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- ItemSomente MetadadadosConstrução e validação de um questionário de qualidade de vida da mulher no período menstrual(Universidade Federal de São Paulo (UNIFESP), 2021) Moraes, Patricia Albuquerque [UNIFESP]; Barbieri, Marcia [UNIFESP]; Universidade Federal de São PauloIntroduction Menstrual symptoms may impact significantly on women lives. It has been noticed a growing number of women interested in widening the time between periods or even in terminating them, claiming this change would enhance their life quality. Objectives: To develop an instrument to assess women life quality during their menstrual period, to assess psychometric properties and to gain knowledge that affect women life quality during such time. Method: Methodological research which, after literature review and carrying out of a focal group, guided the development of an instrument draft. Content validation occurred through a judges committee. After pre-test phase, a data gathering was initiated with 469 women who filled up a questionnaire on site, at the clinic of family planning from Federal University of São Paulo, from November 2019 to March 2020 or virtually, due to COVID-19 pandemics, through Google Forms platform. Results were made public on social media from June to July 2020. To assess the plausibility of this model to the data, confirmatory fator analysis was used. In addition, exploratory fator analysis was carried out in order to assess the dimensionality suggested by the data using the method of main componentes and orthogonal rotation Varimax. Internal consistency was analyzed through Cronbach's alpha coefficient. On convergent validation, correlations among scores from women life quality questionnaire on menstrual time-window and WHOQOL-Bref dominions were analyzed through Spearman correlation. Averages among life quality on menstrual time-window were compared through Friedman non-parametric test. Results: Participating women average age in this study was 31 years old. Most was single (53,9%), having graduated from high school but not from college (42,2%), health professionals (30,3%) and students (22,2%). Confirmatory factorial analysis did not display a good fit against the original structure. An exploratory factorial analysis was conducted and, after excluding 23 items, the result was 14 factors that explained 69.6% of total data variance. Correlations between instrument scores and WHOQOL-Bref were positive and significant (<0.001). Cronbach alpha was shown adequate for 11 facets with values varying from 0.71 to 0.89. For the instrument total, it was excellent, with an alpha value of 0.91. Final version of this questionnaire was built from 42 items distributed in 11 facets which express women life quality in menstrual time-window. Concentration was the most affected life quality dimension with a 25.4 score, followed by body image and sexual activity. Conclusion: The woman’s quality of life questionnaire in the menstrual period show psychometric properties that translate themselves into a validated instrument which is both reliable and consistent. It collaborates toward the assistance of women health as an important tool.
- ItemRestritoEfeito da estimulação transcraniana por corrente contínua no controle homeostático e hedônico do apetite e estados de humor em mulheres com síndrome pré-menstrual nas diferentes das fases do ciclo menstrual(Universidade Federal de São Paulo, 2023-01-05) Lima, Fernanda Santos [UNIFESP]; Gonçalves, Daniela Caetano [UNIFESP]; Panissa, Valéria Leme Gonçalves [UNIFESP]; http://lattes.cnpq.br/2597891356747368; http://lattes.cnpq.br/5735514073305152; https://lattes.cnpq.br/7216153580897329; Universidade Federal de São Paulo (UNIFESP)Objetivo: Este estudo investigou o efeito agudo da estimulação anódica transcraniana por corrente direta (a-tDCS) sobre o córtex pré-frontal dorsolateral esquerdo (DLPFC) sobre o apetite, mudanças na ingestão de energia, preferências alimentares e estado de humor nas fases lútea e folicular do ciclo menstrual em mulheres com síndrome pré-menstrual. Métodos: Dezesseis mulheres (26,5 ± 5,2 anos; 1,63 ± 0,1 m; 64,2 ± 12,8 kg; índice de massa corporal 24,0 ± 5,0 kg/m2; gordura corporal 27,6 ± 7,5%) com ciclo menstrual eumenorreico foram submetidas a a-ETCC e placebo -tDCS condições sobre suas fases folicular e lútea. No pré e pós-ETCC foram avaliados a fome e o desejo de comer algo saboroso (escala visual analógica), o perfil de estados de humor (POMS) e a preferência alimentar (Leeds Food Preference Questionnaire-BR). Os participantes registraram sua ingestão de alimentos para o resto do dia usando um registro diário. Resultados: houve um efeito principal da intervenção na fome autorreferida, desejo de comer gostoso e no gosto explícito por alimentos salgados com baixo teor de gordura, com valores mais baixos observados para a-ETCC (vs. sham-ETCC) independentemente da fase do ciclo menstrual e medição do ponto de tempo; a tensão diminuiu de pré para pós-ETCC independentemente da fase do ciclo menstrual. Houve valores mais altos na fase lútea em comparação com a fase folicular no gosto explícito por alimentos salgados com baixo teor de gordura, perturbação total do humor, depressão e estados de raiva, independentemente da condição e medição do ponto de tempo. Conclusões: a-ETCC reduziu a tensão em mulheres com síndrome pré-menstrual em ambas as fases do ciclo menstrual, enquanto as variáveis relacionadas ao apetite não foram afetadas.
- ItemSomente MetadadadosIs muscular strength balance influenced by menstrual cycle in female soccer players?(Edizioni Minerva Medica, 2017) Andrade, Marlia dos Santos [UNIFESP]; Mascarin, Naryana C. [UNIFESP]; Foster, Roberta [UNIFESP]; de Jarmy di Bella, Zsuzsanna I. [UNIFESP]; Vancini, Rodrigo L.; Barbosa de Lira, Claudio A.BACKGROUND: Muscular strength imbalance is an important risk factor for ACL injury, but it is not clear the impact of menstrual cycle on muscular strength balance. Our aims were to compare muscular balance (hamstring-to-quadriceps peak torque strength balance ratio) between luteal and follicular phases and compare gender differences relative to strength balance to observe possible fluctuations in strength balance ratio. METHODS: Thirty-eight soccer athletes (26 women and 12 men) took part in this study. Athletes participated in two identical isokinetic strength evaluations for both knee (non-dominant [ND] and dominant [D]). Peak torque for quadriceps and hamstring muscles were measured in concentric mode and hamstring-to-quadriceps peak torque strength balance ratio calculated. RESULTS: Women had significantly lower hamstring-to-quadriceps peak torque strength balance ratio during the follicular compared to luteal phase, for the ND limb (P=0.011). However, no differences, between luteal and follicular phases, were observed in the D limb. In men, no difference in strength balance ratios was found between the ND and D limbs. CONCLUSIONS: These data may be useful in prevention programs for knee (ACL) injuries among soccer female athletes.