Menopause Clinical Trial
Official title:
Studying the Impact of Exercise on Hot Flashes Using Mobile Fitbit Flex, MENQOL Scale and Hot Flash Diary
A prospective randomized pragmatic trial will be used to obtain data on energy expenditure, temperature changes and vasomotor symptoms at baseline, during the intervention in which participants will be randomized to either exercise or to not exercise, and at the end of the 12-week intervention.
During menopause, the main symptom that prompts women to seek medical attention is hot
flashes. It is estimated that 75% of all menopausal women (approximately 50,000,000) will
experience hot flashes, and that 15% will be severely affected. In addition to hot flashes,
other significant climacteric symptoms include depression, insomnia, nervousness, fatigue,
arthralgia, headache, vaginal dryness and night sweats. Most clinical trials assessing
therapeutic efficacy use subjective reports (eg. questionnaires, diaries). The current gold
standard for objective assessment of hot flashes is measuring the skin conductance level.
However, there is still a relative discordancy between self reported and objectively detected
hot flashes even with the use of skin conductance level. A combination of objective and
subjective measures probably constitutes a valid assessment of vasomotor symptoms.
The menopausal transition is associated with a risk to increase in body weight and adiposity.
Weight gain in the menopausal woman can be closely associated with aging but is also
influenced by hormonal changes. Identifying modifiable factors that can prevent or attenuate
theses changes is of great relevance. Resting energy expenditure decreases with age but also
decreases with loss of ovarian function. There is little data on energy expenditure as it
relates to the menopause and how influences such as exercise play a role in metabolic rate
and how this may play a role in vasomotor symptoms. is an a portable monitor that will be
used to collect minute by minute data on energy expenditure, physical activity and sleep
monitoring. This data will be used to calculate temperature regulation. There are no studies
using this device on women undergoing the menopause transition. Given the skin temperature
fluxes that occur with hot flashes, it is possible that energy expenditure is not calculated
correctly, since heat is used as a measure of energy expenditure. There are also no studies
comparing this device to the current subjective evaluative methods like the hot flash diary
and quality of life surveys. The purpose of this study is to generate preliminary data needed
to conduct a larger trial.
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