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Associations between the impact of menopausal symptoms and fall-related self-efficacy

dc.contributor.authorEspírito Santo, João
dc.contributor.authorMarques de Loureiro, Nuno Eduardo
dc.contributor.authorBrandão Loureiro, Vânia
dc.contributor.authorAibar-Almazán, Agustín
dc.contributor.authorHita-Contreras, Fidel
dc.date.accessioned2025-01-15T09:05:13Z
dc.date.available2025-01-15T09:05:13Z
dc.date.issued2023-04-01
dc.description.abstractObjective: 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.es_ES
dc.description.sponsorshipThis study was performed under the project UP Again Senior (PNDPT - IPDJ - CP/532/DDT/2020).es_ES
dc.identifier.citationEspírito Santo J, Hita-Contreras F, Marques de Loureiro NE, Brandão Loureiro V, Aibar-Almazán A, Carcelén-Fraile MDC, Ortiz-Quesada R. Associations between the impact of menopausal symptoms and fall-related self-efficacy. Menopause. 2023 Apr 1;30(4):421-426. doi: 10.1097/GME.0000000000002151es_ES
dc.identifier.issn1530-0374es_ES
dc.identifier.otherhttps://doi.org/10.1097/gme.0000000000002151es_ES
dc.identifier.urihttps://hdl.handle.net/10953/3948
dc.language.isoenges_ES
dc.publisherLippincottes_ES
dc.relation.ispartofMenopause 2023;30(4):421-426es_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses_ES
dc.subjectMenopausal symptomses_ES
dc.subjectFear of fallinges_ES
dc.subjectSelf-efficacyes_ES
dc.subjectBalance confidencees_ES
dc.subjectPostmenopausal womenes_ES
dc.titleAssociations between the impact of menopausal symptoms and fall-related self-efficacyes_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.type.versioninfo:eu-repo/semantics/acceptedVersiones_ES

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