Lifestyle modification is consistently recommended for healthy living during menopause; nonetheless, there is paucity of data on menopausal experiences and lifestyle practices of women in rural communities of Nigeria. This study assessed the lifestyle practices of menopausal women, their experiences of menopause-related symptoms and the influence of lifestyle practices on their experiences of menopause-related symptoms.
Method
A descriptive cross-sectional design was used in this study. Systematic random sampling was used to select 271 menopausal women at household level in rural communities of Ado-Ekiti Local Government Area in Ekiti State, Nigeria. A self-developed structured questionnaire was used to assess lifestyle practices while modified menopause rating scale was used to assess menopausal-related symptoms of the women. Data were analysed using descriptive and inferential statistics in SPSS version 22 at 0.05 level of significance.
Results
Findings revealed that 58.3% had poor lifestyle, while 41.0% and 0.7% had moderate and good lifestyle, respectively. Findings showed that 66.4% of the women experienced moderate menopause-related symptoms, while 15.5% and 0.4% of the women had severe and very severe menopause-related symptoms respectively. Result of the multiple regression indicated that Exercise (β = 0.22, t = 3.63, p = .01), Nutrition (β = 0.13, t = 2.23, p = .02) and Substance use (β = 0.04, t = 2.25, p = .02) were major predictors of menopause-related symptoms.
Conclusion
The study concluded that positive lifestyle modification could help reduce menopausal-related symptoms.
World Health Organization. Research on menopause in the 1990s: report of WHO Scientific Group. WHO Technical Report Series 866.
Geneva:
World Health Organization, 1996.
GradyD.Clinical practice: management of menopausal symptoms. N Engl J Med2016;
355: 2338–2347.
4.
AvisNEColvinABrombergerJT, et al.Change in health-related quality of life over the menopausal transition in a multiethnic cohort of middle-aged women: study of women’s health across the nation. Menopause2009;
16: 860–869.
5.
ThurstonRCJoffeH.Vasomotor symptoms and menopause: findings from the study of women’s health across the nation. Obstetr Gynecol Clin North Am2011;
38: 489–501.
6.
GoldEBCrawfordSLAvisNE, et al.Factors related to age at natural menopause: longitudinal analyses from SWAN. Am J Epidemiol2013;
178: 70–83.
7.
KothiyalPSharmaM.Post-menopausal quality of life and associated factors – a review. Am J Pharm Res2017;
3: 7175–7183.
8.
NoroziEMostafaviFHassanzadehA, et al.Factors related with quality of life among postmenopausal women in Isfahan, Iran, based on behavioral analysis phase of PRECEDE model. Health System Res2011;
7: 267–277.
9.
WardlawG.The effects of diet and life-style on bone mass in women. J Am Diet Assoc2013;
88: 17–25.
10.
AmehNMadudguNHOnwusuluD, et al.A prevalence and predictors of menopausal symptoms among post-menopausal Ibo and Hausa women in Nigeria. Trop Obstetr Gynaecol2016;
33: 263–269.
11.
AdegokeOIranloyeBOOsibogunA.Psychosomatic menopausal experiences in Nigerian women – the influence of age at menarche and age at menopause. Asian J Epidemiol2010;
3: 173–177.
12.
DienyePOJudahFNdukwuG.Frequency of symptoms and health seeking behaviour of menopausal women in an out-patient clinic in Port Harcourt. Nigeria J Global Health2013;
5: 39–47.
13.
OlajubuAOOlowokereAEAmujoDO, et al.Influence of menopausal symptoms on perceived work ability among women in a Nigerian university. Climacteric2017;
6: 558–563.
14.
Writing Group for the Women’s Health Initiative investigators.
Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results from the Women’s Health Initiative randomized controlled trial. J Am Med Assoc2002;
288: 321–533.
15.
MoilanenJAaltoAMHemminkiE, et al.Prevalence of menopause symptoms and their association with lifestyle among Finnish middle-aged women. Maturitas2010;
67: 368–374.
16.
KishL.Survey sampling.
New York, NY:
John Wiley & Sons, 1965.
AndersonDYoshizawaTGollschewskiS, et al.Menopause in Australia and Japan: effects of country of residence on menopausal status and menopausal symptoms. Climacteric2014;
7: 165–174.
19.
FreemanEWSammelMDLinH, et al.Symptoms associated with menopausal transition and reproductive hormones in midlife women. Obstetr Gynecol2017;
110: 230–240.
RindnerLStrömmeGNordemanL, et al.Prevalence of somatic and urogenital symptoms as well as psychological health in women aged 45 to 55 attending primary health care: a cross-sectional study.BMC Women’s Health2017;
17: 128.
25.
Makara-StudzińśkaMTKryś-NoszczykKMJakielG.Epidemiology of the symptoms of menopause – an intercontinental review.Menopause Review2014;
13: 203–211.
26.
IslamMRGartoullaPBellRJ, et al.Prevalence of menopausal symptoms in Asian midlife women: a systematic review. Climacteric2015;
18: 157–176.
27.
PalaciosSHendersonVWSiselesN, et al.Age of menopause and impact of climacteric symptoms by geographical region. Climacteric2010;
13: 419–428.
28.
MessinaAHughesLJ.Impact of climacteric on well-being. A survey based on 5213 women 39 to 60 years old. Am J Obstetr Gynecol2013;
168: 772–780.
29.
WhitemanASheeranLArandaSK.Psycho-educational interventions to alleviate hot flashes: a systematic review. Menopause2013;
15: 193–202.
30.
Dąbrowska-GalasMDąbrowskaJPtaszkowskiK, et al.High physical activity level may reduce menopausal symptoms. Medicina2019;
55: 466.
31.
WilburJMillerAMMcDevittJ, et al.Menopausal status, moderate intensity walking, and symptoms in midlife women. Res Theor Nurs Prac Int J2005;
19: 163–180.
32.
Abedzadeh-KalahroudiMTaebiMSadatZ, et al.Prevalence and severity of menopausal symptoms and related factors among women 40-60 years in Kashan, Iran. Nurs Midwifery Stud2012;
1: 88–93.
33.
BamgboyeEAAmoranOEYusufOB.Self-medication practices among workers in a tertiary hospital in Nigeria. Afr J Med Med Sci2016;
35: 411–415.
34.
RohraDKDasNAzamSI, et al.
Drug-prescribing patterns during pregnancy in the tertiary care hospitals of Pakistan: a cross sectional study. BMC Preg Childbirth2008;
8: 24.
35.
JafariFKhatonyARahmaniE.Prevalence of self-medication among the elderly in Kermanshah-Iran. Glob J Health Sci2015;
7: 360.
GoldEB.ColvinAAvisN, et al.Longitudinal analysis of the association between vasomotor symptoms and race/ethnicity across the menopausal transition: study of women’s health across the nation. Am J Public Health2006;
96: 1226–1235.
38.
DasguptaDKararPRayS, et al.Menopausal symptoms and its correlates: a study on tribe and caste population of East India. Gerontol Geriatr Res2015; (3): 984767.
39.
MuharamRIkhsanMRizkinyaHE.Association between menarche age and menopausal symptoms. Asian J Pharmaceut Clin Res2017;
10: 168–170.
40.
YimGAhnYChangY, et al.Prevalence and severity of menopause symptoms and associated factors across menopause status in Korean women menopause. J N Am Menopause Soc2015;
22: 1108–1116.
41.
YoshanyNMorowatisharifabadMAMihanpourH, et al.The effect of husbands’ education regarding menopausal health on marital satisfaction of their wives. J Menopaus Med2017;
23: 15–24.
42.
El HajjAWardyNHaidarS, et al.
Menopausal symptoms, physical activity level and quality of life of women living in the Mediterranean region. PLoS ONE2020;
15: e0230515.
43.
ShakhatrehFMMasadD.Menopausal symptoms and health problems of women aged 50-65 years in southern Jordan. Climacteric2006;
9: 305–311.
44.
ChengMHWangSJWangPH, et al.Attitudes toward menopause among middle-aged women: a community survey in an island of Taiwan. Maturitas2005;
52: 348–335.
