ABSTRACT
OBJECTIVE: The aim: To examine the effect of the developed wellness program on hemodynamic indices and psychological state of perimenopausal women. PATIENTS AND METHODS: Materials and methods: The study involved 27 women aged 39 to 47 years. Inclusion criteria: recorded perimenopause, climacteric syndrome, history of episodic increase in blood pressure up to 140/85 or 150/90 mmHg. Exclusion criteria: primary hypertension, diabetes mellitus, chronic contagious, systemic, oncology diseases, and mental illnesses. Research procedure comprised tracing of the heart rate, blood pressure registration, and pulse pressure calculation. Robinson index, the coefficient of endurance according to A. Kvas formula were calculated. The assessment of psychological state was made using the Spielberger-Khanin Inventory. RESULTS: Results: Multidisciplinary professionals gave classes upon wellness program at "Women's Health" school. The program included educational conversations, healthy walking, massage, psycho-corrective exercises. The dynamics of the studied parameters was analyzed after 12 weeks. Based on the anthropometric measures findings the tested women showed improvement of 6,76% weight loss; and their body mass index decreased by 6,77%. Initial numbers of Robinson index and the coefficient of endurance were above normal values. After working under the program statistically significant dynamics was observed (Ñ <0,05), although there were still signs of cardiovascular disorders. There were statistically significant positive changes Spielberger-Khanin Inventory on State Anxiety (-9,09%) and Personal Anxiety Scales (-6,96%) (p <0,05). CONCLUSION: Conclusions: Early detection of risk factors and physical activity will help to bring a vast improvement to prognosis and quality of life of perimenopausal women with hypertension onset.
