Correlation of Menopausal Symptoms and Quality of Life with Physical Performance in Middle-Aged Women

Silva, Rívea Trindade da; Câmara, Saionara Maria Aires da; Moreira, Mayle Andrade; Nascimento, Rafaela Andrade do; Vieira, Mariana Carmem Apolinário; Morais, Maria Socorro Medeiros de; Maciel, Álvaro Campos Cavalcanti

doi:10.1055/s-0036-1584238

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Original Article • Rev. Bras. Ginecol. Obstet. 38 (06) • June 2016 • https://doi.org/10.1055/s-0036-1584238 copy

Correlation of Menopausal Symptoms and Quality of Life with Physical Performance in Middle-Aged Women

Relação entre sintomas climatéricos e qualidade de vida no desempenho físico em mulheres de meia-idade

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Introduction

Some studies have investigated the influence of hormonal deficits and menopausal status in muscle disorders of women. However, it has not been investigated the relationship of both climacteric symptoms and the perception of quality of life with physical performance.

Objective

To evaluate the correlation of menopausal symptoms and quality of life with physical performance in middle-aged women.

Methods

This cross-sectional study was performed from April to November 2013 in the municipality of Parnamirim, in the Brazilian state, Rio Grande do Norte. The sample was composed of 497 women aged 40-65 years. The Menopause Rating Scale (MRS) and the Utian Quality of Life (UQOL) questionnaire were used to evaluate menopausal symptoms and quality of life respectively. Measures of physical performance included handgrip strength, knee extensor and flexor strengths (using an isometric dynamometer), gait speed, and chair stand test. The correlation between menopausal symptoms and quality of life with physical performance was assessed by Pearson's correlation coefficient with significance set at p< 0.05 and a confidence interval of 95 %.

Results

There was a significant negative correlation between handgrip strength and somatic MRS score (p= 0.002) and total MRS score (p= 0.03). There was a significant correlation between knee flexor strength and sit-to-stand time and all menopausal symptom areas (p< 0.05), except psychological symptoms. There was a positive correlation between physical performance of the knee flexors and quality of life items including occupational (p= 0.001), emotional (p= 0.005), and total UQOL (p= 0.01) , but a negative correlation with sit-to-stand time and all quality of life domains (p< 0.05).

Conclusion

A greater intensity of menopausal symptoms and worse quality of life were related with worse physical performance. Thus, preventive measures should be implemented to avoid adverse effects on physical performance at more advanced ages.

Keywords:
menopause; quality of life; muscle strength

Variable	Mean ± SD	N	%
Age (years)	49.9 ± 5.6
Schooling (years)	8.1 ± 4.2
Family income
≥ 3 MW		148	29.8
< 3 MW		349	70.2
Stable union
Yes		357	71.8
No		140	28.2
Physical activity
Yes		131	26.4
No		366	73.6
Walking time per week
< 90 minutes		266	53.5
≥ 90 minutes		231	46.5
Sitting time
< 4 hours per day		326	65.4
≥4 hours per day		171	34.4
Occupational UQOL	26.03 ± 4.2
Health UQOL	18.3 ± 4.9
Emotional UQOL	20.3 ± 4.0
Sexual UQOL	8.7 ± 3.1
Total UQOL	73.4 ± 10.9
Somatic MRS	7.1 ± 3.7
Psychological MRS	8.0 ± 4.4

	Measures of physical performance
Menopause Symptoms(MRS scores)	Handgrip strength (kgf)		Knee flexors strength (kgf)		Knee extensor strength (kgf)		Sit-and-stand time (s)		Gait speed (m/s)
	r	p	r	p	r	p	r	p	r	p
Somatic	−0.14	0.002	−0.10	0.01	−0.08	0.05	0.11	0.01	−0.07	0.11
Psychological	−0.03	0.42	−0.03	0.48	−0.03	0.52	0.06	0.15	−0.02	0.53
Urogenital	−0.06	0.12	−0.10	0.02	−0.06	0.17	0.15	0.001	−0.08	0.07
Total	−0.09	0.03	−0.09	0.04	−0.07	0.12	0.12	0.005	−0.06	0.13

	Measures of physical performance
Variables	Handgrip (kgf)		Knee flexion (kgf)		Knee extension (kgf)		Sit-to-stand (s)		Gait speed (m/s)
Quality of Life (UQOL)	r	p	r	p	r	p	r	p	r	p
Occupational UQOL	0.01	0.83	0.15	0.001	0.06	0.12	−0.12	0.008	0.01	0.76
Health UQOL	0.01	0.91	−0.02	0.65	−0.01	0.91	−0.15	0.001	−0.02	0.58
Emotional UQOL	0.06	0.17	0.12	0.005	0.07	0.09	−0.09	0.03	0.07	0.12
Sexual UQOL	0.09	0.05	0.07	0.10	0.02	0.66	−0.09	0.04	−0.02	0.56
Total UQOL	0.05	0.22	0.11	0.01	0.05	0.20	−0.17	<0.001	0.01	0.78

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[1] Address for correspondence Mayle Andrade Moreira, Master Degree, PhD applicant, Department of Physiotherapy, Universidade Federal do Rio Grande do Norte, Avenida Senador Salgado Filho, S/N Caixa Postal 1524 - Campus Universitário - Lagoa Nova, 59072-970, Natal, RN, Brazil (e-mail: maylinhaandrade@hotmail.com).