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DOI: 10.1055/s-0044-1790229
A Descriptive Study to Assess the Unhealthy Lifestyle among Perimenopausal Women in a Selected Medical College Hospital, Mangaluru

Abstract
Introduction The perimenopausal phase, also known as the menopausal transition, marks a crucial period in a woman's life, characterized by hormonal fluctuations and physiological changes. During this transitory period, lifestyle factors are critical in influencing health outcomes. Lifestyle Appraisal focuses on identifying the lifestyle factors and habits that may affect a woman's health throughout the perimenopausal period.
Methods and Materials The objective of the study was to identify perimenopausal women with unhealthy lifestyle practices using a lifestyle appraisal questionnaire. The study used descriptive design to determine the unhealthy lifestyle among perimenopausal women in the age group of 45 to 55 years. A complete enumerative sampling was used to select the 148 participants who fulfilled the inclusion criteria. Every participant completed the self-reported lifestyle assessment questionnaire (LAQ), except for the questions where the researcher measured blood pressure, height, and weight (body mass index [BMI]) with standard protocol.
Results Unhealthy lifestyle habits persist in women. The average lifestyle appraisal score was 19.17 ± 6.88, ranging from 8 to 35. The higher the score, the unhealthy their lifestyle. The tool's highest possible score is 73. The majority of the subjects did not engage in regular exercise (43.9%), recreational activities (62.8%), or relaxation exercises (81.1%). A substantial number (54.1%) of women had encountered one to two stressful events in the last 6 months, with friends and family occasionally available for support (64.7%). None of them received love and affection every day, but rather on an occasional basis (69.6%). Most (81.1%) reported consuming meals with fruits and vegetables only two to three times a week, while fatty foods or sweets were ingested daily (60.1%). Furthermore, most (45.3%) participants were classified as overweight, with a BMI falling between 23 and 24.9.
Conclusion Simple screening methods can be used to evaluate health and lay the groundwork for understanding a person's lifestyle, which helps preserve and encourage a healthy way of life.
Keywords
unhealthy lifestyles - lifestyle appraisal - lifestyle practice - perimenopausal women - menopausal transitionNote
The authors assure that the manuscript has not been submitted to any other journal for publication. The Institutional Ethics Committee has approved this project (Protocol No.: YEC1/2020/037).
Publikationsverlauf
Artikel online veröffentlicht:
05. September 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 El Khoudary SR, Aggarwal B, Beckie TM. et al; American Heart Association Prevention Science Committee of the Council on Epidemiology and Prevention; and Council on Cardiovascular and Stroke Nursing. Menopause transition and cardiovascular disease risk: implications for timing of early prevention: a scientific statement from the American Heart Association. Circulation 2020; 142 (25) e506-e532
- 2 Li Z, Guo JP, Huang L. Perimenopausal syndrome and hypertension during perimenopause in South China: prevalence, relationships and risk factors. BMC Womens Health 2024; 24 (01) 215
- 3 D'Angelo S, Bevilacqua G, Hammond J, Zaballa E, Dennison EM, Walker-Bone K. Impact of menopausal symptoms on work: findings from women in the Health and Employment after Fifty (HEAF) Study. Int J Environ Res Public Health 2022; 20 (01) 295
- 4 Akinyemiju T, Ogunsina K, Okwali M, Sakhuja S, Braithwaite D. Lifecourse socioeconomic status and cancer-related risk factors: analysis of the WHO study on global ageing and adult health (SAGE). Int J Cancer 2017; 140 (04) 777-787
- 5 Coll-Risco I, de la Flor Alemany M, Acosta-Manzano P. et al. The influence of an exercise program in middle-aged women on dietary habits. The FLAMENCO project. Menopause 2022; 29 (12) 1416-1422
- 6 Marlatt KL, Redman LM, Beyl RA. et al. Racial differences in body composition and cardiometabolic risk during the menopause transition: a prospective, observational cohort study. Am J Obstet Gynecol 2020; 222 (04) 365.e1-365.e18
- 7 Soto-Rodríguez A, Leirós-Rodríguez R, García-Soidán JL, García-Liñeira J. Relationship between cardiovascular parameters and body mass index in perimenopausal women. Int. J. Med. Surg. Sci. 2021; 8 (02) 1-3
- 8 He L, Fan B, Li C, Qu Y, Liu Y, Zhang T. Association between body mass index and diabetes mellitus are mediated through endogenous serum sex hormones among menopause transition women: a longitudinal cohort study. Int J Environ Res Public Health 2023; 20 (03) 1831
- 9 Kamińska MS, Schneider-Matyka D, Rachubińska K, Panczyk M, Grochans E, Cybulska AM. Menopause predisposes women to increased risk of cardiovascular disease. J Clin Med 2023; 12 (22) 7058
- 10 Cortés YI, Berry DC, Perreira KM. et al. A multi-component, community-engaged intervention to reduce cardiovascular disease risk in perimenopausal Latinas: pilot study protocol. Pilot Feasibility Stud 2021; 7 (01) 10
- 11 Anand N, Pradeep Y, Srivastava A. Breast cancer screening in perimenopausal women. J Midlife Health 2022; 13 (04) 322-324
- 12 Alswat KA. Gender disparities in osteoporosis. J Clin Med Res 2017; 9 (05) 382-387
- 13 Kaminsky LA, German C, Imboden M, Ozemek C, Peterman JE, Brubaker PH. The importance of healthy lifestyle behaviors in the prevention of cardiovascular disease. Prog Cardiovasc Dis 2022; 70: 8-15
- 14 Ruban LA, Putiatina HM, Hant OY. et al. Efficacy of recreational physical activity for perimenopausal women with hypertension onset. Wiad Lek 2022; 75 (02) 499-503
- 15 Osborne MT, Shin LM, Mehta NN, Pitman RK, Fayad ZA, Tawakol A. Disentangling the links between psychosocial stress and cardiovascular disease. Circ Cardiovasc Imaging 2020; 13 (08) e010931
- 16 Enggune M, Purba E, Kakumboti SN. The anxiety of perimenopause women in facing menopause. J Matern Care Reprod Health. 2019; 2 (01)
- 17 Tandon VR, Sharma S, Mahajan A, Mahajan A, Tandon A. Menopause and sleep disorders. J Midlife Health 2022; 13 (01) 26-33
- 18 Baker FC, Lampio L, Saaresranta T, Polo-Kantola P. Sleep and sleep disorders in the menopausal transition. Sleep Med Clin 2018; 13 (03) 443-456
- 19 Arthur R, Kirsh VA, Rohan TE. Associations of coffee, tea and caffeine intake with risk of breast, endometrial and ovarian cancer among Canadian women. Cancer Epidemiol 2018; 56: 75-82
- 20 Double trouble: Tobacco and alcohol combine to elevate cancer risk [Internet]. City of Hope; 2023. Accessed January 10, 2024 at: https://www.cancercenter.com/community/blog/2023/07/smoking-and-drinking-raise-cancer-risk
- 21 Chiu HH, Tsao LI, Liu CY, Lu YY, Shih WM, Wang PH. Using a short questionnaire of the perimenopausal fatigue scale to evaluate perimenopausal women prone to fatigue syndrome. Taiwan J Obstet Gynecol 2021; 60 (04) 734-738
- 22 Chiu HH, Tsao LI, Lin MH. Suffering exhausted life like burning at both ends of a candle-women with menopausal fatigue. Int J Stud Nurs 2020; 5 (01) 95
- 23 Silva TR, Oppermann K, Reis FM, Spritzer PM. Nutrition in menopausal women: a narrative review. Nutrients 2021; 13 (07) 2149
- 24 Hong SA, Kim MK. Relationship between fruit and vegetable intake and the risk of metabolic syndrome and its disorders in Korean women according to menopausal status. Asia Pac J Clin Nutr 2017; 26 (03) 514-523
- 25 Hu D, Cheng L, Jiang W. Fruit and vegetable consumption and the risk of postmenopausal osteoporosis: a meta-analysis of observational studies. Food Funct 2018; 9 (05) 2607-2616
- 26 Laudisio D, Barrea L, Muscogiuri G, Annunziata G, Colao A, Savastano S. Breast cancer prevention in premenopausal women: role of the Mediterranean diet and its components. Nutr Res Rev 2020; 33 (01) 19-32
- 27 The sweet danger of sugar [Internet]. Harvard Health Publishing. Accessed January 12, 2024 at: https://www.health.harvard.edu/heart-health/the-sweet-danger-of-sugar
- 28 Wang L, Wang H, Zhang B, Popkin BM, Du S. Elevated fat intake increases body weight and the risk of overweight and obesity among Chinese adults: 1991-2015 trends. Nutrients 2020; 12 (11) 3272
- 29 Troìa L, Martone S, Morgante G, Luisi S. Management of perimenopause disorders: hormonal treatment. Gynecol Endocrinol 2021; 37 (03) 195-200
- 30 Sarkar C, Bandyopadhyay L, Das R, Banerjee A, Bag NI, Maity S. Assessment of cardiovascular disease risk among perimenopausal women: a cross-sectional study in a rural area of West Bengal. Healthline (Bhavnagar) 2022; 13 (04) 334-342
- 31 Lambrinoudaki I, Armeni E. Understanding of and clinical approach to cardiometabolic transition at the menopause. Climacteric 2024; 27 (01) 68-74
- 32 Alotaibi S, Yakout S, Moawad S. Knowledge and health promoting lifestyle behaviors about menopause among perimenopausal female teachers. J Nurs Educ Pract 2019; 9 (06) 113
- 33 Craig A, Hancock K, Craig M. The lifestyle appraisal questionnaire: a comprehensive assessment of health and stress. Psychol Health 1996; 11 (03) 331-343
- 34 Szoeke C, Dang C, Lehert P. et al. Unhealthy habits persist: the ongoing presence of modifiable risk factors for disease in women. PLoS One 2017; 12 (04) e0173603
- 35 Mishra VK, Srivastava S, Muhammad T, Murthy PV. Relationship between tobacco use, alcohol consumption and non-communicable diseases among women in India: evidence from National Family Health Survey-2015-16. BMC Public Health 2022; 22 (01) 713
- 36 Virtanen I, Polo-Kantola P, Turpeinen U, Hämäläinen E, Kalleinen N. Effect of external sleep disturbance on sleep architecture in perimenopausal and postmenopausal women. Climacteric 2023; 26 (02) 103-109
- 37 Hwang JH, Lee K, Choi E. et al. Sleep quality and associated factors in premenopausal, perimenopausal, and postmenopausal women in Korea: findings from the K-Stori 2016. Nat Sci Sleep 2021; 13: 1137-1145
- 38 Carcelén-Fraile MDC, Aibar-Almazán A, Martínez-Amat A. et al. Effects of physical exercise on sexual function and quality of sexual life related to menopausal symptoms in peri- and postmenopausal women: a systematic review. Int J Environ Res Public Health 2020; 17 (08) 2680
- 39 Bull FC, Al-Ansari SS, Biddle S. et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med 2020; 54 (24) 1451-1462
- 40 Rhodes RE, Janssen I, Bredin SSD, Warburton DER, Bauman A. Physical activity: Health impact, prevalence, correlates and interventions. Psychol Health 2017; 32 (08) 942-975
- 41 Lounassalo I, Salin K, Kankaanpää A. et al. Distinct trajectories of physical activity and related factors during the life course in the general population: a systematic review. BMC Public Health 2019; 19 (01) 271
- 42 Syauqy A, Noer ER, Fajrani AM. et al. Dietary patterns were associated with obesity parameters among healthy women. J.NutriColl. 2020; 9 (04) 273-278
- 43 Kuck MJ, Hogervorst E. Stress, depression, and anxiety: psychological complaints across menopausal stages. Front Psychiatry 2024; 15: 1323743
- 44 Jabbar J, Al Masri AH, Oweidat FA. et al. Family history of diabetes, hypertension, obesity and cardiovascular diseases in relation to self-health-care. Int J Community Med Public Health 2023; 10: 919-923
- 45 Tasić T, Tadić M, Lozić M. Hypertension in women. Front Cardiovasc Med 2022; 9: 905504
- 46 Sand AS, Emaus N, Lian O. Overweight and obesity in young adult women: a matter of health or appearance? The Tromsø study: fit futures. Int J Qual Stud Health Well-being 2015; 10 (01) 29026
- 47 Manoharan MP, Raja R, Jamil A. et al. Obesity and coronary artery disease: an updated systematic review 2022. Cureus 2022; 14 (09) e29480
- 48 Verma A, Malhotra A, Ranjan P. et al. A comprehensive evaluation of predictors of obesity in women during the perimenopausal period: a systematic review and narrative synthesis. Diabetes Metab Syndr 2024; 18 (01) 102933
- 49 Alageel S, Alhujaili M, Altwaijri Y, Bilal L, Alsukait R. Barriers and facilitators to adopting healthier lifestyle among low-income women in Saudi Arabia: a qualitative study. Health Expect 2023; 26 (03) 1202-1212
- 50 Darviri C, Alexopoulos EC, Artemiadis AK. et al. The Healthy Lifestyle and Personal Control Questionnaire (HLPCQ): a novel tool for assessing self-empowerment through a constellation of daily activities. BMC Public Health 2014; 14: 995