Highlights
- •Physical exercise is a principal strategy for preventing and treating sarcopenia and its effects by increasing muscle mass and function.
- •Physical exercise improves flexibility, balance, and physical function, and corrects disability.
- •Physical exercise reduces the risk of cardiovascular disease in postmenopausal women.
- •Both aerobic exercise and strength exercises can partially or totally counteract the changes associated with metabolic syndrome in sedentary postmenopausal women.
- •Physical exercise is inversely related to the risk of dementia and improves the cognitive function of middle-aged women.
- •Physical exercise improves osteoarticular pain in postmenopausal women with fibromyalgia or breast cancer.
Abstract
Physical inactivity not only places women's health at risk during menopause, but also
increases menopausal problems. Abundant evidence links habitual physical exercise
(PE) to a better status on numerous health indicators and better quality of life and
to the prevention and treatment of the ailments that typically occur from mid-life
onwards. We can infer that PE is something more than a lifestyle: it constitutes a
form of therapy in itself. A panel of experts from various Spanish scientific societies
related to PE and menopause (Spanish Menopause Society, Spanish Cardiology Society,
Spanish Federation of Sports Medicine) met to reach a consensus on these issues and
to decide the optimal timing of and methods of exercise, based on the best evidence
available.
Keywords
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References
- Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases.Scand. J. Med. Sci. Sports. 2015; 25: 1-72
- Association between physical activity and risk of fracture.J. Bone Miner. Res. 2014; 29: 202-211
- Effects of exercise on fracture reduction in older adults: a systematic review and meta-analysis.Osteoporos. Int. 2013; 24: 1937-1950
- Exercise for falls and fracture prevention in long term care facilities: a systematic review and meta-analysis.J. Am. Med. Dir. Assoc. 2013; 14 (e2): 685-689
- Efficacy of whole body vibration exercise in older people: a systematic review.Disabil. Rehabil. 2012; 34: 883-893
- The effects of differing resistance training modes on the preservation of bone mineral density in postmenopausal women: a meta-analysis.Osteoporos. Int. 2015; 26: 1605-1618
- Is bone tissue really affected by swimming? A systematic review.PLoS One. 2013; 8: e70119
- Cycling and bone health: a systematic review.BMC Med. 2012; 10: 168
- Effects of walking on the preservation of bone mineral density in perimenopausal and postmenopausal women: a systematic review and meta-analysis.Menopause. 2013; 20: 1216-1226
- Epidemiology and consequences of sarcopenia.J. Nutr. Health Aging. 2009; 13: 708-712
- Changes in muscle mass and strength after menopause.J. Musculoskelet. Neuronal Interact. 2009; 9: 186-197
- Relationship of body mass index and body fat distribution with postural balance and risk of falls in Spanish postmenopausal women.Menopause. 2013; 20: 202-208
- The association of flexibility, balance, and lumbar strength with balance ability: risk of falls in older adults.J. Sports Sci. Med. 2014; 13: 349-357
- Progressive resistance strength training for improving physical function in older adults.Cochrane Database Syst. Rev. 2009; (CD002759)
- Effects of circuit aerobic step exercise program on musculoskeletal for prevention of falling and enhancement of postural balance in postmenopausal women.J. Med. Assoc. Thai. 2015; 98: S88-94
- Does a Wii-based exercise program enhance balance control of independently functioning older adults? A systematic review.Clin. Interv. Aging. 2014; 23: 1803-1813
- Effects of a six-week Pilates intervention on balance and fear of falling in women aged over 65 with chronic low-back pain: a randomized controlled trial.Maturitas. 2015; 82: 371-376
- Step training improves reaction time, gait and balance and reduces falls in older people: a systematic review and meta-analysis.Br. J. Sports Med. 2016; (Epub ahead of print)
- Impact of whole-body electromyostimulation on body composition in elderly women at risk for sarcopenia: the Training and ElectroStimulation Trial (TEST-III).Age (Dordr.). 2014; 36: 395-406
- Menopause and exercise.Menopause. 2015; 22: 1351-1358
- Aerobic exercise training increases plasma Klotho levels and reduces arterial stiffness in postmenopausal women.Am. J. Physiol. Heart Circ. Physiol. 2014; 306: H348-H355
- Low-volumen high-intensity interval training rapidly improves cardiopulmonary function in postmenopausal women.Menopause. 2014; 21: 1099-1105
- Muscle mass and insulin sensitivity in postmenopausal women after 6-month exercise training.Climacteric. 2015; 18: 846-851
- Obesity and its relation to depressive symptoms and sedentary lifestyle in middle-aged women.Maturitas. 2015; 80: 100-105
- Lifestyle interventions targeting body weight changes during the menopause transition: a systematic review.J. Obes. 2014; 2014: 824310
- Physical activity and risk of neurodegenerative disease: a systematic review of prospective evidence.Psychol. Med. 2009; 39: 3-11
- Mild cognitive impairment and dementia: the importance of modifiable risk factors.Dtsch. Arztebl. Int. 2011; 108: 743-750
- Vagal modulation and symptomatology following a 6-month aerobic exercise program for women with fibromyalgia.Clin. Exp. Rheumatol. 2015; 33: S41-S45
- Effects of intravaginal estriol and pelvic floor rehabilitation on urogenital ageing in postmenopausal women.Arch. Gynecol. Obstet. 2012; 285: 397-403
- Effectiveness of cognitive-behavioral therapy and physical therapy for provoked vestibulodynia: a randomized pilot study.J. Sex. Med. 2016; 13: 88-94
- Effectiveness of postoperative physical therapy for upper-limb impairments after breast cancer treatment: a systematic review.Arch. Phys. Med. Rehabil. 2015; 96: 1140-1153
- Randomized exercise trial of aromatase inhibitor-induced arthralgia in breast cancer survivors.J. Clin. Oncol. 2015; 33: 1104-1111
- Psychosocial interventions in perimenopausal and postmenopausal women: a systematic review of randomized and non-randomized trials and non-controlled studies.Maturitas. 2014; 77: 93-110
- Nonhormonal management of menopause-associated vasomotor symptoms: 2015 position statement of The North American Menopause Society.Menopause. 2015; 22: 1155-1174
- International Menopause Society Writing Group: updated IMS recommendations on postmenopausal hormone therapy and preventive strategies for midlife health.Climacteric. 2011; 14: 302-320
- The effectiveness of exercise as treatment for vasomotor menopausal symptoms: randomized controlled trial.BJOG. 2015; 122: 565-575
- Efficacy of yoga for VMS: a randomized controlled trial.Menopause. 2014; 21: 339-346
- Temporal parameters of the foot roll-over during walking: influence of obesity and sarcopenic obesity on postmenopausal women.Maturitas. 2010; 67: 178-185
- Association of physical activity with lower type 2 diabetes incidence is weaker among individuals at high genetic risk.Diabetologia. 2014; 57: 2530-2534
- Effects of a targeted multimodal exercise program incorporating high-speed power training on falls and fracture risk factors in older adults: a community-based randomized controlled trial.J. Bone Miner. Res. 2014; 29: 182-191
- Anterior cruciate ligament injuries in females: risk factors, prevention, and outcome.Bull. Hosp. Jt. Dis. 2013; 74: 46-51
- Insufficiency and nondisplaced fractures of the talar head: mRI appearances.Am. J. Roentgenol. 2012; 199: W613-W617
- Injuries in runners; a systematic review on risk factors and sex differences.PLoS One. 2015; 10: e0114937
- Sudden cardiac death in the athlete bridging the gaps between evidence, policy, and practice.Circulation. 2012; 125: 2511-2516
- Effects of exercise training on cardiorespiratory fitness and biomarkers of cardiometabolic health: a systematic review and meta-Analysis of randomized controlled trials.J. Am. Heart Assoc. 2015; 4: e002014
- Clinician’s guide to cardiopulmonary exercise testing in adults a scientific statement from the american heart association.Circulation. 2010; 122: 191-225
- Guidelines of the Spanish Society of Cardiology for clinical practice in exercise testing.Rev. Esp. Cardiol. 2000; 53: 1063-1094
- American heart association exercise, cardiac rehabilitation, and prevention committee of the council on clinical cardiology, council on nutrition, physical activity and metabolism, council on cardiovascular and stroke nursing, and council on epidemiology and prevention. exercise standards for testing and training: a scientific statement from the american heart association.Circulation. 2013; 128: 873-934
- Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association.Med. Sci. Sports Exerc. 2007; 39: 1435-1445
- Tai Chi and fall reductions in older adults: a randomized controlled trial.J. Gerontol. A. Biol. Sci. Med. Sci. 2005; 60: 187-194
- High-intensity interval training in patients with lifestyle-induced cardiometabolic disease: a systematic review and meta-analysis.Br. J. Sports Med. 2014; 48: 1227-1234
- Short- and long-term effects of a six-week clinical Pilates program in addition to physical therapy on postmenopausal women with chronic low back pain: a randomized controlled trial.Disabil. Rehabil. 2015; (Epub ahead of print): 1-9
- Effects of tai chi training in dynapenic and nondynapenic postmenopausal women.Menopause. 2011; 18: 974-979
- Effects of variable resistance training on maximal strength: a meta-Analysis.J. Strength Cond. Res. 2015; 29: 3260-3270
- Force-velocity, force-power relationships of bilateral and unilateral leg multi-joint movements in young and elderly women.J. Biomech. 2009; 42: 2151-2157
Article Info
Publication History
Published online: April 26, 2016
Accepted:
April 19,
2016
Received in revised form:
April 9,
2016
Received:
March 16,
2016
Identification
Copyright
© 2016 Elsevier Ireland Ltd. All rights reserved.
