Life In Climacteric Women Research Articles

The Impact of Salutogenic Factors on the Quality of Life in Climacteric Women

Purpose: The objective of this study was to develop a structural model to assess and forecast the quality of life in climacteric women, focusing the concept of salutogenesis.Methods: Participants were sourced from two urban locations through convenience sampling. Data collection involved questionnaires, analyzed using SPSS 21.0 and AMOS 20.0. Assessment instruments comprised the Menopause Rating Scale, New General Self-Efficacy Scale, Sense of Coherence Scale, and the Korean version of the WHOQOL-BREF.Results: The fit indices of the proposed model met recommended standards. The sense of coherence, menopausal symptoms, and self-efficacy accounted for 58% of the quality of life variance, with sense of coherence emerging as the most significant predictor. Menopausal symptoms directly and negatively affected quality of life (β=-0.30, p<0.001), and had an indirect influence through self-efficacy and integration (β=-0.30, p<0.001). Self-efficacy positively influenced quality of life directly (β=0.27, p<0.001) and indirectly through integration (β=0.14, p=0.001). Integration positively affected quality of life directly (β=0.36, p<0.001).Conclusion: Interventions to bolster sense of coherence are crucial for enhancing the quality of life among climacteric women.

Clinical profile and quality of life in climacteric women

BackgroundThe Quality of Life in climacteric women is intrinsically related to signs and symptoms influenced by the decrease of estrogen and psychosocial factors linked to the natural aging process. Thus, this study aimed to trace the sociodemographic and clinical profiles of climacteric women working at the State University of Rio Grande do Norte (UERN) and evaluate their Quality of Life.MethodsIt is a descriptive, exploratory, and quantitative study. The population consisted of female workers from UERN, aging between 40 and 65 years. The total sample consisted of 63 women who answered the forms. Data collection was completely online, which allowed the women to have free choice to choose the most appropriate time to answer the questions.ResultsThe majority of the participants were older than 50 years (53.97%, n = 34), were married or in a stable union (55.56%, n = 35), and lived in Mossoró-RN (82.53%, n = 52). Regarding skin color, white and brown women had the same percentage of 44.44% (n = 28). The pain, general health status, and vitality domains evidence the predominance of poor quality of life in the SF-36 questionnaire. Regarding the level of satisfaction with their current health status, 4.76% (n = 3) stated that they fit the level considered excellent, 44.44% (n = 28) very good, 46, 03% (n = 29) were good, and 4.77% (n = 3) stated unsatisfied with their current health status. The intensity of symptoms related to estrogen deficiency established by the Kupperman menopause index is as Mild 55.56% (n = 35), moderate 41.27% (n = 26), and severe 3.17% (n = 2).ConclusionsThe occurrence of symptoms and perception of these symptoms differs from woman to woman, to a greater or lesser extent. These findings emphasize the need for qualified and individualized care for the needs of these women in health services and the development of applicable solutions for solving problems based on each woman profile.

Predictive Factors for the Risk of Sexual Dysfunction in Climacteric Women: Population-based Study

BackgroundIt is known that sexual problems increase with age but little is known about the predictors of female sexual dysfunction (FSD) in Brazilian climacteric women. AimTo identify predictive factors for FSD in climacteric women. MethodsThis is a cross-sectional population-based study carried out through a household survey. OutcomesThe measures investigated were sociodemographic characteristics, depressive symptoms, level of physical activity, presence of FSD, self-rated health and sleep satisfaction. ResultA total of 381 climacteric, sexually active women were included, with a mean age of 55.04 (±7.21) years. The prevalence of FSD was 38.3%. All variables investigated were associated with FSD (P < .05). In the final model, the predictors for FSD were low satisfaction with sleep (OR 4.20; 95% CI 2.32–7.62), advanced age (OR 1.04; 95% CI 1.00–1.08), low education level (OR 0.90; 95% CI 0.85–0.97) and having a partner (OR 0.35; 95% CI 0.16–0.76). Clinical implicationThese aspects deserve attention from the health team to prevent and identify FSD early in life in climacteric women. Strengths & limitationsThis study support existing data about risk factors for FSD in climacteric women. However, it is not possible to attribute causality to any of the correlates identified, which is a limitation of cross-sectional studies. ConclusionDissatisfaction with sleep, senility, insufficient income, low education, not having a partner, complaints of depression, and the worse perception of global health are predictive factors for FSD in climacteric women.Romano Marquez Reis SC, Martins Pinto J, Aparecida Porcatti de Walsh I, et al. Predictive Factors for the Risk of Sexual Dysfunction in Climacteric Women: Population-based Study. J Sex Med 2022;19:1546–1552.

Cardiovascular Risk Factors, Functionality, and Quality of Life in Climacteric Women

Background: Cardiovascular disease (CVD) comprises a group of cardiac and circulatory diseases. Despite the high incidence in males, women after menopause have an exponential increase in the risk of CVD. Objective: To identify the leading risk factors for CVD and describe quality of life and functionality in women hospitalized for cardiac causes during the climacteric period. Materials and methods: Observational descriptive study. Quality of life was assessed through the SF-36 questionnaire, and functionality through the Functional Independence Measurement (FIM) [...]

Add-On Effect of Postural Instructions to Abdominopelvic Exercise on Urinary Symptoms and Quality of Life in Climacteric Women with Stress Urinary Incontinence. A Pilot Randomized Controlled Trial.

The aim of this study was to investigate the add-on effect of postural instructions to an abdominopelvic exercise program on incontinence urinary symptoms (UI symptoms) and quality of life (QoL) in climacteric women with stress urinary incontinence (SUI). A randomized controlled trial was performed with a total of 40 climacteric women with SUI aged between 46 and 75 years old. Participants were randomly assigned to two groups: a group performing an abdominopelvic exercise program (AEP) (n = 20) and a group performing abdominopelvic exercise with the addition of postural instructions (AEPPI) (n = 20). Primary outcome measures were UI symptoms, UI impact and QoL related to UI (UI-QoL), measured by 48 h Pad Test and International Consultation on Incontinence Questionnaire Short Form (ICIQ-UI-SF), which were assessed at baseline, post-intervention and 3 months follow-up. Secondary outcome was patient’s satisfaction measured by the 100-point Visual Analogic Scale (VAS) only after the intervention. Between-groups differences were observed in terms of UI-QoL immediately after intervention. Within-groups differences were observed between baseline to 3 months follow-up and between post-intervention to 3 months follow-up in AEPPI group (p < 0.05) for UI-QoL and UI impact. UI symptoms were improved in both groups between baseline to 3-months follow-up (p < 0.05). Patient’s satisfaction was higher in the AEPPI group (p < 0.05). The addition of postural instructions to an abdominopelvic exercise program improves UI impact to QoL and patients’ satisfaction in women with SUI.

Impacto de um Protocolo de Exercícios na Sexualidade e Qualidade de Vida de Mulheres Climatéricas

Introdução: O climatério é um período de transição entre as fases reprodutiva e não reprodutiva da mulher consequente ao hipoestrogenismo. Sintomas vasomotores, alterações do trato urogenital e disfunções sexuais são algumas condições características deste período que podem interferir negativamente na qualidade de vida. Entretanto, exercícios específicos podem influenciar positivamente na melhora dessas condições. Objetivo: Verificar o impacto de um protocolo de exercícios supervisionado por fisioterapeuta nos sintomas menopausais, na sexualidade e na qualidade de vida de mulheres no climatério. Métodos: Estudo quase-experimental com intervenção fisioterapêutica por meio de protocolo de exercícios específicos. Participaram do estudo 18 mulheres usuárias do Instituto da Mulher e da Gestante, do município de Santos (SP). Resultados: As mulheres foram submetidas à avaliação fisioterapêutica inicial, responderam aos questionários de sexualidade Female Sexual Function Index, Índice Menopausal de Kupperman e de qualidade de vida SF-36. Foram então submetidas a grupo de exercício supervisionado por fisioterapeuta, uma vez por semana, com duração de 50 minutos, por 12 semanas. Os mesmos questionários foram reaplicados ao final deste período. Conclusão: O protocolo de exercícios específicos em grupo e supervisionado por fisioterapeuta não influenciou a função sexual, mas foi eficaz para melhor qualidade de vida e enfrentamento da sintomatologia do climatério.

Evaluation of the quality of life of women in the climacteric attended by the basic care of the municipality of Sinop-MT

The World Health Organization (WHO) defines climacteric as a biological phase of life and not a pathological process, which refers to the transition between the reproductive and non-reproductive periods of women's lives. The objective of this study was to evaluate the quality of life of climacteric women attended by the Carlos Scholtão Family Health Units and Jardim Botânico. This is a quantitative study, in which 41 women were evaluated, with symptoms related to the climacteric, age from 40 to 65 years, without hormonal therapy. To collect data, two questionnaires were applied, first one with questions related to socio-demographic data, health status and life habits, and to collect data on women's health, the Women's Health Questionnaire (QSM), developed and validated by Hunter in 1992. Through the study it was demonstrated that the climacteric symptoms did not significantly interfere in the quality of life of the women surveyed. It was also observed that even without reported symptoms, many reported using antidepressant medications, which may interfere with the intensity of the climacteric symptomatology. Research has shown to be different from most studies that deal with women's quality of life in the climacteric, which reinforces the importance of local studies with different approaches. Through the research the interest was aroused by the self-knowledge in the participants and evidenced that the nursing has an important role in the incentive of self-care. At the end of the research it was observed that some women had difficulty understanding the questionnaires, which suggests the application of other methodologies in future studies.

Relationship between vestibular dysfunction and quality of life in climacteric women.

The hormonal changes in climacteric women may affect the vestibular system; however, it is not clear in the literature whether the presence of vestibular dysfunction associated with climacteric is related to poorer quality of life. The study sample was composed of 374 women (40-65 years). Socioeconomic and demographic data, menopausal status, practice of physical exercises, presence or absence of vestibular dysfunction, hypertension and diabetes, anthropometric measurements and quality of life (using the Utian Quality of Life Scale - UQoL) were collected. Statistical analyses were performed using the Pearson test, Anova, T-test, and multiple regression considering a significance level of 5%. A significant relationship was found between vestibular dysfunction and health (p = 0.02) and emotional (p = 0.01) domains of the UQoL. In addition, physical activity, menopausal status, body mass index (BMI), waist-hip ratio (WHR), household income and diastolic blood pressure (DBP) mean also remained significantly related to quality of life. A relationship between vestibular dysfunction and quality of life for health and emotional domains in climacteric women was observed.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KUALITAS HIDUP PEREMPUAN KLIMAKTERIK

Background:Physical and psychological changes during climacterium phase could influence quality of life in climacteric women. Eightypercent of womenreported anydiscomfortthat occurs as climactericsymptomssuch asheadaches, sexual problems, tachycardia, hot flushes, sweatingandinsomniathat can significantlydegrade the quality oflive. Factorsthat determinethe quality of lifeare age, menopauseduration, marital status, education level, income, employment status, healthstatus, health insurance, and parity.&#x0D; Objective: The purpose of the study was to determine thefactorsassociated withthe quality of life ofclimactericwomen.&#x0D; Methods: The study wasa quantitave research with cross sectional design. The samples were 88 subjects. Data collection used Menopause Rating Scale (MRS) and the WHOQOL-BREF.The data analysis used Spearman rank correlation test and contingency coefficient.&#x0D; Result: There was a significant relationship between parity and employment status with quality of life (p&lt;0.05), but not to the variables of age, duration of menopause, marital status, education level, income, and health insurance.&#x0D; Conclusion: There was a significant relationship between parity and employment status with quality of lifein climacteric women.&#x0D; Keyword: Quality of life, climacteric women

Symptomatology and quality of life between two populations of climacteric women.

The aim of this study is to compare climacteric symptomatology and sociodemographic conditions and their effect on quality of life in two populations: Monterrey (Mexico) and Madrid (Spain). 469women from Monterrey (mean age 50.5 + 4.3 years) and 452 (mean age 51.7 + 3.7 years) from Madrid participated in the study. Descriptive analyses of sociodemographic and clinics characteristics of the sample were performed. A cross-sectional design and a regression analysis were performed to establish the sociodemographic and clinical variables that would be used as predictors of quality of life. Data was collected using the Menopause-Specific Quality of Life, MENQOL, the Menopause Rating Scale (MRS), the Hospital Anxiety and Depression Scale (HADS), the Quality of Life Scale for Women Aged From 45 to 64 (QLS), and a sociodemographic and clinical interview designed ad hoc. Approximately 60% of both Spanish and Mexican women present symptoms during climacteric that impairs their quality of life. Spanish women suffer more intense symptoms and for a longer period of time than Mexican women, with the exception of anxiety. Mexican women report better quality of life than Spanish women and it is moderated by educational, socioeconomical, and marital status. Women's knowledge about menopause is also related to a better quality of life. Our study confirms the differences in climacteric symptomatology between populations and the impact of educational level and knowledge about menopause as predictors of a better quality of life in climacteric women.

실버로빅 운동프로그램이 갱년기 여성의 갱년기 증상과 삶의 질에 미치는 영향

실버로빅 운동프로그램이 갱년기 여성의 갱년기 증상과 삶의 질에 미치는 영향

Quality of life in climacteric women assisted by primary health care.

This cross-sectional study evaluated the quality of life and associated factors of climacteric women in Brazil using a random and representative sample of women assisted by primary care professionals. We investigated the variables using the Menopause-Specific Quality of Life Questionnaire, MENQOL, whose mean scores were compared using Mann–Whitney and Kruskal–Wallis tests according to the sample characteristics. The variables associated with the outcomes in univariate analyses with a p≤0.2 were jointly evaluated using multiple linear regression. In this study, 849 women ranging in age from 40 to 65 years were evaluated. The predictors of poor quality of life in the vasomotor domain were women with severe climacteric symptoms (p<0.001), increased Body Mass Index (BMI) (p = 0.006), sleep (p = 0.022), and postmenopausal (p<0.001) alterations. For the psychosocial domain, the associated variables were severe climacteric symptoms (p<0.001) and sleep alterations (p<0.001); for the physical domain, the associated variables were severe climacteric symptoms (p<0.001), increased BMI (p<0.001), sleep (p<0.001), and postmenopausal (p<0.001) alterations. Severe climacteric symptoms, low sleep quality, increased BMI, and postmenopausal status were factors that were more associated with impairments in quality of life. With the increase in life expectancy, we suggest that greater attention should be paid to women’s quality of life associated with climacteric symptoms.

Intensity of menopausal symptoms and quality of life in climacteric women.

Menopause is a difficult period in a woman’s life, associated not only with the end of menstruation, but also with symptoms such as hot flashes, sweating, dizziness, and palpitations which occur due to fluctuations in the hormones oestrogen and progesterone. The aim of this study was to evaluate the quality of life of women (aged 48-55 years) in the physical, mental and social spheres, to determine the intensity of menopause symptoms and to ascertain whether the above indicators are influenced by sociodemographic factors. The study was conducted by diagnostic survey using two tools – the WHOQOL-BREF questionnaire for the measurement of the quality of life and the Kupperman index, which measures the severity of menopause symptoms. A total of 161 women not using hormone replacement therapy were examined. In their case, the intensity of menopause symptoms was moderate. The respondents assessed their functioning in the social sphere with the highest number of points (3.65) and in the physical sphere with the lowest number of points (3.14). The intensity of menopause symptoms positively correlated with the evaluation of the quality of life by the respondents. Higher assessment of the quality of life was reported by women working in a given period of time, with good material status, sexually active. The respondents suffered from chronic diseases, most often arterial hypertension. The occurrence of chronic diseases – arterial hypertension, coronary artery disease, diabetes and osteoporosis – negatively affected the quality of life of the respondents.

O-06 Evaluation of Quality of Life in Climacteric Women With Genital Prolapse after the Use of Pessary

O-06 Evaluation of Quality of Life in Climacteric Women With Genital Prolapse after the Use of Pessary

Effects of imparting planned health education on hot flush beliefs and quality of life of climacteric women

Objective: The aim of the present study was to determine the effect of imparting planned health education to climacteric women on their beliefs related to hot flushes and on their quality of life.Methods: The research was conducted using pretest and post-test semi-experimental models along with a control group. Of 450 women, 255 were randomly selected and invited to participate in the study. Five people did not agree to participate in the study. Three people were also excluded from the study because they did not complete training. The research sample was comprised of 247 climacteric women (121 women in the experimental group and 126 women in the control group) who were <65 years (the average ages of the participants in the experimental group were 50.61 ± 5.54 years and in the control group 50.94 ± 6.03 years), had experienced hot flushes within the past month, were going through the menopause and postmenopause, were not using hormone replacement therapy, and had agreed to participate in the study. Participants were asked to complete a Sociodemographic Questionnaire, the Hot Flush Beliefs Scale, and The Menopause-Specific Quality of Life Questionnaire. Three educational sessions at 2-week intervals were given to the women in the experimental group. The research was supported with an educational booklet prepared by the researchers. Training was not given to the women in the control group. After the education of the experimental group (after about 6 months), women in both groups recompleted the data collection forms, and post-test data were collected.Results: On all the subscales, the total of the Hot Flush Beliefs Scale, and the average post-test score, the women in the experimental group scored lower than the women in the control group (the average post-test total score in the experimental group was 26.22 ± 10.09 and in control group it was 52.25 ± 15.04; p < 0.001). While the women in the experimental group developed positive beliefs about their hot flushes, the beliefs of the women in the control group remained unchanged. The average post-test score on all the subscales of the Menopause-Specific Quality of Life Questionnaire for the women in the experimental group was lower than that for the women in the control group (p < 0.001; the average post-test score in the experimental group for the vasomotor subscale was 1.78 ± 0.88, for the psychosocial subscale 1.50 ± 0.75, for the physical subscale 1.69 ± 0.63, and for the sexual subscale 2.91 ± 2.06; the average post-test score in the control group for the the vasomotor subscale was 3.80 ± 1.88, for the psychosocial subscale 2.79 ± 1.08, for the physical subscale 3.10 ± 1.04, and for the sexual subscale 2.25 ± 2.11). While the quality of life of the women in the experimental group showed an upward trend, that of the women in the control group remained the same.Conclusion: It was found that planned health education about the climacteric period reduced women’s negative beliefs about hot flushes and enhanced their quality of life.

Fatores associados à qualidade de vida em mulheres no climatério

A cross‐sectional study was conducted in Ouro Preto, Minas Gerais, Brazil to evaluate the factors associated with quality of life in climacteric women. It was used for this evaluation the questionnaire SF‐36 of quality of life and one interview about socioeconomic, demographic, medicines used and living habits. The average age of the 113 participant was 53.3±4.4 years, 49.6% living with a partner and 77.4% using the public health system as the exclusive health insurance. It was observed that the income of 54% of them were less than or equal to the minimum wage and 69% had low education. Assessing the association between the variables of the interview and the eight domains of the SF‐36, there was significant difference in the quality of life in relation to: (i) age, in the mental health domain; (ii) living with or without a partner, related to general health and limitation by emotional aspect; (iii) the presence of any chronic disease correlated to general health and mental health; (iv) continuous‐use medication in the mental health domain. Concluding, the higher the age, in association with chronic diseases and medicines intake, the worse the quality of life of these women. Moreover, living with a partner positively modifies some areas associated with quality of life.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KUALITAS HIDUP PEREMPUAN KLIMAKTERIK

Background:Physical and psychological changes during climacterium phase could influence quality of life in climacteric women. Eightypercent of womenreported anydiscomfortthat occurs as climactericsymptomssuch asheadaches, sexual problems, tachycardia, hot flushes, sweatingandinsomniathat can significantlydegrade the quality oflive. Factorsthat determinethe quality of lifeare age, menopauseduration, marital status, education level, income, employment status, healthstatus, health insurance, and parity.&#x0D; Objective: The purpose of the study was to determine thefactorsassociated withthe quality of life ofclimactericwomen.&#x0D; Methods: The study wasa quantitave research with cross sectional design. The samples were 88 subjects. Data collection used Menopause Rating Scale (MRS) and the WHOQOL-BREF.The data analysis used Spearman rank correlation test and contingency coefficient.&#x0D; Result: There was a significant relationship between parity and employment status with quality of life (p&lt;0.05), but not to the variables of age, duration of menopause, marital status, education level, income, and health insurance.&#x0D; Conclusion: There was a significant relationship between parity and employment status with quality of lifein climacteric women.&#x0D; &#x0D; Keyword: quality of life, climacteric women

Validation of the traditional Chinese version of the Menopausal Rating Scale with WHOQOL-BREF

Objective To assess the criterion validity, construct validity and test–retest reliability of the traditional Chinese language version of the Menopause Rating Scale (MRS-TC version).Methods This was an observational, cross-sectional study covering hospital and community samples of 317 women aged 39–62 years. Two questionnaires were administered, namely, the MRS-TC version, made up of 11 items in three dimensions, and the World Health Organization Quality of Life-BREF (WHOQOL-BREF). The intraclass correlation coefficient was used to examine the test–retest reliability of the questionnaire on two separate occasions, 2 weeks apart. The internal consistency was assessed with Cronbach's α. To evaluate criterion validity, the relationship between the individual items and dimension scores of both instruments was estimated. Pearson's correlation was used to assess convergent and discriminant validity; construct validity was evaluated by comparing the mean scores of menopausal and non-menopausal women for each of the MRS dimensions.Results The final questionnaire comprised 11 items in three dimensions. The intra-class correlation (ICC) for the test–retest reliability ranged from 0.83 to 0.93; values of Cronbach's α for psychological, somatic, and urogenital symptom domains were 0.88, 0.68, and 0.59, respectively. For the convergent and discriminant validity, the correlations between the individual questionnaire and the WHOQOL-BREF were significant; those with the MRS dimensions were significantly negatively associated for the physical, psychological, social and environmental domains.Conclusion The MRS-TC version using the traditional Chinese language is a reliable and valid questionnaire for assessing menopausal symptoms and global quality of life in climacteric women.

&lt;b&gt;Brazilian version of the Profil der Lebensqualität Chronischkranker: validity and psychometric evidences for climacteric women

The main objective of this study was to validate and examine the psychometric parameters of Profil der Lebensqualitat Chronischkranker (PLC) in climacteric women. We conducted an exploratory research in Health Care and Treatment enrollment 280 participants. The data collection instruments were the PLC and the SF-36 (Medical Outcomes Study 36 - Item Short - Form Health Survey). The original German version of PLC consists of 40 items that explore the biological and psychosocial items of daily life. The questionnaire was submitted to translation into Portuguese of Brazil, back translation, review by experts and cultural adaptation. For the psychometric study, Cronbach's alpha, factor analysis and the Pearson correlation coefficient were used.In the internal consistency analysis, Cronbach's alpha coefficient ranged from 0.81 a 0.89 in all categories, indicating that the instrument has adequate internal consistency. We could verify the existence of five factors that together explained 55.85% of total variance. For criterion validity, Pearson’s correlation was between 0.41 and 0.78. Therefore, the Brazilian version of the PLC is configured in valid, reliable and easy-to-use option for assessment of quality of life in climacteric women.

Quality of life in perimenopausal women working in the health and educational system

The objective of this study was to determine the association between the professional activity and the perceived quality of life in climacteric women who work in Health and Education. A descriptive and cross-sectional study was developed in a sample of 203 climacteric women, together with a correlation analysis of labor factors' influence on health-related quality of life. Significant differences were found between working women's quality of life and some labor conditions. The perceived quality of life in perimenopausal women who work in Education is higher than that of those working in Health (p=0.004). Nursing professionals can develop health programs that deal with the work conditions that negatively influence the perceived quality of life in climacteric women.