IntroductionAccording to the report from the Ministry of Health, Labour and Welfare (MHLW) of Japan in 2005, female employees numbered 22.29 million, and the population of working women in their 40s and 50s was higher than for any other age group except the 20s. In particular, the percentage of those in employment by age group has been estimated at 60.8% for ages [40][41][42][43][44] 63.0% for ages [45][46][47][48][49] 56.7% for ages 50-54, and 45.9% for ages 55-59. These rates increased from 5.3 to 7.8% compared with ten years ago. The figures demonstrate that menopausal women are a precious labor resource in an aging society with a falling birthrate.However, they also begin to experience menopausal symptoms such as hot flashes, night sweats, general fatigue, and shoulder stiffness caused by reduced estrogen. Utian (2005) 1) has reported that all menopausal symptoms may lead to social impairment and work-related difficulties that significantly decrease overall quality of life.Hot flashes are the most common symptom of climacteric women. The experience of a hot flash is usually described as sensations of intense heat, sweating, flushing, and chills. Elevated brain noradrenaline activity at central α2-adrenoceptors is involved in the initiation of hot flashes 2) . According to the report from MHLW of Japan in 2005, there were approximately 9.75 million female employees aged 40 to 59 yr. It is estimated that approximately 2.1-3.8 million female workers may experience work-related difficulties due to hot flashes in the workplace, because the prevalence of mild to severe hot flashes was reported at 22-40% in Japan 3, 4) . Therefore, it is clear that there will be increasing demand for systematic and effective management to support their health 30, 2008 Abstract: The aim of this study is to examine the relationship between mental workload and occurrence of hot flashes. Twelve women with moderate to severe menopausal hot flashes participated in the study. Subjects participated in both a mental arithmetic task (Task) and control (Non-task) experiments. We measured heart rate, heart rate variability, blood pressure, near infrared spectroscopy, skin temperature, and skin potential level. The incidence of hot flashes was greater in Task than in Non-task. No significant differences between before, during and after hot flashes emerged for the percentage of correct responses and reaction time. However, the percentage of correct responses for two subjects among the ten who experienced hot flashes in Task substantially declined during hot flashes. Chest skin temperatures increased in both Task and Non-task during hot flashes, and regional oxygen saturation was significantly higher in Non-task than in Task. The present study suggested that mental workload under time pressure might be a risk factor for menopausal hot flashes, and the performance of most people who experienced hot flashes was not affected by hot flashes, however, work-related difficulties due to cognitive disturbance during hot flashes might arise in some pe...