Strength and Aerobic Training Against Hot Flushes in Postmenopausal Women

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age45+
SponsorLinkoeping University

About this trial

The goal of this randomised controlled trial is to investigate the effects of and compare two modes of physical exercise (strength training and high-intensity aerobic exercise) to unchanged physical activity on vasomotor symptoms (hot flushes) in postmenopausal women. The main question it aims to answer is the effect of 15 weeks of strength training vs high intensity aerobic training vs unchanged physical activity on frequency and severity of hot flushes. Participants will be randomised to:

1. strength training 2. high-intensity aerobic training 3. untreated control group.

Researchers will compare strength training, high-intensity aerobic training and untreated control group to see if training can reduce hot flushes.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Postmenopausal women (one of: ≥ 12 months since last menstruation; amenorrhea due to intrauterine device or hysterectomy and Follicle Stimulating Hormone (FSH) >30 mIU/ml; bilateral oophorectomy; induced menopause due to chemotherapy or radiation and ≥2 years amenorrhea);

≥ 28 moderate to severe hot flushes per week during a 2-week screening period, registered through a daily VMS diary;

Age ≥45 years;

Physical ability to participate in strength training or high intensity aerobic exercise for 60 minutes, 3 times/week during 15 weeks;

Disqualifiers

Regular physical activity >30 minutes per week of vigorous intensity or ≥150 minutes of moderate intensity or combined activities representing maximum 150 minutes of moderate intensity;

Use of systemic menopausal hormone therapy the last 2 months;

Use of natural preparations such as herbal preparations for VMS, or other medications for VMS the last 2 months;

Capillary hemoglobin <110 g/l;

Trial design

Design model

Parallel

Treatments tested in this trial

  • Strength training

    Other intervention

    Both interventions (strength training and high intensity aerobic training) will be introduced with a 3-week adaptation period with lower loads (strength training) or intensity (aerobic training) followed by a 12-week period on the intended load/intensity. All participants in the intervention groups will be recommended to exercise three times per week (one hour per session) and in addition be active with everyday low-intensity physical activity. A structured and detailed training diary will be used in both groups to register frequency of each training session, as well as everyday physical activity. For the strength training, load and dose will also be registered for each training session.

  • High-intensity aerobic training

    Other intervention

    Both interventions (strength training and high intensity aerobic training) will be introduced with a 3-week adaptation period with lower loads (strength training) or intensity (aerobic training) followed by a 12-week period on the intended load/intensity. All participants in the intervention groups will be recommended to exercise three times per week (one hour per session) and in addition be active with everyday low-intensity physical activity. A structured and detailed training diary will be used in both groups to register frequency of each training session, as well as everyday physical activity. For the strength training, load and dose will also be registered for each training session.

Treatment groups

90 Participants
are divided into 3 treatment groups
Group A: Strength trainingActive comparator 1 intervention
Group B: High-intensity aerobic trainingActive comparator 1 intervention
Group C: Control groupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Frequency of moderate and severe hot flushes

Frequency of hot flushes per 24 h daily recorded in hot flush diary from baseline throughout 15 weeks of intervention.

Time frame
baseline to 15 weeks

Secondary outcomes

1

Frequency of moderate and severe hot flushes

Frequency of hot flushes per 24 h daily recorded in hot flush diary 2 weeks at baseline and 2 weeks at each of the time points.

Time frame
baseline to 6 months, 1, 2 and 5 years
2

Severity of hot flushes

Severity of hot flushes per 24 hours recorded in hot flush diary from baseline throughout 15 weeks of intervention and two weeks during follow-up.

Time frame
baseline to 15 weeks, 6 months, 1, 2 and 5 years
3

Generic health-related quality of life

Short-form 36, 36 questions in 8 scales. Scores for each domain range from 0-100, and a high score represents a higher health-related quality of life.

Time frame
baseline to 15 weeks, 6 months, 1, 2 and 5 years after intervention
4

Women specific health-related quality of life

Women's health questionnaire nine sub-scales with four-point scales (yes definitely, yes sometimes, not not much, no not at all) that are reduced to binary options (0/1). The subscale items are summated and divided by the number of items in each subscale.A higher score represents worse outcome.

Time frame
baseline to 15 weeks, 6 months, 1, 2 and 5 years after intervention

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Linkoeping University

Lead sponsor

Region Östergötland

Collaborator

Länssjukhuset i Kalmar län

Collaborator