Lifestyle Medicine and Vasomotor Symptoms: An Analytic Review

Author:

Kennard Anne1ORCID,Lindo Fiona M.2,Ring Melinda3,Alli Bisi4,Khan Noor5,Potter-McQuilkin Dineasha6,Papia Ginamarie3,Teng Rebecca7,McKendree Reagan8,Thompson-Olson Michelle9,Tollefson Michelle10

Affiliation:

1. Department of Obstetrics and Gynecology, Marian Regional Medical Center, Santa Maria, CA, USA

2. Department of Obstetrics and Gynecology, Houston Methodist Hospital, Houston, TX, USA

3. Osher Center for Integrative Health, Northwestern University, Chicago, IL, USA

4. Department of Internal Medicine, University of Arizona-Phoenix, Phoenix, AZ, USA

5. Department of Internal Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

6. Department of Obstetrics and Gynecology, Hoboken University Medical Center, Hoboken, NJ, USA

7. Department of Obstetrics and Gynecology, University of Texas at Austin, Austin, TX, USA

8. Department of Family Medicine, Marian Regional Medical Center, Santa Maria, CA, USA

9. Department of Family Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

10. Department of Health Professions, Metropolitan State University, Denver, CO, USA

Abstract

This paper is an literature evaluation of the treatments based on the 6 pillars of Lifestyle Medicine (nutrition, physical activity, restorative sleep, stress management, positive social connection, and avoidance of risky substances) to improve vasomotor symptoms. Main findings were: (1) the Mediterranean diet and other plant-forward approaches may effectively reduce vasomotor symptoms; (2) stress can directly impact menopausal symptoms by increasing the frequency and intensity of hot flashes and other symptoms; (3) the incidence of sleep disturbances are high during the menopause transition; (4) evidence on the impact of physical activity and exercise on vasomotor symptoms is mixed, although moderate activity and strength training may be better for vasomotor symptom optimization than vigorous exercise and part of a healthy aging process; (5) evidence on the impact of social support on VMS is mixed with some studies suggesting benefit; and (6) evidence on the impact of risky substances is mixed but appears stronger for the effects of tobacco cessation than for alcohol cessation. In summary, while there is a variety of quality of evidence depending on the pillar, lifestyle medicine may be generally considered to improve vasomotor symptoms for patients that cannot use or decline hormone therapy.

Publisher

SAGE Publications

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