Evidence was insufficient to show whether exercise is an effective treatment for vasomotor menopausal symptoms .
One small study suggested that HT is more effective than exercise .
Evidence was insufficient to show the relative effectiveness of exercise when compared with HT or yoga
BACKGROUND Evidence suggests that many perimenopausal and early postmenopausal women will experience menopausal symptoms ; hot flushes are the most common .
Symptoms caused by fluctuating levels of oestrogen may be alleviated by hormone therapy ( HT ) , but a marked global decline in its use has result ed from concerns about the risks and benefits of HT .
Consequently , many women are seeking alternatives .
As large numbers of women are choosing not to take HT , it is increasingly important to identify evidence -based lifestyle modifications that have the potential to reduce vasomotor menopausal symptoms .
OBJECTIVES To examine the effectiveness of any type of exercise intervention in the management of vasomotor symptoms in symptomatic perimenopausal and postmenopausal women .
Menopausal Status, Moderate-Intensity Walking, and Symptoms in Midlife Women
The purpose of this r and omized clinical trial study was to determine the effectiveness of a 24-week , home-based , moderate-intensity , walking intervention in improving symptoms ( vasomotor , uro-genital/sexual , sleep , psychological , cognitive , physical ) experienced by midlife women . One hundred and seventy-three Caucasian and African American women aged 45 to 65 who were not on hormone therapy , had no major signs or symptoms of cardiovascular disease , and were sedentary in their leisure activity were r and omly assigned to the  moderate-intensity walking group or the nonexercise control group . The exercise prescription was walking at a frequency of 4 times a week for a duration of 20 to 30 minutes . The symptom impact inventory included the frequency , intensity , and bothersomeness of 33 symptoms collected at baseline and 24 weeks . Adherence was measured with a heart rate monitor and exercise log . Average adherence to frequency of walking  was 71.6 % of the expected walks . After 24 weeks , there were no differences between the walking and control group on change in symptoms . However , multiple regression revealed that frequency of adherence to walking  along with change in physical symptoms and menopausal status were significant predictors of change in sleep symptoms .  While walking did not improve most symptoms experienced by midlife women , frequency of walking may improve sleep
Evidence was insufficient to show whether exercise is an effective treatment for vasomotor menopausal symptoms .
One small study suggested that HT is more effective than exercise .
Evidence was insufficient to show the relative effectiveness of exercise when compared with HT or yoga
BACKGROUND Evidence suggests that many perimenopausal and early postmenopausal women will experience menopausal symptoms ; hot flushes are the most common .
Symptoms caused by fluctuating levels of oestrogen may be alleviated by hormone therapy ( HT ) , but a marked global decline in its use has result ed from concerns about the risks and benefits of HT .
Consequently , many women are seeking alternatives .
As large numbers of women are choosing not to take HT , it is increasingly important to identify evidence -based lifestyle modifications that have the potential to reduce vasomotor menopausal symptoms .
OBJECTIVES To examine the effectiveness of any type of exercise intervention in the management of vasomotor symptoms in symptomatic perimenopausal and postmenopausal women .