Examinando por Autor "Marques de Loureiro, Nuno Eduardo"
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Ítem Associations between the impact of menopausal symptoms and fall-related self-efficacy(Lippincott, 2023-04-01) Espírito-Santo, João; Marques de Loureiro, Nuno Eduardo; Brandão Loureiro, Vânia; Aibar-Almazán, Agustín; Hita-Contreras, FidelObjective: 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 aged ≥ 65 years. Methods: A cross-sectional, observational study was conducted on 363 women (66.21 ± 9.00 years) from several Portuguese and Spanish locations. The Menopause Rating Scale (MRS) was 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 fear of falling, respectively. Anxiety and depression (evaluated by the Hospital Anxiety and Depression Scale), age, time since the onset of menopause, body mass index (BMI), history of falls, 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 years) participated in the study, 192 from Portugal and 171 from Spain. Linear regression analysis indicates that more severe menopausal symptoms at a somato-vegetative level (beta coefficient (β) = -0.25; 95% confidence interval (95% CI):-2.09 to -0.81; p = <0.001), a higher BMI (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 MRS somato-vegetative domain (β = 0.22; 95% CI: 0.27 to 0.79; p = <0.001), depression (β = 0.36; 95% CI: 0.59 to 1.08; p = <0.001), and years after the menopause onset (β = 0.15; 95% CI: 0.04 to 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.Ítem IMPACTO DE LOS SÍNTOMAS DE LA MENOPAUSIA, DOLOR MUSCULOESQUELÉTICO Y FACTORES DE RIESGO DE CAÍDAS EN MUJERES POSTMENOPÁUSICAS PORTUGUESAS Y ESPAÑOLAS(Jaén : Universidad de Jaén, 2022-11-18) JACINTO DO ESPIRITO SANTO, JOAO CARLOS; Hita Contreras, Fidel María; Marques de Loureiro, Nuno Eduardo; Universidad de Jaén. Departamento de Ciencias de la SaludEsta tesis tuvo como objetivo realizar la validación de versión portuguesa del cuestionario MRS y estudiar las diferentes asociaciones entre la gravedad de los síntomas menopáusicos, el dolor musculoesquelético y el riesgo de caídas. La versión portuguesa del MRS mostró una validez y unas propiedades psicométricas adecuadas. También se encontró que un mayor impacto de los síntomas psicológicos relacionados con la menopausia fue un predictor significativo de un peor control postural, al igual que una mayor severidad de los síntomas somático-vegetativos se asoció con una menor confianza en el equilibrio y un mayor miedo a caer. En cuanto a las asociaciones entre el dolor musculoesquelético y la severidad de los síntomas menopáusicos, encontramos una asociación entre una mayor intensidad del dolor en la última semana y en el momento de la recolección de datos con la severidad de los síntomas menopáusicos.