Relação entre desempenho físico e sintomatologia climatérica em mulheres de meia-idade: um estudo transversal

Abstract

Introduction: The Climacteric, characterized by the gradual decrease of the production of the sexual hormones by the ovaries, leads to a hormonal deficiency in the body, responsible for a number of symptoms, that impact negatively on various aspects of women's lives, including their physical performance. Objective: To analyze the relationship between physical performance and climacteric symptoms in middle-aged women. Methodology: This is a cross-sectional analytical study consisting of 491 women aged between 40 and 65 years, residents in Parnamirim/RN. Socio-demographic and sociodemographic data were collected, as well as menopausal stage, reproductive history, measurement of anthropometric data, evaluation of physical performance through Short Physical Performance Battery (SPPB) and the climacteric symptomatology through Menopause Rating Scale (MRS). Pearson's correlation test was used to verify the correlation between quantitative variables and MRS. The bivariate analysis between the categorical variables and MRS were analyzed using the T-test of independent samples and by the analysis of variance (ANOVA), according to the number of categories. For the variables that present more than two categories, a test was performed post hoc (Tukey test). It was considered a confidence interval (CI) of 95% and statistical difference based on p < 0.05. Results: 491 women with a mean age of 49.99 (± 5.60) years were evaluated. There was a statistically significant correlation between all quantitative variables and the somatic domain of MRS. There was a statistically significant correlation between the SPPB and all the domains of MRS, presenting a p value < 0.001 in somatic, urogenital and total and 0.03 in psychological. Conclusion: There was a correlation between physical performance and all types of climacteric symptoms, according to the MRS instrument, in middle-aged women, so that the lower the physical performance, the greater the intensity of the climacteric symptomatology.