Research Article
BibTex RIS Cite
Year 2025, Volume: 11 Issue: 2, 296 - 303
https://doi.org/10.18621/eurj.1603630

Abstract

References

  • 1. Australasian Menopause Society (AMS). What is menopause? Available at: https://www.menopause.org.au/hp/information-sheets/185-what-ismenopause. Accessed November 18, 2024.
  • 2. North American Menopause Society (NAMS). Menopause 101: A primer for the perimenopausal. Available at: https://www.menopause.org/forwomen/menopauseflashes/menopause-symptoms-and-treatments/menopause-101-a-primer-for-theperimenopausal. Accessed 18 August 2024.
  • 3. El Khoudary SR, Greendale G, Crawford SL, et al. The menopause transition and women's health at midlife: a progress report from the Study of Women's Health Across the Nation (SWAN). Menopause. 2019;26(10):1213-1227. doi: 10.1097/GME.0000000000001424.
  • 4. Dugan SA, Powell LH, Kravitz HM, Rose SAE, Karavolos K, Luborsky J. Musculoskeletal pain and menopausal status. Clin J Pain. 2006;22(4):325-331. doi: 10.1097/01.ajp.0000208249.07949.d5.
  • 5. Khadilkar SS. Musculoskeletal disorders and menopause. J Obstet Gynaecol India. 2019;69(2):99-103. doi: 10.1007/s13224-019-01213-7.
  • 6. Lu CB, Liu PF, Zhou YS, et al. Musculoskeletal pain during the menopausal transition: A systematic review and meta‐analysis. Neural Plast. 2020;2020:8842110. doi: 10.1155/2020/8842110.
  • 7. Correa J, Cunha FA, Pires TH, Giani T, Ferreira MA, Dantas E. Effects of distinct physical activity and meditation programs on quality of life and depression levels in active elderly women. Eur J Hum Mov. 2009;23:1-13.
  • 8. Özsoy D, Biçer T. Examination of life satisfaction in youth and sports volunteers. Pak J Med Health Sci. 2022;16(6):511-511. doi: 10.53350/pjmhs22166511.
  • 9. Blümel JE, Arteaga E. Clinical Symptoms and Quality of Life: Insomnia and Muscle/Joint Aches. In: Antonio C, editors. Menopause: A Comprehensive Approach. Berlin: Springer; 2017. p. 79-90.
  • 10. Frange C, Hachul H, Hirotsu C, Tufik S, Andersen ML. Insomnia with musculoskeletal pain in postmenopause: associations with symptoms, mood, and quality of life. J Menopausal Med. 2018;24(1):17-28. doi: 10.6118/jmm.2018.24.1.17.
  • 11. Fu JX, Luo Y, Chen MZ, et al. Associations among menopausal status, menopausal symptoms, and depressive symptoms in midlife women in Hunan Province, China. Climacteric. 2020;23(3):259-266. doi: 10.1080/13697137.2019.1703936
  • 12. Ye L, Knox B, Hickey M. Management of Menopause Symptoms and Quality of Life during the Menopause Transition. Endocrinol Metab Clin North Am. 2022;51(4):817-836. doi: 10.1016/j.ecl.2022.04.006.
  • 13. Silva P, Novais C, Botelho-Gomes P, Carvalho J. Body’s perceptions of elderly women in a physical activity program. Eur J Hum Mov. 2011;26:55-64.
  • 14. Ju M, Zhang Z, Tao X, Lin Y, Gao L, Yu W. The impact of Pilates exercise for depression symptoms in female patients: A systematic review and meta-analysis. Med. 2023;102(41):e35419. doi: 10.1097/MD.0000000000035419.
  • 15. Aksel KO, Unver B. Ab0128 Evaluation of the methodological quality of randomized controlled trials investigating the pilates method for fibromyalgia. Annals Rheum Dis. 2024;83(Suppl 1):1297-1298. doi: 10.1136/annrheumdis-2024-eular.3218.
  • 16. Wells C, Kolt GS, Marshall P, Hill B, Bialocerkowski A. The effectiveness of Pilates exercise in people with chronic low back pain: a systematic review. PLoS One. 2014;9(7):e100402. doi: 10.1371/journal.pone.0100402.
  • 17. Souza Cavina APD, Junior EP, Machado AF, et al. Effects of the mat pilates method on body composition: systematic review with meta-analysis. J Phys Act Health. 2020;17(6):673-681. doi: 10.1123/jpah.2019-0171.
  • 18. Aibar-Almazán A, Hita-Contreras F, Cruz-Díaz D, de la Torre-Cruz M, Jiménez-García JD, Martínez-Amat A. Effects of Pilates training on sleep quality, anxiety, depression and fatigue in postmenopausal women: A randomized controlled trial. Maturitas. 2019;124:62-67. doi: 10.1016/j.maturitas.2019.03.019.
  • 19. Farzaneh A, Koushkie Jahromi M, Salesi M, Rostami R. The Ameliorating impact of pilates training on anxiety and body mass index in menopausal symptoms. Women’s Health Bull. 2020;7(4):46-53. doi: 10.30476/whb.2020.88198.1084.
  • 20. Amaral S, Passaro ADC, Casarotto RA. Effect of the association of continuous shortwave diathermy and Pilates-based exercises on pain, depression, and anxiety in chronic non-specific low back pain: a randomized clinical trial. Braz J Med Biol Res 2023;56:e12338.
  • 21. Huang J, Park HY. Effect of pilates training on pain and disability in patients with chronic low back pain: a systematic review and meta-analysis based on randomized controlled trials. Phys Act Nutr. 2023;27(1):16-29. doi: 10.20463/pan.2023.0003.
  • 22. Jesus DXGD, Pacheco CDR, Rezende RM. The use of Pilates for pain control in patients with fibromyalgia. Fisioter Mov. 2022;35:e35204. doi: 10.1590/fm.2022.35204.
  • 23. Parveen A, Kalra S, Jain S. Effects of Pilates on health and well-being of women: a systematic review. Bull Fac Phys Ther. 2023;28:17. doi: 10.1186/s43161-023-00128-9.
  • 24. Vancini RL, Rayes ABR, Lira CABD, Sarro KJ, Andrade MS. Pilates and aerobic training improve levels of depression, anxiety and quality of life in overweight and obese individuals. Arq Neuropsiquiatr. 2017;75(12):850-857. doi: 10.1590/0004-282X20170149.
  • 25. Beck AT, Guth D, Steer RA, Ball R. Screening for major depression disorders in medical inpatients with the Beck Depression Inventory for Primary Care. Behav Res Ther. 1997;35(8):785-791. doi: 10.1016/S0005-7967(97)00025-9.
  • 26. Aktürk Z, Dağdeviren N, Ture M, Tuğlu C. [The reliability and validity analysis of the Turkish version of Beck Depression Inventory for primary care.] Türk Aile Hek Derg. 2005;9(3):117-122. [Article in Turkish]
  • 27. WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28(3):551-558. doi: 10.1017/S0033291798006667.
  • 28. Eser E, Fidaner H, Fidaner C, Eser SY, Elbi H, Göker E. [Psychometric properties of the WHOQOL-100 and WHOQOL-BREF]. 3P Dergisi.. 1999;7(Suppl 2):23-40. [Article in Turkish]
  • 29. Saldıran TÇ. [Predicted effects of gender, physical activity and quality of life in internet addiction: University student sample]. J Depend. 2021;22(1):10-19. doi: 10.51982/bagimli.784565. [Article in Turkish]
  • 30. Erdinc O, Hot K, Ozkaya M. Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: cross-cultural adaptation and validation. Work. 2011;39(3);251-260. doi: 10.3233/WOR-2011-1173.
  • 31. Taşpınar F, Taşpınar B, Aksoy CC. [Investigation of musculoskeletal discomforts in physiotherapy and rehabilitation students]. Journal of Exercise Therapy and Rehabilitation.. 2014;1(2):55-60. [Article in Turkish]
  • 32. Tabachnick BG, Fidell LS, Ullman JB. Using multivariate statistics. Boston, MA: Pearson; 2013.
  • 33. Büyüköztürk Ş. Manual of Data Analysis for Social Sciences (Turkish: Sosyal Bilimler için Veri Analizi El Kitabı). Ankara: Pegem Academy Publisher; 2011.
  • 34. Surve K, Suresh A, Flora J. A Literature review on effect of clinical mat pilates on health-related quality of life in menopausal women. EPRA Int J Multidiscip Res. 2024;10(5):869-878. doi: 10.36713/epra17182.
  • 35. Lee JM, Jo MS, Oh DJ. The effects of pilates on Body composition, Growth hormone, Insulin-like growth factor-1, Calcitonin, and Osteocalcin in middle-aged women after menopause. Korean J Sport Sci. 2023;32(5):699-710. doi: 10.35159/kjss.2023.10.32.5.699.
  • 36. Mohamed DM, Hussien AMN, Kamel HEDH, Awad DMK. Effect of Pilates exercises on fatigue in post-menopausal women. Bull Fac Phys Ther. 2023;28:31. doi: 10.1186/s43161-023-00140-z.
  • 37. Persaki DG, Nieri A, Apostolidis NG, Konstantinou E, Myrianthefs P. The Effect of Pilates on quality of sleep, aerobic capacity and anaerobic power in premenopausal women. Sleep Sci. 2024;17(1):e75-e81. doi: 10.1055/s-0043-1776742.
  • 38.Cazotti LDA, Natour J, Carvalho F, Pereira DF, Jones A. OP0089-HPR Pilates is better than walking for patients with fibromyalgia: a randomized controlled trial. Annals Rheum Dis. 2023;82(Suppl 1):61. doi: 10.1136/annrheumdis-2023-eular.3961.
  • 39. Lee HL, Caguicla JMC, Park S, et al. Effects of 8-week Pilates exercise program on menopausal symptoms and lumbar strength and flexibility in postmenopausal women. J Exerc Rehabil. 2016;12(3):247-251. doi: 10.12965/jer.1632630.315.
  • 40. Özdemir ÖÇ, Uysal MF. [The effect of pilates exercise on quality of life and depression in postmenopausal period]. ACU Sağlık Bil Derg. 2019;10(1):20-26. doi: 10.31067/0.2019.103. [Article in Turkish]
  • 41. Kabasakal SA. Postüral Bozukluklar ve Fiziksel Aktivite. In: Fiziksel Aktivite ve Sağlık. Hazar F, ed., 1. Baskı. EfeAkademi Yayınları: İstanbul. 2023: p.263.
  • 42. Denham‐Jones L, Gaskell L, Spence N, Pigott T. A systematic review of the effectiveness of Pilates on pain, disability, physical function, and quality of life in older adults with chronic musculoskeletal conditions. Musculoskelet Care. 2022;20(1):10-30. doi: 10.1002/msc.1563.
  • 43. Ravindran AK, Javed J, Parthiban R, Sherrif B. Effectiveness of aerobic exercise versus pilates in postmenopausal women with non-specific chronic low back pain. Indian J Physiother Occup Ther. 2022;16(2):1-8. doi: 10.37506/ijpot.v16i2.18026.
  • 44. Jahan A, Anwer Z. Effectiveness of pilates and range of motion excercises in improving mechanical pain and functional performance in neck pain. Int J Membrane Sci Techno. 2023;10(2):2023-2029. doi: 10.15379/ijmst.v10i2.2743.

The effects of a 6-week pilates exercises on quality of life, depression, and musculoskeletal disorders in menopausal women

Year 2025, Volume: 11 Issue: 2, 296 - 303
https://doi.org/10.18621/eurj.1603630

Abstract

Objectives: This study examines the impact of a 6-week Pilates intervention on quality of life, depression, and musculoskeletal disorders in menopausal women.

Methods: The sample comprised 13 menopausal women with a mean age of 59.45±11.52 years. Data collection was conducted using the World Health Organization Quality of Life-BREF (WHOQOL-BREF), the Beck Depression Inventory for Primary Care (BDI-PC), and the Cornell Musculoskeletal System Discomfort Questionnaire (CMSDQ). These instruments were administered at three intervals: baseline, following a 6-week non-intervention period, and after a subsequent 6-week Pilates program.

Results: Within the scope of the study findings, after 6 weeks of Pilates, there was a significant increase in the participants' quality of life scores in the physical and psychological health domains (p<0.05) and a significant decrease in the BDI-PC total score (p<0.05). However, no statistically significant difference was found in participants' quality of life scores in the social relations and environmental health domains and the CMSDQ total weighted score after 6 weeks of Pilates (p>0.05).

Conclusions: In conclusion, six weeks of Pilates exercises in menopausal women increases the quality of life within the framework of physical health and psychological health and reduces the depression level of these women. Therefore, to reduce the psychological problems that may occur in menopausal women and to improve their quality of life, they should be directed towards physical activities, especially Pilates. It is recommended to study the effect of Pilates performed for more than 6 weeks musculoskeletal disorders, environmental health and social relationships in this population.

Ethical Statement

Ethics committee permission for the study was received from Yalova University Ethics Committees Coordination on 01.10.2024 with protocol number 2024/227. Participants were informed about the study and filled out an informed consent form. Participants were included in the study on a voluntary basis. The current research is in accordance with the Declaration of Helsinki.

References

  • 1. Australasian Menopause Society (AMS). What is menopause? Available at: https://www.menopause.org.au/hp/information-sheets/185-what-ismenopause. Accessed November 18, 2024.
  • 2. North American Menopause Society (NAMS). Menopause 101: A primer for the perimenopausal. Available at: https://www.menopause.org/forwomen/menopauseflashes/menopause-symptoms-and-treatments/menopause-101-a-primer-for-theperimenopausal. Accessed 18 August 2024.
  • 3. El Khoudary SR, Greendale G, Crawford SL, et al. The menopause transition and women's health at midlife: a progress report from the Study of Women's Health Across the Nation (SWAN). Menopause. 2019;26(10):1213-1227. doi: 10.1097/GME.0000000000001424.
  • 4. Dugan SA, Powell LH, Kravitz HM, Rose SAE, Karavolos K, Luborsky J. Musculoskeletal pain and menopausal status. Clin J Pain. 2006;22(4):325-331. doi: 10.1097/01.ajp.0000208249.07949.d5.
  • 5. Khadilkar SS. Musculoskeletal disorders and menopause. J Obstet Gynaecol India. 2019;69(2):99-103. doi: 10.1007/s13224-019-01213-7.
  • 6. Lu CB, Liu PF, Zhou YS, et al. Musculoskeletal pain during the menopausal transition: A systematic review and meta‐analysis. Neural Plast. 2020;2020:8842110. doi: 10.1155/2020/8842110.
  • 7. Correa J, Cunha FA, Pires TH, Giani T, Ferreira MA, Dantas E. Effects of distinct physical activity and meditation programs on quality of life and depression levels in active elderly women. Eur J Hum Mov. 2009;23:1-13.
  • 8. Özsoy D, Biçer T. Examination of life satisfaction in youth and sports volunteers. Pak J Med Health Sci. 2022;16(6):511-511. doi: 10.53350/pjmhs22166511.
  • 9. Blümel JE, Arteaga E. Clinical Symptoms and Quality of Life: Insomnia and Muscle/Joint Aches. In: Antonio C, editors. Menopause: A Comprehensive Approach. Berlin: Springer; 2017. p. 79-90.
  • 10. Frange C, Hachul H, Hirotsu C, Tufik S, Andersen ML. Insomnia with musculoskeletal pain in postmenopause: associations with symptoms, mood, and quality of life. J Menopausal Med. 2018;24(1):17-28. doi: 10.6118/jmm.2018.24.1.17.
  • 11. Fu JX, Luo Y, Chen MZ, et al. Associations among menopausal status, menopausal symptoms, and depressive symptoms in midlife women in Hunan Province, China. Climacteric. 2020;23(3):259-266. doi: 10.1080/13697137.2019.1703936
  • 12. Ye L, Knox B, Hickey M. Management of Menopause Symptoms and Quality of Life during the Menopause Transition. Endocrinol Metab Clin North Am. 2022;51(4):817-836. doi: 10.1016/j.ecl.2022.04.006.
  • 13. Silva P, Novais C, Botelho-Gomes P, Carvalho J. Body’s perceptions of elderly women in a physical activity program. Eur J Hum Mov. 2011;26:55-64.
  • 14. Ju M, Zhang Z, Tao X, Lin Y, Gao L, Yu W. The impact of Pilates exercise for depression symptoms in female patients: A systematic review and meta-analysis. Med. 2023;102(41):e35419. doi: 10.1097/MD.0000000000035419.
  • 15. Aksel KO, Unver B. Ab0128 Evaluation of the methodological quality of randomized controlled trials investigating the pilates method for fibromyalgia. Annals Rheum Dis. 2024;83(Suppl 1):1297-1298. doi: 10.1136/annrheumdis-2024-eular.3218.
  • 16. Wells C, Kolt GS, Marshall P, Hill B, Bialocerkowski A. The effectiveness of Pilates exercise in people with chronic low back pain: a systematic review. PLoS One. 2014;9(7):e100402. doi: 10.1371/journal.pone.0100402.
  • 17. Souza Cavina APD, Junior EP, Machado AF, et al. Effects of the mat pilates method on body composition: systematic review with meta-analysis. J Phys Act Health. 2020;17(6):673-681. doi: 10.1123/jpah.2019-0171.
  • 18. Aibar-Almazán A, Hita-Contreras F, Cruz-Díaz D, de la Torre-Cruz M, Jiménez-García JD, Martínez-Amat A. Effects of Pilates training on sleep quality, anxiety, depression and fatigue in postmenopausal women: A randomized controlled trial. Maturitas. 2019;124:62-67. doi: 10.1016/j.maturitas.2019.03.019.
  • 19. Farzaneh A, Koushkie Jahromi M, Salesi M, Rostami R. The Ameliorating impact of pilates training on anxiety and body mass index in menopausal symptoms. Women’s Health Bull. 2020;7(4):46-53. doi: 10.30476/whb.2020.88198.1084.
  • 20. Amaral S, Passaro ADC, Casarotto RA. Effect of the association of continuous shortwave diathermy and Pilates-based exercises on pain, depression, and anxiety in chronic non-specific low back pain: a randomized clinical trial. Braz J Med Biol Res 2023;56:e12338.
  • 21. Huang J, Park HY. Effect of pilates training on pain and disability in patients with chronic low back pain: a systematic review and meta-analysis based on randomized controlled trials. Phys Act Nutr. 2023;27(1):16-29. doi: 10.20463/pan.2023.0003.
  • 22. Jesus DXGD, Pacheco CDR, Rezende RM. The use of Pilates for pain control in patients with fibromyalgia. Fisioter Mov. 2022;35:e35204. doi: 10.1590/fm.2022.35204.
  • 23. Parveen A, Kalra S, Jain S. Effects of Pilates on health and well-being of women: a systematic review. Bull Fac Phys Ther. 2023;28:17. doi: 10.1186/s43161-023-00128-9.
  • 24. Vancini RL, Rayes ABR, Lira CABD, Sarro KJ, Andrade MS. Pilates and aerobic training improve levels of depression, anxiety and quality of life in overweight and obese individuals. Arq Neuropsiquiatr. 2017;75(12):850-857. doi: 10.1590/0004-282X20170149.
  • 25. Beck AT, Guth D, Steer RA, Ball R. Screening for major depression disorders in medical inpatients with the Beck Depression Inventory for Primary Care. Behav Res Ther. 1997;35(8):785-791. doi: 10.1016/S0005-7967(97)00025-9.
  • 26. Aktürk Z, Dağdeviren N, Ture M, Tuğlu C. [The reliability and validity analysis of the Turkish version of Beck Depression Inventory for primary care.] Türk Aile Hek Derg. 2005;9(3):117-122. [Article in Turkish]
  • 27. WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28(3):551-558. doi: 10.1017/S0033291798006667.
  • 28. Eser E, Fidaner H, Fidaner C, Eser SY, Elbi H, Göker E. [Psychometric properties of the WHOQOL-100 and WHOQOL-BREF]. 3P Dergisi.. 1999;7(Suppl 2):23-40. [Article in Turkish]
  • 29. Saldıran TÇ. [Predicted effects of gender, physical activity and quality of life in internet addiction: University student sample]. J Depend. 2021;22(1):10-19. doi: 10.51982/bagimli.784565. [Article in Turkish]
  • 30. Erdinc O, Hot K, Ozkaya M. Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: cross-cultural adaptation and validation. Work. 2011;39(3);251-260. doi: 10.3233/WOR-2011-1173.
  • 31. Taşpınar F, Taşpınar B, Aksoy CC. [Investigation of musculoskeletal discomforts in physiotherapy and rehabilitation students]. Journal of Exercise Therapy and Rehabilitation.. 2014;1(2):55-60. [Article in Turkish]
  • 32. Tabachnick BG, Fidell LS, Ullman JB. Using multivariate statistics. Boston, MA: Pearson; 2013.
  • 33. Büyüköztürk Ş. Manual of Data Analysis for Social Sciences (Turkish: Sosyal Bilimler için Veri Analizi El Kitabı). Ankara: Pegem Academy Publisher; 2011.
  • 34. Surve K, Suresh A, Flora J. A Literature review on effect of clinical mat pilates on health-related quality of life in menopausal women. EPRA Int J Multidiscip Res. 2024;10(5):869-878. doi: 10.36713/epra17182.
  • 35. Lee JM, Jo MS, Oh DJ. The effects of pilates on Body composition, Growth hormone, Insulin-like growth factor-1, Calcitonin, and Osteocalcin in middle-aged women after menopause. Korean J Sport Sci. 2023;32(5):699-710. doi: 10.35159/kjss.2023.10.32.5.699.
  • 36. Mohamed DM, Hussien AMN, Kamel HEDH, Awad DMK. Effect of Pilates exercises on fatigue in post-menopausal women. Bull Fac Phys Ther. 2023;28:31. doi: 10.1186/s43161-023-00140-z.
  • 37. Persaki DG, Nieri A, Apostolidis NG, Konstantinou E, Myrianthefs P. The Effect of Pilates on quality of sleep, aerobic capacity and anaerobic power in premenopausal women. Sleep Sci. 2024;17(1):e75-e81. doi: 10.1055/s-0043-1776742.
  • 38.Cazotti LDA, Natour J, Carvalho F, Pereira DF, Jones A. OP0089-HPR Pilates is better than walking for patients with fibromyalgia: a randomized controlled trial. Annals Rheum Dis. 2023;82(Suppl 1):61. doi: 10.1136/annrheumdis-2023-eular.3961.
  • 39. Lee HL, Caguicla JMC, Park S, et al. Effects of 8-week Pilates exercise program on menopausal symptoms and lumbar strength and flexibility in postmenopausal women. J Exerc Rehabil. 2016;12(3):247-251. doi: 10.12965/jer.1632630.315.
  • 40. Özdemir ÖÇ, Uysal MF. [The effect of pilates exercise on quality of life and depression in postmenopausal period]. ACU Sağlık Bil Derg. 2019;10(1):20-26. doi: 10.31067/0.2019.103. [Article in Turkish]
  • 41. Kabasakal SA. Postüral Bozukluklar ve Fiziksel Aktivite. In: Fiziksel Aktivite ve Sağlık. Hazar F, ed., 1. Baskı. EfeAkademi Yayınları: İstanbul. 2023: p.263.
  • 42. Denham‐Jones L, Gaskell L, Spence N, Pigott T. A systematic review of the effectiveness of Pilates on pain, disability, physical function, and quality of life in older adults with chronic musculoskeletal conditions. Musculoskelet Care. 2022;20(1):10-30. doi: 10.1002/msc.1563.
  • 43. Ravindran AK, Javed J, Parthiban R, Sherrif B. Effectiveness of aerobic exercise versus pilates in postmenopausal women with non-specific chronic low back pain. Indian J Physiother Occup Ther. 2022;16(2):1-8. doi: 10.37506/ijpot.v16i2.18026.
  • 44. Jahan A, Anwer Z. Effectiveness of pilates and range of motion excercises in improving mechanical pain and functional performance in neck pain. Int J Membrane Sci Techno. 2023;10(2):2023-2029. doi: 10.15379/ijmst.v10i2.2743.
There are 44 citations in total.

Details

Primary Language English
Subjects Public Health (Other)
Journal Section Original Articles
Authors

Sema Arslan Kabasakal 0000-0002-4552-9640

Early Pub Date February 5, 2025
Publication Date
Submission Date December 18, 2024
Acceptance Date January 26, 2025
Published in Issue Year 2025 Volume: 11 Issue: 2

Cite

AMA Arslan Kabasakal S. The effects of a 6-week pilates exercises on quality of life, depression, and musculoskeletal disorders in menopausal women. Eur Res J. 11(2):296-303. doi:10.18621/eurj.1603630

e-ISSN: 2149-3189 


The European Research Journal, hosted by Turkish JournalPark ACADEMIC, is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

by-nc-nd.png

2025