Health education intervention in early and late postmenopausal Brazilian women

Sorpreso, Isabel Cristina Espósito; Vieira, Lúcia Helena Laprano; Calio, Caroline L.; Haidar, Mauro Abi; Baracat, Edmund Chada; Soares, José Maria

doi:10.3109/13697137.2011.635915

Cited by 20 publications

(20 citation statements)

References 37 publications

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“…As a result of the physiotherapy programme, we observed benefits in flexibility and increases in the range of motion. These results reinforce the importance of multi-disciplinary actions for improving the performance of daily life activities [3,4,13,24].…”

Section: Discussionsupporting

confidence: 71%

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Physiotherapeutic approach in early and late post-menopausal Brazilian women

Calio

Sorpreso

Haidar

et al. 2013

Gynecological Endocrinology

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To evaluate changes in joints after physiotherapy in post-menopausal women, specifically to identify clinical responses to the measurements of flexibility, functional capacity and joint pain in early and late post-menopausal women at a multi-disciplinary health education programme. A total of 69 women participated in the Integral Program for the Attention to Climacteric Women at the Department of Gynecology - Federal University of Sao Paulo and were sorted into two groups of early (n = 32) and late (n = 37) post-menopause. The average age of menopause was 47.9 ± 5.6 years. The Blatt Kupperman Menopausal Index scores for the early (baseline = 12.8 ± 6.1) and late (baseline = 14.1 ± 7.7) post-menopausal groups after the programme were 8.4 ± 7.1 and 9.4 ± 8.1, respectively. Both groups presented improvements regarding functional capacity (p < 0.01) and complaints of pain (p < 0.001) after the intervention. The group of early post-menopausal women had better flexibility for hip flexion (p < 0.001), and the late post-menopausal group showed greater improvement in shoulder flexion (p < 0.001), extension (p < 0.001) and elbow flexion (p < 0.001). After multi-disciplinary approach, both early and late post-menopausal groups experienced decrease in intensity of climacteric symptoms, reduction in pain intensity and improvement in functional capacity, but the flexibility was different between both the groups.

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Section: Discussionsupporting

confidence: 71%

“…These results demonstrate the importance of physiotherapy in the care and multidisciplinary actions provided to patients during post-menopause [13,15,24].…”

Section: Discussionmentioning

confidence: 92%

Physiotherapeutic approach in early and late post-menopausal Brazilian women

Calio

Sorpreso

Haidar

et al. 2013

Gynecological Endocrinology

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“…8 It is known that age, overweight and obesity, smoking, and the presence of multi-morbidities impair the quality of life and impact the functional capacity.…”

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confidence: 99%

“…7 There are occurrences such as loss of loved ones, change in marital status, retirement process, and prior preparation of this phase in which women turn their attention to themselves, their achievements and accomplishments, their wishes and needs. 8 It is known that age, overweight and obesity, smoking, and the presence of multi-morbidities impair the quality of life and impact the functional capacity. 9 According to Fonseca et al, the most relevant information in medical history declared at the time of the initial treatment in women after menopause were: hypertension (44.94%), diabetes (10.1%), smoking (8.39%), thyroid disorders (7.7%), malignancies (6.41%), cardiovascular disease (17.1%), dyslipidemia (0.88%) and psychiatric disorders (0.06%).…”

mentioning

confidence: 99%

“…5 Studies have demonstrated benefits for climacteric symptoms, particularly improvement in vasomotor symptoms, depressed mood, arthralgia and myalgia. 8,9 In female aging, effects in lower genital tract are common and related to late post-menopause, being atrophic vulvovaginitis and urogenital dysfunctions common complaints brought by patients. 15,16 Atrophic vulvovaginitis affects 40% of postmenopausal women.…”

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confidence: 99%

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Female aging

Sorpreso

Júnior²,

Fonseca³

et al. 2015

Rev. Assoc. Med. Bras.

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Conflict of interest: noneFemale aging is a process that involves hypoestrogenism time, the individual impact on each woman, and what we can do as experts to reduce morbidity and provide quality of life. This natural process in the female life cycle has been of concern to women after menopause. Changes in different biophysical and psychosocial aspects, and their individual experiences, have repercussions on the lives of patients seeking specialized and multidisciplinary support to reduce the harmful effects of prolonged hypoestrogenism. Overweight and obesity, inadequate living habits and the presence of multi-morbidities cause damage to the quality of life and impact the functional capacity. Behavioral prescription and hormone therapy are among the treatments given to ease symptoms and reduce morbidity. A better understanding of these factors can help identify groups that require more care after menopause.Keywords: post-menopause, women, aging.Aging is a physiological process in life and, in women, it is influenced by hypoestrogenism the greater their longevity. The increase in life expectancy among women brought changes in the mortality panorama. 1 Currently, the prevalence of chronic diseases, malignancies and repercussions of hypoestrogenism in each individual serves as motivation for health professionals in clinical and gynecological settings to offer prevention and promotion actions for women seeking quality of life and reduced morbidity. 2,3Also, concern about the quality of life and prevention of chronic diseases and cancer are the demands of women seeking a gynecologist.3,4 The notion of health has been a concern of the very patients interested in weight maintenance, adoption of healthy lifestyle habits, cessation of legal and illegal adictions, and the use of medications for adequate control of chronic diseases. 5Changes in biophysical aspects also affect the quality of life caused by prolonged hypoestrogenism related to urogenital disorders, changes in sexual behavior and libido, memory, skin tropism, effects on lipid profile, and bone metabolism. Psychosocial factors contribute to a positive or negative perception of women's health, which depends on how she experiences and sees life after menopause.7 There are occurrences such as loss of loved ones, change in marital status, retirement process, and prior preparation of this phase in which women turn their attention to themselves, their achievements and accomplishments, their wishes and needs. 8 It is known that age, overweight and obesity, smoking, and the presence of multi-morbidities impair the quality of life and impact the functional capacity.9 According to Fonseca et al., the most relevant information in medical history declared at the time of the initial treatment in women after menopause were: hypertension (44.94%), diabetes (10.1%), smoking (8.39%), thyroid disorders (7.7%), malignancies (6.41%), cardiovascular disease (17.1%), dyslipidemia (0.88%) and psychiatric disorders (0.06%).

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