Exercise and Menopause

I was just doing some research for a query on Exercise and Menopause, when I found this doozy:


Abstract

Objective: To evaluate the effect of moderate-intensity exercise on the occurrence and severity of menopause symptoms.
Design: A yearlong, randomized, clinical trial, conducted in Seattle, WA, with 173 overweight, postmenopausal women not taking hormone therapy in the previous 6 months. The intervention was a moderate-intensity exercise intervention (n = 87) versus stretching control group (n = 86). Using logistic regression, odds ratios comparing exercise with controls were calculated at 3, 6, 9, and 12 months for menopause symptoms and their severity.
Results: There was a significant increase in hot flash severity and decreased risk of memory problems in exercisers versus controls over 12 months, although the numbers affected were small. No other significant changes in symptoms were observed.
Conclusions: Exercise does not seem to decrease the risk of having menopause symptoms in overweight, postmenopausal women not taking hormone therapy and may increase the severity of some symptoms in a small number of women."

*Effect of a yearlong, moderate-intensity exercise intervention on the occurrence and severity of menopause symptoms in postmenopausal women

Aiello, Erin J. MPH1,2; Yasui, Yutaka PhD1; Tworoger, Shelley S. PhC1,3; Ulrich, Cornelia M. PhD1,3; Irwin, Melinda L. PhD, MPH4; Bowen, Deborah PhD1; Schwartz, Robert S. MD5; Kumai, Claudia PA1; Potter, John D. MD, PhD1,3; McTiernan, Anne MD, PhD1,3,6



This doesn't sound very good! I am going to hope that there is further research out there that will give me some positive feedback on exercise and Menopause!





An exercise program for menopausal women that includes both aerobic and resistance training may prevent or relieve problems such as cardiovascular diseaseobesitymuscle weaknessosteoporosis, and depression. The risk of cardiovascular disease increases in women after menopause; in both men and women, regular aerobic exercise may improve cardiorespiratory endurance and reduce the risk ofcardiovascular disease. Aerobic exercise also prevents some age-related increases in body fat and it elevates resting metabolic rate, which correlates directly with lean body mass. Inactivity, not hormonal change, is the most common cause of obesity. Resistance training can improve muscle strength and bone density. Increases in bone mineral content have been found at lumbar vertebral and distal radial sites in women who participate in exercise programs. Weight-bearing exercise in conjunction with estrogen replacement therapy and calcium supplementation helps to prevent osteoporosis. Many women experience mood changes at menopause. Some of these symptoms are caused by chronic sleep deprivation due to night flushes and respond best to estrogen; others are related to levels of brain chemicals and respond favorably to exercise.

*
Shangold MM
Department of Obstetric and Gynecology, Hahnemann University, Philadelphia, Pennsylvania.

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