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身体活动与围绝经期之间的关系。

The relationship between physical activity and perimenopause.

作者信息

Li S, Holm K, Gulanick M, Lanuza D, Penckofer S

机构信息

Loyola University Chicago, Illinois, USA.

出版信息

Health Care Women Int. 1999 Mar-Apr;20(2):163-78. doi: 10.1080/073993399245863.

Abstract

Our purpose in conducting this study was to examine the relationship between physical activity and symptoms associated with perimenopause. A group of 214 perimenopausal women aged 40-55 years (mean = 47 years) completed the Women's Health Assessment Scale (assesses symptoms associated with perimenopause: vasomotor, psychosomatic, menstrual, and sexual symptoms) and the physical activity questionnaire. These women were categorized into three groups based on their levels of physical activity: inactive, relatively active, and active. Analyses of covariance (ANCOVA) revealed significant differences between groups in frequency and distress of overall symptoms associated with perimenopause (F = 8.86, p = .00, F = 6.25, p = .00, respectively). Further analyses indicated that relatively active and active women had significantly fewer and less distressful psychosomatic symptoms (F = 8.05, p = .00, F = 5.80, p = .00, respectively), such as irritability, forgetfulness, and headache as well as fewer and less distressful sexual symptoms (F = 3.42, p = .03, F = 3.73, p = .03, respectively), such as vaginal dryness and decreased sexual desire than inactive women. No significant differences were found among groups on vasomotor and menstrual symptoms. In conclusion, physical activity may be an important alternative/adjunct to hormone therapy particularly for psychosomatic and sexual symptom management at perimenopause.

摘要

我们开展这项研究的目的是探讨体育活动与围绝经期相关症状之间的关系。一组214名年龄在40至55岁(平均47岁)的围绝经期女性完成了女性健康评估量表(评估与围绝经期相关的症状:血管舒缩症状、心身症状、月经症状和性症状)以及体育活动问卷。这些女性根据其体育活动水平被分为三组:不活动组、相对活动组和活动组。协方差分析(ANCOVA)显示,各组在与围绝经期相关的总体症状的频率和困扰程度上存在显著差异(F值分别为8.86,p值为0.00;F值为6.25,p值为0.00)。进一步分析表明,相对活动组和活动组的心身症状显著较少且困扰程度较低(F值分别为8.05,p值为0.00;F值为5.80,p值为0.00),如易怒、健忘和头痛,以及性症状也较少且困扰程度较低(F值分别为3.42,p值为0.03;F值为3.73,p值为0.03),如阴道干燥和性欲减退,相比不活动组的女性。在血管舒缩症状和月经症状方面,各组之间未发现显著差异。总之,体育活动可能是激素治疗的重要替代方法/辅助手段,特别是在围绝经期用于管理心身症状和性症状。

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