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MENOPAUSE

PROMOTION OF DIET AND EXERCISE TO MENOPAUSAL WOMEN IN RESTORATION OF HEALTH IN URBAN SLUM COIMBATORE, TAMILNADU, INDIA. BY MRS.CHRISTY MEKALA.V ASSOCIATE PROFESSOR P S G COLLEGE OF NURSING COIMBATORE TAMILNADU. MENOPAUSE. Ceasing of menstrual period is called menopause. Change of life

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MENOPAUSE

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  1. PROMOTION OF DIET AND EXERCISE TO MENOPAUSAL WOMEN IN RESTORATION OF HEALTH IN URBAN SLUM COIMBATORE, TAMILNADU, INDIA.BYMRS.CHRISTY MEKALA.VASSOCIATE PROFESSORP S G COLLEGE OF NURSINGCOIMBATORETAMILNADU

  2. MENOPAUSE Ceasing of menstrual period is called menopause. • Change of life • Climacteric • Third age

  3. LIFE SPAN OF INDIAN WOMEN • During 20th century - 40 years • At third millennium - 70-74 years • Indian women life expectancy - 63.5years (Census 2001) • 375 million women are at menopause age between 40-59 years ( NWHIC Dec2004)

  4. Every woman’s period will stop at menopause. Some women may not have any other symptoms. But, • Changes in period – the time between periods and the flow from month to month may be different. • Abnormal bleeding or “spotting" • Hot flashes (“hot flushes”) – getting warm in the face, neck and chest. • Night sweats and sleeping problems

  5. Vaginal infections. Tense. Thinning of your bones – this may lead to loss of height and bone breaks (osteoporosis). Mood changes – such as mood swings, depression, and irritability. Urinary problems – such as leaking, burning or pain when urinating, or leaking when sneezing, coughing, or laughing. Problems with concentration or memory. Less interest in sex and changes in sexual response. Weight gain or increase in body fat around your waist. Hair thinning or loss.

  6. CENTRAL OBJECTIVE An attempt is made to determine the knowledge of women regarding menopause, and educate them on role of diet and exercise in management of menopausal symptoms

  7. METHODOLOGY A semi structured questionnaires of two type, one open ended and other closed ended with opinion / attitude was prepared. Each sample was interviewed to assess the knowledge regarding menopause. The response of the women during the interview was recorded in a questionnaire form.

  8. PROGRAM OUTLINE: Gathered preliminary information’s related to : • Women’s knowledge on menopause • Investigated women’s attitude towards communication about the menopause • Examined the relationship between a women’s knowledge about the menopause and their background characteristics, such as educational level, income, marital status and religion.

  9. Assessment was done to find out the menopausal symptoms like hot flush, sweating, palpitation, osteoporosis, back ache, and burning micturition. Identified the dietary practices and exercise habits among the women.

  10. Post Assessment was done to ; •  Identify the coping ability of women with menopausal symptoms ,which were taught to them.

  11. DATA FINDINGS • 80% of the women felt that menopause is a subject that should not be discussed. • 65% of women felt that Menopause relieves her feminity. • 95% felt there is no relationship between diet, exercise and their menopause symptoms. • 92% women felt that menopause is the sign of old age. • 94% strongly believed that there is no relationship between the menopausal symptoms and life style. • Menopause does not depend upon the age of Menarche.

  12.   A lean highly stressed women is more likely to experience profound symptoms than a more well endowed, easily going women      This study found that “Menopause comes late in women who had three or more children and earlier in nulliparous women.      Women who have habit of betal and tobacco chewing undergone earlier menopause than others

  13. SINGS AND SYMPTOMS MENOPAUSE Physiological symtoms • 70% of women had loss of skin elasticity • 84% women had severe back ache • 16% of women complained about urinary incontinence • 61%of women had palpitation

  14. 87% of women had head ache 26% of women had hot flush and sweating 17% women had burning micturation 46% of women had vulval skin pale ness 31.5% of women had vulval skin thinning 30% of women had osteoarthritis 2% of women had abnormal libido

  15. PSYCHOLOGICAL SYMPTOMS

  16.     32% women had irritation     13% women had depression     48% women had insomnia 66% women had mood swing 9% unable to cope with normal stress 24% short tempered

  17. PRESCRIBED DIETARY MODIFICATION • vitamin E rich foods like wheat gram, nuts, eggs and olive oil • Vitamin A, D, calcium, phosphorous and magnesium • excellent source of calcium like Fish, drumstick leaves, ragi and dairy products • Phytoestrogens, which mimic human oestrogen, are found mainly in soyabeans and sprouts.

  18. Omega-3 fatty acid products like fish, Omega-3 enriched eggs eat foods rich in protective antioxidants (fresh fruit and vegetables) eat foods rich in dietary fibre (fresh, raw fruits and vegetables and unprocessed grains take a B complex supplement especially folate, B6 and B12 which protect against heart disease

  19. Food items to be restricted during menopause • Spicy foods like pickles • Coffee, tea • Chocolate • Alcoholic drinks • Refined products. avoid foods containing trans-fatty acids (hard or block margarine, commercial cakes, biscuits and pies)

  20. Alternative measures • dress in layers. Remove pieces of clothing at the first sign of a hot flush to feel cooler.  • keep the office or home cool by using a fan or air conditioner. Sleep in a cool room.  • exercise regularly to reduce stress and promote better sleep. • reduce stress with a leisurely bath, meditation, massage or yoga.  • slow and deep, abdominal breathing at the start of a hot flush may be helpful. 

  21. Results • 70% women reduced the intake of tea from 4-5 times to 1-2 times thus minimized the symptom of hot flush. • 25% of women practiced walking as their relaxation technique. • 30% of taken initiative to consume Vit E rich foods. • 75% women identified the importance of taking calcium rich foods like ragi to manage the osteoporosis.

  22. 2% women expressed the drastic change in hot flush episodes while consumes less tea and baked foods 14% women relieved from back pain after the exercisesand relaxation 56% women expressed that they are relieved from head ache after meditation 11% women practiced to consume more water and maintained personal hygiene to manage their burning micturition

  23. HEALTH IMPLICATION: • Mass media can be used for disseminating the knowledge regarding menopause ,so that the message will reach the large group of women. • The basic health workers like health visitors , community nurse are need to be educated regarding menopause ,through imparting the knowledge to the local people.

  24. Self help group women to be empowered in these aspects of health measures so that it can reach the women . Using a large sample and wider geographical distribution could help to analyze the dietary modification and exercise for this age group.

  25. Discussion The participants in the group reported a significant reduction in the perceived severity of the physiological symptoms, hot flushes, nocturnal perspiration ,fatigue, and insomnia.

  26. THANK YOU

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