Abstract
Aim. To study the effect of non-drug strategies on the main markers of cardiovascular risk in women with menopausal disorders and metabolic syndrome (MS).Material and methods. Three hundred women aged 45-50 years with disorders during the menopausal transition and MS were ranked in 5 groups. In group I, following methods were used: standard treatment, physiotherapy, balneotherapy, multivitamins and minerals, as well as physical factors (vibration therapy, chromotherapy, melotherapy, aromatherapy, aeroionotherapy). In group II, chromotherapy was excluded from the above methods, in group III — vibration therapy, in group IV, physiotherapy was not used, in group V only standard treatment was used. We assessed blood pressure (BP), lipid profile, levels of glucose and serum insulin, and estimated the HOMA-IR index (Homeostasis Model Assessment — Insulin Resistance).Results. Complex treatment using physical factors contributed to the optimization of BP control, improved carbohydrate and fat metabolism. The simultaneous use of all the above physical factors made it possible to improve BP control and most significantly reduce after 6 months of therapy in patients with mild climacteric syndrome the HOMAIR index by 56,2% and the atherogenic index by 31,2%, and in patients with moderate climacteric syndrome — by 57,2% and 30,5%, respectively (p< 0,0001). The decrease in the Green test was 55,3% and 39,9%, respectively (p<0,0001).Conclusion. Non-drug strategies with physiotherapy help to reduce the manifestation of cardiovascular risk in women with MS at the menopausal transition, positively affecting modifiable factors and normalizing the activity of hypothalamicpituitary-gonadal axis. The priority is the simultaneous use of vibration therapy, chromotherapy, melotherapy, aromatherapy and aeroionotherapy.
Highlights
Complex treatment using physical factors contributed to the optimization of blood pressure (BP) control, improved carbohydrate and fat metabolism
Non-drug strategies with physiotherapy help to reduce the manifestation of cardiovascular risk in women with metabolic syndrome (MS) at the menopausal transition, positively affecting modifiable factors and normalizing the activity of hypothalamicpituitary-gonadal axis
The priority is the simultaneous use of vibration therapy, chromotherapy, melotherapy, aromatherapy and aeroionotherapy
Summary
Немедикаментозные программы коррекции с физиотерапией способствуют снижению выраженности факторов ССР у женщин с МС в периоде менопаузального перехода, положительно воздействуя на модифицируемые факторы в ассоциации с нормализацией деятельности гипоталамо-гипофизарно-яичниковых взаимоотношений. М.н., профессор кафедры интегративной медицины, ORCID: 0000-0002-6766-8764, Бондарев С. М.н., профессор кафедры спортивной медицины и медицинской реабилитации, ORCID: 0000-0003-3912-4003. АД — артериальное давление, ДАД — диастолическое артериальное давление, ИА — индекс атерогенности, ИР — инсулинорезистентность, КС — климактерический синдром, ЛВП — липопротеины высокой плотности, ЛГ — лютеинизирующего гормона, ЛНП — липопротеины низкой плотности, МГТ — менопаузальная гормональная терапия, МС — метаболический синдром, ОХС — общий холестерин, САД — систолическое артериальное давление, ССО — сердечно-сосудистые осложнения, ССР — сердечно-сосудистый риск, ФСГ — фолликулостимулирующий гормон, HOMA-IR — Homeostasis Model Assessment — Insulin Resistance. Cardiovascular risk markers in women with metabolic syndrome at the menopausal transition using multimodal non-drug therapies. We assessed blood pressure (BP), lipid profile, levels of glucose and serum insulin, and estimated the HOMA-IR index (Homeostasis Model Assessment — Insulin Resistance)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have