Sağlıklı Kadınlarda Fiziksel Aktivite Seviyesi ve Menstrual Semptomlar Arasındaki İlişkinin İncelenmesi

Yıl 2023, Cilt: 8 Sayı: 2, 192 - 199, 06.06.2023

Sinem Suner-keklik , Gülşah Barğı

https://doi.org/10.26453/otjhs.1193870

Öz

Amaç: Bu çalışmada sağlıklı kadınlarda fiziksel aktivite seviyeleri ve menstrual semptomlar arasındaki ilişkiyi araştırmak amaçlandı.
Materyal ve Metot: Bu çalışmaya düzenli adet gören sağlıklı kadınlar (n=133, 21,80±2,45 yıl) dahil edildi. Bu kadınlarda menstrual döngünün ilk üç günü içerisinde menstrual ağrının şiddeti (Görsel Analog Skalası), menstrual semptomlar (Menstruasyon Semptom Ölçeği (MSÖ)) ile fiziksel aktivite seviyesi (Yakın Zamanlı Fiziksel Aktivite Anketi) değerlendirildi..
Bulgular: Kadınların ortalama menstruasyon süresi 5,95±1,68 gün, menstruasyon ağrısı 6,22±2,82 puan, toplam MSÖ puanı ise 3,36±0,76 ve toplam fiziksel aktivite puanı (FAP) 26,08±26,93 saat*gün*MET’ti. Ev aktiviteleri FAP ile menstrual ağrı belirtileri puanları arasında ve menstruasyon süresi ve ağrı puanı ile toplam MSÖ, negatif etkiler/somatik yakınmalar, menstrual ağrı belirtileri ve baş etme yöntemleri puanları arasında pozitif yönde anlamlı korelasyon vardı (p<0,05).
Sonuç: Çalışmamızın sonuçlarına göre kadınlarda menstruasyon süresi, ağrısı ve ev içinde yapılan fiziksel aktiviteler arttıkça menstrual döneme ait semptomların şiddeti de artmaktadır. Bu nedenle menstrual semptomları azaltmaya yönelik yöntemlerin etkileri ileri çalışmalarda araştırılmalıdır. Kadınların menstruasyon dönemlerinde ev içindeki fiziksel aktivitelerini azaltarak gevşemeye yönelik uygulamalarla bu süreci desteklemeleri, menstruasyon dönemi bittikten sonra da fiziksel aktivitelerini sürdürmelerini önermekteyiz.

Anahtar Kelimeler

Menstrual siklus, menstrual semptomlar, ağrı, fiziksel aktivite

Investigation of the Relationship between Physical Activity Levels and Menstrual Symptoms in Healthy Women

Öz

Objective: This study was conducted to investigate the relationship between physical activity levels and menstrual symptoms in healthy women.
Materials and Methods: Healthy women with regular menstruation (n=133, 21.80±2.45 years) included in current study. In the first three days of menstrual cycle, severity of menstrual pain (Visual Analog Scale), menstrual symptoms (Menstruation Symptom Scale (MSS)), and physical activity levels (Recent Physical Activity Questionnaire) were evaluated in these women.
Results: Mean duration of women’s menstruation was 5.95±1.68 days, menstrual pain score was 6.22±2.82, total MSS score was 3.36±0.76, and total physical activity score (PAS) was 26.08±26.93 hours*day*MET. There were significant positive correlations between domestic activities PAS and the score of menstrual pain symptoms and between duration of menstruation and pain scores and mean scores on total MSS, negative effects/somatic complaints, menstrual pain symptoms, and coping methods (p<0.05).
Conclusion: As menstruation duration, pain of menstruation and physical domestic activities increased in women with regular menstruation, the severity of symptoms increased. Therefore, the effects of methods reducing menstrual symptoms should be investigated in further studies. We recommend that women reduce their physical activities at home during menstruation, support this process with relaxation practices, and continue their physical activities after menstruation period is over.

Anahtar Kelimeler

Menstrual cycle, menstrual symptoms, pain, physical activity

Kaynakça

• 1. Dambhare DG, Wagh SV, Dudhe JY. Age at menarche and menstrual cycle pattern among school adolescent girls in Central India. Glob J Health Sci. 2012;4(1):105-111. doi:10.5539/gjhs.v4n1p105
• 2. Lee H, Yim J. Increased postural sway and changes in the neuromuscular activities of the ankle stabilizing muscles at ovulation in healthy young women. Tohoku J Exp Med. 2016;240(4):287-294. doi:10.1620/tjem.240.287
• 3. Negriff S, Dorn LD, Hillman JB, Huang B. The measurement of menstrual symptoms: factor structure of the menstrual symptom questionnaire in adolescent girls. J Health Psychol. 2009;14(7):899-908. doi:10.1177/1359105309340995
• 4. Lete I, Dueñas JL, Serrano I, et al. Attitudes of Spanish women toward premenstrual symptoms, premenstrual syndrome and premenstrual dysphoric disorder: Results of a nationwide survey. Eur J Obstet Gynecol Reprod Biol. 2011;159(1):115-118. doi:10.1016/j.ejogrb.2011.06.041
• 5. de Jonge XA. Effects of the menstrual cycle on exercise performance. Sports Med. 2003;33(11):833-851. doi:10.2165/00007256-200333110-00004
• 6. Miyazaki M, Maeda S. Changes in hamstring flexibility and muscle strength during the menstrual cycle in healthy young females. J Phys Ther Sci. 2022;34(2):92-98. doi:10.1589/jpts.34.92
• 7. Pérez-López FR, Martínez-Domínguez SJ, Lajusticia H, Chedraui P. Effects of programmed exercise on depressive symptoms in midlife and older women: A meta-analysis of randomized controlled trials. Maturitas. 2017;106:38-47. doi:10.1016/j.maturitas.2017.09.001
• 8. Schuch FB, Stubbs B, Meyer J, et al. Physical activity protects from incident anxiety: A meta‐analysis of prospective cohort studies. Depress Anxiety. 2019;36(9):846-858. doi:10.1002/da.22915
• 9. Schuch FB, Vancampfort D, Firth J, et al. Physical activity and incident depression: A meta-analysis of prospective cohort studies. Am J Psychiatry. 2018;175(7):631-648. doi:10.1176/appi.ajp.2018.17111194
• 10. Gordon BR, McDowell CP, Lyons M, Herring MP. The effects of resistance exercise training on anxiety: A meta-analysis and meta-regression analysis of randomized controlled trials. Sports Med. 2017;47(12):2521-2532. doi:10.1007/s40279-017-0769-0
• 11. Fridén C, Ramsey DK, Bäckström T, Benoit DL, Saartok T, Lindén Hirschberg A. Altered postural control during the luteal phase in women with premenstrual symptoms. Neuroendocrinology. 2005;81(3):150-157. doi:10.1159/000086592
• 12. Collins SL, Moore RA, McQuay HJ. The visual analogue pain intensity scale: Wat is moderate pain in millimetres? Pain. 1997;72(1-2):95-97. doi:10.1016/s0304-3959(97)00005-5
• 13. Güvenç G, Seven M, Akyüz A. Menstrüasyon semptom ölçeği’nin Türkçe’ye uyarlanması. TAF Prev Med Bull. 2014;13:367-374.
• 14. Chesney MA, Tasto DL. The development of the menstrual symptom questionnaire. Behav Res Ther. 1975;13(4):237-244. doi:10.1016/0005-7967(75)90028-5
• 15. Daşdemir KA. Yakın zamanlı fiziksel aktivite anketi'nin Türkçe versiyon, geçerlik ve güvenirlik çalışması. Sivas Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü, Yükseklisans Tezi. Sivas, Türkiye. 2021.
• 16. Besson H, Brage S, Jakes RW, Ekelund U, Wareham NJ. Estimating physical activity energy expenditure, sedentary time, and physical activity intensity by self-report in adults. Am J Clin Nutr. 2009;91(1):106-114. doi:10.3945/ajcn.2009.28432
• 17. Golubic R, May AM, Benjaminsen Borch K, et al. Validity of electronically administered Recent Physical Activity Questionnaire (RPAQ) in ten European countries. PLoS One. 2014;9(3):e92829. doi:10.1371/journal.pone.0092829
• 18. Güney E, Ünver H, Derya YA, Tuba U. Fiziksel egzersiz düzeylerinin menstrual siklusa etkileri. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2017;7(3):137-142.
• 19. Proctor M, Farquhar C. Diagnosis and management of dysmenorrhoea. BMJ. 2006;332(7550):1134-1138. doi:10.1136/bmj.332.7550.1134
• 20. Salehi F, Marefati H, Mehrabian H, Sharifi H. Effect of pilates exercise on primary dysmenorrhea. J Res Rehab Sci. 2012;8(2):248-253.
• 21. Vaghela N, Mishra D, Sheth M, Dani VB. To compare the effects of aerobic exercise and yoga on Premenstrual syndrome. J Educ Health Promot. 2019;24;8:199. doi:10.4103/jehp.jehp_50_19. eCollection
• 22. Teixeira ALdS, Oliveira ÉCM, Dias MRC. Relationship between the level of physical activity and premenstrual syndrome incidence. Rev Bras Ginecol Obstet. 2013;35:210-214. doi:10.1590/s0100-72032013000500004
• 23. Maged AM, Abbassy AH, Sakr HRS, et al. Effect of swimming exercise on premenstrual syndrome. Arch Gynecol Obstet. 2018;297(4):951-959. doi:10.1007/s00404-018-4664-1
• 24. Pearce E, Jolly K, Jones LL, Matthewman G, Zanganeh M, Daley A. Exercise for premenstrual syndrome: a systematic review and meta-analysis of randomised controlled trials. BJGP Open. 2020;4(3):bjgpopen20X101032. doi:10.3399/bjgpopen20X101032
• 25. Dehnavi ZM, Jafarnejad F, Goghary SS. The effect of 8 weeks aerobic exercise on severity of physical symptoms of premenstrual syndrome: a clinical trial study. BMC Womens Health. 2018;18(1):80. doi:10.1186/s12905-018-0565-5
• 26. Bavil DA, Dolatian M, Mahmoodi Z, Baghban AA. Comparison of lifestyles of young women with and without primary dysmenorrhea. Electron Physician. 2016;8(3):2107. doi:10.19082/2107. eCollection
• 27. Price TB, Sanders K. Muscle and liver glycogen utilization during prolonged lift and carry exercise: male and female responses. Physiol Rep. 2017;5(4):e13113. doi:10.14814/phy2.13113 28. Thiyagarajan DK, Basit H, Jeanmonod R. Physiology, Menstrual Cycle. StatPearls. Treasure Island (FL): StatPearls PublishingCopyright © 2021, StatPearls Publishing LLC; 2021.
• 29. Bancroft J, Williamson L, Warner P, Rennie D, Smith SK. Perimenstrual complaints in women complaining of PMS, menorrhagia, and dysmenorrhea: toward a dismantling of the premenstrual syndrome. Psychosom Med. 1993;55(2):133-45. doi:10.1097/00006842-199303000-00001
• 30. Santer M, Wyke S, Warner P. What aspects of periods are most bothersome for women reporting heavy menstrual bleeding? Community survey and qualitative study. BMC Womens Health. 2007;7(1):1-6. doi:10.1186/1472-6874-7-8