Graduate School of Physical Education, Kyung Hee University (Global Campus), 1732 Deokyoungdaero, Gi-heung-gu, Yongin-si 17014, Korea.
Department of Physical Education, Seoul National University, 1 Gwanakro, Gwanakgu, Seoul 08826, Korea.
Int J Environ Res Public Health. 2021 Jul 7;18(14):7256. doi: 10.3390/ijerph18147256.
The current study is to examine the differences in physical activity (PA), sedentary behavior (SB), and mental health (i.e., stress, depression, and suicidal behaviors) between early menopausal women and age-matched general middle-aged women. Among 1348 participants in South Korea, 674 participants who experienced menopause before the age of 45 were defined as the early menopausal group, and 674 women who experienced menopause from 45 years to 55 years were classified as the general group by matching age based on early menopausal women. PA, SB, and mental health were evaluated by using the Global Physical Activity Questionnaire (GPAQ). An independent t-test was used to compare the associations of PA, SB, and mental health between the two groups. To demonstrate the predictors of early menopause, variables in the study were analyzed by multinomial logistic regression. The main findings were that moderate-to-vigorous PA (MVPA) and light PA (LPA) had significant differences between the two groups, but SB had no significant differences. In mental health, only perceived stress had significant differences in this study. The moderate level of stress in the early menopausal group was twice as high as that of the general group, and the severe level of stress was even 2.6 times higher than the general group. PA plays an essential role in mitigating the causes of mortality and the risk of various chronic diseases and improving quality of life; thus, the main findings of this study could be important to provide insights on the corresponding impact between early menopausal women and PA to encourage their healthy lifestyle. Further longitudinal studies are needed to examine the mechanisms underlying the effects of PA, SB, and mental health on early menopausal women.
本研究旨在探讨早绝经女性与年龄匹配的一般中年女性在身体活动(PA)、久坐行为(SB)和心理健康(即压力、抑郁和自杀行为)方面的差异。在韩国的 1348 名参与者中,将 45 岁前经历绝经的 674 名参与者定义为早绝经组,根据早绝经女性的年龄匹配,将 45 岁至 55 岁经历绝经的 674 名女性分为一般组。PA、SB 和心理健康通过使用全球体力活动问卷(GPAQ)进行评估。采用独立 t 检验比较两组之间 PA、SB 和心理健康的相关性。为了证明早绝经的预测因素,对研究中的变量进行了多项逻辑回归分析。主要发现是,两组之间中高强度体力活动(MVPA)和低强度体力活动(LPA)有显著差异,但 SB 没有显著差异。在心理健康方面,只有感知压力在本研究中有显著差异。早绝经组中度压力水平是一般组的两倍,重度压力水平甚至比一般组高 2.6 倍。PA 在减轻死亡率和各种慢性疾病风险以及提高生活质量方面起着重要作用;因此,本研究的主要发现对于提供早绝经女性与 PA 之间对应影响的见解以鼓励其健康生活方式可能很重要。需要进一步的纵向研究来研究 PA、SB 和心理健康对早绝经女性的影响机制。