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Title: The effectiveness of exercise as treatment for vasomotor menopausal symptoms: randomised controlled trial
Authors: Daley, Amanda J.
Thomas, A.
Roalfe, Andrea K.
Stokes-Lampard, H.
Coleman, Sarah J.
Rees, M.
Hunter, M.S.
MacArthur, Christine
Keywords: Exercise
Hot flushes
Menopause
Night sweats
Primary care
Issue Date: 2014
Publisher: Wiley © Royal College of Obstetricians and Gynaecologists
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.
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.
Description: This paper is closed access.
Sponsor: 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.
Version: Published
DOI: 10.1111/1471-0528.13193
URI: https://dspace.lboro.ac.uk/2134/32198
Publisher Link: https://doi.org/10.1111/1471-0528.13193
ISSN: 1470-0328
Appears in Collections:Closed Access (Sport, Exercise and Health Sciences)

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