According to a recent study article published online in Menopause, having a sedentary lifestyle significantly affects the severity of perimenopausal symptoms.  This study included more than 6000 women aged 40 to 59 years who received care at urban health clinics across 11 Latin American countries.
Women who exercised fewer than three times per week reported more severe menopause symptoms than those who got more exercise.  Women with sedentary lifestyles were also more likely to report anxiety, depressive symptoms and insomnia.
The authors note that because this study is cross-sectional, we cannot conclude that physical activity reduces menopausal symptoms or if menopausal symptoms reduce physical activity.  However, regular exercise is likely to have other health benefits.

Ruta Nonacs, MD PhD

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Severity of Menopause Symptoms Linked to Sedentary Lifestyle (Medscape)