van Poppel Mireille N M, Brown Wendy J
School of Human Movement Studies, Queensland University, Brisbane, Australia.
Menopause. 2008 Jan-Feb;15(1):78-85. doi: 10.1097/gme.0b013e31804b418c.
Many women experience health problems when going through menopause, and these health problems may result in a substantial reduction in quality of life. There are some indications that physical activity may play a role in ameliorating menopausal symptoms, but there is conflicting evidence about this. To assess the relationship between changes in physical activity and self-reported vasomotor, somatic, and psychological symptoms.
Data from the third (2001) and fourth (2004) surveys of the Australian Longitudinal Study on Women's Health were used. Data from 3,330 middle-aged women were included in the analyses. In linear regression models, the relationships between changes in physical activity of at least moderate intensity and total menopausal, vasomotor, somatic, and psychological symptoms were determined.
Physical activity was not associated with total menopausal symptoms, vasomotor or psychological symptoms. A weak association with somatic symptoms (B = -0.003; 95% CI: -0.005 to -0.001) was found. Weight gain was associated with increased total, vasomotor, and somatic symptoms. Weight loss was associated with a reduction in total and vasomotor symptoms.
Changes in physical activity were not related to vasomotor or psychological symptoms and only marginally to somatic symptoms. Changes in weight showed a stronger relationship with menopausal symptoms. The relationship between weight change and menopausal symptoms merits further exploration.
许多女性在经历更年期时会出现健康问题，这些健康问题可能会导致生活质量大幅下降。有迹象表明体育活动可能在改善更年期症状方面发挥作用，但关于这一点存在相互矛盾的证据。评估体育活动变化与自我报告的血管舒缩、躯体和心理症状之间的关系。
使用了澳大利亚妇女健康纵向研究第三次（2001年）和第四次（2004年）调查的数据。分析纳入了3330名中年女性的数据。在线性回归模型中，确定了至少中等强度的体育活动变化与更年期总体症状、血管舒缩症状、躯体症状和心理症状之间的关系。
体育活动与更年期总体症状、血管舒缩症状或心理症状无关。发现与躯体症状有微弱关联（B = -0.003；95%置信区间：-0.005至-0.001）。体重增加与总体症状、血管舒缩症状和躯体症状增加有关。体重减轻与总体症状和血管舒缩症状减少有关。
体育活动变化与血管舒缩症状或心理症状无关，仅与躯体症状有微弱关联。体重变化与更年期症状的关系更为密切。体重变化与更年期症状之间的关系值得进一步探索。
