| 摘要: |
| 目的研究体力活动对围绝经期女性更年期综合征的影响。方法2013年8月至2014年8月通过院内调查及社会调查两种模式共调查杭州市余杭区472例围绝经期女性，调查资料完整者401例，其中符合纳入标准者223例，通过问卷形式收集患者一般情况（包括年龄、身高、体重、吸烟饮酒情况、生育情况等）、更年期综合征症状、体力活动强度。分析患者体力活动与更年期综合征的关系。结果在文化水平、初次月经、年龄等方面，轻、中、重体力活动组之间无统计学差异（均P＞0.05）；轻度体力活动组BMI＞25的比例为26.5%，吸烟比例为32.5%，饮酒比例为27.7%，均高于中、重度体力活动组的相应比例（均P＜0.05）。轻度及重度体力活动组血管舒缩分值高于中度体力活动组（P＜0.05），但轻度体力活动组与重度体力活动组比较差异无统计学意义（P＞0.05），在心理社会、性生活、生理状态上，轻度体力活动组分值均高于中度及重度体力活动组，差异均有统计学意义（均P＜0.05），中度体力活动组与重度体力活动组间比较均无统计学差异（均P＞0.05）。采用多元logistic回归分析绝经期生存质量状况与体力活动的关系，在校正BMI、文化水平、吸烟、饮酒、初次月经、婚姻状况、生育情况、工作状态、年龄等因素后，血管舒缩症状在中度体力活动组症状轻于轻度及重度体力活动组（P＜0.05），重度体力活动组与轻度体力活动组无统计学统计学意义（P＞0.05）；心理社会、性生活及生理状态症状，中度及重度体力活动组症状均要轻于轻度体力组（P＜0.05），中度与重度体力活动组间比较无统计学意义（P＞0.05）。结论体力活动的增加对围绝经期女性是潜在有意义的替代治疗方法，尤其是中度的体力活动可以在一定程度上预防或改善更年期综合征症状。 |
| 关键词: 更年期综合征 体力活动 围绝经期 |
| DOI： |
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| Effect of physical activity on menopausal symptoms in perimenopausal women |
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Sun Huier, Weng Qing, Lv Xianglin
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Yuhang District First People's Hospital
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| Abstract: |
| Objective To study the effect of physical activity on menopausal symptoms in perimenopausal women. Methods Total 472 perimenopausal women received a questionnaire survey from August 2013 to August 2014, among who 223 participants met the inclusion criteria. In the eligible participants, the mean age was 50.1 years (45 ~ 55 years) , the mean menarche age13.4 years (12~16 years) . The items in questionnaire included age, height, weight, smoking, drinking, fertility, menopausal symptoms and physical activity intensity. The relationship between physical activity and menopausal symptoms was analyzed. Results There were no significant differences in educational level, first menstruation, age, fertility, marital status among light, moderate and heavy physical activity groups (P ＞0.05). In light physical activity groups, the rate of BMI ＞25 was 26.5%, smoking rate was 32.5%, drinking rate was 27.7%, which were higher than those in moderate and heavy physical activity groups
(P＜0.05). In the light and heavy physical activity groups, the vasomotor score was higher than that in moderate physical activity group (P ＜0.05), but there was no significant difference between heavy and light physical activity groups (P ＞0.05). The psychosocial, physical and sexual life scores in light physical activity group were higher than those in moderate and heavy physical activity group (P ＜0.05), there was no significant difference between heavy and moderate physical activity groups. Multivariate logistic regression showed that moderate physical activity was associated with lower vasomotor symptoms after the adjustment of body mass index, educational level, smoking, drinking, menarche age, marital status, fertility, work status and age (P＜0.05); while moderate and severe physical activity was associated with lower psychosocial, physical and sexual symptoms (P＜0.05). Conclusion The moderate physical activity can prevent or improve menopausal symptoms in perimenopausal women. |
| Key words: Menopausal symptoms Physical activity Perimenopausal |
