Division of Interdisciplinary Research and Practice, School of Health and Social Care, University of Essex, Colchester, Essex, UK.
Department of Health Services, Africa Centre for Epidemiology, Accra North, Ghana.
Womens Health (Lond). 2024 Jan-Dec;20:17455057241290370. doi: 10.1177/17455057241290370.
Research to date suggests that physical activity (PA) can buffer menopausal symptoms and support well-being, but there is limited evidence on the link between PA and menopausal symptoms in the United Kingdom, and no study has assessed how PA affects well-being through menopausal symptoms and three psychosomatic factors (i.e. depression, anxiety and stress).
This study investigated whether PA affects well-being through menopausal symptoms and psychosomatic factors. This study focuses on how PA influences working women with menopause.
A cross-sectional design based on the STROBE (i.e. Strengthening the Reporting of Observational Studies in Epidemiology) checklist was adopted.
The participants were 324 working women in England. An online self-reported questionnaire was utilised to gather data through Qualtrics. The data were analysed with path analysis through structural equation modelling, and sensitivity analyses were performed to avoid or reduce statistical bias.
PA had a negative effect on menopausal symptoms (β = -0.21; < 0.001) but a positive effect on well-being (β = 0.19; < 0.001). Menopausal symptoms had a negative indirect effect on well-being, but PA had a positive indirect effect on well-being through menopausal symptoms and the three psychosomatic factors.
PA was positively associated with well-being but negatively associated with menopausal symptoms. Menopausal symptoms may lower well-being through anxiety, depression and stress, but PA can be associated with better well-being through depression, anxiety and stress.
迄今为止的研究表明，身体活动（PA）可以缓冲更年期症状并支持幸福感，但英国关于 PA 与更年期症状之间的关联的证据有限，并且没有研究评估 PA 如何通过更年期症状和三个身心因素（即抑郁、焦虑和压力）来影响幸福感。
本研究探讨了 PA 是否通过更年期症状和身心因素来影响幸福感。本研究重点关注 PA 如何影响有更年期的职业女性。
采用基于 STROBE（即加强观察性研究的报告）清单的横断面设计。
参与者是英格兰的 324 名职业女性。通过 Qualtrics 使用在线自我报告问卷收集数据。通过结构方程模型中的路径分析对数据进行分析，并进行敏感性分析以避免或减少统计偏差。
PA 对更年期症状有负面影响（β=-0.21； <0.001），但对幸福感有积极影响（β=0.19； <0.001）。更年期症状对幸福感有负向间接影响，但 PA 通过更年期症状和三个身心因素对幸福感有正向间接影响。
PA 与幸福感呈正相关，但与更年期症状呈负相关。更年期症状可能通过焦虑、抑郁和压力降低幸福感，但 PA 可以通过抑郁、焦虑和压力与更好的幸福感相关。
