Telesna dejavnost in zdravje žensk v pomenopavzi
DOI:
https://doi.org/10.14528/snr.2014.48.4.35Ključne besede:
srčno-žilne bolezni, depresija, osteoporoza, vročinski oblivi, urinska inkontinencaPovzetek
Uvod: Kot posledica pomanjkanja estrogenov se po menopavzi pojavi večja verjetnost nastanka kardiovaskularnih bolezni, osteoporoze, depresije in urinske inkontinence. Namen članka je pregled literature in predstavitev rezultatov raziskav, ki so proučevale vpliv telesne dejavnosti na kardiovaskularni in vazomotorni sistem, na urogenitalno in vezivno tkivo ter na duševno zdravje pri ženskah v pomenopavzi. Metode: Iskanje strokovne in znanstvene literature je bilo opravljeno s pomočjo bibliografskih baz podatkov COBISS.SI, PubMed, CINAHL, EMBASE in registra študij Cochrane Library. Iskanje je bilo omejeno na besedila, dostopna na spletu, v slovenščini ali angleščini (ali drugih jezikih, če so članki vsebovali izvlečke v angleščini), izdana od januarja 2000 do decembra 2012. Glede na vključitvene in izključitvene kriterije je bilo v pregled zajetih enajst randomiziranih kontroliranih raziskav, ki so bile glede na tematiko razdeljene v pet skupin. Rezultati: Pokazal se je pozitiven vpliv redne telesne dejavnosti na izražanje simptomov, ki so posledica pomanjkanja estrogena v telesu žensk v pomenopavzi. Redna telesna dejavnost ima najboljši vpliv na kardiovaskularni sistem, mentalno zdravje, urinsko inkontinenco in osteoporozo, glede njenega vpliva na izražanje vazomotornih simptomov pa so mnenja deljena. Diskusija in zaključek: Najkoristnejša telesna dejavnost za zdravje žensk v pomenopavzi je aerobna vadba zmerne intenzitete. Potrebne so nadaljnje raziskave o vplivu telesne dejavnosti na izražanje vazomotornih simptomov pri ženskah v pomenopavzi.Prenosi
Metrike
Literatura
Abernethy, K., 2008. How the menopause affects the cardiovascular health of women. Primary Health Care, 18(6), pp. 42−47. http://dx.doi.org/10.7748/phc2008.07.18.6.41.c6624
Al-Qutob, R., 2001. Menopause-associated problems: types and magnitude. A study in the Ain Al-Basha area, Jordan. Journal of Advanced Nursing, 33(5), pp. 613−620. http://dx.doi.org/10.1046/j.1365-2648.2001.01706.x; PMid:11298197
Andolšek-Jeras, L., 1997. Menopavza-mejnik v življenju ženske. In: Šola za menopavzo: zbornik prispevkov, Zdravilišče Dobrna 20. in 21. junij 1997. Ljubljana: Slovensko menopavzno društvo, pp. 1−4.
Asikainen, T.M., Kukkonen-Harjula, K. & Miilunpalo, S., 2004. Exercise for health for early postmenopausal women: a systematic review of randomised controlled trials. Sports Medicine, 34(11), pp. 753–778. http://dx.doi.org/10.2165/00007256-200434110-00004; PMid:15456348
Asikainen, T.M., Miilunpalo, S., Kukkonen-Harjula, K., Nenonen, A., Pasanen, M., Rinne, M., et al., 2003. Walking trials in postmenopausal women: effect of low dosses of exercise and exercise fractionization on coronary risk factors. Scandinavian Journal of Medicine and Science in Sports, 13(5), pp. 284−292. http://dx.doi.org/10.1034/j.1600-0838.2003.00331.x; PMid:14507293
Bolton, K.L., Egerton, T., Wark, J., Wee, E., Matthews, B., Kelly, A., et al., 2012. Effects of exercise on bone density and falls risk factors in post-menopausal women with osteopenia: a randomised controlled trial. Journal of science and medicine in sport, 5(2), pp.102-109. http://dx.doi.org/10.1016/j.jsams.2011.08.007; PMid:21996058
Borello-France, D.F., Downey, P.A., Zyczynski, H.M. & Rause, C.R., 2008. Continence and quality-of-life outcomes 6 months following an intensive pelvic-floor muscle exercise program for female stress urinary incontinence: a randomized trial comparing low- and high-frequency maintenance exercise. Physical therapy, 88(12), pp. 1545-1553. http://dx.doi.org/10.2522/ptj.20070257; PMid:18820095; PMCid:PMC2599795
Brown, W.J., Ford, J.H., Burton, N.W., Marshall, A.L. & Dobson, A.J., 2005. Prospective study of physical activity and depressive symptoms in middle-aged women. American Journal of Preventive Medicine, 29(4), pp. 265-272. http://dx.doi.org/10.1016/j.amepre.2005.06.009; PMid:16242588
Castro, R.A., Arruda, R.M., Zanetti, M.R., Santos, P.D., Sartori, M.G. & Girão, M.J., 2008. Single-blind, randomized, controlled trial of pelvic floor muscle training, electrical stimulation, vaginal cones, and no active treatment in the management of stress urinary incontinence. Clinics (Sao Paulo), 63(4), pp. 465-472. http://dx.doi.org/10.1590/S1807-59322008000400009; PMid:18719756; PMCid:PMC2664121
Chattha, R., Raghuram, N., Venkatram, P. & Hongasandra, N.R., 2008. Treating the climacteric symptoms in Indian women with an integrated approach to yoga therapy: a randomized control study. Menopause, 15(5), pp. 862-870. http://dx.doi.org/10.1097/gme.0b013e318167b902; PMid:18463543
Chien, M.Y., Wu, Y.T., Hsu, A.T., Yang, R.S. & Lai, J.S., 2000. Efficacy of a 24-week aerobic exercise program for osteopenic postmenopausal women. Calcified Tissue International, 67(6), pp. 443-448. http://dx.doi.org/10.1007/s002230001180; PMid:11289692
Church, T.S., Earnest, C.P., Skinner, J.S. & Blair, S.N., 2007. Effects of different doses of physical activity on cardiorespiratory fitness among sedentary, overweight or obese postmenopausal women with elevated blood pressure: a randomized controlled trial. Journal of the American Medical Association, 16;297(19), pp. 2081-2091. PMid:17507344
Collins Fantasia, H. & Sutherland, M.A., 2014. Hormone therapy for the management of menopause symptoms. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 43(2), pp. 226−235. http://dx.doi.org/10.1111/1552-6909.12282; PMid:24502325
Daley, A., Stokes-Lampard, H. & Macarthur, C., 2011. Exercise for vasomotor menopausal symptoms. The Cochrane Database of Systematic Reviews, 11;(5):CD006108. http://dx.doi.org/10.1002/14651858.CD006108.pub3; PMid: 21563149
Daley, A.J., Stokes-Lampard, H.J. & Macarthur, C., 2009. Exercise to reduce vasomotor and other menopausal symptoms: a review. Maturitas, 63(3), pp. 176-180. http://dx.doi.org/10.1016/j.maturitas.2009.02.004; PMid:19285813
Dalleck, L.C., Allen, B.A., Hanson, B.A., Borresen, E.C., Erickson, M.E. & De Lap, S.L., 2009. Dose-response relationship between moderate-intensity exercise duration and coronary heart disease risk factors in postmenopausal women. Journal of Women's Health, 18(1), pp. 105-113. http://dx.doi.org/10.1089/jwh.2008.0790; PMid:19132882
Elavsky, S. & McAuley, E., 2007. Physical activity and mental health outcomes during menopause: a randomised controlled trial. Annals of Behavioral Medicine, 33(2), pp. 132−142. http://dx.doi.org/10.1007/BF02879894; PMid:17447865
Finkelstein, J.S., Brockwell, S.E., Mehta, V., Greendale, G.A., Sowers, M.R., Ettinger, B., et al., 2008. Bone mineral density changes during the menopause transition in a multiethnic cohort of women. Journal of Clinical Endocrinology and Metabolism, 93(3), pp. 861-868. http://dx.doi.org/10.1210/jc.2007-1876; PMid:18160467; PMCid:PMC2266953
Kemmler, W., Lauber, D., Weineck, J., Hensen, J., Kalender, W. & Engelke, K., 2004. Benefits of 2 years of intense exercise on bone density, physical fitness, and blood lipids in early postmenopausal osteopenic women. Archives of Internal Medicine, 16(10), pp. 1084−1091. http://dx.doi.org/10.1001/archinte.164.10.1084; PMid:15159265
Kirkegard, Y., 1998b. Menopausal systemic changes and their management. In: Sapsford, R., Bullock-Saxton, J. & Markwell, S., eds. Women's health. London: Saunders, pp. 318−328.
Kirkegard, Y., 1998a. Physiological and endokrine changes of the menopause. In: Sapsford, R., Bullock-Saxton, J. & Markwell, S., eds Women's health. London: Saunders, pp. 311−317.
Lermer, M.A., Morra, A., Moineddin, R., Manson, J., Blake, J. & Tierney, M.C., 2011. Somatic and affective anxiety symptoms and menopausal hot flashes. Menopause, 18(2), pp. 129-132. http://dx.doi.org/10.1097/gme.0b013e3181ec58f8; PMid:20805777
Lindh-Astrand, L., Nedstrand, E., Wyon, Y. & Hammar, M., 2004 Vasomotor symptoms and quality of life in previously sedentary postmenopausal women randomised to physical activity or estrogen therapy. Maturitas, 48(2), pp. 97-105. http://dx.doi.org/10.1016/S0378-5122(03)00187-7; PMid:15172083
Llaneza, P., García-Portillab, M.P., Llaneza-Suáreza, D., Armotta, B. & Pérez-Lópezc, F.R., 2012. Depressive disorders and the menopause transition. Maturitas, 71(2), pp. 120−130. http://dx.doi.org/10.1016/j.maturitas.2011.11.017; PMid:22196311
Meden-Vrtovec, H., 2002. Hormonsko nadomestno zdravljenje v klimakteriju. In: Meden-Vrtovec, H., ed. Zdravljenje s hormoni v ginekologiji in andrologiji. Ljubljana: Klinični center, SPS Ginekološka klinika, Slovensko društvo za reproduktivno medicino, pp. 99−112.
Pereira, V.S., de Melo, M.V., Correia, G.N. & Driusso, P., 2012. Vaginal cone for postmenopausal women with stress urinary incontinence: randomized, controlled trial. Climacteric, 15(1), pp. 45−51. http://dx.doi.org/10.3109/13697137.2011.593211; PMid:22066898
Snelling, A.M., Crespo, C.J., Schaeffer, M., Smith, S. & Walbourn, L., 2001. Modifiable and nonmodifiable factors associated with osteoporosis in postmenopausal women: results from the third national health and nutrition examination survey, 1988−1994. Journal of Women's Health & Gender-based Medicine, 10(1), pp. 57−65. http://dx.doi.org/10.1089/152460901750067124; PMid:11224945
Soares, C.N. & Zitek, B, 2008. Reproductive hormone sensitivity and risk for depression across the female life cycle: a continuum of vulnerability? Journal of Psychiatry & Neuroscience, 33(4), pp. 331–343. PMid:18592034; PMCid:PMC2440795
Spruijt, J., Vierhout, M., Verstraeten, R., Janssens, J. & Burger, C., 2003. Vaginal electrical stimulation of the pelvic floor: a randomized feasibility study in urinary incontinent elderly women. Acta Obstetricia et Gynecologica Scandinavica, 82(11), pp. 104−138. http://dx.doi.org/10.1034/j.1600-0412.2003.00130.x
Sternfeld, B., 2010. Is physical activity benefical for hot flushes? Menopausal Medicine, 18(2), pp. 6–8.
Teychenne, M., Ball, K. & Salmon, J., 2008. Associations between physical activity and depressive symptoms in women. The International Journal of Behavioral Nutrition and Physical Activity, 6;5, p. 27. http://dx.doi.org/10.1186/1479-5868-5-27; PMid:18460191; PMCid:PMC2397437
Thompson, P.D., Buchner, D., Piña, I.L., Balady, G.J., Williams, M.A., Marcus, B.H., et al., 2003Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease. A statement from the council on clinical cardiology (Subcommittee on exercise, rehabilitation, and prevention) and the council on nutrition, physical activity, and metabolism (subcommittee on physical activity). Circulation, 107(24), pp. 3109–3116. http://dx.doi.org/10.1161/01.CIR.0000075572.40158.77; PMid:12821592
Warburton, D.E.R., Nicol, C.W. & Bredin, S.S.D., 2006. Health benefits of physical activity: the evidence. Canadian Medical Association Journal, 174(6), pp. 801–809. http://dx.doi.org/10.1503/cmaj.051351; PMid:16534088; PMCid:PMC1402378
Prenosi
Objavljeno
Kako citirati
Številka
Rubrike
Licenca
Na Obzornik zdravstvene nege, Ob železnici 30A, 1000 Ljubljana, prenašam naslednje materialne avtorske pravice: pravico reproduciranja v neomejeni količini, in sicer v vseh poznanih oblikah reproduciranja, kar obsega tudi pravico shranitve in reproduciranja v kakršnikoli elektronski obliki (23. čl. Zakona o avtorski in sorodnih pravicah – v nadaljevanju ZASP); pravico distribuiranja (24. čl. ZASP); pravico dajanja na voljo javnosti vključno z dajanjem na voljo javnosti prek svetovnega spleta oz. računalniške mreže (32.a čl. ZASP); pravico predelave, zlasti za namen prevoda (33. čl. ZASP). Prenos pravic velja za članek v celoti (vključno s slikami, razpredelnicami in morebitnimi prilogami). Prenos je izključen ter prostorsko in časovno neomejen.