POSTMENOPOZAL KADINLARDA FİZİKSEL AKTİVİTE DÜZEYİNİN FONKSİYONEL KAPASİTE, KARDİYOVASKÜLER RİSK FAKTÖRLERİ, MENOPOZAL SEMPTOMLAR VE YAŞAM KALİTESİ İLE İLİŞKİSİ

ÖZ Amaç: Çalışmamızda postmenopozal dönemdeki kadınların fiziksel aktivite düzeyinin fonksiyonel kapasite, kardiyovasküler risk faktörleri, menopozal semptomlar ve yaşam kalitesi ile ilişkisi incelenmiştir. Yöntem: Çalışmamıza 45-75 yaş aralığında, postmenopozal dönemde olan 84 kadın dahil edildi. Katılımcıların demografik bilgileri alındı. Fiziksel aktivite düzeyinin belirlenmesinde Uluslararası Fiziksel Aktivite Anketi (IPAQ) kısa formu ve fonksiyonel kapasitenin belirlenmesinde 6 Dakika Yürüme Testi (6DYT) kullanıldı. Kardiyovasküler riskler sorgulandı ve Framingham Risk Skoru ile değerlendirildi. Menopoz Semptomlarını Değerlendirme Ölçeği (MSDÖ) ile menopoz semptomları değerlendirilirken, yaşam kalitesi değerlendirmesinde Nottingham Sağlık Profili (NSP) ve Menopoza Özgü Yaşam Kalitesi Ölçeği (MÖYKÖ)’nden yararlanıldı. Bulgular: Yapılan değerlendirmeler sonucunda; IPAQ ile 6DYT, Framingham skoru, MSDÖ, NSP ve MÖYKÖ arasında istatistiksel olarak anlamlı ilişki bulunamamıştır (p>0,05). 6DYT mesafesi ile Framingham Skoru (r=-0,467) ve MÖYKÖ vazomotor boyut değişkeni (r=0,261) arasında istatistiksel olarak anlamlı ilişki bulunmuştur (p<0,05). Sonuç: Çalışmamıza dahil edilen postmenopozal kadınlarda fiziksel aktivite düzeyinin fonksiyonel kapasite, kardiyovasküler risk faktörleri, menopozal semptomlar ve yaşam kalitesi ile ilişkili olmadığı; fonksiyonel kapasite ile kardiyovasküler risk faktörü ve vazomotor menopoz semptomu arasında ilişki olduğu sonucuna varılmıştır. Anahtar Sözcükler: Postmenopoz, Fiziksel Aktivite Düzeyi, Menopozal semptom, Yaşam Kalitesi, Fonksiyonel Kapasite, Kardiyovasküler Risk

Anahtar Kelimeler:

Postmenopoz, Fiziksel Aktivite Düzeyi, Menopozal semptom, Yaşam Kalitesi, Fonksiyonel Kapasite, Kardiyovasküler Risk

THE RELATIONSHIP BETWEEN PHYSICAL ACTIVITY LEVEL WITH FUNCTIONAL CAPACITY, CARDIOVASCULAR RISK FACTORS, MENOPAUSAL SYMPTOMS AND QUALITY OF LIFE IN POSTMENOPOSAL WOMEN

ABSTRACT Objective: In our study, the relation of physical activity level with functional capacity, cardiovascular risk factors, menopausal symptoms and quality of life was investigated in postmenopausal women. Methods: 84 women in the postmenopausal period, between the ages of 45-75, were included in our study. Demographic information of the participants was received. International Physical Activity Questionnaire (IPAQ) for determination of physical activity level and 6-Minute Walk Test (6MWT) for assessment of functional capacity were used. Cardiovascular risks were questioned, and Framingham Risk Score calculated. Menopausal symptoms were evaluated by the Menopause Rating Scale (MRS). Quality of life was assessed with Nottingham Health Profile (NHP) and Menopause-Specific Quality of Life Scale (MSQL). Results: There was no statistically significant relationship between IPAQ with 6MWT, MRS, Framingham score, NHP and MSQL (p> 0.05). A statistically significant correlation was found between the 6MWT distance and the Framingham Score (r=-0.467) and the vasomotor dimension variable of the MSQL (r=0.261) (p <0.05). Conclusion: It was concluded that the level of physical activity in postmenopausal women included in our study was not associated with functional capacity, cardiovascular risk factors, menopausal symptoms, and quality of life, and that there was a relationship between functional capacity and cardiovascular risk factor and vasomotor menopausal symptoms. Key Words: Postmenopausal, Physical Activity Level, Menopausal Symptom, Quality of Life, Functional Capacity, Cardiovascular Risk

Keywords:

Postmenopausal, Physical Activity Level, Menopausal Symptom, Quality of Life, Functional Capacity, Cardiovascular Risk,

PDF

___

1. Gracia CR, Sammel MD, Freeman EW, Lin H, Langan E, Kapoor S, Nelson DB. Defining menopause status: creation of a new definition to identify the early changes of the menopausal transition. Menopause. 2005;12(2):128-35.
2. Sherman S. Defining the menopausal transition. The American journal of medicine. 2005;118(12):3-7.
3. Ceylan B, Özerdoğan N. Menopausal symptoms and quality of life in Turkish women in the climacteric period. Climacteric. 2014;17(6):705-12.
4. URAL D. Postmenopozal Kardiyovasküler Hastalıklar. Türkiye Klinikleri Kardiyoloji-Özel Konular. 2014;7(3):14-20.
5. BÜYÜKKARAGÖZ AH. Kadın ve Fiziksel Aktivite. Türkiye Klinikleri Beslenme ve Diyetetik-Özel Konular. 2015;1(1):78-84.
6. Colpani V, Oppermann K, Spritzer PM. Association between habitual physical activity and lower cardiovascular risk in premenopausal, perimenopausal, and postmenopausal women: a population-based study. Menopause. 2013;20(5):525-31.
7. Beitz R, Dören M. Physical activity and postmenopausal health. British Menopause Society Journal. 2004;10(2):70-4.
8. Barua L, Faruque M, Banik PC, Ali L. Physical activity levels and associated cardiovascular disease risk factors among postmenopausal rural women of Bangladesh. Indian heart journal. 2018;70:S161-S6.
9. Algina J, Olejnik S. Sample size tables for correlation analysis with applications in partial correlation and multiple regression analysis. Multivariate Behavioral Research. 2003;38(3):309-23.
10. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International physical activity questionnaire: 12-country reliability and validity. Medicine & science in sports & exercise. 2003;35(8):1381-95.
11. Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, Tokgozoglu L. International physical activity questionnaire: reliability and validity of the Turkish version. Perceptual and motor skills. 2010;111(1):278-84.
12. Jenkins S, Cecins N, Camarri B, Williams C, Thompson P, Eastwood P. Regression equations to predict 6-minute walk distance in middle-aged and elderly adults. Physiotherapy theory and practice. 2009;25(7):516-22.
13. Schneider H, Heinemann L, Thiele K. The Menopause Rating Scale (MRS): cultural and linguistic translation into English. 2001.
14. ÖC G. Menopoz semptomları değerlendirme ölçeğinin Türkçe formunun güvenirlik ve geçerliliği. Hemşirelik Forumu Dergisi. 2005;3:30-5.
15. Tekkeşin N, Kılınç C, Ökmen AŞ. Türk erişkinlerde Framingham Risk Faktörlerinin araştırılması. Journal of Clinical & Experimental Investigations/Klinik ve Deneysel Arastirmalar Dergisi. 2011;2(1).
16. Kücükdeveci A, McKenna S, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. International journal of rehabilitation research Internationale Zeitschrift fur Rehabilitationsforschung Revue internationale de recherches de readaptation. 2000;23(1):31-8.
17. Turhan E, Inandi T. Assessment of reliability and validity of the Menopause-Specific Quality of Life Questionnaire in a Turkish population. HealthMED. 2011;5:111.
18. de Souza Santos CA, Dantas EEM, Moreira MHR. Correlation of physical aptitude; functional capacity, corporal balance and quality of life (QoL) among elderly women submitted to a post-menopausal physical activities program. Archives of gerontology and geriatrics. 2011;53(3):344-9.
19. Kim M-J, Cho J, Ahn Y, Yim G, Park H-Y. Association between physical activity and menopausal symptoms in perimenopausal women. BMC women's health. 2014;14(1):122.
20. Karvinen SM, Jergenson MJ, Hyvärinen MV, Aukee P, Tammelin TH, Sipilä S, Kovanen V, Kujala UM, Laakkonen EK. Menopausal status and physical activity are independently associated with cardiovascular risk factors of healthy middle-aged women: cross-sectional and longitudinal evidence. Frontiers in endocrinology. 2019;10:589.
21. Kalarhoudi MA, Taebi M, Sadat Z, Saberi F. Assessment of quality of life in menopausal periods: a population study in kashan, iran. Iranian Red Crescent Medical Journal. 2011;13(11):811.
22. Külekci M, Kostanoğlu A. Postmenopozal dönemde olan ve olmayan kadınların yorgunluk düzeyi ve sağlık profili. Genel Tip Dergisi. 2019;29(3).
23. Silva RTd, Câmara SMAd, Moreira MA, Nascimento RAd, Vieira MCA, Morais MSMd, Maciel ACC Correlation of menopausal symptoms and quality of life with physical performance in middle-aged women. Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(6):266-72.
24. Bairey Merz CN, Olson M, McGorray S, Pakstis DL, Zell K, Rickens CR, Kelsey SF, Bittner V, Sharaf BL, Sopko G. Physical activity and functional capacity measurement in women: a report from the NHLBI-sponsored WISE study. Journal of women's health & gender-based medicine. 2000;9(7):769-77.