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.

Direct Link: https://pubmed.ncbi.nlm.nih.gov/25516405/

Journal: BJOG: An International Journal of Obstetrics & Gynaecology. 2015 Mar;122(4):565-75

Keywords: exercise, hot flushes, menopause, night sweats, Physical Activity, randomised controlled trial,

Applications: Physical Activity,

CamNtech Reference: AH15021

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