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Recherche-Beiträge

Korrespondenz 1
15.4.1999 Faxbrief an den Arbeitskreis Frauengesundheit in Medizin, Psychotherapie und Gesellschaft e.V., 32257 Bünde, mit meiner Anfrage: ... Ich bin daran herauszufinden, welche Zusammenhänge wie allgemein bekannt sind zum folgenden Thema: Frauen, die körperlich fit sind, durch Sport, körperlich anstrengende Tätigkeiten usw., haben nach meiner Kenntnis nicht die typischen Wechseljahrbeschwerden (Hitzewallungen, Schlafstörungen wegen Hitzewallungen usw.). Sie haben keine dieser Beschwerden. Stimmt dieser direkte Zusammenhang? ...

28.4.1999 Antwortschreiben vom AKF e.V.: Es ist sicher richtig, daß körperlich trainierte Frauen ein belastbareres Vegetativum haben, von daher weniger unter den Umstellungen im Bereich des vegetativen Nervensystems wie Hitzewallungen usw. leiden. Eine Garantie, davon gar nichts abzukriegen, gibt es nicht. Ungefähr ein Drittel aller Frauen hat keine Wechseljahrsbeschwerden; ich habe noch nirgendwo gelesen, dies seien nur die trainierten Frauen. Vermutlich ist die Bandbreite dieses Drittels groß.

 

Korrespondenz 2
Thema: Re: two questions and an idea
Datum: 18.04.00 07:23:55 (MEZ)
From: matha@gyn.liu.se (Mats Hammar)
To: Freudlingc@aol.com

Dear Drs. Ivarsson, Spetz and Hammar,
after reading your paper "Physical exercise and vasomotor symptoms in postmenopausal women", MATURITAS 29 (1998) 139-146, I would like to ask two questions:

- p.144, you write: "This may not be a causal connection but merely a statistical proof that these particular women benefited from their level of physical activity". Is there a research report, did someone an intensive research program on what happens to menopausal women experiencing hot flashes (using no HRT) when they start with regular work out exercises? One could predict that many of them when they were sedentary women would get rid off their hot flashes problems within weeks. This is my real, simple experience!
RESPONSE. NO PUBLISHED DATA AS FAR AS I KNOW. WE STRATED 75 WOMEN WITH FLUSHES AND RANDOMIZED BETWEEN ACUPUNCTURE, APPLIED RELAXATION, PHYSICAL EXERCISE AND ESTROGENS. THERE WERE MANY DROP OUTS IN THE EXERCISE GROUP BUT THOSE WOMEN WHO CONTINUED WERE RELIEVED. DATA ARE ANALYSED NOW FOR LATER PUBLICATION.

- p.145, you write: "possibility that exercise affects beta-endorphin production in such a way that thermoregulation is stabilized". Are there research results where this correlation in menopausal women when starting(!) with regular exercise has been examined? I has been looking for scientific research results on these subjects but I could not find anything (I also read some of RR Freedman's papers).
THERE ARE NO SUCH DATA - ONLY ONE PAPER ON ENDORPHINS IN CEREBROSPINAL FLUID AND ESTROGENS.
A short information about my person: I'm a menopausal woman in Germany, age 49 years; I'm a biologist with a strong interest and knowledge in medical research, working as a freelance researcher and author (Bio/Technology Vol.14(1996), p20f; Nature Biotechnology Vol.16(1998), p988); for many months I experienced the typical hot flashes and sleeping problems, but when I started - without knowledge, but by chance - with regular exercise (badminton) I got fully rid off those problems. REALLY INTERESTING

To me it seems, the outlined correlations may be known and felt by mere physical experience, but there is no experimental research (change in thermoregulation zones, change in hormone status and other related endocrinological brain and body data) and no experimental proof for the direct linkage I see. I am very much interested to do a research program on such items. I already have some concrete research plans. I'm asking you and your colleagues for a possibility of cooperation. PLEASE KEEP IN TOUCH.

YOURS SINCERELY
MATS HAMMAR
Sincerely, Crescentia Freudling
Dr. Crescentia Freudling
Simonstr.11, D - 90763 FÜRTH/Germany
Tel. (0)911 - 741 95 42, email Freudlingc@aol.com

Mats Hammar
MD, PhD, Professor
Div of Obstetrics and Gynecology
Dept of Health and Environment,
Faculty of Health Sciences
University Hospital
S-581 85 Linköping SWEDEN
tel: +46-13-223131
fax: + 46-13-148156

 

Korrespondenz 3
Thema: question for literature
Datum: 18.05.00
An: whi@womens-health.com
 
Thema: question for literature
Datum: 19.04.00
An: whi@womens-health.com

I ask again my questions:
Visiting your homepage and especially consulting your informations on menopause I found under "Natural Choices" the text: "In one study, sweating and hot flushes occured only half as often in women who exercised. In another, exercise improved both physical and emotional symptoms."
Please would you give me the publication reference for these two studies! Or may be it is possible to receive these original studies online? I'm very much interested.

Does WHI offer special exercise and training information for menopausal women who would like to start newly with sport?
Do fitness centers or other institutions in USA offer special training courses for menopausal women?

I ask these questions because I see the issue as a logic consequence of the two studies refered. The relieving of symptoms and preventing osteoporosis would work hand in hand.
Thanks a lot in advance, Crescentia Freudling

Thema: question for literature
Datum: 18.05.00 20:55:47 (MEZ) - Mitteleurop. Sommerzeit
From: aharkin@wyoming.com (Alison Harkin)
To: Freudlingc@aol.com

Hello, Crescentia.
Thank you for your inquiries to Women's Health Interactive. I have the reference information you're interested in:
Hammar M, Berg G, Lindgren R. Does physical exercise influence the frequency of postmenopausal hot flushes? Acta Obstet Gynecol Scand 1990;69:409-12.
The second study was reported by Freedman and Woodward at the 1995 conference of the North American Menopause Society.

I was very interested in your question about starting an exercise program during perimenopause or menopause. Women's Health Interactive doesn't have a recommended program at the moment, but I like the idea! I was heartened to find that in my small Wyoming community, there is now a yoga class especially for midlife women. The instructor plans to hold discussions of women's midlife health issues, as well as classes. Let's hope that such classes will become more and more common!

The strongwomen.com Web site, which features Dr. Miriam Nelson, does have a lot of information about exercise as we get older and exercise to help prevent osteoporosis. Another site that focuses on midlife exercise for women is bodyelectrictv.com. The site features Margaret Richard, a fitness instructor who has an exercise program on public television.
Women's Health Interactive is not affiliated with either of these sites and we don't endorse any Web sites, but you may find some helpful information there. (I'm sure you are already aware that you should seek your doctor's advice before starting any exercise program.)
Good luck, and thanks again for your thought-provoking questions.

Alison
Editorial Director, WHI

 

 


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