The impact of premenopausal empowerment model based health belief model to changes in physical activity levels in controlling complaints of perimenopausal women in Pematangsiantar City, Indonesia, 2017

Abstract

The impact of premenopausal empowerment model based health belief model to changes in physical activity levels in controlling complaints of perimenopausal women in Pema tangsiantar City, Indonesia, 2017. D.E. SIMANGUNSONG, M.F.G. SIREGAR, R.S. TRIYOGA, R. LUBIS Physical activity is defined as any body movement produced by ske letal muscles that increases power/energy spending. Lack of physical ac tivity is an independent risk factor for chronic diseases and is the overall estimated leading cause of death globally. Physical activity coupled with regular exercise can be used as an alternative effort to reduce perimeno pausal complaints due to estrogen deficiency. Although a normal phase, perimenopause is characterized by complaints that may interfere with daily activities. Short term complaints usually include rheumatic pain, anxiety, muscle aching, neuropathy, night sweating, hot flushes, whereas long-term complaints include osteoporosis, myocardial infarction, in creased cholesterol levels, overweight and carbohydrate metabolism di sorders. Early prevention measures are neccesary in order to establish a healthy life style. This quasi experimental study included 70 women aged 40 to 45 years, which were evenly divided in two groups, the study and control group. Data were analysed to observe changes prior to and after the in tervention was given and the effects of the intervention on levels of self reliance. Data on sports were univariately analyzed. Bivariate analysis was performed using the Shapiro-Wilk test and t-test dependent. Results showed that the Premenopausal Empowerment Model (PEM) significantly changed health belief, indicated by an increase in health belief scores (9.96 ± 17.15) with p = < 0.001, and physical ac tivities (0.35 ± 0.48) with p=<0.001. Therefore PEM should be re commended as an intervention to help develop a sustainable healthcare system especially for menopausal women through peer education.