The impact of aerobic exercise in alleviating physical disorders among premenopausal women
DOI:
https://doi.org/10.35335/midwifery.v13i5.2178Keywords:
Aerobic Exercise, MRS, Non-Pharmacological, Physical Symptom PremenopauseAbstract
Premenopause is a transitional phase marked by hormonal fluctuations that often trigger physical discomfort. This study aimed to determine the effectiveness of aerobic exercise in reducing somatic symptoms among premenopausal women. A quasi-experimental pre-test–post-test control group design was conducted involving 58 women aged 40–55 years, selected through simple random sampling. The intervention group received aerobic exercise three times per week for eight weeks, while the control group received no intervention. Physical symptoms were assessed using the somatic domain of the Menopause Rating Scale (MRS). Results showed a significantly greater reduction in somatic scores in the intervention group compared to the control group (mean difference −4.6 vs. −0.5; p < 0.001). Aerobic exercise demonstrated a large effect in alleviating hot flashes, joint and muscle pain, sleep disturbances, and cardiovascular-related complaints. In conclusion, aerobic exercise is an effective non-pharmacological strategy for reducing somatic symptoms during the premenopausal transition.
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Carpeggiani Weber, A., Borges Migliavaca, C., Lacerda Tavares, A., Carvalho, G. D. S., Pasin, J. K., Valter, L. K., Kaminski, M. E., Rossa Alt, V., Spielmann, F. V. J., & Wender, M. C. O. (2025). Impact of aerobic exercise on cardiovascular and mental health in postmenopausal women: A systematic review and meta-analysis. Menopause, 32(8), 779–789. https://doi.org/https://doi.org/10.1097/GME.0000000000002552
Chen, W., Chen, M., Tang, H., Wei, W., Shao, P., Dou, S., Wu, J., Lu, B., Shi, R., & Chen, J. (2023). Advances in diagnosis and treatment of perimenopausal syndrome. Open Life Sciences, 18(1), 20220754. https://doi.org/https://doi.org/10.1515/biol-2022-0754
DÄ…browska-Galas, M., DÄ…browska, J., Ptaszkowski, K., & Plinta, R. (2021). High Physical Activity Level May Reduce Menopausal Symptoms. Medicina, 55(8), 466. https://doi.org/https://doi.org/10.3390/medicina55080466
Flores, V. A., Pal, L., & Manson, J. E. (2021). Hormone Therapy in Menopause: Concepts, Controversies, and Approach to Treatment. Endocrine Reviews, 42(6), 720–752. https://doi.org/https://doi.org/10.1210/endrev/bnab011
Fruitasari, M. (2024). Gejala Menopause Pada Wanita Pramenopause. Journal of Nursing Invention, 5(1), 14–23.
Gombert-Labedens, M., Vesterdorf, K., Fuller, A., Maloney, S. K., & Baker, F. C. (2025). Effects of menopause on temperature regulation. Temperature, 12(2), 92–132. https://doi.org/https://doi.org/10.1080/23328940.2025.2484499
Kusumawati, D., & Hidayati, R. (2022). Prevalensi Gangguan Tidur pada Wanita Premenopause di Yogyakarta dan Faktor-Faktor yang Mempengaruhinya. Jurnal Keperawatan Indonesia, 5(1), 45–54.
Ley, D., & Saha, S. (2025). Menopause and gastrointestinal health and disease. Nature Reviews Gastroenterology & Hepatology, 22(8), 556–569. https://doi.org/https://doi.org/10.1038/s41575-025-01075-7
Li, Y., Huang, F., Qian, X., Liu, C., Yao, Y., Wang, Z., Zhu, X., & Guo, Q. (2025). Exploring the anti-aging potential of phytoestrogens: Focus on molecular mechanisms and menopausal symptom modulatio. Frontiers in Nutrition, 12(12), 1651367. https://doi.org/https://doi.org/10.3389/fnut.2025.1651367
Liang, J., Pan, X., Zhao, L., & Li, Y. (2025). Effects of Aerobic Exercises at Different Intensities on Sleep Quality in Individuals with Depression: A Systematic Review and Meta-Analysis. Nat Sci Sleep, Sep(17), 2091–2109. https://doi.org/10.2147/NSS.S520079.
Liu, T., Chen, S., Mielke, G. I., McCarthy, A. L., & Bailey, T. G. (2022). Effects of exercise on vasomotor symptoms in menopausal women: A systematic review and meta-analysis. Climacteric, 25(6), 552–561. https://doi.org/https://doi.org/10.1080/13697137.2022.2097865
Manson, J. E., Bassuk, S. S., Kaunitz, A. M., & Pinkerton, J. V. (2020). The Women’s Health Initiative trials of menopausal hormone therapy: Lessons learned. Menopause, 27(8), 918–928. https://doi.org/https://doi.org/10.1097/GME.0000000000001553
Mehta, J. M., Chester, R. C., & Kling, J. M. (2021). The Timing Hypothesis: Hormone Therapy for Treating Symptomatic Women During Menopause and Its Relationship to Cardiovascular Disease. Journal of Women’s Health, 28(5), 705–711. https://doi.org/https://doi.org/10.1089/jwh.2018.7201
Ombert-Labedens, M., Vesterdorf, K., Fuller, A., Maloney, S., & Baker, F. (2025). Effects of menopause on temperature regulation. Temperature (Austin), 12(2), 92–132. https://doi.org/10.1080/23328940.2025.2484499
Patel, P., Patil, S., & Kaur, N. (2025). Estrogen and Metabolism: Navigating Hormonal Transitions from Perimenopause to Postmenopause. J Midlife Health, 16(3), 247–256. https://doi.org/10.4103/jmh.jmh_75_25
Philip, A. E., Singh, H., Nanjundiah, S. Y., Samudrala, P. C., Theunissen, D. W., Robinson, J., & Banerjee, I. (2025). Impact of Exercise on Perimenopausal Syndrome: A Systematic Review of Randomized Controlled Trials. Cureus. https://doi.org/https://doi.org/10.7759/cureus.80862
Qian, J., Sun, S., Wang, M., Sun, Y., Sun, X., Jevitt, C., & Yu, X. (2023). The effect of exercise intervention on improving sleep in menopausal women: A systematic review and meta-analysis. Frontiers in Medicine, 10, 1092294. https://doi.org/https://doi.org/10.3389/fmed.2023.1092294
Reeves, A., Lewis, T., Hood, M., Thurston, R., Avis, N., Burnett-Bowie, S., Cortés, Y., Neal-Perry, G., & Harlow, S. (2024). Does everyday discrimination account for the increased risk of vasomotor symptoms in Black women?: the Study of Women’s Health Across the Nation (SWAN). Menopause, 31(6), 484–493. https://doi.org/10.1097/GME.0000000000002357
RI, K. (2022). Pedoman Pelayanan Kesehatan Wanita Klimakterik. Kementerian Kesehatan RI.
Sun, W., Han, Y., & Gu, S. (2024). Effects of five types of exercise on vascular function in postmenopausal women: A network meta-analysis and systematic review of 32 randomized controlled trials. PeerJ, 12, e17621. https://doi.org/https://doi.org/10.7717/peerj.17621
Tran, S., Hickey, M., Saunders, C., Ramage, L., & Cohen, P. A. (2021). Nonpharmacological therapies for the management of menopausal vasomotor symptoms in breast cancer survivors. Supportive Care in Cancer, 29(3), 1183–1193. https://doi.org/https://doi.org/10.1007/s00520-020-05754-w
Vanderzalm, J., Deschenes, S., & Kunyk, D. (2023). Women’s health nurses’ experiences of menopause: Considerations for nurse leaders. Nurs Manage, 54(6), 34–40. https://doi.org/10.1097/nmg.0000000000000023
Wasley, D., & Gailey, S. (2024). Menopause and the role of physical activity – The views and knowledge of women aged 40–65. Post Reproductive Health, 30(2), 77–84. https://doi.org/Bailey, T. G., Cable, N. T., Aziz, N., Dobson, R., Sprung, V. S., Low, D. A., & Jones, H. (2016). Exercise training reduces the frequency of menopausal hot flushes by improving thermoregulatory control. Menopause, 23(7), 708–718. https://doi.org/10.1097/GME.0000000000000625 Carpeggiani Weber, A., Borges Migliavaca, C., Lacerda Tavares, A., Carvalho, G. D. S., Pasin, J. K., Valter, L. K., Kaminski, M. E., Rossa Alt, V., Spielmann, F. V. J., & Wender, M. C. O. (2025). Impact of aerobic exercise on
Witkowski, S., Evard, R., Rickson, J., White, Q., & Sievert, L. (2023). Physical activity and exercise for hot flashes: trigger or treatment? Menopause. Menopause, 30(2), 218–224. https://doi.org/10.1097/GME.0000000000002107
Xu, H., Liu, J., Li, P., & Liang, Y. (2024). Effects of mind-body exercise on perimenopausal and postmenopausal women: a systematic review and meta-analysis. Menopause, 31(5), 457–467. https://doi.org/10.1097/GME.0000000000002336.
Xu, X., Rioux, T., Welles, A., Jay, O., Ely, B., & Charkoudian, N. (2024). Modeling thermoregulatory responses during high-intensity exercise in warm environments. J Appl Physiol, 136(4), 908–916. https://doi.org/10.1152/japplphysiol.00873.2023
Yenifebriani, G., Lilis, N., & Amnita, G. (2025). The Effect Of Low Impact Aerobic Exercise On Reducing Menopause Symptoms At Batu Bara Regency 2024. Jurnal Keperawatan Widya Gantari Indonesia, 9(1). https://doi.org/https://doi.org/10.52020/jkwgi.v9i1.10689


