Title: Physical Activity and Menopausal Symptoms: Evaluating the Contribution of Obesity, Fitness and Ambient Air-pollution Status
Presentation Type: Live-Stream Presentation
Steriani Elavsky, University of Ostrava, Czech Republic
Michal Burda, University of Ostrava, Czech Republic
Lukáš Cipryan, University of Ostrava, Czech Republic
Petr Kutač, University of Ostrava, Czech Republic
Marek Bužga, University of Ostrava, Czech Republic
Daniel Jandačka, University of Ostrava, Czech Republic
Vera Jandačková, University of Ostrava, Czech Republic
Background: The menopausal transition is a natural part of women´s aging, manifesting acutely by menopausal symptoms. Specific types of symptoms (vasomotor) were linked to subclinical cardiovascular disease as was air-pollution. Physical activity (PA) reduces cardiovascular risk and some studies suggest it reduces menopausal symptoms.
Objectives: To assess the links between PA and menopausal symptoms and whether obesity, fitness, and air-pollution status play a role.
Methods: Women (40-60 yrs; N=282; Mage=48.1) enrolled in the HAIE prospective cohort study completed psychological, cardiorespiratory fitness, body composition, and menopausal status screening followed by a 14-day prospective assessment of symptoms using a mobile application. Daily PA was assessed objectively through Fitbit Charge 3 monitor. General linear mixed models were conducted and controlled for age, menopausal status, day in the study, wear-time, and neuroticism.
Results: All types of symptoms were predicted by days in study and neuroticism. Additionally, on days when a woman was more physically active than usual, she tended to report fewer psychological symptoms (p=.067). Somato-vegetative symptoms were predicted by menopausal (p<.001) and air-pollution status (p<.05). Peri/postmenopausal women and those residing in a high air-pollution environment reported more symptoms. Hot flashes alone were predicted by menopausal status (p<.001), and for women residing in a high air-pollution environment, lower reporting of hot flashes was observed on days when a woman was more physically active then usual (p<.01).
Conclusions: PA may enhance resilience to psychological symptoms and hot flashes, especially if residing in high air-pollution environments where we also observed higher reporting of somato-vegetative symptoms.
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