Godoy-Izquierdo Débora, Guevara Nicolás Mendoza Ladrón de, Toral Mercedes Vélez, Galván Carlos de Teresa, Ballesteros Alberto Salamanca, García Juan F Godoy
1Health Psychology & Behavioural Medicine Research Group (CTS-267), Facultad de Psicología, University of Granada, Campus Universitario de Cartuja, Granada, Spain 2Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, University of Granada, Campus Universitario de Cartuja, Granada, Spain 3Departamento de Ginecología y Obstetricia, Facultad de Medicina, University of Granada, Avd Madrid, Granada, Spain 4Centro Andaluz de Medicina del Deporte, Consejería de Cultura y Deporte, Hospital Universitario San Juan de Dios, Granada, Spain.
Menopause. 2017 Aug;24(8):938-946. doi: 10.1097/GME.0000000000000844.
This study explored the multidimensional outcomes that resulted from the adherence to regular exercise among previously sedentary postmenopausal women. The exercise was managed through a supervised, multicomponent, adapted approximately 20-week program in a suited health promotion intervention.
A multigroup, mixed-design study with between-group (intervention, sedentary, and active women) and within-subject measures (baseline, postintervention, and 3- and 12-month follow-ups) was conducted using intention-to-treat methodology. The Cervantes Scale assessed health-related quality of life (HRQoL), and several indicators of cardio-metabolic status and fitness were also assessed.
After the intervention, the participants experienced positive changes in short and long-term physical and mental health, with significant enhancements in several HRQoL dimensions, particularly mental well-being and menopause-related health and subdomains. Improvements were maintained or continued (eg, mental well-being) throughout the period, leading up to the 12-month follow-up. These outcomes were accompanied by significant improvements in cardio-metabolic status and fitness, including weight, body mass index, cardio-respiratory fitness, and flexibility.
Our findings parallel previous empirical evidence showing the benefits associated with regular exercise, and add evidence to the association of positive outcomes in HRQoL with improvements in cardio-metabolic health and fitness status after the adoption of an active lifestyle.
本研究探讨了既往久坐不动的绝经后女性坚持规律运动所产生的多维度结果。该运动是在一项适宜的健康促进干预措施中,通过一个为期约20周的有监督的、多组分的适应性项目来进行管理的。
采用意向性分析方法进行了一项多组混合设计研究,包括组间(干预组、久坐组和活跃组女性)和受试者内测量(基线、干预后、3个月和12个月随访)。使用塞万提斯量表评估健康相关生活质量(HRQoL),并评估了心血管代谢状况和体能的几个指标。
干预后,参与者在短期和长期身心健康方面都出现了积极变化,在几个HRQoL维度上有显著改善,尤其是心理健康以及与更年期相关的健康和子领域。在长达12个月的随访期间,这些改善一直保持或持续(如心理健康)。这些结果伴随着心血管代谢状况和体能的显著改善,包括体重、体重指数、心肺功能和柔韧性。
我们的研究结果与之前的实证证据一致,表明规律运动有益,并为采用积极生活方式后HRQoL的积极结果与心血管代谢健康和体能状况改善之间的关联增加了证据。