Physical Activity And Risk of Hot Flashes among Women in Midlife

Whitcomb, Brian W.; Whiteman, Maura K.; Langenberg, Patricia; Flaws, Jodi A.; Romani, William A.

doi:10.1089/jwh.2006.0046

Cited by 55 publications

(51 citation statements)

References 50 publications

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“…These results go against what has been reported from other studies [3,4,[8][9][10]14,15]. Nevertheless, this absence of a relation has been reported previously [30].…”

Section: Discussioncontrasting

confidence: 92%

“…Although intake of alcohol [3,11,12,14,16] and hot beverages [12], physical exercise [1,10,11,14,15], body mass index (BMI) [4,12,14,[18][19][20] and smoking [1,3,8,12,17] have been considered predictors of vasomotor symptoms, the vast majority of lifestyle factors in the present study had no causal associations with the perceived severity of these symptoms.…”

Section: Discussionmentioning

confidence: 70%

“…Unsurprisingly, health-and menopause-related variables have been reported to have an effect on vasomotor symptoms: the use hormonal therapy decreases their bothersomeness [6,7]; having a good health status diminishes both their frequency and the associated distress [3]; and less medical help-seeking is associated with less frequent and less severe symptoms [8][9][10]. Furthermore, despite the physiological nature of these symptoms, it has been shown that socio-demographic and lifestyle factors have an impact: low caffeine intake predicts a lower symptom severity [11,12]; high perceived control is related to lower frequency and distress [13]; a higher educational level predicts lower prevalence and severity [4,8,14,15]; and not being divorced is associated with a lower rating of how bothersome these symptoms are reported to be [8].…”

Section: Introductionmentioning

confidence: 99%

“…For instance, alcohol [3,11,12,14,16], smoking [1,3,8,12,17], physical exercise [1,10,11,14,15], body mass index (BMI) [4,12,14,[18][19][20] and educational level [3] have all been reported to predict either an increase or a significant decrease in the reporting of vasomotor symptoms. Some factors may have an impact on both (HF and NS) or on only one symptom.…”

Section: Introductionmentioning

confidence: 99%

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Perceived control, lifestyle, health, socio-demographic factors and menopause: Impact on hot flashes and night sweats

Pimenta¹,

Leal²,

Marôco³

et al. 2011

Maturitas

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a b s t r a c tObjective: To develop a model to predict the perceived severity of hot flashes (HF) and night sweats (NS) in symptomatic middle-aged women.Methods: This was a cross-sectional study of a community-based sample of 243 women with vasomotor symptoms. Menopausal status was ascertained using the 'Stages of Reproductive Aging Workshop' criteria. Women's 'perceived control' over their symptoms was measured by a validated Portuguese version of the Perceived Control over Hot Flushes Index. Structural equation modelling was employed to construct a causal model of self-reported severity of both HF and NS, using a set of 20 variables: age, marital status, parity, professional status, educational level, family annual income, recent diseases and psychological problems, medical help-seeking behaviour to manage menopausal symptoms, use of hormone therapy and herbal/soy products, menopause status, intake of alcohol, coffee and hot beverages, smoking, physical exercise, body mass index and perceived control. Results: Significant predictors of perceived severity were the use of hormone therapy for both HF (ˇ = −.245; p = .022) and NS (ˇ = −.298; p = .008), coffee intake for both HF (ˇ = −.234; p = .039) and NS (ˇ = −.258; p = .029) and perceived control for both HF (ˇ = −1.0; p < .001) and NS (ˇ = −1.0; p < .001). The variables explained respectively 67% and 72% of the variability in the perceived severity of HF and NS. Women with high perceived control had a significantly lower frequency (t(235) = 2.022; p = .044) and intensity of HF (t(217) = 3.582; p < .001); similarly, participants with high perceived control presented a lower frequency (t(235) = 3.267; p < .001) and intensity (t(210) = 3.376; p < .001) of NS. Conclusion: Perceived control was the strongest predictor of the self-reported severity of both HF and NS. Other causal predictors were hormone therapy and caffeine intake. All three were associated with less severe vasomotor symptoms.

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“…These results go against what has been reported from other studies [3,4,[8][9][10]14,15]. Nevertheless, this absence of a relation has been reported previously [30].…”

Section: Discussioncontrasting

confidence: 92%

Section: Discussionmentioning

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Perceived control, lifestyle, health, socio-demographic factors and menopause: Impact on hot flashes and night sweats

Pimenta¹,

Leal²,

Marôco³

et al. 2011

Maturitas

View full text Add to dashboard Cite

show abstract

“…Studies that have examined the relation between self-reported levels of exercise [102][103][104] or exercise interventions 102,105 and VMS have been inconclusive. After a cross-sectional study, Romani et al 106 suggested there is a positive relation between physical activity and moderate or severe HFs, but no relation between physical activity and the reporting of any HFs, daily HFs, or HFs experienced for >1 year.…”

Section: Physical Activitymentioning

confidence: 99%

Factors That May Influence the Experience of Hot Flushes by Healthy Middle-Aged Women

Ziv‐Gal¹,

Flaws

2010

Journal of Women's Health

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Background: Interest in menopausal symptoms in general and hot flushes (HFs) in particular has grown in recent years. This is mostly due to increased awareness and the vast impact these symptoms have on women's lives. Despite the high prevalence of women who experience HFs, a definitive etiology for HFs is yet to be found. Our objective was to review the current literature dealing with associated factors for experiencing HFs and to provide a synthesized overview on this common and often debilitating condition. Methods: We systematically searched the English-language literature in the PubMed database using relevant key words and included only those articles that contained information on associated factors for HFs in generally healthy midlife women. Results: Both conflicting scientific results between studies documenting factors that influence HFs and the lack of validated measuring tools make it difficult to truly pinpoint associated factors for HFs. Nonetheless, we identified the following clusters of associated factors: the menopausal stages, sex steroid hormones, other endocrine agents, genetic polymorphisms, race=ethnicity, body mass index (BMI) and obesity, mood disorders, smoking, soy isoflavones and phytoestrogens, alcohol consumption, and physical activity. Conclusions: No single associated factor was consistently identified as having a major role in experiencing HFs. More resources should be directed to develop a unified study system along with multivariable analyses to get a better understanding of this condition, which often imposes a tremendous social and personal toll on the women who experience it.

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An Intensive Behavioral Weight Loss Intervention and Hot Flushes in Women<alt-title>Weight Loss Intervention and Hot Flushes</alt-title>

Huang¹

2010

Arch Intern Med

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Background Higher body mass index is associated with worse hot flushes during menopause but the effect of weight loss on flushing is unclear. Methods Self-administered questionnaires were used to assess bothersome hot flushes in a 6-month randomized controlled trial of an intensive behavioral weight loss program (intervention) vs a structured health education program (control) in 338 women who were overweight or obese and had urinary incontinence. Weight, body mass index, abdominal circumference, physical activity, calorie intake, blood pressure, and physical and mental functioning were assessed at baseline and at 6 months. Repeated-measures proportional odds models examined intervention effects on bothersome hot flushes and potential mediating factors. Results Approximately half of participants (n=154) were at least slightly bothered by hot flushes at baseline. Among these women, the intervention was associated with greater improvement in bothersome flushes vs control (odds ratio [OR] for improvement by 1 Likert category, 2.25; 95% confidence interval [CI], 1.20–4.21). Reductions in weight (OR, 1.32; 95% CI, 1.08–1.61; per 5-kg decrease), body mass index (1.17; 1.05–1.30; per 1-point decrease), and abdominal circumference (1.32; 1.07–1.64; per 5-cm decrease) were each associated with improvement in flushing, but changes in physical activity, calorie intake, blood pressure, and physical and mental functioning were not related. The effect of the intervention on flushing was modestly diminished after adjustment for multiple potential mediators (OR, 1.92; 95% CI, 0.95–3.89). Conclusion Among women who were overweight or obese and had bothersome hot flushes, an intensive behavioral weight loss intervention resulted in improvement in flushing relative to control.

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Physical Activity And Risk of Hot Flashes among Women in Midlife

Abstract: Frequent physical activity in midlife may be associated with risk of greater severity and frequency of menopausal hot flashes.

Cited by 55 publications

References 50 publications

Perceived control, lifestyle, health, socio-demographic factors and menopause: Impact on hot flashes and night sweats

Perceived control, lifestyle, health, socio-demographic factors and menopause: Impact on hot flashes and night sweats

Factors That May Influence the Experience of Hot Flushes by Healthy Middle-Aged Women

An Intensive Behavioral Weight Loss Intervention and Hot Flushes in Women<alt-title>Weight Loss Intervention and Hot Flushes</alt-title>

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