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

journal contribution
posted on 13.03.2018 by Amanda Daley, A. Thomas, Andrea K. Roalfe, H. Stokes-Lampard, Sarah J. Coleman, M. Rees, M.S. Hunter, Christine MacArthur
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.

Funding

This study was funded by the National Institute for Health Research School for Primary Care Research. AD is supported by a National Institute for Health Research Senior Research Fellowship. CM is part funded by the NIHR through the Collaborations for Leadership in Applied Health Research and Care for West Midlands (CLAHRC-WM) programme.

History

School

  • Sport, Exercise and Health Sciences

Published in

BJOG: An International Journal of Obstetrics and Gynaecology

Volume

122

Issue

4

Pages

565 - 575

Citation

DALEY, A.J. ... et al, 2014. The effectiveness of exercise as treatment for vasomotor menopausal symptoms: randomised controlled trial. BJOG: An International Journal of Obstetrics and Gynaecology, 122 (4), pp.565-575.

Publisher

Wiley © Royal College of Obstetricians and Gynaecologists

Version

VoR (Version of Record)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

Publication date

2014

Notes

This paper is closed access.

ISSN

1470-0328

eISSN

1471-0528

Language

en

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