, 2 (10), e1914084. https://doi.org/10.1001/jamanetworkopen.2019.14084
• 22. Kalra, S, Yadav J, Ajmera P,Sındhu B. and Pal, S. (2022). “Impact of Physical Activity on Physical and Mental Health of Postmenopausal Women: A Systematic Review”. Journal of Clinical and Diagnostic Research, 16 (2), YE01-YE08. https://doi.org/10.7860/JCDR/2022/52302.15974
• 23. Dabrowska-Galas, M. and Drosdzol-Cop, A. (2022). “The Relationship between Postmenopausal Women's Self-Esteem and Physical Activity Level-A Survey Study from Poland”. International journal of environmental research and public health, 19 (15), 9558. https://doi.org/10.3390/ijerph19159558.
• 24. Ruiz-Rios, M. and Maldonado-Martin, S. (2022). “Physical activity on cardiorespiratory fitness and cardiovascular risk in premenopausal and postmenopausal women: a systematic review of randomized controlled trials”. Menopause (New York, N.Y.), 29 (10), 1222–1229. https://doi.org/10.1097/GME.0000000000002037
• 25. Lizcano, F. and Guzmán, G. (2014). “Estrogen Deficiency and the Origin of Obesity during Menopause”. BioMed Research International, 757461. https://doi.org/10.1155/2014/757461
• 26. Franca, A.P, Marucci M.D.F.N, da Silva, M.D.L.D.N. and Roediger M.D.A. (2018). "Factors associated with general obesity and the percentage of body fat of women during the menopause in the city of Sao Paulo, Brazil/Fatores associados a obesidade geral e ao percentual de gordura corporal em mulheres no climaterio da cidade de Sao Paulo, Brasil." Ciencia e Saude Coletiva, 23 (11), Nov. 2018. http://dx.doi.org/10.1590/1413-812320182311.26492016
• 27. Yoshany, N, Morowatisharifabad, M. A, Sharma, M, Jambarsang, S, Bahri, N, Sadeghi, R. and Hanna, F. (2022). “Predictors of Regular Physical Activity Behavior and Quality of Life in Post-Menopausal Iranian Women Based On The Multi-Theory Model”. Journal of Medicine and Life, 15 (3), 408–414. https://doi.org/10.25122/jml-2021-0073
• 28. Dąbrowska, J, Dąbrowska-Galas, M, Rutkowska, M. and Michalski, B. A. (2016). “Twelve-Week Exercise Training and The Quality of Life in Menopausal Women - Clinical Trial”. Menopause Review/Przegląd Menopauzalny, 15 (1), 20–25. https://doi.org/10.5114/pm.2016.58769
• 29. Sydora, B. C, Turner, C, Malley, A, Davenport, M, Yuksel, N, Shandro, T. and Ross, S. (2020). “Can Walking Exercise Programs Improve Health For Women in Menopause Transition and Postmenopausal? Findings From A Scoping Review”. Menopause (New York, N.Y.), 27 (8), 952–963. https://doi.org/10.1097/GME.0000000000001554
• 30. Bashar, M, Ahmed, K, Uddin, M. S, Ahmed, F, Emran, A. A. and Chakraborty, A. (2017). “Depression and Quality of Life among Postmenopausal Women in Bangladesh: A Cross-sectional Study”. Journal of Menopausal Medicine, 23 (3), 172–181. https://doi.org/10.6118/jmm.2017.23.3.172
• 31. Park, H. and Kim, K. (2018). “Depression and Its Association with Health-Related Quality of Life in Postmenopausal Women in Korea”. International Journal of Environmental Research and Public Health, 15 (11), 2327. https://doi.org/10.3390/ijerph15112327
• 32. Abedi, P, Nikkhah, P. and Najar, S. (2015) “Effect of pedometer-based walking on depression, anxiety and insomnia among postmenopausal women”. Climacteric, 18 (6), 841-845. http://dx.doi.org/10.3109/13697137.2015.1065246
• 33. Abdullah, B, Moize, B, Ismail, B. A, Zamri, M. and Mohd Nasir, N. F. (2017). “Prevalence of menopausal symptoms, its effect to quality of life among Malaysian women and their treatment seeking behaviour”. The Medical Journal of Malaysia, 72 (2), 94–99.
• 34. Taylor-Swanson, L, Wong, A. E, Pincus, D, Butner, J. E, Hahn-Holbrook, J, Koithan, M, Wann, K. and Woods, N. F. (2018). “The dynamics of stress and fatigue across menopause: attractors, coupling, and resilience”. Menopause (New York, N.Y.), 25 (4), 380–390. https://doi.org/10.1097/GME.0000000000001025
• 35. Chiu, H. H, Tsao, L. I, Liu, C. Y, Lu, Y. Y, Shih, W. M. and Wang, P. H. (2021). “Using a short questionnaire of the perimenopausal fatigue scale to evaluate perimenopausal women prone to fatigue syndrome”. Taiwanese Journal of Obstetrics & Gynecology, 60 (4), 734–738. https://doi.org/10.1016/j.tjog.2021.05.026
• 36. Kim, M. J, Yim, G. and Park, H. Y. (2018). “Vasomotor and Physical Menopausal Symptoms are Associated with Sleep Quality”. Plos One, 13 (2), e0192934. https://doi.org/10.1371/journal.pone.0192934
• 37. Rai S.N. and Sherkhane, M.S. (2017). “Assessment of Quality of Sleep among Urban Working Women Using Pittsburgh Sleep Quality Index”. National Journal of Community Medicine, 8 (12):705-709.
• 38. Kalhan, M, Singhania, K, Choudhary, P, Verma, S, Kaushal, P. and Singh, T. (2020). “Prevalence of Menopausal Symptoms and its Effect on Quality of Life among Rural Middle Aged Women (40-60 Years) of Haryana, India”. International Journal of Applied & Basic Medical Research, 10 (3), 183–188. https://doi.org/10.4103/ijabmr.IJABMR_428_19
• 39. Mynarski, W, Rozpara, M, Nawrocka, A, Borek, Z, Powerska, A. and Garbaciak, W. (2014). “Physical activity of middle-age adults aged 50–65 years in view of health recommendations”. European Review of Aging and Physical Activity, 11, 141–147. https://doi.org/10.1007/s11556-014-0138-z