ABSTRACT
The aim of this study was to investigate the association between the symptoms and quality of life (QOL) in climacteric with the level and intensity of physical activity (PA), body mass index (BMI), use of menopausal hormone therapy (MHT) and education level. The study was carried out with 641 climacteric women, 56 ± 6 years of age, who completed four questionnaires: Kupperman-Blatt Index (KBI) and Menopause Rating Scale (MRS) to assess climacteric symptoms, the Cervantes Scale (CS) for assess QOL, the International Physical Activity Questionnaire short version (IPAQ) to assess PA and questions about weight, height, use of MHT and level of education. Spearman's correlation was performed in SPSS 26 software and binary logistic regression in Stata 14.0 software, adopting a p < 0.05. Having a university education (KBI = 44%), practicing more than 150 minutes of total PA/week (KBI = 48%) and more than 10 minutes of vigorous PA/week (KBI = 36%) were protective factors for vasomotor symptoms, weakness, headache, paresthesia, vertigo, arthralgia or myalgia, palpitations, tingling and symptoms related to moderate/high mood. Having a normal BMI (CS =4 3%), university level of education (CS = 46%) and practicing more than 150 minutes of total PA/week (CS = 61%) are protective factors for better QOL. For psychological, somatic and urogen-ital symptoms, assessed by MRS, there was no association with exposure factors. Thus, reaching the PA recommendations, having a university education level and having a normal BMI are protective factors for moderate and severe climacteric symptoms and QOL
O objetivo desta pesquisa foi investigar a associação entre os sintomas e qualidade de vida (QDV ) no cli-matério com o nível e intensidade da atividade física (AF), índice de massa corporal (IMC), utilização de terapia hormonal da menopausa (THM) e nível de escolaridade.O estudo foi realizado com 641 mulheres climatéricas, com 56 ± 6 anos de idade, que preencheram o Índice de Kupperman-Blatt (IKB) e Menopause Rating Scale (MRS) para avaliar os sintomas do climatério, a Escala de Cervantes (EC) para avaliar a QDV, o Questionário Internacional de Atividade Física versão curta (IPAQ) para avaliar AF e perguntas sobre peso, estatura, uso de THM e nível de escolaridade. Foi realizado a correlação de Spearman no software SPSS 26 e a regressão logística binária no software Stata 14.0, adotando-se um p < 0,05. Ter nível de escola-ridade universitário (IKB = 44%), praticar mais de 150 minutos de AF total/semana (IKB = 48%) e mais de 10 minutos de AF vigorosa/semana (IKB = 36%), são fatores de proteção para sintomas vasomotores, fraque-za, cefaleia, parestesia, vertigem, artralgia ou mialgia, palpitações, formigamentos e sintomas relacionados ao humor moderado/acentuado. Ter IMC normal (EC = 43%), nível de escolaridade universitário (EC = 46%) e praticar mais de 150 minutos de AF total/semana (EC = 61%), são fatores protetores de proteção para melhor QDV. Para sintomas psicológicos, somáticos e urogenital, avaliados pelo MRS, não houve associação com os fatores de exposição.Assim, atingir as recomendações de AF, ter nível de escolaridade universitário e o IMC normal são fatores de proteção para sintomas climatéricos moderados e acentuados e QDV
Subject(s)
Menopause , Women's Health , Motor ActivityABSTRACT
Abstract Aim: To compare blood pressure (BP) responses among the different orders of execution of concurrent exercise (CE) sessions in controlled hypertensive older men. Methods: Fifteen older men (64 ± 5 years) participated in three randomized crossover sessions: control session (C), CE in aerobic-resistance order (AR), and resistance-aerobic order (RA). The CE was performed for 1 h, in which 30 min were for the resistance exercise with 5 exercises at 70% of 1RM and 30 min for the aerobic exercise on a treadmill with intensity corresponding to the first ventilatory threshold. Clinical systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean blood pressure (MBP) were measured at rest and over 2 h and 24 h after the session. For analysis, the Generalized Estimating Equations (GEE) test was used with Bonferroni's complimentary test (α = 0.05). Results: The SBP decreased by 30 min after AR, while after RA we obtained reductions during 1 h after a session concerning rest. Between sessions, we found lower values in both CE compared to the C at 30 min, 45 min, and 90 min. In the RA there was a lower pressure in relation to the C at minute 60. The DBP reduced 30 min after the AR regarding the pre-session, however with no difference between sessions. The MBP was lower in relation to 30 min rest after AR. Among sessions, a pressure drop was observed in the AR compared to the C at 30 min and 45 min. Conclusion: We can conclude that the CE was effective in generating post-exercise hypotension regardless of the order in controlled hypertensive older men.