Relação entre disfunção vestibular e qualidade de vida em mulheres climatéricas

Santos, Rafaella Silva dos; Andrade, Mayle Moreira de; Ribeiro, Karyna Myrelly Oliveira Bezerra de Figueiredo; Nascimento, Rafaela Andrade do; Vieira, Mariana Carmen Apolinário; Câmara, Saionara Maria Aires da; Maciel, Álvaro Campos Cavalcanti

doi:10.1590/1413-81232020252.00972018

Rafaella Silva dos Santos

Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte (UFRN). Av. Sen. Salgado Filho 3000, Candelária. 59064-741, Natal, RN, Brasil. rafaellassantos@hotmail.com

http://orcid.org/0000-0003-4155-191X

Mayle Moreira de Andrade

Departamento de Fisioterapia, Universidade Federal do Ceará. Fortaleza, CE, Brasil.

http://orcid.org/0000-0002-6032-6542

Karyna Myrelly Oliveira Bezerra de Figueiredo Ribeiro

Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte (UFRN). Av. Sen. Salgado Filho 3000, Candelária. 59064-741, Natal, RN, Brasil. rafaellassantos@hotmail.com

http://orcid.org/0000-0002-5935-6760

Rafaela Andrade do Nascimento

Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte (UFRN). Av. Sen. Salgado Filho 3000, Candelária. 59064-741, Natal, RN, Brasil. rafaellassantos@hotmail.com

http://orcid.org/0000-0002-3765-0408

Mariana Carmen Apolinário Vieira

Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte (UFRN). Av. Sen. Salgado Filho 3000, Candelária. 59064-741, Natal, RN, Brasil. rafaellassantos@hotmail.com

http://orcid.org/0000-0001-5313-3892

Saionara Maria Aires da Câmara

Faculdade de Ciências da Saúde do Trairi, UFRN. Santa Cruz, RN, Brasil.

http://orcid.org/0000-0002-3054-7213

Álvaro Campos Cavalcanti Maciel

Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte (UFRN). Av. Sen. Salgado Filho 3000, Candelária. 59064-741, Natal, RN, Brasil. rafaellassantos@hotmail.com

http://orcid.org/0000-0002-8913-7868

Collaborations

RS Santos was responsible for the acquisition of data analysis, interpretation of data analysis, drafting the article and critical revision. MM Andrade was responsible for the acquisition of data analysis, interpretation of data analysis and drafting the article. KMOBF Ribeiro was responsible for interpretation of data analysis, drafting the article and critical revision. RA Nascimento and MCA Vieira was responsible for the acquisition of data analysis and interpretation of data analysis. SMA Câmara was responsible for the concept and design of the study and acquisition of data analysis. ACC Maciel was responsible for the concept and design of the study and critical revision. All the authors gave the final approval of the version to be published.

Variables	Mean (SD) or n (%)
Age	50.3 (5.6)
Ethnicity/color^* * n valid. SBP - Systolic blood pressure; DBP - Diastolic blood pressure; BMI - Body Mass Index; WHR - Waist-Hip Ratio.
White	141 (37.8)
Pardo	209 (56.0)
Black	23 (6.2)
Years of education
Up to seven years of education	158 (42.2)
More than seven and less than eleven years of education	157 (42.0)
Eleven or more years of education	59 (15.8)
Marital status
Yes	273 (73.0)
No	101 (27.0)
Household income
< 3 minimum wages	260 (69.5)
≥ 3 minimum wages	114 (30.5)
Menopausal status^* * n valid. SBP - Systolic blood pressure; DBP - Diastolic blood pressure; BMI - Body Mass Index; WHR - Waist-Hip Ratio.
Premenopausal	77 (20.8)
Perimenopausal	116 (31.4)
Postmenopausal	177 (47.8)
Physical exercise
Yes	97 (25.9)
No	277 (74.1)
Hypertension
Yes	194 (51.9)
No	180 (48.1)
Diabetes
Yes	38 (10.2)
No	336 (89.8)
Mean SBP	135.54 (18.5)
Mean DBP	81.21 (9.7)
BMI (kg/m²)	28.73 (4.8)
WHR	0.91 (0.06)

	Vestibular dysfunction		Total (n=374)
	Yes n = 88 (23.5%)	No n = 286 (76.5%)	Total (n=374)
Quality of life	Mean (SD)	Mean (SD)	Mean (SD)	p-value
UQoL - Occupational	26.2 (4.22)	26.0 (4.40)	26.0 (4.33)	0.60^a a p-value for Student Test T.
UQoL - Health	17.4 (4.60)	18.6 (5.23)	18.3 (5.10)	0.03^a a p-value for Student Test T.
UQoL - Emotional	19.4 (4.00)	20.8 (3.93)	20.5 (4.00)	0.006^a a p-value for Student Test T.
UQoL - Sexual	8.5 (2.91)	8.9 (3.20)	8.8 (3.11)	0.32^a a p-value for Student Test T.
UQoL - Total	71.6 (9.91)	74.3 (11.60)	73.6 (11.28)	0.05^a a p-value for Student Test T.

Variables	UQoL Occupational	UQoL Health	UQoL Emotional	UQoL Sexual	UQoL Total
Age (years)	r = - 0.05p = 0.25^a a p-value for Pearson Correlation	r = 0.06p = 0.21^a a p-value for Pearson Correlation	r = 0.03p = 0.46^a a p-value for Pearson Correlation	r = - 0.05p = 0.26^a a p-value for Pearson Correlation	r = 0.004p = 0.93^a a p-value for Pearson Correlation
Mean SBP	r = - 0.22p < 0.001^a a p-value for Pearson Correlation	r = - 0.11p = 0.03^a a p-value for Pearson Correlation	r = - 0.08p = 0.10^a a p-value for Pearson Correlation	r = 0.02p = 0.58^a a p-value for Pearson Correlation	r = - 0.15p = 0.002^a a p-value for Pearson Correlation
Mean DBP	r = - 0.21p < 0.001^a a p-value for Pearson Correlation	r = - 0.14p = 0.004^a a p-value for Pearson Correlation	r = - 0.13p = 0.01^a a p-value for Pearson Correlation	r = - 0.02p = 0.60^a a p-value for Pearson Correlation	r = - 0.20p < 0.001^a a p-value for Pearson Correlation
BMI (Kg/m²)	r = - 0.01p = 0.78^a a p-value for Pearson Correlation	r = - 0.28p < 0.001^a a p-value for Pearson Correlation	r = 0.01p = 0.81^a a p-value for Pearson Correlation	r = 0.02p = 0.67^a a p-value for Pearson Correlation	r = - 0.12p = 0.01^a a p-value for Pearson Correlation
WHR	r = 0.02p = 0.66^a a p-value for Pearson Correlation	r = - 0.22p < 0.001^a a p-value for Pearson Correlation	r = 0.009p = 0.85^a a p-value for Pearson Correlation	r = - 0.02p = 0.69^a a p-value for Pearson Correlation	r = - 0.09p = 0.06^a a p-value for Pearson Correlation

Variables	UQoL Occupational Mean (SD)	UQoL Health Mean (SD)	UQoL Emotional Mean (SD)	UQoL Sexual Mean (SD)	UQoL Total Mean (SD)
Ethnicity/color
White	25.56 (4.40)	18.33 (5.12)	19.92 (3.97)	8.45 (3.00)	72.27 (11.87)
Pardo	26.15 (4.30)	18.36 (5.25)	20.86 (3.93)	8.96 (3.17)	74.35 (11.20)
Black	27.39 (3.94)	18.17 (3.72)	20.48 (4.13)	9.61 (3.04)	75.65 (7.12)
p-value	0.13^a a p-value for ANOVA.	0.98^a a p-value for ANOVA.	0.10^a a p-value for ANOVA.	0.14^a a p-value for ANOVA.	0.16^a a p-value for ANOVA.
Years of education
Up to seven years of education	25.85 (4.24)	17.88 (4.65)	19.66 (3.79)	8.99 (2.97)	72.38 (10.72)
More than seven and less than eleven years of education	25.99 (4.52)	18.93 (5.38)	20.99 (3.90)	8.82 (3.10)	74.76 (11.59)
Eleven or more years of education	26.55 (4.07)	17.98 (5.43)	21.28 (4.28)	8.22 (3.45)	74.03 (11.70)
p-value	0.57^a a p-value for ANOVA.	0.16^a a p-value for ANOVA.	0.003^a a p-value for ANOVA.	0.27^a a p-value for ANOVA.	0.17^a a p-value for ANOVA.
Marital status
Yes	25.74 (4.40)	18.04 (5.14)	20.29 (3.90)	9.15 (2.99)	73.23 (11.51)
No	26.80 (4.05)	19.14 (4.94)	20.97 (4.13)	7.85 (3.22)	74.76 (10.56)
p-value	0.03^b b p-value for Student Test T.	0.06^b b p-value for Student Test T.	0.14^b b p-value for Student Test T.	< 0.001^b b p-value for Student Test T.	0.25^b b p-value for Student Test T.
Household income
< 3 minimum wages	25.71 (4.38)	18.04 (4.94)	19.93 (3.85)	8.55 (3.00)	72.24 (10.84)
≥ 3 minimum wages	26.71 (4.16)	19.02 (5.41)	21.71 (3.99)	9.38 (3.29)	76.81 (11.64)
p-value	0.04^b b p-value for Student Test T.	0.09^b b p-value for Student Test T.	< 0.001^b b p-value for Student Test T.	0.01^b b p-value for Student Test T.	< 0.001^b b p-value for Student Test T.
Menopausal status
Premenopausal	26.30 (4.63)	18.01 (5.45)	20.41 (3.63)	9.19 (3.22)	73.91 (11.59)
Perimenopausal	26.33 (4.16)	17.59 (4.58)	20.41 (3.70)	8.73 (3.23)	73.08 (11.13)
Postmenopausal	25.67 (4.33)	18.99 (5.25)	20.57 (4.25)	8.68 (3.00)	73.92 (11.34)
p-value	0.37^a a p-value for ANOVA.	0.06^a a p-value for ANOVA.	0.92^a a p-value for ANOVA.	0.48^a a p-value for ANOVA.	0.81^a a p-value for ANOVA.
Physical exercise
Yes	26.64 (4.44)	21.78 (5.13)	21.21 (4.21)	9.21 (3.08)	78.83 (11.63)
No	25.80 (4.28)	17.12 (4.51)	20.21 (3.86)	8.66 (3.11)	71.79 (10.56)
p-value	0.10^b b p-value for Student Test T.	< 0.001^b b p-value for Student Test T.	0.03^b b p-value for Student Test T.	0.13^b b p-value for Student Test T.	< 0.001^b b p-value for Student Test T.
Hypertension
Yes	25.30 (4.27)	17.69 (4.77)	19.90 (3.84)	8.74 (2.92)	71.63 (10.37)
No	26.80 (4.27)	19.04 (5.37)	21.10 (4.03)	8.86 (3.30)	75.83 (11.83)
p-value	0.001^b b p-value for Student Test T.	0.01^b b p-value for Student Test T.	0.004^b b p-value for Student Test T.	0.71^b b p-value for Student Test T.	< 0.001^b b p-value for Student Test T.
Diabetes
Yes	25.87 (4.08)	17.47 (5.04)	20.82 (4.13)	8.13 (2.98)	72.29 (10.47)
No	26.06 (4.34)	18.52 (5.22)	20.45 (3.98)	8.93 (3.06)	73.97 (11.40)
p-value	0.80^b b p-value for Student Test T.	0.24^b b p-value for Student Test T.	0.60^b b p-value for Student Test T.	0.13^b b p-value for Student Test T.	0.38^b b p-value for Student Test T.

Variables	UQoL - Health^a a adjusted for the variables: mean systolic and diastolic blood pressure, weight, body mass index, waist, hip, waist-hip ratio, physical activity, age, years of education, stable union, income and menopausal status. Adjusted R-squared = 0,27.		UQoL - Emotional^b b adjusted for the variables: mean systolic and diastolic blood pressure, years of education, income, physical exercise, ethnicity, stable union and hypertension. Adjusted R-squared = 0,06.		UQoL - Total^c c adjusted for the variables: mean systolic and diastolic blood pressure, weight, body mass index, waist, hip, waist-hip ratio, ethnicity and years of education. Adjusted R-squared = 0,05.
Variables	B (IC 95%)	p	B (IC 95%)	p	B (IC 95 %)	p
Vestibular Dysfunction
No	1.289 (0.194 to 2.384)	0.021	1.164 (0.228 to 2.099)	0.015	2.640 (-0.056 to 5.335)	0.055
Yes	0	0.021	0	0.015	0	0.055
Physical exercise
No	-4.266 (-5.309 to -3.224)	<0.001
Yes	0	<0.001
Menopausal status
Premenopausal	-1.463 (-2.686 to -0.241)	0.019
Perimenopausal	-1.143 (-2.183 to -0.103)	0.031
Postmenopausal	0
BMI	-0.278 (-0.378 to -0.179)	<0.001
WHR	-9.563 (-17.388 to -1.737)	0.017
Household income
≥ 3 minimum wages			1.664 (0.805 to 2.523)	<0.001
< 3 minimum wages			0	<0.001
Mean DBP			-0.046 (-0.087 to -0.005)	0.027	-0.210 (-0.328 to -0.092)	0.001

[1] Collaborations

RS Santos was responsible for the acquisition of data analysis, interpretation of data analysis, drafting the article and critical revision. MM Andrade was responsible for the acquisition of data analysis, interpretation of data analysis and drafting the article. KMOBF Ribeiro was responsible for interpretation of data analysis, drafting the article and critical revision. RA Nascimento and MCA Vieira was responsible for the acquisition of data analysis and interpretation of data analysis. SMA Câmara was responsible for the concept and design of the study and acquisition of data analysis. ACC Maciel was responsible for the concept and design of the study and critical revision. All the authors gave the final approval of the version to be published.

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Relação entre disfunção vestibular e qualidade de vida em mulheres climatéricas

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