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Kadınlarda Klimakterik Semptom Şiddetinin Fiziksel Aktivite Düzeyi, Omurga Mobilitesi, Denge ve Yaşam Kalitesi ile İlişkisi

Year 2024, Volume: 9 Issue: 3, 401 - 407, 04.10.2024
https://doi.org/10.61399/ikcusbfd.1472142

Abstract

Amaç: Klimakterik dönem, bir kadının yaşamının 1/3'ünden fazlasını kapsamakta ve fizyolojik ve hormonal değişikliklerden kaynaklanan çeşitli semptomlara neden olmaktadır. Çalışmamızda klimakterik semptom yoğunluğunun fiziksel aktivite düzeyi, omurga hareketliliği, denge ve yaşam kalitesi ile ilişkisini araştırdık.

Gereç ve Yöntem: Klimakterik dönemdeki 64 kadın (49,5 ± 4,24 yıl) çalışmaya dahil edilmiştir. Klimakterik semptom şiddeti Blatt-Kupperman İndeksi ile, fiziksel aktivite düzeyleri Uluslararası Fiziksel Aktivite Anketi-Kısa Form ile, yaşam kalitesi Menopoza Özgü Yaşam Kalitesi Anketi ile, omurga mobilitesi flexicurve ve şerit metre ile, denge tek ayak duruş testi ile değerlendirildi. Değişkenler arasındaki korelasyonlar Pearson ve Spearman Korelasyon analizi ile analiz edildi.

Bulgular: Katılımcıların %15,6'sında minimal, %59,4'ünde hafif semptomlar, %18,8'inde orta semptomlar ve %6,3'ünde şiddetli klimakterik semptomlar vardı. Klimakterik süre spinal mobilite ölçümleri ve yaşam kalitesi (r= -0,26 - -0,30 ve -0,26) ile korelasyon göstermiştir (p<0,05). Semptom şiddeti yaşam kalitesi (r= -0,42) ve vücut kitle indeksi (r= -0,28) ile korelasyon gösterirken (p<0,05); fiziksel aktivite, mobilite ve denge ile korelasyon göstermemiştir (p>0,05).

Sonuç: Klimakterik semptomların şiddeti arttıkça yaşam kalitesi azalmıştır. Semptom şiddeti ile fiziksel aktivite, hareketlilik ve postüral denge arasında herhangi bir ilişki bulunmamıştır. Kadınların yaşam döngüsünün önemli bir kısmı klimakterik dönemde olduğu için bu dönemde ortaya çıkacak semptomların şiddetini azaltmaya yönelik rehberlik sağlanması kadınların yaşam kalitesinin artırılması açısından önemli olacaktır.

References

  • Shepherd JA, Shiozawa A, Schild AL, Singh D, Mancuso SA. Retrospective text and qualitative analyses of patient experience and management of vasomotor symptoms due to menopause: voices from the PatientsLikeMe community. Menopause. 2024 Sep 1;31(9):789-95. DOI: 10.1097/GME.0000000000002391.
  • Fait T, Dvořakova V. Questions and questionnaires about acute climacteric syndrome. Cas Lek Cesk. 2024;162(7-8):337-43.
  • Kling JM, Stuenkel CA, Faubion SS. Management of the Vasomotor Symptoms of Menopause: Twofers in Your Clinical Toolbox. Mayo Clin Proc. 2024;99(7):1142-8. DOI: 10.1016/j.mayocp.2024.03.028.
  • Dalvi SA. Menopause: Why is Everyone Talking About it Now? J Obstet Gynaecol India. 2024;74(3):196-200. DOI: 10.1007/ s13224-024-02033-0.
  • Augoulea A, Moros M, Lykeridou A, Kaparos G, Lyberi R, Panoulis K. Psychosomatic and vasomotor symptom changes during transition to menopause. Prz Menopauzalny. 2019;18(2):110-5. DOI: 10.5114/pm.2019.86835.
  • Hamdi Kara I, Aydin S, Gemalmaz A, Akturk Z, Yaman H, Bozdemir N, et al. Habitual tea drinking and bone mineral density in postmenopausal Turkish women: investigation of prevalence of postmenopausal osteoporosis in Turkey (IPPOT Study). Int J Vitam Nutr Res. 2007 Nov;77(6):389-97. DOI: 10.1024/0300-9831.77.6.389. Erratum in: Int J Vitam Nutr Res. 2008 May;78(3):following 166.
  • Woods NF, Coslov N, Richardson MK. Effects of bothersome symptoms during the late reproductive stage and menopausal transition: observations from the Women Living Better Survey. Menopause. 2023;30(1):45-55.
  • Espirito Santo J, Aibar-Almazan A, Martinez-Amat A, de Loureiro NEM, Brandao-Loureiro V, Lavilla-Lerma ML, et al. Menopausal Symptoms, Postural Balance, and Functional Mobility in Middle-Aged Postmenopausal Women. Diagnostics (Basel). 2021;11(12). DOI: 10.3390/ diagnostics11122178.
  • Owada S, Suzuki M. The relationship between vasomotor symptoms and menopause-associated dizziness. Acta Oto-Laryngol. 2014;134(2):146-50. DOI: 10.3109/00016489.2013.841991.
  • Gozuyeşil E, Başer M. Menopozal donemde yaşanan vazomotor yakinmalarin gunluk yaşam aktiviteleri uzerine etkisi Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2016;19(4):261-8.
  • Aparicio VA, Borges-Cosic M, Ruiz-Cabello P, Coll-Risco I, Acosta- Manzano P, Špacirova Z, et al. Association of objectively measured physical activity and physical fitness with menopause symptoms. The Flamenco Project. Climacteric. 2017;20(5):456-61. DOI: 10.1080/13697137.2017.1329289.
  • Schneider HP, Heinemann LA, Rosemeier HP, Potthoff P, Behre HM. The Menopause Rating Scale (MRS): comparison with Kupperman index and quality-of-life scale SF-36. Climacteric. 2000;3(1):50-8. DOI: 10.3109/13697130009167599.
  • Noğay AEK, Mehmet O. Birinci basamak icin fiziksel aktivite anketinin Turkce uyarlamasının gecerlilik ve guvenilirliği. Konuralp Medical Journal. 2019;11(1):1-8.
  • Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-84. DOI: 10.2466/06.08.Pms.111.4.278-284.
  • Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-95.
  • Hilditch JR, Lewis J, Peter A, van Maris B, Ross A, Franssen E, et al. A menopause-specific quality of life questionnaire: development and psychometric properties. Maturitas. 1996;24(3):161-75. DOI: 10.1016/ s0378-5122(96)82006-8.
  • Şahin NH, Kharbouch SB, Şahin NH. Menopozal dönemlerdeki yaşam kalitesinin belirlenmesi. Florence Nightingale Journal of Nursing. 2007;15(59):82-90.
  • de Oliveira TS, Candotti CT, La Torre M, Pelinson PPT, Furlanetto TS, Kutchak FM, et al. Validity and Reproducibility of the Measurements Obtained Using the Flexicurve Instrument to Evaluate the Angles of Thoracic and Lumbar Curvatures of the Spine in the Sagittal Plane. Rehabil Res Pract. 2012;2012(1):186156. DOI: 10.1155/2012/186156.
  • Jonsson E, Seiger A, Hirschfeld H. One-leg stance in healthy young and elderly adults: a measure of postural steadiness? Clin Biomech (Bristol, Avon). 2004;19(7):688-94. DOI: 10.1016/j.clinbiomech.2004.04.002.
  • Cohen J. Set Correlation and Contingency Tables. Appl Psychol Meas. 1988;12(4):425-34. DOI: 10.1177/014662168801200410.
  • Schindler AE. Climacteric symptoms and hormones. Gynecol Endocrinol. 2006;22(3):151-4. DOI: 10.1080/09513590600629134.
  • Da Fonseca AM, Bagnoli VR, Souza MA, Azevedo RS, Couto Ede B, Jr., Soares JM, Jr., et al. Impact of age and body mass on the intensity of menopausal symptoms in 5968 Brazilian women. Gynecol Endocrinol 2013;29(2):116-8. DOI:10.3109/09513590.2012.730570.
  • Costa JG, Rodrigues RM, Puga GM, Cheik NC. Does obesity aggravate climacteric symptoms in postmenopausal women? Revista Brasileira de Ginecologia e Obstetricia. 2022;44:586-92.
  • Tan MN, Kartal M, Guldal D. The effect of physical activity and body mass index on menopausal symptoms in Turkish women: a crosssectional study in primary care. BMC Women's Health. 2014;14(1):38. DOI: 10.1186/1472-6874-14-38.
  • Mirzaiinjmabadi K, Anderson D, Barnes M. The relationship between exercise, Body Mass Index and menopausal symptoms in midlife Australian women. Int J Nurs Pract. 2006;12(1):28-34. DOI: 10.1111/j.1440- 172X.2006.00547.x
  • Islam MR, Gartoulla P, Bell RJ, Fradkin P, Davis SR. Prevalence of menopausal symptoms in Asian midlife women: a systematic review. Climacteric . 2015;18(2):157-76. DOI: 10.3109/13697137.2014.937689.
  • Palacios S, Henderson VW, Siseles N, Tan D, Villaseca P. Age of menopause and impact of climacteric symptoms by geographical region. Climacteric . 2010;13(5):419-28. DOI: 10.3109/13697137.2010.507886.
  • Dugan SA, Gabriel KP, Lange-Maia BS, Karvonen-Gutierrez C. Physical Activity and Physical Function: Moving and Aging. Obstet Gynecol Clin North Am. 2018;45(4):723-36. DOI: 10.1016/j.ogc.2018.07.009.
  • Dąbrowska-Galas M, Dąbrowska J, Ptaszkowski K, Plinta R. High Physical Activity Level May Reduce Menopausal Symptoms. Medicina (Kaunas). 2019;55(8). DOI: 10.3390/medicina55080466.
  • Jalal SM. Physical Activity, Self-Care, and Menopausal Symptoms among Women in Al-Ahsa, Saudi Arabia: Adherence to Postmenopausal Guidelines (PMGs). Healthcare (Basel). 2024;12(9). DOI: 10.3390/ healthcare12090886.
  • Liu T, Chen S, Mielke GI, McCarthy AL, Bailey TG. Effects of exercise on vasomotor symptoms in menopausal women: a systematic review and meta-analysis. Climacteric. 2022;25(6):552-61. DOI: 10.1080/13697137.2022.2097865.
  • Ceylan B, Ozerdoğan N. Menopoza girme yaşını etkileyen faktörler ve menopozda yaşam kalitesinin belirlenmesi. Turk Jinekoloji ve Obstet Dernegi Derg. 2015;12(1):43-9.
  • Mottram S, Peat G, Thomas E, Wilkie R, Croft P. Patterns of pain and mobility limitation in older people: cross-sectional findings from a population survey of 18,497 adults aged 50 years and over. Qual Life Res. 2008;17(4):529-39. DOI: 10.1007/s11136-008- 9324-7.
  • Chidi-Ogbolu NS. The Effects of Hormonal Manipulation on Ligament Function [dissertation]. [Mount Pleasant]: University of California, Davis; 2022. 93p.
  • Wolpe N, Ingram JN, Tsvetanov KA, Geerligs L, Kievit RA, Henson RN, et al. Ageing increases reliance on sensorimotor prediction through structural and functional differences in frontostriatal circuits. Nat Commun. 2016;7(1):13034. DOI: 10.1038/ncomms13034.
  • Vale FA, Voos MC, Brumini C, Suda EY, Silva RLd, Caromano FA. Balance as an Additional Effect of Strength and Flexibility Aquatic Training in Sedentary Lifestyle Elderly Women. Curr Gerontol Geriatr Res. 2020;2020(1):1895473. DOI: 10.1155/2020/1895473.
  • Bolmont B, Gangloff P, Vouriot A, Perrin PP. Mood states and anxiety influence abilities to maintain balance control in healthy human subjects. Neurosci. Lett. 2002;329(1):96-100. Epub 2002/08/06. DOI: 10.1016/s0304-3940(02)00578-5.
  • Cooper R, Mishra G, Clennell S, Guralnik J, Kuh D. Menopausal status and physical performance in midlife: findings from a British birth cohort study. Menopause (New York, NY). 2008;15(6):1079-85. Epub 2008/06/04 DOI: 10.1097/gme.0b013e31816f63a3.

Relationship between Climacteric Symptom Intensity, Physical Activity Level, Spine Mobility, Balance, and Quality of Life in Women

Year 2024, Volume: 9 Issue: 3, 401 - 407, 04.10.2024
https://doi.org/10.61399/ikcusbfd.1472142

Abstract

Objective: The climacteric period contains more than 1/3 of a woman's life and causes various symptoms stemming from physiological and hormonal changes. Our study investigated the relationship of climacteric symptom intensity with physical activity level, spine mobility, balance, and quality of life.
Methods: 64 women (49,5 ± 4,24 years) in the climacteric period were included in the study. Climacteric symptom severity was assessed with the Blatt-Kupperman Index, physical activity levels with the International Physical Activity Questionnaire, quality of life with the Menopause-Specific Quality of Life Questionnaire, and balance with the single-leg stance test. The correlations between the variables were analyzed with the Pearson and Spearman Correlation analysis.
Results: Of the participants, 15.6% had minor severe symptoms, 59.4% had mild severe symptoms, 18.8% had moderately severe symptoms and 6.3% had severe climacteric symptoms. The climacteric duration was negatively correlated to spinal mobility measures (r= -0.26 - -0.30) and the quality of life (r= 0.26) (p<0.05). Symptom severity was negatively correlated to the quality of life (r=0.42) and body mass index (r=0.28) (p<0.05); however, not correlated to physical activity, mobility, and balance (p>0.05).
Conclusion: As the severity of climacteric symptoms increased, quality of life decreased. No relationship existed between symptom severity, physical activity, mobility, and postural balance. Since a significant part of women's life cycle is in the climacteric period, guiding to reduce the severity of symptoms that will occur in this period will be important in terms of improving the quality of life of women.

References

  • Shepherd JA, Shiozawa A, Schild AL, Singh D, Mancuso SA. Retrospective text and qualitative analyses of patient experience and management of vasomotor symptoms due to menopause: voices from the PatientsLikeMe community. Menopause. 2024 Sep 1;31(9):789-95. DOI: 10.1097/GME.0000000000002391.
  • Fait T, Dvořakova V. Questions and questionnaires about acute climacteric syndrome. Cas Lek Cesk. 2024;162(7-8):337-43.
  • Kling JM, Stuenkel CA, Faubion SS. Management of the Vasomotor Symptoms of Menopause: Twofers in Your Clinical Toolbox. Mayo Clin Proc. 2024;99(7):1142-8. DOI: 10.1016/j.mayocp.2024.03.028.
  • Dalvi SA. Menopause: Why is Everyone Talking About it Now? J Obstet Gynaecol India. 2024;74(3):196-200. DOI: 10.1007/ s13224-024-02033-0.
  • Augoulea A, Moros M, Lykeridou A, Kaparos G, Lyberi R, Panoulis K. Psychosomatic and vasomotor symptom changes during transition to menopause. Prz Menopauzalny. 2019;18(2):110-5. DOI: 10.5114/pm.2019.86835.
  • Hamdi Kara I, Aydin S, Gemalmaz A, Akturk Z, Yaman H, Bozdemir N, et al. Habitual tea drinking and bone mineral density in postmenopausal Turkish women: investigation of prevalence of postmenopausal osteoporosis in Turkey (IPPOT Study). Int J Vitam Nutr Res. 2007 Nov;77(6):389-97. DOI: 10.1024/0300-9831.77.6.389. Erratum in: Int J Vitam Nutr Res. 2008 May;78(3):following 166.
  • Woods NF, Coslov N, Richardson MK. Effects of bothersome symptoms during the late reproductive stage and menopausal transition: observations from the Women Living Better Survey. Menopause. 2023;30(1):45-55.
  • Espirito Santo J, Aibar-Almazan A, Martinez-Amat A, de Loureiro NEM, Brandao-Loureiro V, Lavilla-Lerma ML, et al. Menopausal Symptoms, Postural Balance, and Functional Mobility in Middle-Aged Postmenopausal Women. Diagnostics (Basel). 2021;11(12). DOI: 10.3390/ diagnostics11122178.
  • Owada S, Suzuki M. The relationship between vasomotor symptoms and menopause-associated dizziness. Acta Oto-Laryngol. 2014;134(2):146-50. DOI: 10.3109/00016489.2013.841991.
  • Gozuyeşil E, Başer M. Menopozal donemde yaşanan vazomotor yakinmalarin gunluk yaşam aktiviteleri uzerine etkisi Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2016;19(4):261-8.
  • Aparicio VA, Borges-Cosic M, Ruiz-Cabello P, Coll-Risco I, Acosta- Manzano P, Špacirova Z, et al. Association of objectively measured physical activity and physical fitness with menopause symptoms. The Flamenco Project. Climacteric. 2017;20(5):456-61. DOI: 10.1080/13697137.2017.1329289.
  • Schneider HP, Heinemann LA, Rosemeier HP, Potthoff P, Behre HM. The Menopause Rating Scale (MRS): comparison with Kupperman index and quality-of-life scale SF-36. Climacteric. 2000;3(1):50-8. DOI: 10.3109/13697130009167599.
  • Noğay AEK, Mehmet O. Birinci basamak icin fiziksel aktivite anketinin Turkce uyarlamasının gecerlilik ve guvenilirliği. Konuralp Medical Journal. 2019;11(1):1-8.
  • Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-84. DOI: 10.2466/06.08.Pms.111.4.278-284.
  • Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-95.
  • Hilditch JR, Lewis J, Peter A, van Maris B, Ross A, Franssen E, et al. A menopause-specific quality of life questionnaire: development and psychometric properties. Maturitas. 1996;24(3):161-75. DOI: 10.1016/ s0378-5122(96)82006-8.
  • Şahin NH, Kharbouch SB, Şahin NH. Menopozal dönemlerdeki yaşam kalitesinin belirlenmesi. Florence Nightingale Journal of Nursing. 2007;15(59):82-90.
  • de Oliveira TS, Candotti CT, La Torre M, Pelinson PPT, Furlanetto TS, Kutchak FM, et al. Validity and Reproducibility of the Measurements Obtained Using the Flexicurve Instrument to Evaluate the Angles of Thoracic and Lumbar Curvatures of the Spine in the Sagittal Plane. Rehabil Res Pract. 2012;2012(1):186156. DOI: 10.1155/2012/186156.
  • Jonsson E, Seiger A, Hirschfeld H. One-leg stance in healthy young and elderly adults: a measure of postural steadiness? Clin Biomech (Bristol, Avon). 2004;19(7):688-94. DOI: 10.1016/j.clinbiomech.2004.04.002.
  • Cohen J. Set Correlation and Contingency Tables. Appl Psychol Meas. 1988;12(4):425-34. DOI: 10.1177/014662168801200410.
  • Schindler AE. Climacteric symptoms and hormones. Gynecol Endocrinol. 2006;22(3):151-4. DOI: 10.1080/09513590600629134.
  • Da Fonseca AM, Bagnoli VR, Souza MA, Azevedo RS, Couto Ede B, Jr., Soares JM, Jr., et al. Impact of age and body mass on the intensity of menopausal symptoms in 5968 Brazilian women. Gynecol Endocrinol 2013;29(2):116-8. DOI:10.3109/09513590.2012.730570.
  • Costa JG, Rodrigues RM, Puga GM, Cheik NC. Does obesity aggravate climacteric symptoms in postmenopausal women? Revista Brasileira de Ginecologia e Obstetricia. 2022;44:586-92.
  • Tan MN, Kartal M, Guldal D. The effect of physical activity and body mass index on menopausal symptoms in Turkish women: a crosssectional study in primary care. BMC Women's Health. 2014;14(1):38. DOI: 10.1186/1472-6874-14-38.
  • Mirzaiinjmabadi K, Anderson D, Barnes M. The relationship between exercise, Body Mass Index and menopausal symptoms in midlife Australian women. Int J Nurs Pract. 2006;12(1):28-34. DOI: 10.1111/j.1440- 172X.2006.00547.x
  • Islam MR, Gartoulla P, Bell RJ, Fradkin P, Davis SR. Prevalence of menopausal symptoms in Asian midlife women: a systematic review. Climacteric . 2015;18(2):157-76. DOI: 10.3109/13697137.2014.937689.
  • Palacios S, Henderson VW, Siseles N, Tan D, Villaseca P. Age of menopause and impact of climacteric symptoms by geographical region. Climacteric . 2010;13(5):419-28. DOI: 10.3109/13697137.2010.507886.
  • Dugan SA, Gabriel KP, Lange-Maia BS, Karvonen-Gutierrez C. Physical Activity and Physical Function: Moving and Aging. Obstet Gynecol Clin North Am. 2018;45(4):723-36. DOI: 10.1016/j.ogc.2018.07.009.
  • Dąbrowska-Galas M, Dąbrowska J, Ptaszkowski K, Plinta R. High Physical Activity Level May Reduce Menopausal Symptoms. Medicina (Kaunas). 2019;55(8). DOI: 10.3390/medicina55080466.
  • Jalal SM. Physical Activity, Self-Care, and Menopausal Symptoms among Women in Al-Ahsa, Saudi Arabia: Adherence to Postmenopausal Guidelines (PMGs). Healthcare (Basel). 2024;12(9). DOI: 10.3390/ healthcare12090886.
  • Liu T, Chen S, Mielke GI, McCarthy AL, Bailey TG. Effects of exercise on vasomotor symptoms in menopausal women: a systematic review and meta-analysis. Climacteric. 2022;25(6):552-61. DOI: 10.1080/13697137.2022.2097865.
  • Ceylan B, Ozerdoğan N. Menopoza girme yaşını etkileyen faktörler ve menopozda yaşam kalitesinin belirlenmesi. Turk Jinekoloji ve Obstet Dernegi Derg. 2015;12(1):43-9.
  • Mottram S, Peat G, Thomas E, Wilkie R, Croft P. Patterns of pain and mobility limitation in older people: cross-sectional findings from a population survey of 18,497 adults aged 50 years and over. Qual Life Res. 2008;17(4):529-39. DOI: 10.1007/s11136-008- 9324-7.
  • Chidi-Ogbolu NS. The Effects of Hormonal Manipulation on Ligament Function [dissertation]. [Mount Pleasant]: University of California, Davis; 2022. 93p.
  • Wolpe N, Ingram JN, Tsvetanov KA, Geerligs L, Kievit RA, Henson RN, et al. Ageing increases reliance on sensorimotor prediction through structural and functional differences in frontostriatal circuits. Nat Commun. 2016;7(1):13034. DOI: 10.1038/ncomms13034.
  • Vale FA, Voos MC, Brumini C, Suda EY, Silva RLd, Caromano FA. Balance as an Additional Effect of Strength and Flexibility Aquatic Training in Sedentary Lifestyle Elderly Women. Curr Gerontol Geriatr Res. 2020;2020(1):1895473. DOI: 10.1155/2020/1895473.
  • Bolmont B, Gangloff P, Vouriot A, Perrin PP. Mood states and anxiety influence abilities to maintain balance control in healthy human subjects. Neurosci. Lett. 2002;329(1):96-100. Epub 2002/08/06. DOI: 10.1016/s0304-3940(02)00578-5.
  • Cooper R, Mishra G, Clennell S, Guralnik J, Kuh D. Menopausal status and physical performance in midlife: findings from a British birth cohort study. Menopause (New York, NY). 2008;15(6):1079-85. Epub 2008/06/04 DOI: 10.1097/gme.0b013e31816f63a3.
There are 38 citations in total.

Details

Primary Language English
Subjects Physiotherapy
Journal Section Araştırma Makaleleri
Authors

Yasemin Paksoy 0000-0001-9203-829X

Sevtap Günay Uçurum 0000-0002-4933-076X

Kevser Sevik Kacmaz 0000-0003-1675-0757

Publication Date October 4, 2024
Submission Date April 25, 2024
Acceptance Date August 15, 2024
Published in Issue Year 2024 Volume: 9 Issue: 3

Cite

APA Paksoy, Y., Günay Uçurum, S., & Kacmaz, K. S. (2024). Relationship between Climacteric Symptom Intensity, Physical Activity Level, Spine Mobility, Balance, and Quality of Life in Women. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 9(3), 401-407. https://doi.org/10.61399/ikcusbfd.1472142
AMA Paksoy Y, Günay Uçurum S, Kacmaz KS. Relationship between Climacteric Symptom Intensity, Physical Activity Level, Spine Mobility, Balance, and Quality of Life in Women. İKÇÜSBFD. October 2024;9(3):401-407. doi:10.61399/ikcusbfd.1472142
Chicago Paksoy, Yasemin, Sevtap Günay Uçurum, and Kevser Sevik Kacmaz. “Relationship Between Climacteric Symptom Intensity, Physical Activity Level, Spine Mobility, Balance, and Quality of Life in Women”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 9, no. 3 (October 2024): 401-7. https://doi.org/10.61399/ikcusbfd.1472142.
EndNote Paksoy Y, Günay Uçurum S, Kacmaz KS (October 1, 2024) Relationship between Climacteric Symptom Intensity, Physical Activity Level, Spine Mobility, Balance, and Quality of Life in Women. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 9 3 401–407.
IEEE Y. Paksoy, S. Günay Uçurum, and K. S. Kacmaz, “Relationship between Climacteric Symptom Intensity, Physical Activity Level, Spine Mobility, Balance, and Quality of Life in Women”, İKÇÜSBFD, vol. 9, no. 3, pp. 401–407, 2024, doi: 10.61399/ikcusbfd.1472142.
ISNAD Paksoy, Yasemin et al. “Relationship Between Climacteric Symptom Intensity, Physical Activity Level, Spine Mobility, Balance, and Quality of Life in Women”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 9/3 (October 2024), 401-407. https://doi.org/10.61399/ikcusbfd.1472142.
JAMA Paksoy Y, Günay Uçurum S, Kacmaz KS. Relationship between Climacteric Symptom Intensity, Physical Activity Level, Spine Mobility, Balance, and Quality of Life in Women. İKÇÜSBFD. 2024;9:401–407.
MLA Paksoy, Yasemin et al. “Relationship Between Climacteric Symptom Intensity, Physical Activity Level, Spine Mobility, Balance, and Quality of Life in Women”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, vol. 9, no. 3, 2024, pp. 401-7, doi:10.61399/ikcusbfd.1472142.
Vancouver Paksoy Y, Günay Uçurum S, Kacmaz KS. Relationship between Climacteric Symptom Intensity, Physical Activity Level, Spine Mobility, Balance, and Quality of Life in Women. İKÇÜSBFD. 2024;9(3):401-7.



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