The role of cardiorespiratory fitness and body composition in the association between physical activity and menopausal symptoms.

Autor:	Hyvärinen M; From the Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland., Karvanen J; Department of Mathematics and Statistics, University of Jyväskylä, Jyväskylä, Finland., Karppinen JE; Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland., Karavirta L; From the Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland., Juppi HK; From the Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland., Tammelin TH; Jamk University of Applied Sciences, Likes, Jyväskylä, Finland., Kovanen V; Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland., Laukkanen J, Aukee P; Department of Obstetrics and Gynecology, Wellbeing services county of Central Finland, Jyväskylä, Finland., Sipilä S; From the Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland., Rantalainen T; From the Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland., Laakkonen EK; From the Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Jazyk:	angličtina
Zdroj:	Menopause (New York, N.Y.) [Menopause] 2024 Sep 01; Vol. 31 (9), pp. 828-836. Date of Electronic Publication: 2024 Jul 20.
DOI:	10.1097/GME.0000000000002397
Abstrakt:	Objective: The aim of the study was to conduct exploratory analyses on the role of cardiorespiratory fitness (CRF) and body composition in the association between physical activity and menopausal symptoms. Methods: This was a cross-sectional (N = 298) study of women aged 51-59 years including a subsample of 82 women followed for 4 years. The severity of menopausal symptoms was assessed with the Menopause Rating Scale in total symptoms as well as using the somato-vegetative, psychological, and urogenital subscales. Physical activity was assessed with accelerometers and self-reports, body composition with dual-energy x-ray absorptiometry, and CRF with a custom-made prediction model based on the six-minute walking distance and spiroergometry. The associations of interest were studied using unstandardized regression coefficients derived from multiple linear regression models with the severity of menopausal symptoms as the outcome. Results: Higher total body and fat mass (kg) were associated with more severe total symptoms (B = 0.06 [95% CI, 0.01 to 0.12] and 0.07 [0.01 to 0.14], respectively) as well as somato-vegetative (0.03 [0.01 to 0.05]; 0.04 [0.01 to 0.06]) and psychological symptoms (0.03 [0.00 to 0.05]; 0.03 [0.00 to 0.06]) in cross-sectional design. Total and lean body mass interacted with physical activity in total and psychological symptoms with stronger indirect associations being observed in participants with lower total and lean body mass. CRF was not associated with menopausal symptoms and did not interact with physical activity. Conclusions: Maintaining a healthy weight is associated with less severe menopausal symptoms in middle-aged women. The association between physical activity and the severity of menopausal symptoms varied based on the differences in total and lean body mass. Competing Interests: Financial disclosures/conflicts of interest: None reported. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The Menopause Society.)
Databáze:	MEDLINE
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