Literature DB >> 25516405

The effectiveness of exercise as treatment for vasomotor menopausal symptoms: randomised controlled trial.

A J Daley1, A Thomas, A K Roalfe, H Stokes-Lampard, S Coleman, M Rees, M S Hunter, C MacArthur.   

Abstract

OBJECTIVE: To investigate the effectiveness of exercise as treatment for vasomotor menopausal symptoms.
DESIGN: Three-group randomised controlled trial, two exercise interventions and a control group.
SETTING: Primary Care, West Midlands UK. POPULATION: Perimenopausal and postmenopausal women experiencing at least five hot flushes/night sweats per day and not taken MHT in previous 3 months were recruited from 23 general practices.
METHODS: Participants in both exercise interventions groups were offered two face-to-face consultations with a physical activity facilitator to support engagement in regular exercise. In addition, one exercise group received a menopause-specific information DVD and written materials to encourage regular exercise and the other exercise group was offered the opportunity to attend exercise social support groups in their communities. Interventions lasted 6 months. MAIN OUTCOME MEASURE: The primary outcome was frequency of hot flushes/night sweats at 6-month up.
RESULTS: Two hundred and sixty-one women were randomised (n = 87 per group). Neither of the exercise intervention groups reported significantly less frequent hot flushes/night sweats per week than controls (exercise-DVD versus control: -8.9, 95% CI -20.0 to 2.2; exercise-social support versus control: -5.2, 95% CI -16.7 to 6.3).
CONCLUSIONS: This trial indicates that exercise is not an effective treatment for hot flushes/night sweats. Contrary to current clinical guidance, women should not be advised that exercise will relieve their vasomotor menopausal symptoms.
© 2014 Royal College of Obstetricians and Gynaecologists.

Entities:  

Keywords:  Exercise; hot flushes; menopause; night sweats; primary care

Mesh:

Year:  2014        PMID: 25516405     DOI: 10.1111/1471-0528.13193

Source DB:  PubMed          Journal:  BJOG        ISSN: 1470-0328            Impact factor:   6.531


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