Body Composition, Physical Activity and Menopause Symptoms in Women with Visual Impairment during Climacteric and Post Menopause

  • Eloise Werle Almeida UNOPAR
  • Bruno Marson Malagodi FACCREI Universidade Estadual de Londrina
  • Attilio Carraro Departamento de Ciências Biomédicas Universidade de Pádova - IT
  • Márcia Greguol Departamento de Ciências do Esporte Universidade Estadual de Londrina

Resumo

Abstract

The climacteric period is characterized by a series of hormonal changes that can result in the gain of adipose tissue and generate symptoms such as hot flashes, excessive sweating and psychological disorders. However, it is not  clear yet  how this process occurs in women with visual impairment. Thus, this study evaluated the body composition, physical activity level and climacteric symptoms in women with visual impairment. For this, 19 women answered questionnaires to evaluate the habitual practice of physical activity and the characteristics and symptoms of climacteric and menopause. Anthropometric variables and body composition were also evaluated. The data were treated by means of descriptive statistics, Student's t-test and Pearson's correlation test, adopting a significance level of 5% (p <0.05). As a result, the majority of the participants were classified as active, however, the means of Body mass index, abdominal circumference and fat percentage were above the recommended health parameters. The climacteric symptoms presented by women with visual impairment were similar to the complaints of women without disabilities. Some physical symptoms such as dizziness, headaches, muscle and joint pain may have a greater influence of factors related to visual impairment, such as high muscle tone to maintain posture, and therefore deserve special attention. It reinforces the need for greater dissemination of information for visually impaired women so that they be informed and deal more positively with the climacteric and menopause phases.

Keywords: Climacteric. Disease Prevention. Women's Health.

Resumo

O período do climatério caracteriza-se por uma série de alterações hormonais que podem resultar no ganho de tecido adiposo e gerar sintomas como ondas de calor, sudorese excessiva e desordens psicológicas. No entanto, ainda não é claro como este processo acontece nas mulheres com deficiência visual. Assim, esta pesquisa avaliou a composição corporal, o nível de atividade física e os sintomas do climatério em mulheres com deficiência visual. Para isso, 19 mulheres responderam questionários para avaliação da prática habitual de atividade física e das características e sintomas do climatério e menopausa. Foram também avaliadas variáveis antropométricas e composição corporal. Os dados foram tratados por meio de estatística descritiva, teste t-student e teste de correlação de Pearson, adotando-se significância de 5% (p < 0,05). Como resultados, a maioria das participantes foi classificada como ativa, no entanto, as médias de Índice de Massa Corporal, circunferência abdominal e percentual de gordura estavam acima dos parâmetros recomendados para a saúde. Os sintomas do climatério apresentados pelas mulheres com deficiência visual foram semelhantes às queixas das mulheres sem deficiência. Alguns sintomas físicos como tonturas, dores de cabeça, musculares e articulares podem ter maior influência de fatores relacionados à deficiência visual, como o alto tônus muscular para manutenção da postura, e por isso merecem atenção especial. Reforça-se a necessidade de maior divulgação de informações para mulheres com deficiência visual para que estas consigam conhecer e lidar de maneira mais positiva com a fase do climatério e menopausa.

Palavras-chave: Climatério. Prevenção de Doenças. Saúde da Mulher.

Referências

Komm BS, Mirkin S. The tissue selective estrogen complex: a promising new menopausal therapy. Pharmaceuticals 2012;5(9):899-924.

Maltais ML, Desroches J, Dionne IJ. Changes in muscle mass and strength after menopause. J Musculoskelet Neuronal Interact 2009;9(4):186-97.

Cipriani C, et al. Muscle strength and bone in healthy women: effect of age and gonadal status. Hormones (Athens) 2012;11(3):325-32.

Mirkin S, Pickar JH. Management of osteoporosis and menopausal symptoms: focus on bazedoxifene/conjugated estrogen combination. Int J Womens Health 2013;5:465.

Cao Y, et al. The relationship between endogenous androgens and body fat distribution in early and late postmenopausal women. PloS one 2013;8(3):e58448.

Liedtke S, et al. Postmenopausal sex hormones in relation to body fat distribution. Obesity 2012;20(5):1088-1095.

Sassarini J. Depression in midlife women. Maturitas 2016;94:149-154.

Wariso BA, et al. Depression during the menopause transition: impact on quality of life, social adjustment, and disability. Arch Womens Ment Health 2017;20(2):273-282.

Polisseni AF, et al. Síndrome depressivo-ansiosa no climatério. Bol Centro Biol Reprod 2008;27(1/2).

Willis DS, Wishart JG, Muir WJ. Carer knowledge and experiences with menopause in women with intellectual disabilities. J Policy Pract Intellect Disabil 2010;7(1):42-48.

Carr J, Hollins S. Menopause in women with learning disabilities. J Intellect Disabil Res 1995;39(2):137-139.

Lehrer S, Fertility and menopause in blind women. Fertil Steril 1981;36(3):396-398.

Schupf N, et al. Early menopause in women with Down's syndrome. J Intellect Disabil Res 1997;41(3):264-267.

Seltzer GB, Schpf N, Wu HSA prospective study of menopause in women with Down's syndrome. J Intellect Disabil Res 2001;45(1):1-7.

Welner SL, Simon JA, Welner B. Maximizing health in menopausal women with disabilities. Menopause 2002;9(3):208-219.

Almeida EW, Greguol M. Healthcare for Women with Disabilities in the Climacteric and Menopause. Sexual Disabil 2015;33(2):279-298.

Mccarthy M. Going through the menopause: perceptions and experiences of women with intellectual disability. J Intellect Develop Disabil 2002;27(4):281-295.

Dormire S, Becker H. Menopause health decision support for women with physical disabilities. J Obstet Gynecol Neonatal Nurs 2007;36(1):97-104.

Interdonato GC, Greguol M. Auto-análise da imagem corporal de adolescentes com deficiência visual sedentários e fisicamente ativos. Conexões 2009;7(3).

Scherer RL, Silva Lopes A. Atividade física habitual em adultos com deficiência visual: uma revisão sistemática. Pensar Prát 2013;16(1).

Dugan SA, et al. A multimethod investigation into physical activity in midlife women. J Phys Act Health 2016;13(12):1351-1359.

Matsudo S, et al. Questinário internacional de atividade f1sica (IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev bras ativ fís saúde 2001:05-18.

Greene JG. Constructing a standard climacteric scale. Maturitas 1998;29(1):25-31.

Kupperman HS, et al. Comparative clinical evaluation of estrogenic preparations by the menopausal and amenorrheal indices. J Clin Endocrinol Metab 1953;13(6):688-703.

Pollock ML, Wilmore JH. Exercícios na saúde e na doença: avaliação e prescrição para prevenção e reabilitação. Rio de Janeiro: Guanabara Koogan; 2009.

World Health Organization.Guidelines for primary health care in low resource settings. WHO; 2012.

Coquerel P. Psicomotricidade para Pessoas com Deficiência Visual. In Mosquera C. Deficiência Visual – Do currículo aos processos de Reabilitação. Curitiba: Editora do Chain; 2014.

Haskell WL, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation 2007;116(9):1081.

Kalpakjian CZ, et al. Hormone replacement therapy and health behavior in postmenopausal polio survivors. Maturitas 2004;48(4):398-410.

Willis JR, et al. Visual impairment, uncorrected refractive error, and accelerometer-defined physical activity in the United States. Arch Ophthal 2012;130(3):329-335.

Hootman JM, et al. Association among physical activity level, cardiorespiratory fitness, and risk of musculoskeletal injury. Am J Epidemiol 2001;154(3):251-258.

Guérin E, et al. Physical activity and perceptions of stress during the menopause transition: A longitudinal study. J Health Psychol 2017:1359105316683787.

Kolu P, et al. Cost-Effectiveness of Physical Activity among Women with Menopause Symptoms: Findings from a Randomised Controlled Trial. PloS One 2015;10(8):e0135099.

Kalpakjian CZ, et al. Use of a standardized menopause symptom rating scale in a sample of women with physical disabilities. Menopause 2005;12(1):78-87.

Kalpakjian CZ, Quint EH, Toussaint LL. Menopause and post-polio symptoms as predictors of subjective sleep disturbance in poliomyelitis survivors. Climacteric 2007;10(1):51-62.

Mccarthy M, Millard L. Discussing the menopause with women with learning disabilities. Br J Learn Disabil 2003;31(1):9-17.

Willis DS. A decade on: what have we learnt about supporting women with intellectual disabilities through the menopause? J Intellect Disabil 2008;12(1):9-23.

Guimarães ACA, Baptista F. Relationship between physical activity and menopausal symptoms. Rev bras ativ fís saúde 2001;16(2):144-149.

Stute P, et al. A model of care for healthy menopause and ageing: EMAS position statement. Maturitas 2016;92:1-6.

Publicado
2020-05-28
Seção
Artigos