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 .
Dose–response effects of exercise training on the subjective sleep quality of postmenopausal women: exploratory analyses of a randomised controlled trial
Objective To investigate whether a dose – response relationship existed between exercise and subjective sleep quality in postmenopausal women . This objective represents a post hoc assessment that was not previously considered . Design Parallel-group r and omised controlled trial . Setting Clinical exercise physiology laboratory in Dallas , Texas . Participants 437 sedentary overweight/obese postmenopausal women . Intervention Participants were r and omised to one of four treatments , each of 6 months of duration : a non-exercise control treatment ( n=92 ) or one of three dosages of moderate-intensity exercise ( 50 % of VO2peak ) , design ed to meet 50 % ( n=151 ) , 100 % ( n=99 ) or 150 % ( n=95 ) of the National Institutes of Health Consensus Development Panel physical activity recommendations . Exercise dosages were structured to elicit energy expenditures of 4 , 8 or 12 kilocalories per kilogram of body weight per week ( KKW ) , respectively . Analyses were intent to treat . Primary outcome measures Continuous scores and odds of having significant sleep disturbance , as assessed by the Sleep Problems Index from the 6-item Medical Outcomes Study Sleep Scale . Outcome assessors were blinded to participant r and omisation assignment . Results Change in the Medical Outcomes Study Sleep Problems Index score at 6 months significantly differed by treatment group ( control : −2.09 ( 95 % CI −4.58 to 0.40 ) , 4 KKW : −3.93 ( −5.87 to −1.99 ) , 8 KKW : −4.06 ( −6.45 to −1.67 ) , 12 KKW : −6.22 ( −8.68 to −3.77 ) ; p=0.04 ) , with a significant dose – response trend observed ( p=0.02 ) . Exercise training participants had lower odds of having significant sleep disturbance at postintervention compared with control ( 4 KKW : OR 0.37 ( 95 % CI 0.19 to 0.73 ) , 8 KKW : 0.36 ( 0.17 to 0.77 ) , 12 KKW : 0.34 ( 0.16 to 0.72 ) ) . The magnitude of weight loss did not differ between treatment conditions . Improvements in sleep quality were not related to changes in body weight , resting parasympathetic control or cardiorespiratory fitness . Conclusion Exercise training induced significant improvement in subjective sleep quality  in postmenopausal women , with even a low dose of exercise result ing in greatly reduced odds of having significant sleep disturbance . Trial registration number clinical trials.gov identifier : NCT00011193
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 .