Prevalence of musculoskeletal pain in climacteric women of a Basic Health Unit in
            São Paulo/SP

Dedicação, Anny Caroline; Sato, Tatiana de Oliveira; Ávila, Mariana Arias; Moccellin, Ana Silvia; Saldanha, Maria Elisabete Salina; Driusso, Patrícia

doi:10.5935/1806-0013.20170104

“…Similarly, Anny's group assessed pain intensity in menopausal women at different BMI levels using the visual analog scale (VAS). The results suggested that women whose BMI exceeded 30 kg/m2 were accompanied by significantly higher VAS scores than others [ 24 ]. Furthermore, it has been suggested that a high severity and frequency of aches and stiff joints were associated with higher mean values of BMI [ 9 , 25 ].…”

Section: Resultsmentioning

confidence: 99%

Musculoskeletal Pain during the Menopausal Transition: A Systematic Review and Meta-Analysis

Lu

¹

,

Liu

²

,

Zhou

³

et al. 2020

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Musculoskeletal pain (MSP) is one of the most severe complaints in women undergoing menopause. The prevalence of MSP varied when taking the menopausal state and age factor into consideration. This study investigated the prevalence of MSP in perimenopausal women and its association with menopausal state. The MEDLINE, Embase, Web of Science, and PubMed databases were searched from inception to July 2020, and 16 studies were retrieved for the current meta-analysis. The primary outcome measure was the MSP Odds Ratio (OR). The estimated overall prevalence of MSP among perimenopausal women was 71% (4144 out of 5836, 95% confidence interval (CI): 64%-78%). Perimenopausal women demonstrated a higher risk for MSP than premenopausal ones (OR: 1.63, 95% CI: 1.35-1.96, P = 0.008 , I 2 = 59.7 % ), but similar to that in postmenopausal ones (OR: 1.07, 95% CI: 0.95–1.20, P = 0.316 , I 2 = 13.4 % ). The postmenopausal women were at a higher risk of moderate/severe MSP than the premenopausal ones (OR: 1.45, 95% CI: 1.21-1.75, P = 0.302 , I 2 = 16.5 % ) or the perimenopausal ones (OR: 1.40, 95% CI: 1.09–1.79, P = 0.106 , I 2 = 55.4 % ). In conclusion, the perimenopause is a state during which women are particularly predisposed to develop MSP. As to moderate to severe degrees of MSP, the odds increase linearly with age, from premenopause to peri- and then to postmenopause.

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“…Although muscle and joint problems can cause pain, and these can lead to changes in sleep quality (25) , in the findings of the present study, these problems were not statistically significant. Differences between studies can be related with respect to several aspects, such as cultural, economic, social, psychological, environmental differences, health condition, type of study, assessed population, sample selection, presence of confounding variables and use of different instruments for pain assessment (26) .…”

Section: Sleep Quality and Its Association With Menopausal And Climacteric Symptomsmentioning

confidence: 99%

Sleep quality and its association with menopausal and climacteric symptoms

Santos

¹

,

Vilerá

²

,

Wysocki

³

et al. 2021

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Objective: to assess sleep quality in menopausal women and its association with symptoms related to this period. Method: this is a cross-sectional, analytical and correlational study. Sleep was assessed using the Pittsburgh Sleep Quality Index; and climacteric symptoms, according to the Menopause Rating Scale. To compare the total score and each Menopause Rating Scale domain with the PSQI classification, the Mann-Whitney U non-parametric test was used. P<0.05 was considered significant. Results: 261 women (67.8%) were classified as bad sleepers. There was a positive and significant correlation between the sleep scale scores and the total menopause score and its domains. Women categorized as poor sleepers had worse scores on the menopause symptom scale. Conclusion: women with worse sleep quality revealed greater severity of symptoms related to menopause.

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“…Menopause can be considered a chronologic cutoff of the aging process [1,2]. During the climacteric period, the estrogen levels dramatically drop contributing to the changes in the female body [3], such as vasomotor instability, sleep disturbances, decrease of bone mineral density, genitourinary atrophy, lipoproteic alterations and musculoskeletal pain [4,5]. This set of changes can reduce the controlling abilities of the cardiovascular system, resulting in increased blood pressure and vascular tone, as well as decreased tissue blood flow [6].…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular responses to pelvic floor muscle contraction in healthy women: Prospective study

Bastos

¹

,

Catai

²

,

Jürgensen

³

et al. 2020

European Journal of Obstetrics & Gynecology and Reproductiv

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Analyze the acute heart rate and blood pressure responses to two protocols of pelvic floor muscles contractions in premenopausal and postmenopausal women. Methods: Fifty-four women without pelvic floor muscles disorders were eligible and allocated into two groups: premenopausal and postmenopausal. The groups underwent two protocols and the pelvic floor muscle endurance, heart rate, and blood pressure values were monitored. Both protocols included 10 pelvic floor muscles contractions; one series contained contractions lasting 5 s with 5 s of rest between each contraction and the other series contained contractions lasting 10 s with 10 s of rest. Results: In both groups, there was a significant increase in the heart rate during pelvic floor muscles contractions (premenopausal: 71.0 AE 7.3 and 80.3 AE 7.7; postmenopausal: 65.4 AE 6.6 and 73.6 AE 6.6, at rest and contractions peak, respectively) and in systolic blood pressure immediately after the contractions. The observed values during exercise returned to basal values seconds after the contractions. A positive correlation between heart rate and vaginal squeeze pressure (r = 0.45, p = 0.0007 and r = 0.48, p = 0.0003, 5-and 10-s series, respectively) was observed. Conclusion:The proposed protocol of isometric pelvic floor muscles contractions caused an increase in heart rate and blood pressure within the normal range and might not represent a cardiovascular risk for healthy postmenopausal women without urinary incontinence and without cardiovascular dysfunctions.

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Prevalence of musculoskeletal pain in climacteric women of a Basic Health Unit in São Paulo/SP

Cited by 7 publications

References 0 publications

Musculoskeletal Pain during the Menopausal Transition: A Systematic Review and Meta-Analysis

Musculoskeletal Pain during the Menopausal Transition: A Systematic Review and Meta-Analysis

Sleep quality and its association with menopausal and climacteric symptoms

Cardiovascular responses to pelvic floor muscle contraction in healthy women: Prospective study

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