Kadınlarda Adet Düzensizliğinin Fiziksel Aktivite Düzeyi, Yorgunluk, Yaşam Kalitesi, Duygu Durumu ve Uyku Kalitesi Üzerine Etkilerinin İncelenmesi

Yıl 2019, , 215 - 231, 30.12.2019

Ayla Fil Balkan , Rıdvan Adın

https://doi.org/10.21020/husbfd.662457

Öz

Amaç: Sağlıklı genç
yetişkin kadınlarda adet düzensizlikleri ile fiziksel aktivite seviyesi, uyku
düzeni, yorgunluk, depresyon ve yaşam kalitesi arasındaki ilişkiyi
incelemektir. Gereç ve Yöntem: Çalışmaya 20-40 yaşlarında olan 202 genç yetişkin
kadın katılmıştır. Bireylerin demografik ve sosyoekonomik bilgileri
kaydedilmiştir. Ayrıca yorgunluk Chalder Yorgunluk ölçeği, uyku kalitesi
Pittsburg Uyku Kalitesi İndeksi, fiziksel aktivite seviyesi Godin Boş Zaman
Fiziksel Aktivite ölçeği, duygu durumu Beck Depresyon Ölçeği ve yaşam kalitesi
Nottingham Sağlık Profili ile incelenmiştir. Adet düzensizliği olan kadınlar
belirlenip aynı yaşta olan diğer kadınlarla sonuçları karşılaştırılmıştır. Bulgular: Adet düzensizliği olan kadınlarda fiziksel yorgunluğun ve depresif bulguların
arttığı, uyku kalitesinin, ortalama uyku süresinin ve yaşam kalitesinin
azaldığı belirlendi. Sonuç: Çalışmamızla
adet düzensizliğinin bazı fiziksel ve ruhsal etkilerinin olduğunu görülmüştür.
Herhangi bir sağlık problemi ile ilişkili olmaması durumunda göz ardı edilmesi
muhtemel olan adet düzensizliğinin günlük yaşama olan etkilerinin araştırılması
ve temelinde yatan nedenlerin bulunarak çözüm üretilmesine, kendini
gerçekleştirme, yeterli iş gücüne sahip olma, ailesel, sosyal ve toplumsal
görevlerini yerine getirme gibi kadının toplum içinde yer edinmesini sağlayacak
etmenlerin iyileştirilmesine yardımcı olabilir.

Anahtar Kelimeler

adet döngüsü, yorgunluk, uyku, depresyon, yaşam klitesi

Investigation of the Effects of Menstrual Irregularity on Physical Activity Level, Fatigue, Quality of Life, Mood and Sleep Quality in Women

Öz

Objectives: The aim of this study is to investigate the relationship between
menstrual irregularity and level of physical activity, sleep patterns, fatigue,
depression and quality of life in healthy young adult women. Materials and Methods: 202 young adult women aged 20-40 years participated
in the study. Demographic and socioeconomic data of the individuals were
recorded. Fatigue was evaluated by Chalder Fatigue scale, sleep quality
Pittsburg Sleep Quality Index, physical activity level Godin Leisure Physical
Activity scale, mood Beck Depression Scale and quality of life Nottingham
Health Profile. Women with menstrual irregularity were identified and compared
their results with other women of the same age. Results: It was determined that physical fatigue and depressive symptoms increased
and sleep quality, average sleep duration and quality of life decreased in
women with menstrual irregularity. Conclusion: In our study, it was found that menstrual
irregularity have some physical and mental effects. Investigation of the
effects of menstrual irregularity, which is likely to be ignored if it is not
associated with any health problems can help to find solutions to the
underlying causes, self-realization, having sufficient labor force, fulfilling
family, social and social duties and to improve the factors that will ensure.

Anahtar Kelimeler

menstrual cycle, fatigue, sleep, depression, quality of life

Kaynakça

• Acikgoz, A., Dayi, A., & Binbay, T. (2017). 'Prevalence of premenstrual syndrome & its relationship to depressive symptoms in first-year university students'. Saudi Med J 38 (11):1125-31.
• Adın, R. M. (2019). Chalder Yorgunluk Ölçeği’nin Türkçe’ye Uyarlanması ve Genç Yetişkin Bireylerde Psikometrik Özelliklerinin İncelenmesi. Sağlık Bilimleri Enstitüsü.
• Agargun, M. Y. (1996). 'Pittsburgh uyku kalitesi indeksinin gecerligi ve guvenirligi'. Turk Psikiyatri Dergisi 7:107-15.
• Baker, F. C., & Lee, K. A. (2018). 'Menstrual Cycle Effects on Sleep'. Sleep Med Clin 13 (3):283-94.
• Basogul, C., Aydin Ozkan, S., & Karaca, T. (2019). 'The effects of psychoeducation based on the cognitive-behavioral approach on premenstrual syndrome symptoms: A r&omized controlled trial'. Perspect Psychiatr Care.
• Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). 'An inventory for measuring depression'. Arch Gen Psychiatry 4:561-71.
• Buysse, D. J., Reynolds Iii, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). 'The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice & research'. Psychiatry Res 28 (2):193-213.
• Cakir, M., Mungan, I., Karakas, T., Girisken, I., & Okten, A. (2007). 'Menstrual pattern & common menstrual disorders among university students in Turkey'. Pediatr Int 49 (6):938-42.
• Cesta, C. E., Mansson, M., Palm, C., Lichtenstein, P., Iliadou, A. N., & L&en, M. (2016). 'Polycystic ovary syndrome & psychiatric disorders: Co-morbidity & heritability in a nationwide Swedish cohort'. Psychoneuroendocrinology 73:196-203.
• Chalder, T., Berelowitz, G., Pawlikowska, T., Watts, L., Wessely, S., Wright, D., & Wallace, E. P. (1993). 'Development of a fatigue scale'. J Psychosom Res 37 (2):147-53.
• Godin, G. (2011). 'The Godin-Shephard leisure-time physical activity questionnaire'. The Health & Fitness Journal of Canada 4 (1):18-22.
• Godin, G., & Shephard, R. J. (1985). 'A simple method to assess exercise behavior in the community'. Can J Appl Sport Sci 10 (3):141-46.
• Greenwood, E. A., Yaffe, K., Wellons, M. F., Cedars, M. I., & Huddleston, H. G. (2019). 'Depression Over the Lifespan in a Population-Based Cohort of Women With Polycystic Ovary Syndrome: Longitudinal Analysis'. J Clin Endocrinol Metab 104 (7):2809-19.
• Guerra-Araiza, C., Villamar-Cruz, O., Gonzalez-Arenas, A., Chavira, R., & Camacho-Arroyo, I. (2003). 'Changes in progesterone receptor isoforms content in the rat brain during the oestrous cycle & after oestradiol & progesterone treatments'. J Neuroendocrinol 15 (10):984-90.
• Harlow, S. D., & Ephross, S. A. (1995). 'Epidemiology of menstruation & its relevance to women's health'. Epidemiol Rev 17 (2):265-86.
• Hautala, A. J., Leicht, A. S., & Boullosa, D. (2015). The Role of Physical Fitness on Cardiovascular Responses to Stress. Frontiers Media SA.
• Hisli, N. (1989). 'Beck depresyon envanterinin universite ogrencileri icin gecerliligi, guvenilirligi.(A reliability & validity study of Beck Depression Inventory in a university student sample)'. J. Psychol. 7:3-13.
• Hunt, S. M., McKenna, S. P., McEwen, J., Backett, E. M., Williams, J., & Papp, E. (1980). 'A quantitative approach to perceived health status: a validation study'. Journal of Epidemiology & Community Health 34 (4):281-86.
• Jung, A. N., Park, J. H., Kim, J., Kim, S. H., Jee, B. C., Cha, B. H., Sull, J. W., & Jun, J. H. (2017). 'Detrimental Effects of Higher Body Mass Index & Smoking Habits on Menstrual Cycles in Korean Women'. J Womens Health (Larchmt) 26 (1):83-90.
• Kim, T., Nam, G. E., Han, B., Cho, S. J., Kim, J., Eum, D. H., Lee, S. W., Min, S. H., Lee, W., Han, K., & Park, Y. G. (2018). 'Associations of mental health & sleep duration with menstrual cycle irregularity: a population-based study'. Arch Womens Ment Health 21 (6):619-26.
• Kocaoz, S., Cirpan, R., & Degirmencioglu, A. Z. (2019). 'The prevalence & impacts heavy menstrual bleeding on anemia, fatigue & quality of life in women of reproductive age'. Pak J Med Sci 35 (2):365-70.
• Kücükdeveci, A. A., McKenna, S. P., Kutlay, S., Gürsel, Y., Whalley, D., & Arasil, T. (2000). 'The development & psychometric assessment of the Turkish version of the Nottingham Health Profile'. International Journal of Rehabilitation Research 23 (1):31-38.
• Lim, H. S., Kim, T. H., Lee, H. H., Park, Y. H., Lee, B. R., Park, Y. J., & Kim, Y. S. (2018). 'Fast food consumption alongside socioeconomic status, stress, exercise, & sleep duration are associated with menstrual irregularities in Korean adolescents: Korea National Health & Nutrition Examination Survey 2009-2013'. Asia Pac J Clin Nutr 27 (5):1146-54.
• Liu, K., He, L., Tang, X., Wang, J., Li, N., Wu, Y., Marshall, R., Li, J., Zhang, Z., Liu, J., Xu, H., Yu, L., & Hu, Y. (2014). 'Relationship between menopause & health-related quality of life in middle-aged Chinese women: a cross-sectional study'. BMC Womens Health 14:7.
• McGovern, C. E., & Cheung, C. (2018). 'Yoga & Quality of Life in Women with Primary Dysmenorrhea: A Systematic Review'. J Midwifery Womens Health 63 (4):470-82. Meers, J. M., & Nowakowski, S. (2019). 'Sleep, premenstrual mood disorder, & women's health'. Curr Opin Psychol 34:43-49. Meites, K., Lovallo, W., & Pishkin, V. (1980). 'A comparison of four scales for anxiety, depression, & neuroticism'. Journal of Clinical Psychology 36 (2):427-32.
• Moller, M. C., Radestad, A. F., von Schoultz, B., & Bartfai, A. (2013). 'Effect of estrogen & testosterone replacement therapy on cognitive fatigue'. Gynecol Endocrinol 29 (2):173-6.
• Nair, M. K., Pappachan, P., Balakrishnan, S., Leena, M. L., George, B., & Russell, P. S. (2012). 'Menstrual irregularity & poly cystic ovarian syndrome among adolescent girls--a 2 year follow-up study'. Indian J Pediatr 79 Suppl 1:S69-73.
• Nam, G. E., Han, K., & Lee, G. (2017). 'Association between sleep duration & menstrual cycle irregularity in Korean female adolescents'. Sleep Med 35:62-66.
• Nillni, Y. I., Wesselink, A. K., Hatch, E. E., Mikkelsen, E. M., Gradus, J. L., Rothman, K. J., & Wise, L. A. (2018). 'Mental health, psychotropic medication use, & menstrual cycle characteristics'. Clin Epidemiol 10:1073-82.
• Osterlund, M. K., Keller, E., & Hurd, Y. L. (2000). 'The human forebrain has discrete estrogen receptor alpha messenger RNA expression: high levels in the amygdaloid complex'. Neuroscience 95 (2):333-42.
• Özdemir, F., & Pasinlioğlu, T. (2007). 'Adet düzensizliği şikayeti olan bekar adölesanların anksiyete düzeylerinin incelenmesi'. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 10 (1):30-40.
• Quick, F., Mohammad-Alizadeh-Char&abi, S., & Mirghafourv&, M. (2019). 'Primary dysmenorrhea with & without premenstrual syndrome: variation in quality of life over menstrual phases'. Qual Life Res 28 (1):99-107.
• Rapkin, A. J., & Winer, S. A. (2009). 'Premenstrual syndrome & premenstrual dysphoric disorder: quality of life & burden of illness'. Expert Rev Pharmacoecon Outcomes Res 9 (2):157-70.
• Redman, L. M. (2006). 'Physical activity & its effects on reproduction'. Reprod Biomed Online 12 (5):579-86.
• Sahin, S., Ozdemir, K., Unsal, A., & Arslan, R. (2014). 'Review of frequency of dysmenorrhea & some associated factors & evaluation of the relationship between dysmenorrhea & sleep quality in university students'. Gynecol Obstet Invest 78 (3):179-85.
• Sari, E., & Erdoğan, S. (2016). 'Adaptation of the godin leisure-time exercise questionnaire into turkish: The validity & reliability study'. Advances in Public Health 2016.
• Soderman, L., Edlund, M., & Marions, L. (2019). 'Prevalence & impact of dysmenorrhea in Swedish adolescents'. Acta Obstet Gynecol Sc& 98 (2):215-21.
• Sveinsdottir, H. (2018). 'Menstruation, objectification & health-related quality of life: A questionnaire study'. J Clin Nurs 27 (3-4):e503-e13. Temür, M., Çift, T., Aktaş, F., Yılmaz, Ö., Gök-Balcı, U., Dündar, B., & Üstünyurt, E. (2018). 'Hemogram Parametrelerinin Disfonksiyonel Uterin Kanama ve Hormon Düzeyleri ile İlişkisi'. SDÜ Tıp Fakültesi Dergisi 25 (1):26-32.
• Uçar, T., Aksoy Derya, Y., & Timur Taşhan, S. (2015). 'Üniversite öğrencilerinde menstrual düzensizlik durumu ve etkileyen faktörlerin belirlenmesi '. TAF Preventive Medicine Bulletin 14 (3):215-21.
• Van Reen, E., & Kiesner, J. (2016). 'Individual differences in self-reported difficulty sleeping across the menstrual cycle'. Arch Womens Ment Health 19 (4):599-608, doi 10.1007/s00737-016-0621-9.
• Wang, W., Bourgeois, T., Klima, J., Berlan, E. D., Fischer, A. N., & O'Brien, S. H. (2013). 'Iron deficiency & fatigue in adolescent females with heavy menstrual bleeding'. Haemophilia 19 (2):225-30.
• Wessely, S., & Powell, R. (1989). 'Fatigue syndromes: a comparison of chronic "postviral" fatigue with neuromuscular & affective disorders'. J Neurol Neurosurg Psychiatry 52 (8):940-8.
• 'The World Health Organization Quality of Life Assessment (WHOQOL): development & general psychometric properties'. (1998). Soc Sci Med 46 (12):1569-85.
• Yu, M., Han, K., & Nam, G. E. (2017). 'The association between mental health problems & menstrual cycle irregularity among adolescent Korean girls'. J Affect Disord 210:43-48.