The Relationship between Physical Activity and the Severity of Menopause Symptoms in Menopausal Women in Ahvaz, Iran

Document Type : Original Article

Authors

1 M.Sc. Student of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 M.Sc. of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

3 Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

4 M.Sc. of Statistics, Medical Records, Sajjad Hospital, Kermanshah, Iran.

Abstract

Introduction: Menopause is a period of life that a permanent cessation of menstruation occurs due to loss of ovarian follicular activity. This study was done to determine the level of physical activity and its relationship with the severity of menopausal symptoms.
Methods: This cross sectional study was conducted on 600 menopause women in 2013. Cases were selected randomly through cluster sampling method. Data were gathered based on a self-made questionnaire on demographic characteristics(Age, education, occupation, socioeconomic status, marital status, and number of pregnancies), international physical activity questionnaire and menopausal symptoms. Data were analyzed by SPSS software version 21andKolmogorov-Smirnovand Spearman correlation coefficient tests. P value less than 0.01 was considered significant and p value less than 0.05 was also synchronous.
Results: Most women complained of menopausal symptoms in moderate, severe and very severe scales were sleep disorders (39%), myalgia (42.5%) and flushing (23.2%). Daily work, transportation and leisure showed inverse association with hot flashes, heart problems, sleep disorders, depression, decreased libido, incontinence, vaginal dryness and muscle pain and working at home was also showed significant inverse association with heart problems and muscle pain (p<0.05).
Conclusion: Exercise is very important to stabilize the natural circulation and other physiological activities in postmenopausal women.

Keywords


  1. Busari AO. Menopause symptoms questionair (MSQ). Eur J Sci Res 2010;45(2):261-9.
  2. Fritz MA, Speroff L. Clinical gynecologic endocrinology and infertility. 8th ed. Philadelphia:Lippincott Williams & Wilkins;2011:643-57.
  3. Shifren JL, Schiff I. Menopause. In: Berek JS, Berek DL. Berek and Novak' s gynecology. 15th ed. Philadelphia:Lippincott Williams & Wilkins;2012:1233-48.
  4. Diet and physical activity: a public health priority. Available at: http://www.who.int/dietphysicalactivity/en/
  5. Global Recommendations on physical activity for health. Available at: http://www.who.int/dietphysicalactivity/factsheet_recommendations/en/
  6. Center JR, Nguyen TV, Pocock NA, Eisman JA. Volumetric bone density at the femoral neck as a common measure of hip fracture risk for men and woman. J Clin Endocrin Metab 2004 Jun;89(6):2776-82.
  7. Aloia JF, McGowan DM, Vaswani AN, Ross P, Cohn SH. Relationship of menopause to skeletal and muscle mass. Am J Clin Nutr 1999 Jun;53(6):1378-83.
  8. Warburton DE, Nicol CW, Bredin SS. Health benefit of physical activity: the evidence. CMAJ 2006 Mar;174(6):801-9.
  9. Physical Inactivity: A Global Public Health Problem. Available at: http://www.who.int/dietphysicalactivity/factsheet_inactivity/en
  10. Pitsavos C, Panagiotakos DB, Lentzas Y, Stefanadis C. Epidemiology of leisure-time physical activity in sociodemographic, life style and psychological characteristics of men and women in Greece: the ATTICA study. BMC Phublic Health 2005 Apr 18;5:37.
  11. Li C, Samsioe G, Borgfeldt C, Agardi CD, Nerband C. Menopause-related symptoms: what are the background factors? A prospective population based cohort study of Swedish women (The Women's Health in Lund Area study). Am J Obset Gynecol 2003 Dec;89(6):1646-53.
  12. Al-Tannir M, Kobrosly S, Itani T, EL-Rajab M, Tannir S. Prevalence of physical activity among Lebanese adultha: a cross-sectional study. J Phys Act Health 2009 Mar;6(3):315-20.
  13. Redwood D, Schumacher MC, Lanier AP, Ferucci ED, Asay E, Helzer LJ, et al. Physical activity pattern of American Indian and Alaskan Native people living in Alaska and the Southwestern United States. Am J Health Promot 2009 Jul-Aug;23(6):388-95.
  14. American College of Obstetricians and Gynecologists 52 nd Annual Clinical Meeting, May 1-5, 2004, Philadelphia, Pennsylvania, USA. Obstet Gynecol 2004;103(4 Suppl):4S-143S.
  15. Kelishadi R, Rabiee K, Khosravi A, Famoori F, Sadeghi M, Rohafza H, et al. [Assessment of physical activity in adolescents of Isfahan] [Article in Persian]. J Shahrekord Univ Med Sci 2001;3(2):55-66.
  16. Heinemann LA, Potthoff P, Schneir HP. Inernational versions of the Menopause Rating Scale (MRS). Health Qual Life Outcomes 2003 Jul 30;1:28.
  17. Jahanfar Sh, Ramezani Tehrani F, Hashemi M. [Early complications of menopause among women in Tehran] [Article in Persian]. Med J Rep Infertil 2002;3:31-40.
  18. Parvin N, Kazemian A, Alavi A, Safdari F, Hasanpoor A, Hosainpoor H, et al. [The effect of supportive group therapy on menopause mental health] [Article in Persian]. J Gorgan Univ Med Sci 2007 Autumn;9(3).74-9.
  19. Bahri N, Afiat M, Aghamohamadian HR, Delshad Noghani A, Bahri N. [Investigating the relationship between severity of menopausal symptoms with depression, anxiety other Menopausal symptoms] [Article in Persian]. Iran J Obstet Gynecol Infertil 2013 Mar;16(43):14-20.
  20. Parhizgar A. [Assessment of knowledge and practice of female about the physiological changes and prevention of menopausal symptoms in health clinic of Sanandaj] [Article in Persian]. J Nurs Midwifery Kurdestan 2001;2(26):21-3.
  21. Shohani M, Rasoli F, Haji Amiri P, Mahmodi M. [ The survey physical and mental problems of menopause women referred to Ilam health care center] [Article in Persian]. Iran J Nurs Res 2007;2(5):57-68.
  22. Shannon M." Effect of physical activity on menopauseal symptoms in non vigorously active postmenopauseal women" Thesis for MS.C degree. The Collage of Kinesiology University of Saskatchewan Saskatoon;2008.
  23. Guimaraes A, Baptista F. Relationship between physical activity and menopausal symptoms. Orjinal 2011;16(2):144-9.
  24. Ayati S, Kadkhodayan S, Vahid rodsari F, Shakeri MT. [ Evaluation of background and environmental factors on menopausal related symptoms] [Article in Persian]. J Babol Univ Med Sci 2008;10(1):40-5.
  25. Antoijevic IA, Murck H, Frieboes RM, Steiger A. Sleep-endocrine alteration in women with depression are markediy enhanced after menopause. Eur Neuropsychopharmacol 2000 Sep;10(3):277.
  26. Choi H, Lee D, Lee K, Kim H, Ham E. A structural model of menopauseal depression in Korean women. Arch Psychiatr Nurs 2004 Dec;18(6):235-42.
  27. Gold EB, Sternfeld B, Kelsey JL, et al. Relation of demographic and Lifestyle factors to symptoms in a multiratial/ethnic population of women 40- 55 years of age. Am J Epidemiol 2000; 152: 463-73