Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2012

Open Access 01-12-2012 | Research

Physical activity and change in quality of life during menopause -an 8-year follow-up study

Authors: Jaana M Moilanen, Anna-Mari Aalto, Jani Raitanen, Elina Hemminki, Arja R Aro, Riitta Luoto

Published in: Health and Quality of Life Outcomes | Issue 1/2012

Login to get access

Abstract

Background and objectives

The aim of this study was to study the role of menopausal status and physical activity on quality of life.

Methods

A total of 1,165 Finnish women aged 45-64 years from a national representative population-based study were followed up for 8 years. Study participants completed the Health 2000 study questionnaire and follow-up questionnaire in 2008. Ordinal logistic regression analysis was used to measure the effect of menopausal status on global quality of life (QoL). Other variables included in the analyses were age, education, change of physical activity as assessed with metabolic equivalents, change of weight and hormone therapy (HRT) use.

Results

Peri- and postmenopausal women increased their physical activity (28% and 27%) during the eight-year follow up period slightly more often than premenopausal (18%) women (p = 0.070). Menopausal status was not significantly correlated with change of QoL. QoL of the most highly educated women was more likely to improve than among the less educated (eb = 1.28, 95%CI 1.08 to 1.51 p = 0.002). Women whose physical activity increased or remained stable had greater chances for improved QoL than women whose physical activity decreased (eb = 1.49, 95%CI 1.23 p < 0.001 to 1.80, eb = 1.46, 95%CI 1.24 to 1.73 p < 0.001 respectively). Women whose weight remained stable during follow-up also improved their QoL compared to women who gained weight (eb = 1.26, 95%CI 1.07 to 1.50 p > 0.01). Women who had never used HRT had 1.26 greater odds for improved QoL (95%CI 1.02 to 1.56 p = < 0.05).

Conclusion

Improvement of global QoL is correlated with stable or increased physical activity, stable weight and high education, but not with change in menopausal status.
Literature
1.
go back to reference Zapantis G, Santoro N: The menopausal transition: characteristics and management. Best Practice and Research Clinical Endocrinology Metabolism. 2003, 17: 33–52. Zapantis G, Santoro N: The menopausal transition: characteristics and management. Best Practice and Research Clinical Endocrinology Metabolism. 2003, 17: 33–52.
2.
go back to reference Utian W: Psychosocial and socioeconomic burden of vasomotor symptoms in menopause: A comprehensive review. Health Qual Life Outcomes 2005., 5: 3:47 Utian W: Psychosocial and socioeconomic burden of vasomotor symptoms in menopause: A comprehensive review. Health Qual Life Outcomes 2005., 5: 3:47
3.
go back to reference McVeigh C: Perimenopause: more than hot flushes and night sweats for some Australian women. J Obstet Gynecol Neonatal Nurs 2005, 34: 21–27. 10.1177/0884217504272801CrossRefPubMed McVeigh C: Perimenopause: more than hot flushes and night sweats for some Australian women. J Obstet Gynecol Neonatal Nurs 2005, 34: 21–27. 10.1177/0884217504272801CrossRefPubMed
4.
go back to reference Kumari M, Stafford M, Marmot M: The menopausal transition was associated in a prospective study with decreased health functioning in women who report menopausal symptoms. Journal of Clinical Epidemiology 2005, 58: 719–727. 10.1016/j.jclinepi.2004.09.016CrossRefPubMed Kumari M, Stafford M, Marmot M: The menopausal transition was associated in a prospective study with decreased health functioning in women who report menopausal symptoms. Journal of Clinical Epidemiology 2005, 58: 719–727. 10.1016/j.jclinepi.2004.09.016CrossRefPubMed
5.
go back to reference Blumel JE, Castelo-Branco C, Binfa L, Gramegna G, Tacla X, Aracena B, Cumsille MA, Sanjuan A: Quality of life after the menopause: a population study. Maturitas 2000, 34: 17–23. 10.1016/S0378-5122(99)00081-XCrossRefPubMed Blumel JE, Castelo-Branco C, Binfa L, Gramegna G, Tacla X, Aracena B, Cumsille MA, Sanjuan A: Quality of life after the menopause: a population study. Maturitas 2000, 34: 17–23. 10.1016/S0378-5122(99)00081-XCrossRefPubMed
6.
go back to reference Schneider HPG: The quality of life in the post-menopausal woman. Best Pract Res Clin Obstet Gynaecol 2002, 16: 395–409. 10.1053/beog.2002.0289CrossRefPubMed Schneider HPG: The quality of life in the post-menopausal woman. Best Pract Res Clin Obstet Gynaecol 2002, 16: 395–409. 10.1053/beog.2002.0289CrossRefPubMed
7.
go back to reference Dennerstein L: Well-being, symptoms and the menopausal transition. Maturitas 1996, 23: 147–157. 10.1016/0378-5122(95)00970-1CrossRefPubMed Dennerstein L: Well-being, symptoms and the menopausal transition. Maturitas 1996, 23: 147–157. 10.1016/0378-5122(95)00970-1CrossRefPubMed
8.
go back to reference Elavsky S: Physical activity, menopause and quality of life: The role of affect and self-worth across time. Menopause 2009, 16: 265–271. 10.1097/gme.0b013e31818c0284PubMedCentralCrossRefPubMed Elavsky S: Physical activity, menopause and quality of life: The role of affect and self-worth across time. Menopause 2009, 16: 265–271. 10.1097/gme.0b013e31818c0284PubMedCentralCrossRefPubMed
9.
go back to reference Courneya KS, Tamburrini AL, Woolcott CG, McNeely ML, Karvinen K, Campbell KL, McTierman A, Friedenreich CM: The Alberta physical activity and breast cancer prevention trial: quality of life outcomes. Prev Med 2011, 52: 26–32. 10.1016/j.ypmed.2010.10.014CrossRefPubMed Courneya KS, Tamburrini AL, Woolcott CG, McNeely ML, Karvinen K, Campbell KL, McTierman A, Friedenreich CM: The Alberta physical activity and breast cancer prevention trial: quality of life outcomes. Prev Med 2011, 52: 26–32. 10.1016/j.ypmed.2010.10.014CrossRefPubMed
10.
go back to reference Gold EB, Sternfeld B, Kelsey JL, Brown C, Mouton C, Reame N, Salamone L, Stellato R: Relation of demographic and lifestyle factors to symptoms in a? multi-racial/ethnic population of women 40–55 years of age. Am J Epidemiol 2000, 152: 463–73. 10.1093/aje/152.5.463CrossRefPubMed Gold EB, Sternfeld B, Kelsey JL, Brown C, Mouton C, Reame N, Salamone L, Stellato R: Relation of demographic and lifestyle factors to symptoms in a? multi-racial/ethnic population of women 40–55 years of age. Am J Epidemiol 2000, 152: 463–73. 10.1093/aje/152.5.463CrossRefPubMed
11.
go back to reference Ivarsson T, Spetz A-C, Hammar M: Physical exercise and vasomotor symptoms in postmenopausal women. Maturitas 1998, 29: 139–146. 10.1016/S0378-5122(98)00004-8CrossRefPubMed Ivarsson T, Spetz A-C, Hammar M: Physical exercise and vasomotor symptoms in postmenopausal women. Maturitas 1998, 29: 139–146. 10.1016/S0378-5122(98)00004-8CrossRefPubMed
12.
go back to reference Hammar M, Berg G, Lindgren R: Does physical exercise influence the frequency of postmenopausal hot flushes? Acta Obst Gyn Scand 1990, 69: 409–12. 10.3109/00016349009013303CrossRefPubMed Hammar M, Berg G, Lindgren R: Does physical exercise influence the frequency of postmenopausal hot flushes? Acta Obst Gyn Scand 1990, 69: 409–12. 10.3109/00016349009013303CrossRefPubMed
13.
go back to reference Thurston RC, Sowers MF, Sternfeld B, Gold EB, Bromberger J, Chang Y, Joffe H, Crandall CJ, Waetjen LE, Matthews KA: Gains in body fat and vasomotor symptom reporting over menopausal transition. The American Journal of Medicine 2009, 170: 766–774. Thurston RC, Sowers MF, Sternfeld B, Gold EB, Bromberger J, Chang Y, Joffe H, Crandall CJ, Waetjen LE, Matthews KA: Gains in body fat and vasomotor symptom reporting over menopausal transition. The American Journal of Medicine 2009, 170: 766–774.
14.
go back to reference Wing RR, Matthews KA, Kuller LH, Meilahn EN, Plantiga PL: Weight gain at the time of menopause. Arch Intern Med 1991, 151: 97–102. 10.1001/archinte.1991.00400010111016CrossRefPubMed Wing RR, Matthews KA, Kuller LH, Meilahn EN, Plantiga PL: Weight gain at the time of menopause. Arch Intern Med 1991, 151: 97–102. 10.1001/archinte.1991.00400010111016CrossRefPubMed
15.
go back to reference Wang Q, Hassanger C, Ravn P, Wang S, Christiansen C: Total and regional body composition changes in early menopausal women; age related or menopause? Am J Clin Nutr 1994, 60: 843–848.PubMed Wang Q, Hassanger C, Ravn P, Wang S, Christiansen C: Total and regional body composition changes in early menopausal women; age related or menopause? Am J Clin Nutr 1994, 60: 843–848.PubMed
16.
go back to reference Sammel MD, Grisso JA, Freeman EW, Hollander L, Liu L, Liu S, Nelson DB, Battistini M: Weight gain among women in the late reproductive years. Family practice 2003, 20: 401–411. 10.1093/fampra/cmg411CrossRefPubMed Sammel MD, Grisso JA, Freeman EW, Hollander L, Liu L, Liu S, Nelson DB, Battistini M: Weight gain among women in the late reproductive years. Family practice 2003, 20: 401–411. 10.1093/fampra/cmg411CrossRefPubMed
17.
go back to reference Matthews KA, Bromberger JT: Does the menopausal transition affect health-related quality of life? The American Journal of Medicine 2005, 118: 25S-36S.CrossRef Matthews KA, Bromberger JT: Does the menopausal transition affect health-related quality of life? The American Journal of Medicine 2005, 118: 25S-36S.CrossRef
18.
go back to reference Aromaa A, Koskinen S (Eds): Health and functional capacity in Finland. Baseline results of the Health 2000 Health examination survey Publications of the National Public Health Institute B12/2004, Helsinki; Aromaa A, Koskinen S (Eds): Health and functional capacity in Finland. Baseline results of the Health 2000 Health examination survey Publications of the National Public Health Institute B12/2004, Helsinki;
19.
go back to reference Heistaro S (Ed): Methodology Report In Health 2000 Survey. Publications of the National Public Health Institute B26/2008, Helsinki; Heistaro S (Ed): Methodology Report In Health 2000 Survey. Publications of the National Public Health Institute B26/2008, Helsinki;
20.
go back to reference Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O'Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr, Leon AS: Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 2000, 32: 498–504. 10.1097/00005768-200009001-00009CrossRef Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O'Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr, Leon AS: Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 2000, 32: 498–504. 10.1097/00005768-200009001-00009CrossRef
21.
go back to reference Andrews FM, Withey SB: Social indicators of well-being: Americans'perceptions of life quality. New York: Plenum; 1976.CrossRef Andrews FM, Withey SB: Social indicators of well-being: Americans'perceptions of life quality. New York: Plenum; 1976.CrossRef
22.
go back to reference Avis NE, Assmann SF, Kravitz HM, Ganz PA, Ory M: Quality of life in diverse groups of midlife women: Assessing the influence of menopause, health status and psychosocial and demographic factors. Quality of Life Research 2004, 13: 933–946.CrossRefPubMed Avis NE, Assmann SF, Kravitz HM, Ganz PA, Ory M: Quality of life in diverse groups of midlife women: Assessing the influence of menopause, health status and psychosocial and demographic factors. Quality of Life Research 2004, 13: 933–946.CrossRefPubMed
23.
go back to reference Dennerstein L, Dudley EC, Guthrie JR: Predictors of declining self-rated health during the transition to menopause. Journal of Psychosomatic Research 2003, 54: 147–153. 10.1016/S0022-3999(02)00415-4CrossRefPubMed Dennerstein L, Dudley EC, Guthrie JR: Predictors of declining self-rated health during the transition to menopause. Journal of Psychosomatic Research 2003, 54: 147–153. 10.1016/S0022-3999(02)00415-4CrossRefPubMed
24.
go back to reference Mishra GD, Brown WJ, Dobson AJ: Physical and mental health: Changes during menopause transition. Quality of life Research 2003, 12: 405–412. Utian 2005 10.1023/A:1023421128141CrossRefPubMed Mishra GD, Brown WJ, Dobson AJ: Physical and mental health: Changes during menopause transition. Quality of life Research 2003, 12: 405–412. Utian 2005 10.1023/A:1023421128141CrossRefPubMed
25.
go back to reference Pedersen P, Kjøller M, Ekholm O, Grønbæk M, Curtis T: Readiness to change level of physical activity in leisure time among physically inactive Danish adults. Scand J Public Health 2009, 37: 785–792. 10.1177/1403494809344443CrossRefPubMed Pedersen P, Kjøller M, Ekholm O, Grønbæk M, Curtis T: Readiness to change level of physical activity in leisure time among physically inactive Danish adults. Scand J Public Health 2009, 37: 785–792. 10.1177/1403494809344443CrossRefPubMed
26.
go back to reference Elavsky S: Physical activity, menopause, and quality of life: The role of affect and self-worth across time. Menopause 2009, 16: 265–271. 10.1097/gme.0b013e31818c0284PubMedCentralCrossRefPubMed Elavsky S: Physical activity, menopause, and quality of life: The role of affect and self-worth across time. Menopause 2009, 16: 265–271. 10.1097/gme.0b013e31818c0284PubMedCentralCrossRefPubMed
27.
go back to reference Dennerstein L, Lehert P, Guthrie JR, Burger HG: Modeling women's health during the menopausal transition: a longitudinal analysis. Menopause 2007, 14: 53–62. 10.1097/01.gme.0000229574.67376.baCrossRefPubMed Dennerstein L, Lehert P, Guthrie JR, Burger HG: Modeling women's health during the menopausal transition: a longitudinal analysis. Menopause 2007, 14: 53–62. 10.1097/01.gme.0000229574.67376.baCrossRefPubMed
28.
go back to reference Reid RL, Hoff JD, Yen SS, Lee CH: Effects of exogenous beta h-endorphin on pituitary hormone secretion and its disappearance rate in normal human subjects. J Clin Endocrinol Metab 1981, 52: 1179–83. 10.1210/jcem-52-6-1179CrossRefPubMed Reid RL, Hoff JD, Yen SS, Lee CH: Effects of exogenous beta h-endorphin on pituitary hormone secretion and its disappearance rate in normal human subjects. J Clin Endocrinol Metab 1981, 52: 1179–83. 10.1210/jcem-52-6-1179CrossRefPubMed
29.
go back to reference Thurston RC, Sowers MF, Chang Y, Sternfeld B, Gold EB, Johnston JM, Matthews KA: Adiposity and reporting of vasomotor symptoms among midlife women. The study of women's health across the nation. Am J of Epidemiol 2008, 167: 78–85.CrossRef Thurston RC, Sowers MF, Chang Y, Sternfeld B, Gold EB, Johnston JM, Matthews KA: Adiposity and reporting of vasomotor symptoms among midlife women. The study of women's health across the nation. Am J of Epidemiol 2008, 167: 78–85.CrossRef
30.
go back to reference Erlik Y, Meldrum DR, Judd HL: Estrogen levels in postmenopausal women with hot flushes. Obstet Gynecol 1982, 59: 403–7.PubMed Erlik Y, Meldrum DR, Judd HL: Estrogen levels in postmenopausal women with hot flushes. Obstet Gynecol 1982, 59: 403–7.PubMed
31.
go back to reference Jalava-Broman J, Mäkinen J, Ojanlatva A, Jokinen K, Sillanmäki L, Rautava P: Tratment of climacteric symptoms in Finland prior to the controversial reports on hormone therapy. Acta Obstetrica et Gynecologica 2008, 87: 682–6. 10.1080/00016340802146920CrossRef Jalava-Broman J, Mäkinen J, Ojanlatva A, Jokinen K, Sillanmäki L, Rautava P: Tratment of climacteric symptoms in Finland prior to the controversial reports on hormone therapy. Acta Obstetrica et Gynecologica 2008, 87: 682–6. 10.1080/00016340802146920CrossRef
32.
go back to reference Den Tonkelaar I, Seidell J, van Noord P: Obesity and fat distribution in relation to hot flushes in Dutch women from the DOM-project. Maturitas 1996, 23: 301–5. 10.1016/0378-5122(95)00990-6CrossRefPubMed Den Tonkelaar I, Seidell J, van Noord P: Obesity and fat distribution in relation to hot flushes in Dutch women from the DOM-project. Maturitas 1996, 23: 301–5. 10.1016/0378-5122(95)00990-6CrossRefPubMed
33.
go back to reference Stadberg E, Mattson L-Å, Milsom I: Factors associated with climacteric symptoms and the use of hormone replacement therapy. Acta Obstet Gynecol Scand 2000, 79: 286–92. 10.1080/j.1600-0412.2000.079004286.xCrossRefPubMed Stadberg E, Mattson L-Å, Milsom I: Factors associated with climacteric symptoms and the use of hormone replacement therapy. Acta Obstet Gynecol Scand 2000, 79: 286–92. 10.1080/j.1600-0412.2000.079004286.xCrossRefPubMed
34.
go back to reference Kirchengast S: Realtions between antropomethric characteristic and degree of severity of climacteric syndrome in Australian women. Maturitas 1993, 17: 167–80. 10.1016/0378-5122(93)90044-ICrossRefPubMed Kirchengast S: Realtions between antropomethric characteristic and degree of severity of climacteric syndrome in Australian women. Maturitas 1993, 17: 167–80. 10.1016/0378-5122(93)90044-ICrossRefPubMed
Metadata
Title
Physical activity and change in quality of life during menopause -an 8-year follow-up study
Authors
Jaana M Moilanen
Anna-Mari Aalto
Jani Raitanen
Elina Hemminki
Arja R Aro
Riitta Luoto
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2012
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-10-8

Other articles of this Issue 1/2012

Health and Quality of Life Outcomes 1/2012 Go to the issue