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Open AccessArticle

Chronic Fatigue, Physical Impairments and Quality of Life in Women with Endometriosis: A Case-Control Study

1
“Cuídate” Support Unit for Oncology Patients (UAPO), Sport and Health University Research Institute (iMUDS), University of Granada, E-18016 Granada, Spain
2
Department of Physiotherapy, University of Granada, E-18016 Granada, Spain
3
Gynaecology and Obstetrics Unit, “Virgen de las Nieves” University Hospital, E-18014 Granada, Spain
4
Biohealth Research Institute in Granada (ibs.GRANADA), E-18016 Granada, Spain
5
Department of Obstetrics and Gynaecology, University of Granada, E-18016 Granada, Spain
6
Centro de Psicología Clínica Alarcón (CPCA), E-18012 Granada, Spain
7
Gynaecology and Obstetrics Unit, “San Cecilio” University Hospital, E-18016 Granada, Spain
8
Department of Radiology and Physical Medicine, University of Granada, E-18016 Granada, Spain
9
CIBER of Epidemiology and Public Health (CIBERESP), 28015 Madrid, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(10), 3610; https://doi.org/10.3390/ijerph17103610
Received: 30 March 2020 / Revised: 29 April 2020 / Accepted: 13 May 2020 / Published: 21 May 2020
(This article belongs to the Special Issue Global Women's Health)
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. View Full-Text
Keywords: chronic fatigue; endometriosis; health-related fitness; health-related quality of life; sleep quality chronic fatigue; endometriosis; health-related fitness; health-related quality of life; sleep quality
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Álvarez-Salvago, F.; Lara-Ramos, A.; Cantarero-Villanueva, I.; Mazheika, M.; Mundo-López, A.; Galiano-Castillo, N.; Fernández-Lao, C.; Arroyo-Morales, M.; Ocón-Hernández, O.; Artacho-Cordón, F. Chronic Fatigue, Physical Impairments and Quality of Life in Women with Endometriosis: A Case-Control Study. Int. J. Environ. Res. Public Health 2020, 17, 3610.

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