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Title: Associations between the impact of menopausal symptoms and fall-related self-efficacy
Authors: Espírito Santo, João
Hita-Contreras, Fidel
Loureiro, Nuno Eduardo Marques
Loureiro, Vânia Brandão
Aibar-Almazán, Agustín
Carcelén-Fraile, María del Carmen
Ortiz-Quesada, Raúl
Keywords: Balance confidence
Fear of falling
Menopausal symptoms
Postmenopausal women
Issue Date: 2023
Publisher: Wolters Kluwer
Citation: Espírito Santo, J., Hita-Contreras, F., Loureiro, N., Loureiro, V., Aibar-Almazán, A., Carcelén-Fraile, M., & Ortiz-Quesada, R. (2023). Associations between the impact of menopausal symptoms and fall-related self-efficacy. Menopause, 30(4), 421-426.
Abstract: Objective: To analyze the association between the severity of menopausal symptoms and two important fall risk factors, namely balance confidence and fear of falling, among Portuguese and Spanish postmenopausal women 65 years or older. Methods: A cross-sectional, observational study was conducted on 363 women (66.21 ± 9.00 y) from several Portuguese and Spanish locations. The Menopause Rating Scalewas used to evaluate the severity of menopausal symptoms, while the Falls Efficacy Scale-International and Activities-specific Balance Confidence Scale-16 items were used to assess balance confidence and fearoffalling, respectively. Anxiety and depression (evaluated by the Hospital Anxiety and Depression Scale), age, time since the onset of menopause, bodymassindex,historyoffalls, osteoporosis, smoking habit, physical activity level, and nocturia were considered as potential confounders. Independent associations were analyzed after adjusting for potential confounding variables. Student's t test, bivariate correlations, and multivariate linear regression analysis were performed. Results: A total of 363 women (66.21 ± 9.00 y) participated in the study, 192 from Portugal and 171 from Spain. Linear regression analysis indicates that more severe menopausal symptoms ata somatovegetative level(beta coefficient [β]=−0.25;95%confidenceinterval[95%CI],−2.09to−0.81;P=<0.001),ahigherbodymassindex(β=−0.16;95% CI, −1.22 to −0.22; P = 0.005), and osteoporosis (β = 0.14; 95% CI, 1.36 to 10.08; P = 0.010) were associated with lower balance confidence values. On the other hand, a higher score in the Menopause Rating Scale somatovegetative domain (β = 0.22; 95% CI, 0.27–0.79; P =<0.001),depression(β = 0.36; 95% CI, 0.59-1.08; P =<0.001),andyears after the menopause onset (β = 0.15; 95% CI, 0.04-0.22; P = 0.006) were linked to increased fear of falling. Conclusions: The findings of our study show that, after taking into account possible confounders, increased severity of menopausal symptoms at a somatic level was associated with heightened fear of falling and diminished balance confidence.
Peer reviewed: yes
ISSN: 1530-0374
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Appears in Collections:D-AHD - Artigos em revistas indexadas à WoS/Scopus

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