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Improvements in health-related quality of life, cardio-metabolic health, and fitness in postmenopausal women after a supervised, multicomponent, adapted exercise program in a suited health promotion intervention: a multigroup study

Godoy-Izquierdo, Débora PhD1,2; Guevara, Nicolás Mendoza Ladrón de PhD3; Toral, Mercedes Vélez PhD1; Galván, Carlos de Teresa PhD4; Ballesteros, Alberto Salamanca PhD3; García, Juan F. Godoy PhD1,2

doi: 10.1097/GME.0000000000000844
Original Articles

Objectives: This study explored the multidimensional outcomes that resulted from the adherence to regular exercise among previously sedentary postmenopausal women. The exercise was managed through a supervised, multicomponent, adapted approximately 20-week program in a suited health promotion intervention.

Methods: A multigroup, mixed-design study with between-group (intervention, sedentary, and active women) and within-subject measures (baseline, postintervention, and 3- and 12-month follow-ups) was conducted using intention-to-treat methodology. The Cervantes Scale assessed health-related quality of life (HRQoL), and several indicators of cardio-metabolic status and fitness were also assessed.

Results: After the intervention, the participants experienced positive changes in short and long-term physical and mental health, with significant enhancements in several HRQoL dimensions, particularly mental well-being and menopause-related health and subdomains. Improvements were maintained or continued (eg, mental well-being) throughout the period, leading up to the 12-month follow-up. These outcomes were accompanied by significant improvements in cardio-metabolic status and fitness, including weight, body mass index, cardio-respiratory fitness, and flexibility.

Conclusions: Our findings parallel previous empirical evidence showing the benefits associated with regular exercise, and add evidence to the association of positive outcomes in HRQoL with improvements in cardio-metabolic health and fitness status after the adoption of an active lifestyle.

1Health Psychology & Behavioural Medicine Research Group (CTS-267), Facultad de Psicología, University of Granada, Campus Universitario de Cartuja, Granada, Spain

2Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, University of Granada, Campus Universitario de Cartuja, Granada, Spain

3Departamento de Ginecología y Obstetricia, Facultad de Medicina, University of Granada, Avd Madrid, Granada, Spain

4Centro Andaluz de Medicina del Deporte, Consejería de Cultura y Deporte, Hospital Universitario San Juan de Dios, Granada, Spain.

Address correspondence to: Nicolás Mendoza Ladrón de Guevara, PhD, Departamento de Ginecología y Obstetricia, Facultad de Medicina, University of Granada, Avd Madrid, sn. 18071 Granada, Spain, E-mail: nicomendoza@telefonica.net or Débora Godoy-Izquierdo, PhD, Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, University of Granada, Campus Universitario de Cartuja, sn. 18071 Granada, Spain, E-mail: deborag@ugr.es

Received 25 March, 2016

Revised 20 December, 2016

Accepted 20 December, 2016

Funding/support: This research was supported by the Ministerio de Ciencia e Innovación MICINN I+D+I funding (project reference: PSI2008-06288) and the financial assistance, provided to the “Psicología de la Salud/Medicina Conductual” Research Group (CTS-0267) by the Consejería de Innovación, Ciencia y Empresa, Junta de, Andalucía, Spain.

Financial disclosure/conflicts of interest: None reported.

© 2017 by The North American Menopause Society.