Analysing the Benefit and Effect of Physical Activity During Menopause

Authors

  • Deborah Oluwayemisi David Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs; Faculty of Health Sciences, Semmelweis University, Budapest
  • Marta Hock Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs https://orcid.org/0000-0001-6068-6858
  • Alexandra Makai Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs https://orcid.org/0000-0002-1907-120X

DOI:

https://doi.org/10.35469/ak.2025.521

Keywords:

women, menopause, menopausal symptoms, physical activity, MENQOL, SF-36

Abstract

Purpose: The increasing prevalence of menopause-related discomforts, coupled with the potential for non-pharmacological interventions, underscores the need to explore lifestyle modifications such as physical activity (PA). This study aimed to evaluate the effects of pre-existing PA on the quality of life (QoL) in menopausal women.

Method: Conducted between September 2022 and January 2023, the cross-sectional study utilized IBM SPSS Statistics (version 23) and included 138 women. Standardized QoL questionnaires (MENQOL and SF-36) and the Global Physical Activity Questionnaire (GPAQ) to assess their PA levels and QoL outcomes.

Result: Among participants, 64% engaged in moderate-intensity PA, averaging 90 minutes per week in recreational activities, while spending 75 minutes per day sedentary. A significant inverse relationship was observed between total PA and menopause-related symptoms, with strong negative correlations in the Psychosocial (r = -0.398, p < 0.001) and Vasomotor (r = -0.284, p < 0.001) domains of MENQOL. Women who met the 150 minutes/week recommendation for moderate-to-vigorous physical activity (MVPA) reported significantly better psychological QoL (p = 0.025) as measured by SF-36. Furthermore, positive associations were noted between work-related PA and general health outcomes, suggesting that PA benefits extend across various health dimensions.

Conclusions: These findings highlight the role of PA in improving menopausal QoL and emphasize the importance of incorporating personalized PA recommendations into menopausal care. Further research using objective PA measurements and a larger, more diverse cohort is recommended to confirm these results and provide deeper insights.

Downloads

Download data is not yet available.

References

Ács, P., Betlehem, J., Oláh, A., Bergier, B., Morvay-Sey, K., Makai, A., & Prémusz, V. (2020). Cross-cultural adaptation and validation of the Global Physical Activity Questionnaire among healthy Hungarian adults. BMC Public Health, 20(Suppl 1), 1056. https://doi.org/10.1186/S12889-020-08477-Z

Avis, N. E., & Crawford, S. (2008). Cultural differences in symptoms and attitudes toward menopause. Menopause Management, 17(3), 8–13.

Brazier, J. E., Harper, R., Jones, N. M. B., O’Cathain, A., Thomas, K. J., Usherwood, T., & Westlake, L. (1992). Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ : British Medical Journal, 305(6846), 160. https://doi.org/10.1136/BMJ.305.6846.160

Bull, F. C., Maslin, T. S., & Armstrong, T. (2009). Global physical activity questionnaire (GPAQ): Nine country reliability and validity study. Journal of Physical Activity & Health, 6(6), 790–804. https://doi.org/10.1123/JPAH.6.6.790

Czimbalmos, Á., Nagy, Z., Varga, Z., & Husztik, P. (1999). Páciens megelégedettségi vizsgálat SF-36 kérdőívvel, a magyarországi normálértékek meghatározása [Patient satisfaction survey using the SF-36 questionnaire: Determination of Hungarian normative values]. Népegészségügy, 80(1), 4–19.

Dąbrowska-Galas, M., Dąbrowska, J., Ptaszkowski, K., & Plinta, R. (2019). High physical activity level may reduce menopausal symptoms. Medicina, 55(8), 466. https://doi.org/10.3390/MEDICINA55080466

El Hajj, A., Wardy, N., Haidar, S., Bourgi, D., El Haddad, M., El Chammas, D., … Papazian, T. (2020). Menopausal symptoms, physical activity level and quality of life of women living in the Mediterranean region. PloS One, 15(3), 1-16. https://doi.org/10.1371/JOURNAL.PONE.0230515

Fara, Y. D., Pujiastuti, Rr. S. E., & Hadisaputro, S. (2019). Yoga Increases the Quality of Sleep in Menopause Women. Indonesian Journal of Medicine, 4(3), 278–284. https://doi.org/10.26911/theijmed.2019.4.3.206

Greendale, G. A., Lee, N. P., & Arriola, E. R. (1999). The menopause. The Lancet, 353(9152), 571–580. https://doi.org/10.1016/S0140-6736(98)05352-5

Hallal, P. C., Andersen, L. B., Bull, F. C., Guthold, R., Haskell, W., & Ekelund, U. (2012). Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet, 380(9838), 247–257. https://doi.org/10.1016/S0140-6736(12)60646-1

Hilditch, J. R., Lewis, J., Peter, A., Van Maris, B., Ross, A., Franssen, E., … Dunn, E. (1996). A menopause-specific quality of life questionnaire: development and psychometric properties. Maturitas, 24(3), 161–175. https://doi.org/10.1016/S0378-5122(96)82006-8

Jones, E. K., Jurgenson, J. R., Katzenellenbogen, J. M., & Thompson, S. C. (2012). Menopause and the influence of culture: Another gap for Indigenous Australian women? BMC Women’s Health, 12(43), 1–10. https://doi.org/10.1186/1472-6874-12-43

Kim, M. J., Cho, J., Ahn, Y., Yim, G., & Park, H. Y. (2014). Association between physical activity and menopausal symptoms in perimenopausal women. BMC Women’s Health, 14(122). https://doi.org/10.1186/1472-6874-14-122

Kuck, M. J., & Hogervorst, E. (2024). Stress, depression, and anxiety: psychological complaints across menopausal stages. Frontiers in Psychiatry, 15, 1323743. https://doi.org/10.3389/FPSYT.2024.1323743

Lewis, J. E., Hilditch, J. R., & Wong, C. J. (2005). Further psychometric property development of the Menopause-Specific Quality of Life questionnaire and development of a modified version, MENQOL-Intervention questionnaire. Maturitas, 50(3), 209–221. https://doi.org/10.1016/J.MATURITAS.2004.06.015

Liu, T., Chen, S., Mielke, G. I., McCarthy, A. L., & Bailey, T. G. (2022). Effects of exercise on vasomotor symptoms in menopausal women: a systematic review and meta-analysis. Climacteric: The Journal of the International Menopause Society, 25(6), 552–561. https://doi.org/10.1080/13697137.2022.2097865

Matthews, K. A., Crawford, S. L., Chae, C. U., Everson-Rose, S. A., Sowers, M. F., Sternfeld, B., & Sutton-Tyrrell, K. (2009). Are changes in cardiovascular disease risk factors in midlife women due to chronological aging or to the menopausal transition? Journal of the American College of Cardiology, 54(25), 2366-2373. https://doi.org/10.1016/J.JACC.2009.10.009

Mishra, G., & Kuh, D. (2006). Perceived change in quality of life during the menopause. Social Science & Medicine, 62(1), 93–102. https://doi.org/10.1016/J.SOCSCIMED.2005.05.015

Nelson, H. D. (2008). Menopause. The Lancet, 371(9614), 760–770. https://doi.org/10.1016/S0140-6736(08)60346-3

Obermeyer, C. M., Reher, D., & Saliba, M. (2007). Symptoms, menopause status, and country differences: A comparative analysis from DAMES. Menopause, 14(4), 788–797. https://doi.org/10.1097/GME.0B013E318046EB4A

Rossouw, J. E., Anderson, G. L., Prentice, R. L., LaCroix, A. Z., Kooperberg, C., Stefanick, M. L., … Ockene, J. (2002). Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women’s Health Initiative randomized controlled trial. JAMA, 288(3), 321–333. https://doi.org/10.1001/JAMA.288.3.321

Segar, M. L., Eccles, J. S., & Richardson, C. R. (2008). Type of physical activity goal influences participation in healthy midlife women. Women’s Health Issues : Official Publication of the Jacobs Institute of Women’s Health, 18(4), 281–291. https://doi.org/10.1016/J.WHI.2008.02.003

Sternfeld, B., & Dugan, S. (2011). Physical activity and health during the menopausal transition. Obstetrics and Gynecology Clinics of North America, 38(3), 537–566. https://doi.org/10.1016/J.OGC.2011.05.008

Utian, W. H. (2005). Psychosocial and socioeconomic burden of vasomotor symptoms in menopause: A comprehensive review. Health and Quality of Life Outcomes, 3(47), 1–10. https://doi.org/10.1186/1477-7525-3-47/

WHO. (2002). Global Physical Activity Questionnaire (GPAQ) Analysis Guide. Retrieved from https://www.who.int/docs/default-source/ncds/ncd-surveillance/gpaq-analysis-guide.pdf

WHO. (2004). Global Strategy on Diet, Physical Activity and Health. Retrieved from https://wkc.who.int/resources/publications/i/item/9241592222

Downloads

Published

25-02-2026

How to Cite

David, D. O., Hock, M., & Makai, A. (2026). Analysing the Benefit and Effect of Physical Activity During Menopause. Annales Kinesiologiae, 16(2), 177–197. https://doi.org/10.35469/ak.2025.521