BMC Women's Health最新文献

{"title":"Cancer-related financial toxicity among Latinas with breast cancer in a rural area of the United States: a qualitative study.","authors":"Eunjeong Ko, Andrea Valadez Galindo, Michelle Avila, Kristen J Wells, Andrea Van Bebber, Maribel Gamino, Juana Martinez, Alan Cartmell","doi":"10.1186/s12905-025-03692-5","DOIUrl":"https://doi.org/10.1186/s12905-025-03692-5","url":null,"abstract":"<p><strong>Background: </strong>Financial toxicity, or the adverse impact of cancer diagnoses on survivors' financial well-being, is an increasing global concern. In the United States, it is disproportionately high among racial/ethnic minorities. Latina breast cancer patients encounter greater financial burdens than their non-Latina White counterparts, which can lead to discontinuation of medical treatment, poor quality of life, or early mortality. In particular, cancer patients in rural regions are at a greater risk for financial toxicity due to a lack of resources and structural barriers. Despite its magnitude, financial toxicity among Latina breast cancer patients who reside in rural areas is understudied. This study aims to fill this gap by exploring financial toxicity from the perspectives of Latina breast cancer patients, family members, and healthcare professionals.</p><p><strong>Methods: </strong>This qualitative, cross-sectional study aimed to address this gap in the literature through in-depth interviews with 47 participants, including Latina breast cancer patients (n = 21), their family members/caregivers (n = 14), and healthcare professionals (n = 12), all from a rural agricultural region, with a focus on contributing factors and impacts of financial toxicity. Qualitative data were analyzed using a thematic analysis approach. Demographic data were analyzed using descriptive statistics.</p><p><strong>Results: </strong>The main themes relating to contributions to changes in patient financial situations included (1) employment disruption (e.g., reduced working hours and quitting the job) post breast cancer diagnosis, and (2) medical-related (out-of-pocket costs, co-payment) and non-medical related financial costs (transportation, childcare). The impacts of financial toxicity were multi-faceted. Patients struggled to meet basic needs (e.g., food, paying bills) and experienced psychological distress. Coordinating patient support care (e.g., transportation, caretaking) to accommodate their financial needs negatively impacted their families' work schedules and routines. It also affected family relationships, leading to family conflicts, including marital conflict, as well as patients' continuum of cancer care.</p><p><strong>Conclusions: </strong>Financial toxicity encountered by rural Latina breast cancer patients is complex, and its adverse effects are multifaceted. Culturally appropriate interventions targeting patients and families to address their personal, psychological, and familial issues related to financial toxicity are needed.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"182"},"PeriodicalIF":2.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Household food insecurity, sociodemographic and lifestyle risk factors associated with high blood pressure among women in farming communities in Ghana.","authors":"Aaron Kobina Christian, Ruth Tenkoramaa Owu, Irene A Kretchy","doi":"10.1186/s12905-025-03713-3","DOIUrl":"https://doi.org/10.1186/s12905-025-03713-3","url":null,"abstract":"<p><strong>Background: </strong>Hypertension remains a primary contributor to avoidable mortality and impairment. This study aimed to examine the association between household food insecurity (HFI), another public health concern, and hypertension among women farmers in peri-urban and rural communities in Ghana.</p><p><strong>Methods: </strong>Self-reported hypertension status, blood pressure measurement, and HFI were assessed using data on 430 women from a cross-sectional survey. We examined the odds of hypertension in women experiencing different categories of food insecurity while controlling for other known factors.</p><p><strong>Results: </strong>Close to 74% (n = 319) of respondents belonged to households that were food-secure with 26% (n = 111) in food-insecure households. At the time of the survey, about a fifth of the participants (19%) reported to have ever been diagnosed with hypertension and 22% were living with high blood pressure (i.e., systolic: 140 mm Hg or higher and diastolic: 90 mm Hg or higher). Living in a rural community compared to a peri-urban community was associated with lower odds of living with high blood pressure. Older women were more likely than younger women to report having known hypertension and living with high blood pressure. Dangbe women were less likely to have high blood pressure than women from other ethnic groups. An increase in physical/morbidity activity was associated with a decreased likelihood of high blood pressure among food-insecure women.</p><p><strong>Conclusions: </strong>This study buttresses the importance of hypertension awareness among older women, particularly, in urbanizing communities, and the need to explore mediating factors through which ethnicity may influence living with high blood pressure.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"181"},"PeriodicalIF":2.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The overtreatment rate, medical cost and psychological affection of see-and-treat versus three-step approaches in the treatment of cervical intraepithelial neoplasia: a systematic review and meta-analysis.","authors":"Shuwen Zhang, Jinhui Wang, Lan Zhu","doi":"10.1186/s12905-025-03718-y","DOIUrl":"https://doi.org/10.1186/s12905-025-03718-y","url":null,"abstract":"<p><strong>Objectives: </strong>The see-and-treat (S&T) approach is increasingly utilized for the treatment of cervical intraepithelial neoplasia (CIN). However, its recognition remains limited compared to the traditional three-step management. This study aims to systematically review and compare the outcomes of studies that directly assess the S&T and three-step approaches in CIN treatment.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted in MEDLINE, EMBASE, and the Cochrane Library up to December 10, 2024. Eligible studies directly compared the overtreatment rate, medical costs, and psychological impact of the S&T and three-step approaches for abnormal cervical smears. The inclusion criteria for women undergoing S&T had to align with those for three-step management. Data on overtreatment risk, medical costs, and psychological effects were extracted and analyzed. Comparative results were presented using forest plots, stratified by different smear categories.</p><p><strong>Results: </strong>Twelve publications were included, comprising three randomized controlled trials (RCTs) and nine observational studies. Among women with ASC-H or HSIL, the overtreatment risk following S&T was comparable to that of the three-step approach (ASC-H, RR 1.40, 95% CI 0.75-2.60; HSIL, RR 0.93, 95% CI 0.71-1.23). However, in the LSIL/AS-CUS subgroup, the S&T approach was associated with a significantly higher overtreatment risk compared to the three-step method (RR 2.03, 95% CI 1.92-2.15). The S&T approach was associated with lower medical expenses for HSIL cases and a reduction in patients' negative emotional responses compared to the three-step procedure.</p><p><strong>Conclusions: </strong>The S&T approach may be a suitable alternative for women with HSIL/ASC-H smear results, considering its comparable overtreatment risk, potential cost savings, and psychological benefits. However, its use in LSIL/ASC-US cases should be carefully evaluated due to the increased risk of overtreatment.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"179"},"PeriodicalIF":2.4,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143954757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and risk factors of postpartum urinary retention following cesarean section: a retrospective nationwide inpatient sample database study.","authors":"Fufei Zhang, Jingyi Huang, Xinlin Huang, Xinran Zhao, Qinfeng Yang, Jian Wang, Xuegao Yu, Xue Xu","doi":"10.1186/s12905-025-03728-w","DOIUrl":"https://doi.org/10.1186/s12905-025-03728-w","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To investigate the risk factors associated with postpartum urinary retention after cesarean section (CS) and to determine the associated morbidity rate.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This study was a population-based retrospective case-control study analyzed using National Inpatient Sample (NIS) data from 2010 to 2019. The study classified women according to whether they developed postpartum urinary retention after delivery. Predictors of postpartum urinary retention occurring after CS were identified by multivariate logistic regression analysis, and the corresponding incidence rates were examined after adjusting for basic maternal demographic and clinical characteristics.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 2,397,168 CSs were extracted from the NIS database. The overall incidence of urinary retention after CS was 0.20%. Patients who experienced urinary retention after CS demonstrated longer length of stay (LOS), higher total costs, and more postoperative complications. The following variables have been identified as potential risk factors for urinary retention: age between 25 and 34 years (OR = 1.27; 95% CI = 1.17-1.38; P &lt; 0.001), 35 years and older (OR = 1.35; 95% CI = 1.22-1.48; P &lt; 0.001), Asian and Pacific Islander (OR = 1.85; 95% CI = 1.68-2.05; P &lt; 0.001), one comorbidity (OR = 1.51; 95% CI = 1.28-1.79; P &lt; 0.001), two comorbidities (OR = 1.51; 95% CI = 1.09-2.08; P = 0.013), three and more comorbidities (OR = 1.79; 95% CI = 1.06-3.04; P = 0.031), large hospitals (OR = 1.16; 95% CI = 1.07-1.26; P &lt; 0.001), teaching hospitals (OR = 1.93; 95% CI = 1.79-2.07; P &lt; 0.001), eastern hospitals (OR = 1.24; 95% CI = 1.14-1.35; P &lt; 0.001), coagulation disorders (OR = 1.32; 95% CI = 1.08-1.61), fluid and electrolyte disorders (OR = 2.46; 95% CI = 1.94-3.11), other neurological disorders (OR = 1.51; 95% CI = 1.20-1.89), paralysis (OR = 3.24; 95% CI = 1.95-5.38), and weight loss (OR = 2.34;95% CI = 1.26-4.35). In addition, urinary retention was associated with postoperative complications related to bladder or ureteral injury (OR = 6.12; 95% CI = 2.46-15.23), blood transfusion (OR = 1.51; 95% CI = 1.31-1.76), acute renal failure (OR = 4.74; 95% CI = 3.46-6.48), respiratory failure (OR = 2.21; 95% CI = 1.23-3.98), endometritis (OR = 1.32; 95% CI = 1.02-1.71), hemorrhage/hematoma ( OR = 2.52; 95% CI = 1.38-4.62), uterine rupture (OR = 1.75; 95% CI = 1.21-2.54), hysterectomy (OR = 2.30; 95% CI = 1.66-3.18), peritonitis (OR = 2.86; 95% CI = 1.03-7.92), severe puerperal infections (OR = 3.31; 95% CI = 2.60- 4.22), chorioamnionitis (OR = 1.78; 95% CI = 1.59-2.00). Notably, the presence of cephalopelvic disproportion (OR = 1.37; 95% CI = 1.11-1.67), breech or other fetal position abnormalities (OR = 1.10; 95% CI = 1.00-1.20), placenta previa (OR = 1.39; 95% CI = 1.06-1.84), multiple gestation (OR = 1.39; 95% CI = 1.23-1.58), anatomy of the bladder (OR = 3.93; 95% CI = 1.42-10.90), bladder catheter placement (OR = 22.57; 95% CI","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"180"},"PeriodicalIF":2.4,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the effect of hypertension on the severity of coronary artery lesions in young female with acute coronary syndrome.","authors":"Ruifang Liu, Fangxing Xu, Tongku Liu, Yujie Zhou, Xiaofan Wu","doi":"10.1186/s12905-025-03721-3","DOIUrl":"https://doi.org/10.1186/s12905-025-03721-3","url":null,"abstract":"<p><strong>Background: </strong>The fact that hypertension is associated with atherosclerotic cardiovascular disease in the elderly has been confirmed. However, very little is known about its impact on the severity of coronary artery lesions in young people, especially in young women.</p><p><strong>Objective: </strong>To evaluate the effect of essential hypertension (EH) on the severity of coronary artery lesions in young women with acute coronary syndrome (ACS), and to provide a reference for clinical prevention and treatment.</p><p><strong>Methods: </strong>From January 2003 to January 2022, 5220 young women (aged ≤ 44 years) who underwent coronary angiography (CAG) due to chest pain symptoms were retrospectively analyzed, of whom 2684 were diagnosed with ACS. After patients with diabetes, hypercholesterolemia, and smoking were excluded, 1772 patients were enrolled. According to whether the patient has EH or not, they were divided into EH combined with ACS group (EH-ASC group; n = 824) and non-hypertension ACS group (control group; n = 948). The severity of coronary artery lesions and the follow-up results after percutaneous coronary intervention (PCI) were compared between the groups.</p><p><strong>Results: </strong>There was no significant difference in the type of ACS and the number of lesion vessels between the two groups (P > 0.05). The proportion of type B2 (17.11%) and type C (31.55%) lesions in the EH-ACS group was significantly higher than that (11.39% and 20.68%) in the control group (P < 0.05). The number of stents implanted (1.55 ± 0.95) and the length of stents (23.99 ± 6.77 mm) in the EH-ACS group were significantly greater than those (1.36 ± 0.75 and 22.34 ± 6.91 mm) the in control group (P < 0.05). During a follow-up period of 11-138 months, the cumulative rate of major adverse cardiac events (MACE) and target vessel revascularization (TVR) in the EH-ACS group (22.09% and 20.26%) was significantly higher than that (9.28% and 8.65%) in the control group (P < 0.05).</p><p><strong>Conclusion: </strong>Hypertension exacerbates the severity of coronary artery lesions in young women with ACS. It is suggested that attention should be paid to the prevention and treatment of hypertension in young women, a special population, to reduce the prevalence of ACS, and a focus on improving hypertension awareness and management among young women could be beneficial in reducing the risk and severity of ACS.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"175"},"PeriodicalIF":2.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11992717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparative study of prone split-leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgery.","authors":"Yayu Zhou, Yonghong Lin, Dingyu Xu, Li He, Lu Huang","doi":"10.1186/s12905-025-03709-z","DOIUrl":"https://doi.org/10.1186/s12905-025-03709-z","url":null,"abstract":"<p><strong>Background: </strong>To assess and compare the efficiency and outcomes between prone split-leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgery (vNOTES).</p><p><strong>Methods: </strong>33 patients with posterior uterine myomectomy by vNOTES in the prone split-leg position and 15 patients in the lithotomy position were retrospectively recruited. Important baseline characteristics and outcome parameters such as age, body mass index, volume of myoma, delivery mode, hospital length, intraoperative blood loss, hemoglobin values before and 72 h after operation, VAS score, operation time and operation preparation time were compared between two patient groups.</p><p><strong>Results: </strong>The operation time of the prone split-leg position group was significantly shorter than that of the lithotomy position group (P < 0.05), but the operation preparation time of the prone split-leg position group was longer than that of the lithotomy position group (P < 0.05). No significant difference was found in other indicators between the two patient groups.</p><p><strong>Conclusions: </strong>Our study suggests the potential application of the prone split-leg position in posterior uterine myomectomy by vNOTES.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"177"},"PeriodicalIF":2.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11994009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of progressive muscle relaxation exercises on premenstrual syndrome symptoms and violence tendencies in women: a randomized controlled trial.","authors":"Sabri Toğluk, Sidar Gül","doi":"10.1186/s12905-025-03712-4","DOIUrl":"https://doi.org/10.1186/s12905-025-03712-4","url":null,"abstract":"<p><strong>Background: </strong>Although violence is reported in women with premenstrual syndrome (PMS), preventive interventions are among the essential responsibilities of nurses. This study aimed to determine the effect of progressive muscle relaxation exercises (PMRE) given to women with PMS on PMS symptoms and violent tendencies.</p><p><strong>Methods: </strong>The study was conducted experimentally with a pre-test/post-test control group between January and August 2024 in a province located in the southeastern Anatolia region of our country. The study included 106 participants, 53 experimental and 53 control, who had PMS. Participants were provided with a PMRE application for eight weeks. Data were collected through the 'Personal Information Form, PMS Scale and Violence Tendency Scale (VTS).' Data were analysed using descriptive statistics, chi-square, independent samples t-test and one-way multivariate analysis of variance.</p><p><strong>Results: </strong>Participants in the intervention group had significantly lower mean scores on the post-test PMS scale and the VTS than participants in the control group (p < 0.05). The difference between the PMS scale's pre-test and post-test mean scores was statistically significantly lower in the experimental group (P < 0.001). The difference between the groups was statistically significant in terms of the combined dependent variables, including the pre-test and post-test change in the mean scores of the PMS scale and the VTS (F(2,103) = 158.77, P < 0.001; V = 0.245; ηp² = 0.755). This difference explained 75.5% of the variance in the dependent variable.</p><p><strong>Conclusion: </strong>PMRE administration has a high level of efficacy in reducing PMS and violence tendencies.</p><p><strong>Trial registration: </strong>ClinicalTrials ID: NCT06208670 Dated:22.12.2023.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"176"},"PeriodicalIF":2.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11993963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Protein expression profiling identifies a prognostic model for ovarian cancer.","authors":"Luyang Xiong, Jiahong Tan, Yuchen Feng, Daoqi Wang, Xudong Liu, Yun Feng, Shusheng Li","doi":"10.1186/s12905-025-03703-5","DOIUrl":"https://doi.org/10.1186/s12905-025-03703-5","url":null,"abstract":"","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"178"},"PeriodicalIF":2.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11993936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a low-FODMAP diet on patients with endometriosis, a prospective cohort study.","authors":"A Keukens, V B Veth, M M A van de Kar, M Y Bongers, S F P J Coppus, J W M Maas","doi":"10.1186/s12905-025-03715-1","DOIUrl":"https://doi.org/10.1186/s12905-025-03715-1","url":null,"abstract":"<p><strong>Background: </strong>Patients with endometriosis often experience bowel symptoms such as changing stool, abdominal pain and bloating similar to those associated with irritable bowel syndrome. These symptoms reduce quality of life (QoL). Visceral hypersensitivity seems to be a shared pathogenic factor. The low-FODMAP (Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols) diet is a known visceral hypersensitivity targeted therapy with significant reduction in bowel symptoms. The aim of this study was to evaluate the effect of low-FODMAP diet on bowel symptoms such as constipation and bloating, pain and QoL in patients with endometriosis.</p><p><strong>Methods: </strong>The diet involved four weeks of FODMAP elimination, followed by a reintroduction-period of at least ten weeks, varying by patient. Questionnaires were sent at baseline and after these periods. The primary outcome was constipation change after the reintroduction period compared to baseline, assessed by Groningen-DeFeC-questionnaire (0-30 scale) with paired-T-test or Wilcoxon-signed-rank-test. Secondary outcomes included changes in bloating, QoL and abdominal pain, assessed by Endometriosis Health Profile-30 (EHP-30). P-value < 0,05 indicated statistical significance.</p><p><strong>Results: </strong>Forty-seven patients were included; thirteen withdrew before starting the diet, mostly due to lack of motivation. Of the remaining 34, 24 (71%) completed the diet (i.e. following the prescribed periods) Constipation scores improved significantly after low-FODMAP diet compared to baseline from 7.0 to 5.0 (p = 0.023). There was no significant difference observed in bloating, however 53% of patients that completed the diet mentioned a decrease. The following domains of the EHP-30 improved significantly: pain (from 47.8 to 29.2 (p = 0.002)), control and powerlessness (from 69.4 to 36.7 (p = 0.000)), emotional well-being (from 45.2 to 29.2 (p = 0.001)), social support (from 46.4 to 31.3 (p = 0.0017)), self-image (from 51.2 to 40.5 (p = 0.035)), work-life (from 35.0 to 21.7 (p = 0.003)) and sexual intercourse (from 61.6 to 45.7 (p = 0.023)). 65% of patients that completed the diet mentioned a decrease in pain, especially chronic pelvic pain.</p><p><strong>Conclusions: </strong>This study suggests the low-FODMAP diet may improve bowel symptoms and QoL in endometriosis patients motivated to follow the diet, highlighting its potential in endometriosis care. However, further research in larger populations is needed to explore factors like endometriosis type, pain intensity and dropout rates to confirm these findings.</p><p><strong>Trial registration: </strong>ICTRP: NL-OMON28996: Feasibility study: The effect of the low FODMAP diet on women suffering from endometriosis ( https://trialsearch.who.int/Trial2.aspx?TrialID=NL-OMON28996 ) on September 13th 2019.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"174"},"PeriodicalIF":2.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11992704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants physical activity in middle-aged women: application trans theoretical model.","authors":"Zakieh Khoramaki, Leila Fallahipour, Masoud Karimi, Mahin Nazari","doi":"10.1186/s12905-025-03706-2","DOIUrl":"https://doi.org/10.1186/s12905-025-03706-2","url":null,"abstract":"<p><strong>Background and aims: </strong>Physical activity is one of the most important indicators of health in the society and plays an important role in the lives of people, especially women. Nevertheless, one of the major challenges in modern society is the inactivity and lack of optimal physical activity of women, which has caused a rising prevalence in chronic diseases. Models and theories help to better understand these behaviors and better planning for behavior change in target groups. This study was conducted with the aim of investigating the predictors of regular physical activity among middle-aged women based on the trans-theoretical model.</p><p><strong>Design: </strong>The present study was conducted cross-sectionally on 250 middle-aged women (age range 45-59) covered by comprehensive health databases.</p><p><strong>Method: </strong>Inclusion conditions included willingness to participate, living in the area under study, not having certain diseases and disorders that would cause changes in lifestyle or physical activity. The random sampling method was simple. In this study, questionnaires of transtheoretical model constructs and short international questionnaire of physical activity were used. Data were analyzed using SPSS version 26 and Amos 24 software.</p><p><strong>Results: </strong>In path analysis, change methods with path coefficient β = 0.20 are the strongest predictors of physical activity behavior in middle-aged women, and it clearly shows a significant positive relationship with the amount of physical activity (P < 0.05). Also, the stimulus control substructure with a factor loading of β = 0.17 and a confidence interval (CI) of 95% also has a high predictive power of the tendency to physical activity behavior. Chi-square ratio to degrees of freedom (χ²/DF) < 3 and RMSEA = 0.065 indicate a good fit of the model with the data (GFI = 0.91, CFI = 0.98).</p><p><strong>Conclusion: </strong>The path analysis revealed that the proposed model by Prochaska fits well with the research data, indicating that change processes are strong predictors of physical behavior. These findings can serve as a foundation for developing targeted, evidence-based interventions to promote physical activity among middle-aged women.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"169"},"PeriodicalIF":2.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}