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Previous issue date: 2015-11-10 / Introdu??o: O climat?rio ? caracterizado pelo esgotamento dos fol?culos ovarianos e pela queda progressiva dos n?veis de estradiol, que culminam com a interrup??o definitiva dos ciclos menstruais (menopausa). Em decorr?ncia do hipoestrogenismo, sintomas caracter?sticos como ondas de calor, sudorese noturna, secura vaginal, dispareunia, ins?nia, altera??es de humor e depress?o, podem ser observados. Ocorre tamb?m o enfraquecimento da musculatura do assoalho p?lvico (MAP), em consequ?ncia da progressiva atrofia m?sculo-aponeur?tica e conjuntiva com consequente deteriora??o da fun??o sexual. Objetivo: Avaliar a for?a da MAP, a fun??o sexual e a qualidade de vida de mulheres climat?ricas. Metodologia: Trata-se de estudo observacional, anal?tico, com desenho transversal. A amostra foi composta por 55 mulheres (35 na p?s-menopausa e 20 na perimenopausa), com faixa et?ria entre 40 e 65 anos, que foram avaliadas por meio do teste de for?a muscular e perineometria. Para a avalia??o da fun??o sexual e da qualidade de vida utilizou-se o Female Sexual Function Index (FSFI) e Utain Quality of Life (UQOL), respectivamente. Para an?lise estat?stica utilizou-se a correla??o de Pearson e an?lise multivariada. Resultados: A m?dia da idade foi de 52,78 (? 6,47 anos). Apresentaram disfun??o sexual 61,8% das participantes (43,62% da p?s-menopausa e 18,17% da perimenopausa). O teste de for?a muscular e o valor m?ximo da perineometria apresentaram uma mediana de 3,00 (Q25: 2 e Q75: 4) e 33,50 cmH20 (Q25: 33,5 e Q75: 46,6), respectivamente. N?o foi encontrada correla??o entre a fun??o sexual e a for?a muscular (r= 0,035; p= 0,802), assim como entre a fun??o sexual e perineometria (r = 0,126; p= 0,358). A m?dia do escore total do UQOL foi de 74,45 (? 12,23). Foi encontrada fraca correla??o positiva entre a fun??o sexual e a qualidade de vida (r= +0,422 p= 0,001). A an?lise multivariada identificou associa??o entre a fun??o sexual e as vari?veis: qualidade de vida, sintomatologia climat?rica, atividade f?sica e n?vel de escolaridade. Conclus?es: Esses resultados sugerem que a sintomatologia climat?rica, a qualidade de vida, a atividade f?sica e o n?vel de escolaridade se associam com a fun??o sexual em mulheres climat?ricas. Entretanto, o componente muscular da fun??o sexual ainda precisa ser mais investigado dentro desse contexto / Introduction: Menopause is characterized by the depletion of ovarian follicles and the gradual decline in estradiol levels, which ends with the definitive cessation of menstrual periods (menopause). As a result of hypoestrogenism, characteristic symptoms, such as hot flashes, night sweats, vaginal dryness, dyspareunia, insomnia, mood swings and depression can be observed. There is also the weakening of the pelvic floor muscles (MAP) as a result of progressive muscle-aponeurotic and connective atrophy with consequent decreased sexual function. Objective: To evaluate the strength of MAP, sexual function and quality of life of menopausal women. Methodology: This is an observational, analytical, cross-sectional design. The sample consisted of 55 women (35 postmenopausal and 20 perimenopausal), aged between 40 and 65, who were assessed by muscle strength and perineometry test. For the assessment of sexual function and quality of life, used the Female Sexual Function Index (FSFI) and Utian Quality of Life (UQOL), respectively. Statistical analysis was performed using Pearson's correlation and multivariate analysis. Results: The mean age was 52.78 (? 6.47 years). Sexual dysfunction presented, 61.8% of participants (43.62% of postmenopausal and perimenopausal 18.17%). Muscle strength test and the maximum perineometry had a median of 3.00 (Q25: 2 e Q75: 4) and 33,50 cmH20 (Q25: 33,5 e Q75: 46,6), respectively. No correlation was found between sexual function and muscle strength (r = 0.035; p = 0.802) and between sexual function and perineometry (r = 0.126; p = 0.358). The mean total score of UQOL was 74.45 (? 12.23). Weak positive correlation was found between sexual function and quality of life (r = +0.422 p = 0.001). Multivariate analysis identified associations between sexual function and variables: quality of life, climacteric symptoms, physical activity and education level. Conclusions: These results suggest that the climacteric symptoms, quality of life, physical activity and level of education are associated with sexual function in menopausal women. However, the muscular component of sexual function needs to be further investigated in this context.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/20818 |
| Date | 10 November 2015 |
| Creators | Torres, Vanessa Braga |
| Contributors | 35887044420, http://lattes.cnpq.br/2081849934383112, Costa, Karla Veruska Marques Cavalcante da, 02706590483, http://lattes.cnpq.br/1142023017602694, Micussi, Maria Thereza Albuquerque Barbosa Cabral, 04566613445, http://lattes.cnpq.br/2360845979410206, Micussi, Maria Thereza Albuquerque Barbosa Cabral, Viana, Elizabel de Souza Ramalho |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM FISIOTERAPIA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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