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Fitness tips for menopause: Why physical activity matters

Physical activity goals

For most healthy women, the Department of Health and Human Services recommends:

  • At least two hours and 30 minutes of moderate-intensity aerobic activity or one hour and 15 minutes of vigorous-intensity aerobic activity a week — preferably spread throughout the week
  • Strength training exercises at least twice a week

Although frequent, high-intensity physical activity during and after menopause may yield the most health benefits, it's more important to choose a fitness program that you can maintain for the long term. For motivation, set realistic, achievable goals. Rather than vowing to exercise more, for example, commit to a daily 15-minute walk after dinner. Frequently update your goals. Partnering with a friend can make a difference, too.

Activities to try

Ready to get started? You have many choices.

  • Aerobic activity. Aerobic activity is the cornerstone of most fitness programs. Try walking, jogging, biking, swimming or water aerobics. Any physical activity that uses large muscle groups and increases your heart rate counts. If you're a beginner, start with 10 minutes of light activity and gradually increase the intensity of your activity.
  • Strength training. Regular strength training can help you reduce your body fat, strengthen your muscles and more efficiently burn calories. Try weight machines, hand-held weights or resistance tubing. Choose a weight or resistance level heavy enough to tire your muscles after about 12 repetitions. Gradually increase the resistance level as you get stronger.
  • Stretching. Stretching increases flexibility, improves range of motion and promotes better circulation. Stretching can even relieve stress. Set aside time to stretch after each workout, when your muscles are warm and receptive to stretching. Activities such as yoga promote flexibility, too.
  • Stability and balance. Balance exercises improve stability and can help prevent falls. Try simple exercises, such as standing on one leg. Activities such as tai chi can be helpful, too.

Remember, you don't have to go to the gym to exercise. Daily activities such as dancing and gardening also can improve your health. Whatever physical activities you choose, take time to warm up and cool down safely.

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References
  1. Hagey AR, et al. Role of exercise and nutrition in menopause. Clinical Obstetrics and Gynecology. 2008;51:627.
  2. Nelson DB, et al. Effect of physical activity on menopausal symptoms among urban women. Medicine & Science in Sports & Exercise. 2008;40:50.
  3. Pines A, et al. Exercise in the menopause - an update. Climacteric. 2007;10:42.
  4. Elavsky S, et al. Lack of perceived sleep improvement after 4-month structured exercise programs. Menopause: The Journal of the North American Menopause Society. 2007;14:545.
  5. Elavsky S, et al. Physical activity and mental health outcomes during menopause: A randomized controlled trial. Annals of Behavioral Medicine. 2007;33:132.
  6. Thurston RC, et al. Physical activity and risk of vasomotor symptoms in women with and without a history of depression: Results from the Harvard study of moods and cycles. Journal of the North American Menopause Society. 2006;13:553.
  7. Thompson DL. Fitness focus copy-and-share: Menopause and exercise. ACSM's Health & Fitness Journal. 2006;10:4.
  8. Bushman B. Exercise and menopause. ACSM Fit Society Page. Fall 2006:3. http://www.acsm.org/AM/Template.cfm?Section=Home_Page&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=6128. Accessed Jan. 2, 2009.
  9. North American Menopause Society. Achieving optimal health. Menopause Guidebook. 6th ed. Cleveland, Ohio: North American Menopause Society; 2006. http://www.menopause.org/Portals/0/Content/PDF/MG5.pdf. Accessed Jan. 2, 2009.
  10. Obesity and cancer: Questions and answers. National Cancer Institute. http://www.cancer.gov/cancertopics/factsheet/risk/obesity. Accessed Dec. 23, 2008.
  11. 2008 physical activity guidelines for Americans. U.S. Department of Health and Human Services. http://www.health.gov/paguidelines/pdf/paguide.pdf. Accessed Dec. 23, 2008.

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March 20, 2009

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