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1、Toexercise,or,nottoexercise,duringmenopauseandbeyonda,*abbLilyStojanovska,VassoApostolopoulos,RemcoPolman,ErikaBorkolesaCollegeofHealthandBiomedicine,CentreforChronicDiseasePreventionandManagement,VictoriaUniversity,POBox14428,Melbourne,Victoria8001,AustraliabCollegeofSport&ExerciseScience,V
2、ictoriaUniversity,POBox14428,Melbourne,Victoria8001,Australia*Correspondingauthor:ProfessorLilyStojanovskaPhone:+61399192737Fax:+61399192465Email:Lily.Stojanovska@vu.edu.au1ABSTRACTMenopausalsymptomsinwomencanbesevereanddisruptivetooverallqualityoflife.Hormonereplacementtherapy,isknowntobeef
3、fectiveinamelioratingsymptoms,however,reportingofsideeffectshasresultedinalternativetreatmentoptions.Exercisehasbeenassessedasanalternativetreatmentoptionforalleviatingmenopausalsymptoms,including,psychological,vasomotor,somaticandsexualsymptoms.Herewereporttheeffectsofphysicalactivityandexe
4、rciseonmenopausesymptomsinmenopausalwomen.Keywords:Exercise,Physicalactivity,Menopause,Hotflashes,Vasomotorsymptoms,Physiologicaleffects,Endocrineeffects21.IntroductionMenopause,fromtheGreekwordmen-(month)andpausis(cessation),isdefinedastheendofthewoman’sfertilelife,followinglossofovarianfol
5、licularfunction,usuallyoccurringinthelate40stoearly50s.Thetransitionisnotsuddenorabruptandoccursoverseveralyears(5-8years),andiscommonlyreferredtoas,changeoflifeortheclimacteric.Duringthetransition,anumberofsignsandsymptomsmayoccur,including,vasomotorsymptoms(hotflashes,palpitations),psychol
6、ogicalsymptoms(moodchanges,depression,irritability,anxiety,sleepdisturbances),cognitivesymptomsmemoryproblems,concentration)and,atrophiceffects(atrophicvaginitis,bladderirritability)[1-4].Womenalsoreportsymptomsincludingnightsweats,headaches,fatigue,decreasedlibido,severeitchiness,andbackand
7、musclepains[5].Suchsymptomscansignificantlydisruptawoman’sdailyactivitiesandoverallqualityoflife[1-4].Further,duringmenopauseandaging,withchanginghormonelevels,womenareatanincreasedchangeofchronicconditionssuchas,cancer,type-2diabetes,autoimmunity,