2 research outputs found
Chronic Fatigue, Physical Impairments and Quality of Life in Women with Endometriosis: A Case-Control Study
The authors are indebted with all participants, without whom this work would not have been
possible. We are grateful to Ana Yara Postigo-Fuentes for her assistance with the English language. This paper is
part of the PhD thesis developed by A. Lara-Ramos in the Official Doctoral Programme in Clinical Medicine and
Public Health of the University of Granada.Aim: To explore endometriosis-related fatigue (ERF), health-related fitness, sleep quality,
and health-related quality of life (HRQoL) in women with endometriosis in comparison with
matched controls. Methods: Twenty-five affected women and twenty-five age and height-matched
women without endometriosis were included. ERF was assessed through the Piper Fatigue Scale;
health-related fitness was assessed through the Schöber, flamingo, and 6-min walking tests and
dynamometry; and body composition was assessed through impedanciometry. Self-perceived
physical fitness, sleep quality, and HRQoL were assessed through the International Fitness Scale, the
Pittsburgh Sleep Quality Index, and the 12-item Short Form Health Survey, respectively. Results:
Affected women exhibited higher levels of ERF than controls, increased fat mass, and physical
deconditioning (reduced back strength, lumbar flexibility, body balance, and functional capacity,
p-values < 0.050). Moreover, cases also had poorer perceived physical fitness, sleep quality, and
HRQoL (p-value < 0.050). Finally, we observed deteriorated health-related fitness, sleep quality,
and HRQoL in those women with endometriosis with higher levels of ERF. Conclusions: This
study constitutes the first evidence that women with endometriosis describe a generalized physical
deconditioning, even more pronounced in affected women with higher levels of ERF. Further studies
assessing the efficacy of rehabilitation interventions to face these physical impairments in women
with endometriosis are warranted.Health Institute Carlos III (ISCIII)-FEDER
PI17/01743PAIDI group
CTS-206University of Granada, Plan Propio de Investigacion 2016, Excellence actions: Units of Excellence; Unit of Excellence on Exercise and Health (UCEES)Junta de AndaluciaConsejeria de Conocimiento, Investigacion y UniversidadesEuropean Union (EU)
SOMM17/6107/UG
Epidemiology of Endometriosis in Spain and Its Autonomous Communities: A Large, Nationwide Study
A retrospective population-based study aimed to assess the incidence of endometriosis
in the general population in Spain and in each of its autonomous communities. The authors used
the incidence of diagnosed endometriosis in the minimum basic dataset at discharge in the national
hospital discharge registry of Spain. This analysis was carried out with hospital data with a diagnosis
of endometriosis (International Classification of Diseases (ICD)-9 code 617.xx and ICD-10 code
N80.xx) and covered the period from 1 January 2014 to 31 December 2017 and a population of
12,775,911 women of reproductive age (15–54 years). The data were then analyzed at the national
level and separately for each autonomous community. This nationwide Spanish study estimated
the overall incidence of endometriosis among autonomous communities in Spain to be 16.1 per
10,000 women (range, 6.8 to 24). The mean age of the 20,547 women diagnosed with endometriosis
during the study period was 36.8 ± 5.4 years. The types (proportions) of endometriosis were uterine
(28.4%), tubo-ovarian (35.2%), peritoneal (8.1%), vesical (6.8%) and intestinal (3.2%) endometriosis.
Further studies are needed to assess the reasons for the decrease in the observed incidence and for
the significant differences in the regional incidence rates of this disease.Research Chair Antonio Chamorro - CACH2017-