Physical performance, fear of fall and urinary incontinence among premenopausal, perimenopausal and postmenopausal women

Authors

  • Anushree M. Pawar Department of Community Physiotherapy, DVVPFS College of Physiotherapy, Ahmednagar, Maharashtra, India
  • Shyam D. Ganvir Department of Community Physiotherapy, DVVPFS College of Physiotherapy, Ahmednagar, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241780

Keywords:

Menopause, Physical performance, Fear of fall, Urinary incontinence

Abstract

Background: The menopausal transition, which occurs when a woman transitions from reproductive to post-reproductive life, is an important turning point in the female life cycle. The prevalence of menopausal symptoms has been shown to vary widely across various Asian research. It's critical to comprehend the connection between menopausal women's health and well-being and physical performance, fear of falling, and urine incontinence in order to design effective therapies.

Methods: The study was approved for conduct by the ethical committee. 195 women in the 45–60 age range participated in this 1.5-year observational analytical study, which was conducted in a community setting.

Results: Statistical package for the social sciences (SPSS) version 20.0 was used to analyze the data, and a significance level of less than 0.05 was regarded as statistically significant.

Conclusions: Transition through menopause is associated with lowered physical performance, high concern fear of fall in postmenopausal compared to premenopausal and perimenopausal while urinary incontinence varies across different stages of menopause.

 

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References

Santoro N, Roeca C, Peters BA, Neal-Perry G. The Menopause Transition: Signs, Symptoms, and Management Options. J Clin Endocrinol Metab. 2021;106(1):1-15.

Harlow SD, Gass M, Hall JE, Lobo R, Maki P, Rebar RW, et al. Executive summary of the Stages of Reproductive Aging Workshop + 10: addressing the unfinished agenda of staging reproductive aging. Menopause N Y N. 2012;19(4):387-95.

Ahuja M. Age of menopause and determinants of menopause age: A PAN India survey by IMS. J -Life Health. 2016;7(3):126-31.

Islam R, Gartoulla P, Bell R, Fradkin P, Davis S. Prevalence of menopausal symptoms in Asian midlife women: A systematic review. Climacteric J Int Menopause Soc. 2014;18:1-42.

Kalhan M, Singhania K, Choudhary P, Verma S, Kaushal P, Singh T. Prevalence of Menopausal Symptoms and its Effect on Quality of Life among Rural Middle Aged Women (40–60 Years) of Haryana, India. Int J Appl Basic Med Res. 2020;10(3):183.

Sharma S, Mahajan N. Menopausal symptoms and its effect on quality of life in urban versus rural women: A cross-sectional study. J -Life Health. 2015;6(1):16-20.

Yisma E, Eshetu N, Ly S, Dessalegn B. Prevalence and severity of menopause symptoms among perimenopausal and postmenopausal women aged 30-49 years in Gulele sub-city of Addis Ababa, Ethiopia. BMC Womens Health. 2017;17(1):124.

Cheng MH, Wang SJ, Yang FY, Wang PH, Fuh JL. Menopause and physical performance--a community-based cross-sectional study. Menopause N Y N. 2009;16(5):892-6.

Bondarev D, Sipilä S, Finni T, Kujala UM, Aukee P, Kovanen V, et al. Associations of physical performance and physical activity with mental well-being in middle-aged women. BMC Public Health. 2021;21(1):1448.

El Hajj A, Wardy N, Haidar S, Bourgi D, Haddad ME, Chammas DE, et al. Menopausal symptoms, physical activity level and quality of life of women living in the Mediterranean region. PloS One. 2020;15(3):e0230515.

Mansikkamäki K, Raitanen J, Malila N, Sarkeala T, Männistö S, Fredman J, et al. Physical activity and menopause-related quality of life - a population-based cross-sectional study. Maturitas. 2015;80(1):69-74.

Pal R, Bhadada S, Aggarwal A, Singh T. The prevalence of sarcopenic obesity in community-dwelling healthy Indian adults - The Sarcopenic Obesity-Chandigarh Urban Bone Epidemiological Study (SO-CUBES). Osteoporos Sarcopenia. 2021;7.

Dąbrowska-Galas M, Dąbrowska J, Ptaszkowski K, Plinta R. High Physical Activity Level May Reduce Menopausal Symptoms. Med Kaunas Lith. 2019;55(8):E466.

da Câmara SMA, Zunzunegui MV, Pirkle C, Moreira MA, Maciel ÁCC. Menopausal status and physical performance in middle aged women: a cross-sectional community-based study in Northeast Brazil. PloS One. 2015;10(3):e0119480.

Akpınar P. The evaluation of hand function and bone status in premenopausal versus postmenopausal women. Haydarpasa Numune Med J. 2018;58(2):88-92.

MacKay S, Ebert P, Harbidge C, Hogan DB. Fear of Falling in Older Adults: A Scoping Review of Recent Literature. Can Geriatr J. 2021;24(4):379-94.

Zhao J, Liang G, Huang H, Zeng L, Yang W, Pan J, et al. Identification of risk factors for falls in postmenopausal women: a systematic review and meta-analysis. Osteoporos Int. 2020;31(10):1895-904.

Lee YS, Nichols JF, Domingo A, Kim Y, Park SM, Han G, et al. Balance performance and related soft tissue components across three age groups. Health Care Women Int. 2021;42(1):67-81.

Hita-Contreras F, Martínez-López E, González-Matarín P, Mendoza N, Cruz-Díaz D, Ruiz-Ariza A, et al. Association of bone mineral density with postural stability and the fear of falling in Spanish postmenopausal women. Maturitas. 2014;79(3):322-8.

Ahn S, Song R. Exploring Fear of Falling Related Activity Avoidance among Postmenopausal Women. Int J Environ Res Public Health. 2021;18(8):4042.

Ahn S, Song R. Exploring Fear of Falling Related Activity Avoidance among Postmenopausal Women. Int J Environ Res Public Health. 2021;18(8):4042.

Espírito Santo J, Hita-Contreras F, Marques de Loureiro NE, Brandão Loureiro V, Aibar-Almazán A, Carcelén-Fraile MDC, Ortiz-Quesada R. Associations between the impact of menopausal symptoms and fall-related self-efficacy. Menopause. 2023;30(4):421-6.

Yardley L, Beyer N, Hauer K, Kempen G, Piot-Ziegler C, Todd C. Development and initial validation of the Falls Efficacy Scale-International (FES-I). Age Ageing. 2005;34(6):614-9.

Hunskaar S, Lose G, Sykes D, Voss S. The prevalence of urinary incontinence in women in four European countries. BJU Int. 2004;93(3):324-30.

Islam RM, Bell RJ, Hossain MB, Davis SR. Types of urinary incontinence in Bangladeshi women at midlife: Prevalence and risk factors. Maturitas. 2018;116:18-23.

Kołodyńska G, Zalewski M, Rożek-Piechura K. Urinary incontinence in postmenopausal women – causes, symptoms, treatment. Przegla̜d Menopauzalny Menopause Rev. 2019;18(1):46-50.

Waetjen LE, Ye J, Feng WY, Johnson WO, Greendale GA, Sampselle CM, et al. Association between Menopausal Transition Stages and Developing Urinary Incontinence. Obstet Gynecol. 2009;114(5):989-98.

Leirós-Rodríguez R, Romo-Pérez V, García-Soidán JL. Prevalence of urinary incontinence and its relation with sedentarism in Spain. Actas Urol Esp. 2017;41(10):624-30.

Thangarajah F, Hartmann-Wobbe J, Ratiu D, Pahmeyer C, Radosa JC, Mallmann P, et al. The Onset of Urinary Incontinence in Different Subgroups and its Relation to Menopausal Status: A Hospital-based Study. In Vivo. 2020;34(2):923-8.

Varella LRD, Bezerra da Silva R, Eugênia de Oliveira MC, Melo PHA, Maranhão TM de O, Micussi MTABC. Assessment of lower urinary tract symptoms in different stages of menopause. J Phys Ther Sci. 2016;28(11):3116-21.

Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn. 2004;23(4):322-30.

Cooper R, Mishra G, Clennell S, Guralnik J, Kuh D. Menopausal status and physical performance in midlife: findings from a British birth cohort study. Menopause N Y N. 2008;15(6):1079-85.

Monteleone P, Mascagni G, Giannini A, Genazzani AR, Simoncini T. Symptoms of menopause - global prevalence, physiology and implications. Nat Rev Endocrinol. 2018;14(4):199-215.

Ossowski Z, Wiech M, Ellwart M. Association between gait speed and muscle mass and strength in postmenopausal women. Balt J Health Phys Act. 2022;11(1).

Silva RT, Câmara SM, Moreira MA, Nascimento RA, Vieira MC, Morais MS, et al. Correlation of Menopausal Symptoms and Quality of Life with Physical Performance in Middle-Aged Women. Rev Bras Ginecol Obstet. 2016;38(6):266-72.

Espírito Santo J, Hita-Contreras F, Marques de Loureiro NE, Brandão Loureiro V, Aibar-Almazán A, Carcelén-Fraile MDC, et al. Associations between the impact of menopausal symptoms and fall-related self-efficacy. Menopause N Y N. 2023;30(4):421-6.

Thiamwong L, Xie R, Conner NE, Renziehausen JM, Ojo EO, Stout JR. Body composition, fear of falling and balance performance in community-dwelling older adults. Transl Med Aging. 2023;7:80-6.

Bruce D, Hunter M, Peters K, Davis T, Davis W. Fear of falling is common in patients with type 2 diabetes and is associated with increased risk of falls. Age Ageing. 2015;44(4):687-90.

Ahmed ASG, Hanafy MM, Saleh DM. Prevalence and risk factors of urinary incontinence among premenopausal and postmenopausal females. Sci J Al-Azhar Med Fac Girls. 2021;5(4):906.

Agur W, Rizk DEE. Obesity and urinary incontinence in women: is the black box becoming grayer? Int Urogynecology J. 2011;22(3):257-8.

Brown JS, Vittinghoff E, Lin F, Nyberg LM, Kusek JW, Kanaya AM. Prevalence and Risk Factors for Urinary Incontinence in Women with Type 2 Diabetes and Impaired Fasting Glucose. Diabetes Care. 2006;29(6):1307-12.

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Published

2024-06-27

How to Cite

Pawar, A. M., & Ganvir, S. D. (2024). Physical performance, fear of fall and urinary incontinence among premenopausal, perimenopausal and postmenopausal women. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 13(7), 1818–1824. https://doi.org/10.18203/2320-1770.ijrcog20241780

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Original Research Articles