Exercise and Quality of Life in Menopause
Menopause , if not induced surgically, is a normal part of the female ageing process but many perimenopausal and early postmenopausal women will experience menopause symptoms that are troublesome and unpleasant. A range of physical, somatic and psycholog
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Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4104 What Is Menopause? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4104 Menopausal Symptoms and Quality of Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4105 Hormone Replacement Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4105 The Case for Exercise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4106
2 How Might Exercise Impact on Menopausal Symptoms? . . . . . . . . . . . . . . . . . . . . . . . . 4108 2.1 Biological Explanations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4108 2.2 Psychological and Psycho-Social Explanations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4108 3 A Summary of Observational Evidence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4108 3.1 Associations Between Exercise and Menopausal Symptoms . . . . . . . . . . . . . . . . . . . . . . . . 4108 4 4.1 4.2 4.3 4.4 4.5
Overview of Trial Evidence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4109 Randomized Controlled Trials in Vasomotor Symptomatic Women . . . . . . . . . . . . . . 4109 Randomized Controlled Trials of Menopausal-Aged Women . . . . . . . . . . . . . . . . . . . . . . 4112 Non-Randomized Controlled Trials of Vasomotor Symptomatic Women . . . . . . . . . 4113 Nonrandomized Controlled Trials of Menopausal-Aged Women . . . . . . . . . . . . . . . . . . 4113 Evidence Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4114
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The Role of Body Mass Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4114
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Issues to Consider when Promoting Exercise in Menopausal Women . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4115
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Conclusions: Should Women Exercise to Alleviate Menopausal Symptoms? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4115 Summary Points . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4116
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Springer Science+Business Media LLC 2010 (USA)
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Exercise and Quality of Life in Menopause
Abstract: > Menopause, if not induced surgically, is a normal part of the female ageing process but many perimenopausal and early postmenopausal women will experience menopause symptoms that are troublesome
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