Menopausal quality of life: RCT of yoga, exercise, and omega-3 supplements
The purpose of this study was to determine the efficacy of 3 nonhormonal therapies for the improvement of menopause-related quality of life in women with vasomotor symptoms. We conducted a 12-week 3 × 2 randomized, controlled, factorial design trial. Peri- and postmenopausal women, 40-62 years old,...
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| Published in | American journal of obstetrics and gynecology Vol. 210; no. 3; pp. 244.e1 - 244.e11 |
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| Main Authors | , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Mosby, Inc
01.03.2014
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0002-9378 1097-6868 1097-6868 |
| DOI | 10.1016/j.ajog.2013.11.016 |
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| Abstract | The purpose of this study was to determine the efficacy of 3 nonhormonal therapies for the improvement of menopause-related quality of life in women with vasomotor symptoms.
We conducted a 12-week 3 × 2 randomized, controlled, factorial design trial. Peri- and postmenopausal women, 40-62 years old, were assigned randomly to yoga (n = 107), exercise (n = 106), or usual activity (n = 142) and also assigned randomly to a double-blind comparison of omega-3 (n = 177) or placebo (n = 178) capsules. We performed the following interventions: (1) weekly 90-minute yoga classes with daily at-home practice, (2) individualized facility-based aerobic exercise training 3 times/week, and (3) 0.615 g omega-3 supplement, 3 times/day. The outcomes were assessed with the following scores: Menopausal Quality of Life Questionnaire (MENQOL) total and domain (vasomotor symptoms, psychosocial, physical and sexual).
Among 355 randomly assigned women who average age was 54.7 years, 338 women (95%) completed 12-week assessments. Mean baseline vasomotor symptoms frequency was 7.6/day, and the mean baseline total MENQOL score was 3.8 (range, 1–8 from better to worse) with no between-group differences. For yoga compared to usual activity, baseline to 12-week improvements were seen for MENQOL total –0.3 (95% confidence interval, –0.6 to 0; P = .02), vasomotor symptom domain (P = .02), and sexuality domain (P = .03) scores. For women who underwent exercise and omega-3 therapy compared with control subjects, improvements in baseline to 12-week total MENQOL scores were not observed. Exercise showed benefit in the MENQOL physical domain score at 12 weeks (P = .02).
All women become menopausal, and many of them seek medical advice on ways to improve quality of life; little evidence-based information exists. We found that, among healthy sedentary menopausal women, yoga appears to improve menopausal quality of life; the clinical significance of our finding is uncertain because of the modest effect. |
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| AbstractList | The purpose of this study was to determine the efficacy of 3 nonhormonal therapies for the improvement of menopause-related quality of life in women with vasomotor symptoms.
We conducted a 12-week 3 × 2 randomized, controlled, factorial design trial. Peri- and postmenopausal women, 40-62 years old, were assigned randomly to yoga (n = 107), exercise (n = 106), or usual activity (n = 142) and also assigned randomly to a double-blind comparison of omega-3 (n = 177) or placebo (n = 178) capsules. We performed the following interventions: (1) weekly 90-minute yoga classes with daily at-home practice, (2) individualized facility-based aerobic exercise training 3 times/week, and (3) 0.615 g omega-3 supplement, 3 times/day. The outcomes were assessed with the following scores: Menopausal Quality of Life Questionnaire (MENQOL) total and domain (vasomotor symptoms, psychosocial, physical and sexual).
Among 355 randomly assigned women who average age was 54.7 years, 338 women (95%) completed 12-week assessments. Mean baseline vasomotor symptoms frequency was 7.6/day, and the mean baseline total MENQOL score was 3.8 (range, 1–8 from better to worse) with no between-group differences. For yoga compared to usual activity, baseline to 12-week improvements were seen for MENQOL total –0.3 (95% confidence interval, –0.6 to 0; P = .02), vasomotor symptom domain (P = .02), and sexuality domain (P = .03) scores. For women who underwent exercise and omega-3 therapy compared with control subjects, improvements in baseline to 12-week total MENQOL scores were not observed. Exercise showed benefit in the MENQOL physical domain score at 12 weeks (P = .02).
All women become menopausal, and many of them seek medical advice on ways to improve quality of life; little evidence-based information exists. We found that, among healthy sedentary menopausal women, yoga appears to improve menopausal quality of life; the clinical significance of our finding is uncertain because of the modest effect. Objective The purpose of this study was to determine the efficacy of 3 nonhormonal therapies for the improvement of menopause-related quality of life in women with vasomotor symptoms. Study Design We conducted a 12-week 3 × 2 randomized, controlled, factorial design trial. Peri- and postmenopausal women, 40-62 years old, were assigned randomly to yoga (n = 107), exercise (n = 106), or usual activity (n = 142) and also assigned randomly to a double-blind comparison of omega-3 (n = 177) or placebo (n = 178) capsules. We performed the following interventions: (1) weekly 90-minute yoga classes with daily at-home practice, (2) individualized facility-based aerobic exercise training 3 times/week, and (3) 0.615 g omega-3 supplement, 3 times/day. The outcomes were assessed with the following scores: Menopausal Quality of Life Questionnaire (MENQOL) total and domain (vasomotor symptoms, psychosocial, physical and sexual). Results Among 355 randomly assigned women who average age was 54.7 years, 338 women (95%) completed 12-week assessments. Mean baseline vasomotor symptoms frequency was 7.6/day, and the mean baseline total MENQOL score was 3.8 (range, 1–8 from better to worse) with no between-group differences. For yoga compared to usual activity, baseline to 12-week improvements were seen for MENQOL total –0.3 (95% confidence interval, –0.6 to 0; P = .02), vasomotor symptom domain ( P = .02), and sexuality domain ( P = .03) scores. For women who underwent exercise and omega-3 therapy compared with control subjects, improvements in baseline to 12-week total MENQOL scores were not observed. Exercise showed benefit in the MENQOL physical domain score at 12 weeks ( P = .02). Conclusion All women become menopausal, and many of them seek medical advice on ways to improve quality of life; little evidence-based information exists. We found that, among healthy sedentary menopausal women, yoga appears to improve menopausal quality of life; the clinical significance of our finding is uncertain because of the modest effect. The purpose of this study was to determine the efficacy of 3 nonhormonal therapies for the improvement of menopause-related quality of life in women with vasomotor symptoms.OBJECTIVEThe purpose of this study was to determine the efficacy of 3 nonhormonal therapies for the improvement of menopause-related quality of life in women with vasomotor symptoms.We conducted a 12-week 3 × 2 randomized, controlled, factorial design trial. Peri- and postmenopausal women, 40-62 years old, were assigned randomly to yoga (n = 107), exercise (n = 106), or usual activity (n = 142) and also assigned randomly to a double-blind comparison of omega-3 (n = 177) or placebo (n = 178) capsules. We performed the following interventions: (1) weekly 90-minute yoga classes with daily at-home practice, (2) individualized facility-based aerobic exercise training 3 times/week, and (3) 0.615 g omega-3 supplement, 3 times/day. The outcomes were assessed with the following scores: Menopausal Quality of Life Questionnaire (MENQOL) total and domain (vasomotor symptoms, psychosocial, physical and sexual).STUDY DESIGNWe conducted a 12-week 3 × 2 randomized, controlled, factorial design trial. Peri- and postmenopausal women, 40-62 years old, were assigned randomly to yoga (n = 107), exercise (n = 106), or usual activity (n = 142) and also assigned randomly to a double-blind comparison of omega-3 (n = 177) or placebo (n = 178) capsules. We performed the following interventions: (1) weekly 90-minute yoga classes with daily at-home practice, (2) individualized facility-based aerobic exercise training 3 times/week, and (3) 0.615 g omega-3 supplement, 3 times/day. The outcomes were assessed with the following scores: Menopausal Quality of Life Questionnaire (MENQOL) total and domain (vasomotor symptoms, psychosocial, physical and sexual).Among 355 randomly assigned women who average age was 54.7 years, 338 women (95%) completed 12-week assessments. Mean baseline vasomotor symptoms frequency was 7.6/day, and the mean baseline total MENQOL score was 3.8 (range, 1-8 from better to worse) with no between-group differences. For yoga compared to usual activity, baseline to 12-week improvements were seen for MENQOL total -0.3 (95% confidence interval, -0.6 to 0; P = .02), vasomotor symptom domain (P = .02), and sexuality domain (P = .03) scores. For women who underwent exercise and omega-3 therapy compared with control subjects, improvements in baseline to 12-week total MENQOL scores were not observed. Exercise showed benefit in the MENQOL physical domain score at 12 weeks (P = .02).RESULTSAmong 355 randomly assigned women who average age was 54.7 years, 338 women (95%) completed 12-week assessments. Mean baseline vasomotor symptoms frequency was 7.6/day, and the mean baseline total MENQOL score was 3.8 (range, 1-8 from better to worse) with no between-group differences. For yoga compared to usual activity, baseline to 12-week improvements were seen for MENQOL total -0.3 (95% confidence interval, -0.6 to 0; P = .02), vasomotor symptom domain (P = .02), and sexuality domain (P = .03) scores. For women who underwent exercise and omega-3 therapy compared with control subjects, improvements in baseline to 12-week total MENQOL scores were not observed. Exercise showed benefit in the MENQOL physical domain score at 12 weeks (P = .02).All women become menopausal, and many of them seek medical advice on ways to improve quality of life; little evidence-based information exists. We found that, among healthy sedentary menopausal women, yoga appears to improve menopausal quality of life; the clinical significance of our finding is uncertain because of the modest effect.CONCLUSIONAll women become menopausal, and many of them seek medical advice on ways to improve quality of life; little evidence-based information exists. We found that, among healthy sedentary menopausal women, yoga appears to improve menopausal quality of life; the clinical significance of our finding is uncertain because of the modest effect. The purpose of this study was to determine the efficacy of 3 nonhormonal therapies for the improvement of menopause-related quality of life in women with vasomotor symptoms. We conducted a 12-week 3 × 2 randomized, controlled, factorial design trial. Peri- and postmenopausal women, 40-62 years old, were assigned randomly to yoga (n = 107), exercise (n = 106), or usual activity (n = 142) and also assigned randomly to a double-blind comparison of omega-3 (n = 177) or placebo (n = 178) capsules. We performed the following interventions: (1) weekly 90-minute yoga classes with daily at-home practice, (2) individualized facility-based aerobic exercise training 3 times/week, and (3) 0.615 g omega-3 supplement, 3 times/day. The outcomes were assessed with the following scores: Menopausal Quality of Life Questionnaire (MENQOL) total and domain (vasomotor symptoms, psychosocial, physical and sexual). Among 355 randomly assigned women who average age was 54.7 years, 338 women (95%) completed 12-week assessments. Mean baseline vasomotor symptoms frequency was 7.6/day, and the mean baseline total MENQOL score was 3.8 (range, 1-8 from better to worse) with no between-group differences. For yoga compared to usual activity, baseline to 12-week improvements were seen for MENQOL total -0.3 (95% confidence interval, -0.6 to 0; P = .02), vasomotor symptom domain (P = .02), and sexuality domain (P = .03) scores. For women who underwent exercise and omega-3 therapy compared with control subjects, improvements in baseline to 12-week total MENQOL scores were not observed. Exercise showed benefit in the MENQOL physical domain score at 12 weeks (P = .02). All women become menopausal, and many of them seek medical advice on ways to improve quality of life; little evidence-based information exists. We found that, among healthy sedentary menopausal women, yoga appears to improve menopausal quality of life; the clinical significance of our finding is uncertain because of the modest effect. |
| Author | LaCroix, Andrea Z. Sternfeld, Barbara S. Reed, Susan D. Anderson, Garnet L. Larson, Joseph C. Freeman, Ellen W. Cohen, Lee S. Learman, Lee A. Ensrud, Kristine E. Joffe, Hadine Hunt, Julie R. Seguin, Rebecca A. Guthrie, Katherine A. Rothenberg, Robin Newton, Katherine M. Carpenter, Janet S. Booth-LaForce, Cathryn Caan, Bette Dunn, Andrea L. Sherman, Karen J. |
| AuthorAffiliation | 10 Department of Medicine and Division of Epidemiology & Community Health, University of Minnesota, Minneapolis, MN 15 Division of Nutritional Sciences, Cornell University, Ithaca, NY 1 Departments of Obstetrics/Gynecology and Epidemiology, University of Washington School of Medicine, Seattle, WA 9 Department of Medicine, VA Medical Center, Minneapolis, MN 4 School of Nursing, University of Washington, Seattle, WA 13 Department of Obstetrics/Gynecology, Indiana University School of Medicine, Indianapolis, IN 3 Group Health Research Institute, Seattle, WA 12 Brigham and Women’s Hospital, Boston, MA 8 Klein Buendel, Inc., Golden, CO 5 Division of Research, Kaiser Permanent Northern California, Oakland, CA 7 Massachusetts General Hospital, Boston, MA 14 Essential Yoga Therapy, Fall City, WA 6 School of Nursing, Indiana University, Indianapolis, IN 11 Departments of Obstetrics/Gynecology and Psychiatry, University of Pennsylvania, Philadelphia, PA 2 Data Coordinating Center, Fred Hutchinson Cancer Resea |
| AuthorAffiliation_xml | – name: 9 Department of Medicine, VA Medical Center, Minneapolis, MN – name: 14 Essential Yoga Therapy, Fall City, WA – name: 15 Division of Nutritional Sciences, Cornell University, Ithaca, NY – name: 3 Group Health Research Institute, Seattle, WA – name: 7 Massachusetts General Hospital, Boston, MA – name: 11 Departments of Obstetrics/Gynecology and Psychiatry, University of Pennsylvania, Philadelphia, PA – name: 13 Department of Obstetrics/Gynecology, Indiana University School of Medicine, Indianapolis, IN – name: 10 Department of Medicine and Division of Epidemiology & Community Health, University of Minnesota, Minneapolis, MN – name: 5 Division of Research, Kaiser Permanent Northern California, Oakland, CA – name: 4 School of Nursing, University of Washington, Seattle, WA – name: 8 Klein Buendel, Inc., Golden, CO – name: 6 School of Nursing, Indiana University, Indianapolis, IN – name: 12 Brigham and Women’s Hospital, Boston, MA – name: 1 Departments of Obstetrics/Gynecology and Epidemiology, University of Washington School of Medicine, Seattle, WA – name: 2 Data Coordinating Center, Fred Hutchinson Cancer Research Center, Seattle, WA |
| Author_xml | – sequence: 1 givenname: Susan D. surname: Reed fullname: Reed, Susan D. email: reeds@u.washington.edu organization: Departments of Obstetrics and Gynecology and Epidemiology, University of Washington School of Medicine, Seattle, WA – sequence: 2 givenname: Katherine A. surname: Guthrie fullname: Guthrie, Katherine A. organization: Data Coordinating Center, Fred Hutchinson Cancer Research Center, Seattle, WA – sequence: 3 givenname: Katherine M. surname: Newton fullname: Newton, Katherine M. organization: Group Health Research Institute, Seattle, WA – sequence: 4 givenname: Garnet L. surname: Anderson fullname: Anderson, Garnet L. organization: Data Coordinating Center, Fred Hutchinson Cancer Research Center, Seattle, WA – sequence: 5 givenname: Cathryn surname: Booth-LaForce fullname: Booth-LaForce, Cathryn organization: School of Nursing, University of Washington, Seattle, WA – sequence: 6 givenname: Bette surname: Caan fullname: Caan, Bette organization: Division of Research, Kaiser Permanente Northern California, Oakland, CA – sequence: 7 givenname: Janet S. surname: Carpenter fullname: Carpenter, Janet S. organization: School of Nursing, Indiana University, Indianapolis, IN – sequence: 8 givenname: Lee S. surname: Cohen fullname: Cohen, Lee S. organization: Department of Psychiatry, Massachusetts General Hospital, Boston, MA – sequence: 9 givenname: Andrea L. surname: Dunn fullname: Dunn, Andrea L. organization: Klein Buendel, Inc, Golden, CO – sequence: 10 givenname: Kristine E. surname: Ensrud fullname: Ensrud, Kristine E. organization: Department of Medicine, VA Medical Center, and Department of Medicine and Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN – sequence: 11 givenname: Ellen W. surname: Freeman fullname: Freeman, Ellen W. organization: Departments of Obstetrics and Gynecology and Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA – sequence: 12 givenname: Julie R. surname: Hunt fullname: Hunt, Julie R. organization: Data Coordinating Center, Fred Hutchinson Cancer Research Center, Seattle, WA – sequence: 13 givenname: Hadine surname: Joffe fullname: Joffe, Hadine organization: Department of Psychiatry, Massachusetts General Hospital, Boston, MA – sequence: 14 givenname: Joseph C. surname: Larson fullname: Larson, Joseph C. organization: Data Coordinating Center, Fred Hutchinson Cancer Research Center, Seattle, WA – sequence: 15 givenname: Lee A. surname: Learman fullname: Learman, Lee A. organization: Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN – sequence: 16 givenname: Robin surname: Rothenberg fullname: Rothenberg, Robin organization: Essential Yoga Therapy, Fall City, WA – sequence: 17 givenname: Rebecca A. surname: Seguin fullname: Seguin, Rebecca A. organization: Data Coordinating Center, Fred Hutchinson Cancer Research Center, Seattle, WA – sequence: 18 givenname: Karen J. surname: Sherman fullname: Sherman, Karen J. organization: Group Health Research Institute, Seattle, WA – sequence: 19 givenname: Barbara S. surname: Sternfeld fullname: Sternfeld, Barbara S. organization: Division of Research, Kaiser Permanente Northern California, Oakland, CA – sequence: 20 givenname: Andrea Z. surname: LaCroix fullname: LaCroix, Andrea Z. organization: Data Coordinating Center, Fred Hutchinson Cancer Research Center, Seattle, WA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24215858$$D View this record in MEDLINE/PubMed |
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| Copyright | 2014 Mosby, Inc. Mosby, Inc. Copyright © 2014 Mosby, Inc. All rights reserved. 2013 Mosby, Inc. All rights reserved. 2013 |
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| Keywords | yoga exercise menopause omega-3 quality of life randomized controlled trial |
| Language | English |
| License | Copyright © 2014 Mosby, Inc. All rights reserved. |
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| PublicationTitle | American journal of obstetrics and gynecology |
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| SubjectTerms | Adult Dietary Supplements Double-Blind Method exercise Exercise - psychology Fatty Acids, Omega-3 - pharmacology Fatty Acids, Omega-3 - therapeutic use Female Hot Flashes - drug therapy Hot Flashes - psychology Humans menopause Menopause - drug effects Menopause - psychology Middle Aged Obstetrics and Gynecology omega-3 quality of life Quality of Life - psychology randomized controlled trial Treatment Outcome yoga Yoga - psychology |
| Title | Menopausal quality of life: RCT of yoga, exercise, and omega-3 supplements |
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