Combined exercise training reduces climacteric symptoms without the additive effects of isoflavone supplementation: A clinical, controlled, randomised, double-blind study

Nutr Health. 2017 Dec;23(4):271-279. doi: 10.1177/0260106017727359.

Abstract

Background: Exercise and supplementation with isoflavones are therapies used to prevent and treat climacteric symptoms.

Aim: To verify the effects of 10 weeks of combined aerobic and resistance training and isoflavone supplementation on climacteric symptoms in postmenopausal women.

Methods: A randomised, double-blind, controlled clinical trial was performed. A total of 32 postmenopausal women, aged 54.4 ± 5.4 years, with a body mass index of 26.6 ± 3.0 kg/m2 and 5.6 ± 4.6 years after menopause, were randomly assigned to groups: placebo and exercise (PLA + EXE, n = 15) or 100 mg of isoflavone and exercise (ISO + EXE, n = 17). At the beginning and after 10 weeks of aerobic + resistance (20 min each, moderate intensity) training, climacteric symptoms were evaluated using the Blatt-Kupperman Menopausal Index, Cervantes Scale and Menopause Rating Scale. ANCOVA was used for analysis between groups and at different times, with the covariate adjusted by the pre-value. The level of significance considered was p < 0.05.

Results: A reduction in climacteric symptoms was observed in both groups, without differences between the interventions. The reductions were 45% and 50% for the Blatt-Kupperman Menopausal Index, 41% and 52% for the MRS and 39% and 39% for the Cervantes Scale in the ISO + EXE and PLA + EXE groups, respectively. In the descriptive analysis of the Blatt-Kupperman Menopausal Index values, there was an increase in the absence of symptoms from 48-77% in the ISO + EXE group and 24-58% in the PLA + EXE group.

Conclusions: A period of 10 weeks of combined training was effective in improving climacteric symptoms in post-menopausal women. However, isoflavone supplementation did not promote additional effects in improving symptoms.

Keywords: Isoflavone; aerobic exercise; climacteric symptoms; postmenopausal women; resistance exercise.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Brazil
  • Climacteric* / psychology
  • Combined Modality Therapy
  • Depressive Disorder / etiology
  • Depressive Disorder / physiopathology
  • Depressive Disorder / prevention & control*
  • Depressive Disorder / psychology
  • Dietary Supplements
  • Double-Blind Method
  • Exercise* / psychology
  • Female
  • Follow-Up Studies
  • Humans
  • Isoflavones / therapeutic use
  • Middle Aged
  • Phytoestrogens / therapeutic use
  • Postmenopause
  • Quality of Life*
  • Resistance Training*
  • Self Report
  • Severity of Illness Index
  • Sleep Initiation and Maintenance Disorders / etiology
  • Sleep Initiation and Maintenance Disorders / physiopathology
  • Sleep Initiation and Maintenance Disorders / prevention & control*
  • Sleep Initiation and Maintenance Disorders / psychology
  • Vertigo / etiology
  • Vertigo / physiopathology
  • Vertigo / prevention & control*
  • Vertigo / psychology

Substances

  • Isoflavones
  • Phytoestrogens