Daley Amanda, Macarthur Christine, Stokes-Lampard Helen, McManus Richard, Wilson Sue, Mutrie Nanette
Department of Primary Care and General Practice, University of Birmingham, Edgbaston, Birmingham.
Br J Gen Pract. 2007 Feb;57(535):130-5.
Menopausal symptoms can affect women's health and wellbeing. It is important to develop interventions to alleviate symptoms, especially given recent evidence resulting in many women no longer choosing to take hormone replacement therapy. Exercise may prove useful in alleviating symptoms, although evidence on its effectiveness has been conflicting.
To examine the association between exercise participation, body mass index (BMI), and health-related quality of life in women of menopausal-age.
Survey of women of menopausal age.
West Midlands, England.
Women aged 46-55 years (n = 2399) registered with six general practices in the West Midlands were sent a questionnaire containing items relating to demographics, lifestyle factors, weight, height, exercise participation, menopausal bleeding patterns, and health-related quality of life (including vasomotor symptoms).
One thousand two hundred and six (50.3%) women replied. Women who were regularly active reported better health-related quality of life scores than women who were not regularly active (P<0.01 for all significant subscales). No difference in vasomotor symptoms was recorded for exercise status. Women who were obese reported significantly higher vasomotor symptom scores than women of normal weight (P<0.01). Women who were obese reported significantly higher somatic symptoms (P<0.001) and attractiveness concern scores (P<0.001) than women of normal weight or those who were overweight.
The data suggest a positive association between somatic and psychological dimensions of health-related quality of life and participation in regular exercise. Women with BMI scores in the normal range reported lower vasomotor symptom scores and better health-related quality of life scores than heavier women. Further evidence from high-quality randomised controlled trials is required to assess whether exercise interventions are effective for management of menopausal symptoms.
更年期症状会影响女性的健康和幸福感。开发缓解症状的干预措施很重要，特别是考虑到最近的证据表明许多女性不再选择接受激素替代疗法。运动可能有助于缓解症状，尽管其有效性的证据一直存在矛盾。
研究更年期女性的运动参与、体重指数（BMI）与健康相关生活质量之间的关联。
对更年期女性进行调查。
英格兰西米德兰兹郡。
向西米德兰兹郡六家全科诊所登记的46至55岁女性（n = 2399）发送一份问卷，其中包含与人口统计学、生活方式因素、体重、身高、运动参与、更年期出血模式以及健康相关生活质量（包括血管舒缩症状）有关的项目。
1206名（50.3%）女性回复。经常运动的女性报告的健康相关生活质量得分高于不经常运动的女性（所有显著子量表的P<0.01）。运动状态在血管舒缩症状方面无差异。肥胖女性报告的血管舒缩症状得分显著高于正常体重女性（P<0.01）。肥胖女性报告的躯体症状（P<0.001）和吸引力关注度得分（P<0.001）显著高于正常体重或超重女性。
数据表明健康相关生活质量的躯体和心理维度与定期运动参与之间存在正相关。BMI得分在正常范围内的女性报告的血管舒缩症状得分较低，健康相关生活质量得分高于体重较重的女性。需要高质量随机对照试验的进一步证据来评估运动干预对更年期症状管理是否有效。
