It’s no secret that exercise is an integral part of my daily life and to maintaining some semblance of balance. I have long said that without some form of activity, you’d probably find me crumbled in a corner in a sea of unease. To put it quite simply, I don’t feel well when I don’t exercise. However, as much as I would like to believe that my daily workouts are somehow keeping those flashes at bay, the evidence is not there. In fact, the most recent information out of the MsFLASH (Menopause Strategies: Finding Lasting Answers for Symptoms and Health) Research Network may put the question to rest.
In a quest to tease out the answer, researchers compared the effects of tri-weekly, moderate intensity aerobic exercise to no exercise in 248 women in late perimenopause or postmenopausal sedentary women. And while they hypothesized that regular exercise would significantly reduce the frequency and severity of hot flashes, what they found was the opposite. The reported decline in flashes was equal between the two groups. Moreover, the reduction in how bothersome the flashes were relative to activity was minimal and not significantly different between the two groups.
On the flip side, exercise did seem to benefit sleep quality, reduce insomnia and depressive symptoms but only to a small degree.
So, what to make of these data? First, exercise is important to overall health and wellbeing and has been shown to help maintain an optimal weight, benefit the heart, boost muscle strength, prevent bone loss and assist with balance. There is no doubt whatsoever that exercise is an essential part of living, particularly as we age. The conclusion? It’s not time to throw the baby out with the bathwater. Still, in so far as exercise and vasomotor symptoms, research has repeatedly provided compelling evidence that all bets are off; exercise does not alleviate menopausal vasomotor symptoms, particularly in women who are usually sedentary. Yet, there is a silver lining in this story as experts don’t know if a single bout of exercise can benefit hot flashes in the short term. Moreover, physiological and psychological factors may also skew results; in this study, the effect of exercise on the frequency of vasomotor symptoms varied significantly by race, with white women experiencing declines relative to usual activity and African-American women experiencing no benefit.
The benefits of exercise to health outweigh its null effects in the vasomotor department. And, pushing the heart rate up a bit may help boost those nightly 40 winks. Don’t stop believing or moving. But when it comes to flashes, it’s time to look for help elsewhere.