Effects of walking on body composition in perimenopausal and postmenopausal women: a systematic review and meta-analysis

Gao, Hongbo; Gao, Huile; Sun, Feng; Zhang, Lei

doi:10.1097/gme.0000000000000627

Cited by 26 publications

(18 citation statements)

References 44 publications

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“…This is supported by RCTs that demonstrate that endurance training and strength training reduce blood pressure [ 21 – 23 ]. In addition, endurance training also reduces fat mass and abdominal circumference [ 22 , 24 – 26 ].…”

Section: Resultsmentioning

confidence: 99%

“…For example, endurance training and strength training have been shown to improve whole body insulin sensitivity [ 29 , 30 ]. Endurance training also reduces body weight in adults with normal weight, excess weight and obesity [ 1 , 22 , 24 , 25 , 31 , 32 ]. Finally, one specifically designed RCT has shown that physical activity reduces the risk of diabetes [ 33 ].…”

Section: Resultsmentioning

confidence: 99%

“…Neither do the RCTs give a good indication. RCTs show that moderate to vigorous-intensity endurance training has a beneficial effect, but the variation in training frequency (three to six times a week) and duration (24 to 90 minutes per session) was too large to determine how much physical activity is needed [ 22 , 24 , 25 , 29 – 32 ]. RCTs that examined strength training found favourable effects for two to three training sessions a week at moderate to vigorous intensity.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The 2017 Dutch Physical Activity Guidelines

Weggemans¹,

Backx²,

Borghouts³

et al. 2018

Int J Behav Nutr Phys Act

139

124

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BackgroundThe objective of this study was to derive evidence-based physical activity guidelines for the general Dutch population.MethodsTwo systematic reviews were conducted of English language meta-analyses in PubMed summarizing separately randomized controlled trials and prospective cohort studies on the relation between physical activity and sedentary behaviour on the one hand and the risk of all-cause mortality and incidence of 15 major chronic diseases and conditions on the other hand. Other outcome measures were risk factors for cardiovascular disease and type 2 diabetes, physical functioning, and fitness. On the basis of these reviews, an expert committee derived physical activity guidelines. In deriving the guidelines, the committee first selected only experimental and observational prospective findings with a strong level of evidence and then integrated both lines of evidence.ResultsThe evidence found for beneficial effects on a large number of the outcome measures was sufficiently strong to draw up guidelines to increase physical activity and reduce sedentary behaviour, respectively. At the same time, the current evidence did not provide a sufficient basis for quantifying how much physical activity is minimally needed to achieve beneficial health effects, or at what amount sedentary behaviour becomes detrimental. A general tenet was that at every level of current activity, further increases in physical activity provide additional health benefits, with relatively larger effects among those who are currently not active or active only at light intensity. Three specific guidelines on (1) moderate- and vigorous-intensity physical activity, (2) bone- and muscle-strengthening activities, and (3) sedentary behaviour were formulated separately for adults and children.ConclusionsThere is an unabated need for evidence-based physical activity guidelines that can guide public health policies. Research in which physical activity is measured both objectively (quantity) and subjectively (type and quality) is needed to provide better estimates of the type and actual amount of physical activity required for health.Electronic supplementary materialThe online version of this article (10.1186/s12966-018-0661-9) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The 2017 Dutch Physical Activity Guidelines

Weggemans¹,

Backx²,

Borghouts³

et al. 2018

Int J Behav Nutr Phys Act

139

124

View full text Add to dashboard Cite

show abstract

“…Thus, continuous physical activity during the mid-life may be an efficacious strategy to counteract the age-related [ 166 ] and menopause-related decreases [ 89 ] in resting energy expenditure and prevent weight gain and abdominal adiposity deposition. In fact, a recently published meta-analysis of 8 walking intervention studies among peri- and postmenopausal women demonstrated statistically significant improvements in BMI, body weight, and body fat percentage as compared to no-exercise groups [ 167 ]. Further, recent work by Riou et al found that the quantity (i.e., amount of time spent) rather than the intensity of physical activity may be most efficacious strategy promoting lower adiposity and maintenance of body composition over the menopausal transition [ 168 ].…”

Section: Implications For Therapymentioning

confidence: 99%

Association of Mid-Life Changes in Body Size, Body Composition and Obesity Status with the Menopausal Transition

2016

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The mid-life period is a critical window for increases in body weight and changes in body composition. In this review, we summarize the clinical experience of the menopausal transition by obesity status, and examine the evidence regarding the menopausal transition and reproductive hormones effects on body weight, body composition, or fat distribution. Mid-life obesity is associated with a different menopausal experience including associations with menstrual cycle length prior to the final menstrual period (FMP), age at the FMP, and higher prevalence of vasomotor symptoms. The menopausal transition is associated with weight gain and increased central body fat distribution; the majority of evidence suggests that changes in weight are due to chronological aging whereas changes in body composition and fat distribution are primarily due to ovarian aging. Continuous and regular physical activity during mid-life may be an efficacious strategy to counteract the age-related and menopause-related changes in resting energy expenditure and to prevent weight gain and abdominal adiposity deposition.

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“…8 Specifically in the elderly, the WHtR has better predictive ability than BMI and WC; 9 in addition, FP is an anthropometric indicator widely used in the literature. 10,11 In addition to the need of understanding the predictive ability of other measures to UI in older women, it is emphasized that regular physical activity has been reported as a protective factor for UI in this population, 12,13 which may favor another behavior pattern in the use of anthropometric measurements for UI.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Anthropometric Indicators in the Prediction of Urinary Incontinence in Physically Active Older Women

Menezes

Virtuoso

Capeletto

et al. 2016

Rev Bras Ginecol Obstet

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Purpose To determine the diagnostic accuracy and the cutoff point of the variables conicity index, waist to height ratio and fat percentage to detect urinary incontinence in physically active older women. Method A total of 152 women were analyzed. The instruments used were the International Physical Activity Questionnaire (IPAQ [Area 4]) to check the level of physical activity, and the Diagnostic Form to obtain sociodemographic data and presence of urinary incontinence. To calculate the conicity index, waist to height ratio and fat percentage, body mass, height and waist circumference were measured. Descriptive and inferential statistics were used. Cutoff points, sensitivity (S) and specificity (SP) were determined by receiver operating characteristic (ROC) curves. A 5% significance level was adopted. Results The prevalence of urinary incontinence was of 32.2%. The cutoff point with better sensitivity and specificity for the conicity index was 1.23 (S = 87.8; SP = 35.9); for the waist to height ratio, it was 0.57 (S = 79.6; SP = 45.6); and for the fat percentage, it was 39.71 (S = 89.8; SP = 42.7). The area under the ROC curve was 0.666 for the conicity index, 0.653 for the waist to height ratio, and 0.660 for the fat percentage. Conclusions The cutoff points for the anthropometric measurements conicity index, waist to height ratio and fat percentage indicate that these measures can be used to predict urinary incontinence in physically active older women. Furthermore, fat percentage seemed to be the best measure for this population.

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Effects of walking on body composition in perimenopausal and postmenopausal women: a systematic review and meta-analysis

Abstract: Walking interventions improved body composition in perimenopausal and postmenopausal women, which underscores the central role of walking as a physical activity for health promotion.

Cited by 26 publications

References 44 publications

The 2017 Dutch Physical Activity Guidelines

The 2017 Dutch Physical Activity Guidelines

Association of Mid-Life Changes in Body Size, Body Composition and Obesity Status with the Menopausal Transition

Diagnostic Accuracy of Anthropometric Indicators in the Prediction of Urinary Incontinence in Physically Active Older Women

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