Exercise and Quality of Life in Menopause

  • A. J. Daley
  • H. Stokes-Lampard
  • C. MacArthur
Reference work entry


 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 psychological symptoms have been associated with menopause, including  hot flushes, night sweats, vaginal dryness, depression, sexual dysfunction, fatigue and insomnia.

 Hormone replacement therapy is known to be an effective treatment for menopausal symptoms but many women are reluctant to take it and are keen to try alternatives. For women who choose not to take hormone replacement therapy, aerobic exercise might be a useful intervention in mitigating the negative effects of menopause. There are plausible mechanisms by which exercise might positively impact on symptoms.

Observational studies have shown an association between exercise and lower rates of menopausal symptoms, including hot flushes/night sweats. Regardless of whether participants allocation has been randomized, most published trials have failed to report reductions specifically in vasomotor hot flushes in exercising women but no trial has been statistically powered to detect intervention effects for this outcome. Nevertheless, trials involving general populations of menopausal-aged women have shown that exercise can reduce some of the types of symptoms experienced by women at menopause, highlighting the potential role that exercise might have for this population.

Given that hormone replacement therapy may not provide women with all the protective health benefits once thought and women are keen to try other means of managing their symptoms, finding evidence-based alternatives has become increasing important. Studies suggest that exercise has shown some promise of being one such intervention, but they do not allow any stronger conclusion than this at present.


Hormone Replacement Therapy Menopausal Woman Menopausal Symptom Vasomotor Symptom Menopause Transition 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:


body mass index


chief medical officer


estrogen replacement therapy


hormone replacement therapy


intention to treat




 metabolic equivalents


miles per hour


 randomized controlled trial


Study of Women's Health Across the Nation


United Kingdom


United States of America


 Visual Analogue Scale


 quality of life


  1. Aiello EJ, Yasui Y, Tworoger SS, Ulrich CM, Irwin ML, Bowen D, Schwartz RS, Kumai C, Potter JD, McTiernan A. (2004). Menopause. 11: 382–388.PubMedCrossRefGoogle Scholar
  2. Asikainen TM, Kukkonen-Harjula K, Miilunpalo S. (2004). Sports Med. 34: 753–778.PubMedCrossRefGoogle Scholar
  3. Avis NE, Crawford SL, McKinley SM. (1997). Women's Health. 3: 103–120.PubMedGoogle Scholar
  4. Bahrke M, Morgan WP. (1978). Cog Therapy Res. 2: 323–333.CrossRefGoogle Scholar
  5. Boraz M, et al. (2001). Prev Med. 33: 108–114.PubMedGoogle Scholar
  6. Bortz WM 2nd, Angwin P, Mefford IN, Boarder MR, Noyce N, Barchas JD. (1981). N Eng J Med. 305: 466–467.Google Scholar
  7. Brown WJ, Burton NW, Rowan PJ. (2007). Am J Prev Med. 33: 404–411.PubMedCrossRefGoogle Scholar
  8. Casper RF, Yen SS. (1985). Clin Endocrinol. 22: 293–312.CrossRefGoogle Scholar
  9. Daley AJ, MacArthur C, McManus R, Stokes-Lampard H, Wilson S, Roalfe A, Mutrie N. (2006). Climacteric. 9: 336–346.PubMedCrossRefGoogle Scholar
  10. Daley AJ, MacArthur C, Stokes-Lampard H, McManus R, Wilson S, Mutrie N. (2007a). BJGP. 57: 130–135.Google Scholar
  11. Daley AJ, Stokes-Lampard H, Mutrie N, MacArthur C. (2007b). Cochrane Database Syst Rev. 4: CD006108.PubMedGoogle Scholar
  12. Daniel M, Martin AD, Carter J. (1992). B J Sports Med. 26: 111–115.CrossRefGoogle Scholar
  13. DeMeirleir K, Naatgeboren N, Steirtegham A, Van Gorus F, Olbrecht, J. Block P. (1986). Eur J Appl Physiol. 55: 5–8.CrossRefGoogle Scholar
  14. Department of Health. (2004). At Least Five a Week: Evidence on the Impact of Physical Activity and its Relationship to Health. Department of Health, England. (
  15. Elavasky S, McAuley E. (2007a). Ann Behav Med. 33: 132–142.CrossRefGoogle Scholar
  16. Elavasky S, McAuley E. (2007b). Am J Health Promot. 22: 83–92.Google Scholar
  17. Eriksen W, Bruusgaard D. (2004). B J Sports Med. 38: 331–356.CrossRefGoogle Scholar
  18. Freeman RR, Norton D, Woodward S, Cornélissen G. (1995). J Clin Endocrinol Metab. 80: 2354–2358.CrossRefGoogle Scholar
  19. Gold EB, Sternfeld B, Kelsey JL, Brown C, Mouton C, Reame N, Salamone L, Stellato R. (2000). Am J Epidemiol. 152: 463–473.PubMedCrossRefGoogle Scholar
  20. Greendale GA, Lee N, Arriola E. (1999). Lancet. 353: 571–580.PubMedCrossRefGoogle Scholar
  21. Holmberg L, Anderson H. (2004). Lancet. 363: 453–455.PubMedCrossRefGoogle Scholar
  22. Hulley S, Grady D, Bush T. (1998). JAMA. 280: 605–613.PubMedCrossRefGoogle Scholar
  23. Kalra SP, Simpkins JW. (1981). Endocrinology. 109: 776–782.PubMedCrossRefGoogle Scholar
  24. Kemmler W, Engelke K, Lauber D, Weineck J, Hensen J, Kalender WA. (2002). Med Sci Sports Exerc. 34: 2115–2123.PubMedCrossRefGoogle Scholar
  25. King AC, Oman RF, Brassington GS, Bliwise DL, Haskell WL. (1997). JAMA. 277: 32–37.PubMedCrossRefGoogle Scholar
  26. Lawton B, Rose S, McLeod D, Dowell A. (2003). BMJ. 327: 845–846.PubMedCrossRefGoogle Scholar
  27. Lindh-Åstrand L, Nedstrand E, Wyon Y, Hammar M. (2003). Maturitas. 48: 97–105.CrossRefGoogle Scholar
  28. McTiernan A, Tworoger S, Ulrich C, Yasui Y, Irwin ML, Rajan KB, Sorensen B, Rudolph RE, Bowen D, Stanczyk FZ, Potter JD, Schwartz RS. (2004a). Cancer Res. 64: 2923–2928.PubMedCrossRefGoogle Scholar
  29. McTiernan A, Tworoger S, Rajan KB, Yasui Y, Sorenson B, Ulrich CM, Chubak J, Stanczyk FZ, Bowen D, Irwin ML, Rudolph RE, Potter JD, Schwartz RS. (2004b). Cancer Epidemiol Biomarkers Prev. 13: 1099–1105.PubMedGoogle Scholar
  30. Million Women Study Collaborates. (2003). Lancet. 362: 419–427.Google Scholar
  31. Mirzaiinjmabadi K, Anderson D, Barnes M. (2006). I J Nurs Practice. 12: 28–34.CrossRefGoogle Scholar
  32. National Institute for Health & Clinical Excellence. (2004). CG23 Depression: Management of Depression in Primary and Secondary Care. NHS, London.Google Scholar
  33. North American Menopause Society. (2004). Menopause. 11: 11–33.Google Scholar
  34. Progetto Menopausa Italia Study Group. (2005). Maturitas. 52: 181–89.Google Scholar
  35. Rossouw JE, Anderson G, Prentice RL, LaCroix AZ, Kooperberg C, Stefanick ML, Jackson, RD, Beresford, SA, Howard, BV, Johnson. (2002). JAMA. 288: 321–333.PubMedCrossRefGoogle Scholar
  36. Royal College of Obstetricians and Gynaecologists Scientific Advisory Committee. (2006). Alternatives to HRT for the Management of Symptoms of the Menopause. Opinion paper 6. ( = 1561).
  37. Schwingl PJ, Hulka BS, Harlow SD. (1994). Obstet Gynecol. 84: 29–34.PubMedGoogle Scholar
  38. Sonstroem RJ, Morgan WP. (1989). Med Sci Sport Exer. 21: 329–337.Google Scholar
  39. Stadberg E, Åke-Mattsson, Milsom I. (2000). Acta Obset Gynecol. 79: 286–292.CrossRefGoogle Scholar
  40. Ueda MA (2004). J Physio Anthropol Appl Hum Sci. 23: 143–148.CrossRefGoogle Scholar
  41. Van MNM, Poppel Brown W. (2008). Menopause. 15: 78–85.Google Scholar
  42. Villaverde-Gutierrez C, Araujo E, Cruz F, Roa JM, Barbosa W, Ruiz-Villaverde.(2006). J Advanc Nurs. 54: 11–19.CrossRefGoogle Scholar
  43. Wilbur J, Miller AM, McDevitt J, Wang E, Miller J. (2005). Res Theory Nurs Prac. 19: 163–180.Google Scholar

Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • A. J. Daley
  • H. Stokes-Lampard
  • C. MacArthur

There are no affiliations available

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