Evaluation of sleep disorders, falls and fractures in women in menopausal transition period, menopause and climacteric
Menopause is a complex period, characterized by the definitive cessation of the fertile period with amenorrhea of, at least, one year; the climacteric includes from premenopause to menopause. All of which, impacts health through various clinical manifestations and comorbidities. General aim...
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| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2023
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/42637 |
| Aporte de: |
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I10-R327-article-42637 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
Osteoporosis Menopause Falls Sleep disorders Menopausia Caídas trastornos del sueño Osteoporosis . |
| spellingShingle |
Osteoporosis Menopause Falls Sleep disorders Menopausia Caídas trastornos del sueño Osteoporosis . Sainz Tríbolo , JM Cólica , R Cazaux , A Salica, D Evaluation of sleep disorders, falls and fractures in women in menopausal transition period, menopause and climacteric |
| topic_facet |
Osteoporosis Menopause Falls Sleep disorders Menopausia Caídas trastornos del sueño Osteoporosis . |
| author |
Sainz Tríbolo , JM Cólica , R Cazaux , A Salica, D |
| author_facet |
Sainz Tríbolo , JM Cólica , R Cazaux , A Salica, D |
| author_sort |
Sainz Tríbolo , JM |
| title |
Evaluation of sleep disorders, falls and fractures in women in menopausal transition period, menopause and climacteric |
| title_short |
Evaluation of sleep disorders, falls and fractures in women in menopausal transition period, menopause and climacteric |
| title_full |
Evaluation of sleep disorders, falls and fractures in women in menopausal transition period, menopause and climacteric |
| title_fullStr |
Evaluation of sleep disorders, falls and fractures in women in menopausal transition period, menopause and climacteric |
| title_full_unstemmed |
Evaluation of sleep disorders, falls and fractures in women in menopausal transition period, menopause and climacteric |
| title_sort |
evaluation of sleep disorders, falls and fractures in women in menopausal transition period, menopause and climacteric |
| description |
Menopause is a complex period, characterized by the definitive cessation of the fertile period with amenorrhea of, at least, one year; the climacteric includes from premenopause to menopause. All of which, impacts health through various clinical manifestations and comorbidities. General aims: To evaluate women in premenopause, menopause and climacteric: sleep disturbances, falls in standing position and fracture risk. Specific aims: To study medical background and previous bone fractures.
Descriptive, analytical, correlational cross-sectional study. The sampling was non-probabilistic and for convenience. FRAX index (fracture risk) and Pittsburgh (sleep quality) were used. Project approved by CIEIS. Inclusion criteria: women from 36 to 69 years old, who consult the APS Dispensario de Alta Gracia and Consultorios Externos of Clínica Médica of Sanatorio Alta Gracia. Exclusion criteria: women with cognitive disorders; women with secondary osteoporosis on corticosteroids; pregnant women.
Sample made up of 101 women, average age: 51,1 years old, menopausic 57,8 %; average age of menopause 47,8 years old. Of the total amount: 45,5% were “bad sleepers; 37,8% presented falls and 5,9% with hip fracture risk. The relationship between FRAX for hip fracture with other background, showed significant positive associations with: current age (p=<0,0001); menopause (p=<0,0001); delta menopause (p=<0,001); statins (p=<0,009); cough/nocturnal snoring (p=<0,05); previous fracture (p=<0,0001) and the following significant negative associations: HTA(p=<0,042); antihypertensive(p=<0,021).
In this group of women, it was evidenced that one in two women was a “bad sleeper” and more than half of them were postmenopausal. It was shown that 45,5% of “bad sleepers”; 37,8% day time falls from a standing position; 19,8 % previous bone fractures in all women; increased risk of hip fractures in >60 years old. FRAX for hip fracture was significantly associated with background of current age; menopause, previous fracture and cough/nocturnal snoring. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2023 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/42637 |
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I10-R327-article-426372023-10-19T21:20:31Z Evaluation of sleep disorders, falls and fractures in women in menopausal transition period, menopause and climacteric Evaluación de trastornos del sueño, caídas y fracturas en mujeres en periodo de transición menopáusica, menopausia y climaterio . Sainz Tríbolo , JM Cólica , R Cazaux , A Salica, D Osteoporosis Menopause Falls Sleep disorders Menopausia Caídas trastornos del sueño Osteoporosis . Menopause is a complex period, characterized by the definitive cessation of the fertile period with amenorrhea of, at least, one year; the climacteric includes from premenopause to menopause. All of which, impacts health through various clinical manifestations and comorbidities. General aims: To evaluate women in premenopause, menopause and climacteric: sleep disturbances, falls in standing position and fracture risk. Specific aims: To study medical background and previous bone fractures. Descriptive, analytical, correlational cross-sectional study. The sampling was non-probabilistic and for convenience. FRAX index (fracture risk) and Pittsburgh (sleep quality) were used. Project approved by CIEIS. Inclusion criteria: women from 36 to 69 years old, who consult the APS Dispensario de Alta Gracia and Consultorios Externos of Clínica Médica of Sanatorio Alta Gracia. Exclusion criteria: women with cognitive disorders; women with secondary osteoporosis on corticosteroids; pregnant women. Sample made up of 101 women, average age: 51,1 years old, menopausic 57,8 %; average age of menopause 47,8 years old. Of the total amount: 45,5% were “bad sleepers; 37,8% presented falls and 5,9% with hip fracture risk. The relationship between FRAX for hip fracture with other background, showed significant positive associations with: current age (p=<0,0001); menopause (p=<0,0001); delta menopause (p=<0,001); statins (p=<0,009); cough/nocturnal snoring (p=<0,05); previous fracture (p=<0,0001) and the following significant negative associations: HTA(p=<0,042); antihypertensive(p=<0,021). In this group of women, it was evidenced that one in two women was a “bad sleeper” and more than half of them were postmenopausal. It was shown that 45,5% of “bad sleepers”; 37,8% day time falls from a standing position; 19,8 % previous bone fractures in all women; increased risk of hip fractures in >60 years old. FRAX for hip fracture was significantly associated with background of current age; menopause, previous fracture and cough/nocturnal snoring. La menopausia es un proceso complejo, caracterizado por cese definitivo del período fértil con amenorrea de un año mínimo; el climaterio comprende desde la premenopausia a 10 años posteriores a la menopausia. Todo lo cual impacta la salud, con variadas manifestaciones clínicas y comorbilidades. Objetivos generales: Evaluar en mujeres en premenopausia, menopausia y climaterio: alteraciones del sueño, caídas en posición de pie y riesgo fracturario. Objetivos específicos: Estudiar antecedentes clínicos y fracturas óseas previas. Estudio descriptivo, analítico, correlacional de corte transversal. El muestreo fue no probabilístico y por conveniencia. Se utilizaron los índices FRAX (riesgo fracturario) y Pittsburgh (calidad de sueño). Proyecto aprobado por CIEIS. Criterios de inclusión: Mujeres de 36 a 69 años que consulten al Dispensario APS de A.Gracia y consultorios externos de Clínica Médica y Ginecología del Sanatorio Alta Gracia. Criterios de exclusión: Mujeres con alteraciones cognitivas; mujeres con osteoporosis secundaria a corticoides; mujeres embarazadas. Muestra conformada por 101 mujeres, edad media: 51,1 años, menopáusicas 57,8%; edad media de menopausia 47,8 años. Del total: 45,5% resultaron “malas dormidoras”; 37,8% presentaron caídas y 5,9% con riesgo fracturario de cadera. La relación entre FRAX para fractura de cadera con otros antecedentes, presentó asociaciones significativas positivas con: edad actual (p=<0,0001); menopausia (p=<0,0001): delta de menopausia (p=<0,001); estatinas (p=<0,009); tos/ronquido nocturno (p=<0,05); fractura previa (p=<0,0001) y las siguientes asociaciones significativas negativas: HTA (p=<0,042); antihipertensivos (p=<0,021). En este grupo de mujeres se evidenció que: 1 de 2 mujeres, eran “mala dormidoras” y más de la mitad de ellas eran postmenopáusicas. Se demostró: 45,5% de “malas dormidoras”; 37,8% de caídas en posición de pie diurnas; 19,8% de fracturas óseas previas en todas las mujeres; incremento riesgo para fracturas de cadera en >60 años. El FRAX para fractura de cadera se asoció significativamente con antecedentes de edad actual; menopausia, fractura previa y tos/ronquido nocturno. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-10-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/42637 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 (2023): Suplemento JIC XXIV Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 (2023): Suplemento JIC XXIV Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 (2023): Suplemento JIC XXIV 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/42637/42769 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |