{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T01:22:54Z","timestamp":1782177774603,"version":"3.54.5"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,5,5]],"date-time":"2012-05-05T00:00:00Z","timestamp":1336176000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the influence of physical activity on climacteric symptoms among middle\u2010aged women in Brazil.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A population\u2010based sample of women aged 40\u201365 years was recruited from Natal, Brazil. Enrollment took place in basic health units in each health district of the city from June to September 2011. Data were collected while women waited for routine appointments at the health units. Climacteric symptoms were assessed using the Menopause Rating Scale and the Blatt\u2013Kupperman Menopausal Index. The level of physical activity was assessed via the International Physical Activity Questionnaire. It was classified as low, moderate, or vigorous.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age of the 370 participants was 49.8 \u00b1 8.1 years. They were predominantly white (72.7%), married (61.6%), non\u2010smokers (93.5%), and had undergone high\u2010school education (70.5%). All domains of climacteric symptoms were significantly affected by physical activity: psychological (<jats:italic>P<\/jats:italic> &lt; 0.001); somatovegetative (<jats:italic>P<\/jats:italic> &lt; 0.001); and urogenital (<jats:italic>P<\/jats:italic> = 0.008). Significant differences were found between the IPAQ groups of physical activity and the Blatt\u2013Kupperman Menopausal Index for the following symptoms: hot flashes (<jats:italic>P<\/jats:italic> &lt; 0.001); paresthesia (<jats:italic>P<\/jats:italic> = 0.022); insomnia (P &lt; 0.001); impatience (P &lt; 0.001); depression (P &lt; 0.001); vertigo (P &lt; 0.001); fatigue (P &lt; 0.001); arthralgia\/myalgia (P &lt; 0.001); and palpitation (P &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Physical activity improved climacteric symptoms among middle\u2010aged women in Brazil.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2012.02.016","type":"journal-article","created":{"date-parts":[[2012,5,5]],"date-time":"2012-05-05T10:07:05Z","timestamp":1336212425000},"page":"34-36","source":"Crossref","is-referenced-by-count":31,"title":["The impact of physical activity on menopausal symptoms in middle\u2010aged women"],"prefix":"10.1002","volume":"118","author":[{"given":"Ana C.G.","family":"Can\u00e1rio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patr\u00edcia U.","family":"Cabral","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria H.","family":"Spyrides","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo C.","family":"Giraldo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Jos\u00e9","family":"Eleut\u00e9rio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Katherine","family":"Gon\u00e7alves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,5,5]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0023377"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2010.12.019"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000403358.44058.f7"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2011.03.012"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/ajh.2011.71"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02879894"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2007.07.017"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/gme.0b013e3181b6690c"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1123\/jsep.30.4.392"},{"issue":"4","key":"e_1_2_6_11_2","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.3233\/JAD-2010-101188","article-title":"Intensity of recreational physical activity throughout life and later life cognitive functioning in women","volume":"22","author":"Tierney M.C.","year":"2010","journal-title":"J Alzheimers Dis"},{"issue":"9","key":"e_1_2_6_12_2","first-page":"433","article-title":"Physical activity and quality of life in women aged 60 or older: associated factors","volume":"32","author":"de Carvalho E.D.","year":"2010","journal-title":"Rev Bras Ginecol Obstet"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.gme.0000196812.96128.e8"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/gme.0b013e3181a0e091"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2008.08.004"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/gme.0b013e31818c0284"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-1-28"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-13-6-688"},{"issue":"2","key":"e_1_2_6_19_2","first-page":"5","article-title":"International Physical Activity Questionnaire (IPAQ): study of validity and reliability in Brazil","volume":"6","author":"Matsudo S.M.","year":"2001","journal-title":"Rev Bras Ativ F\u00eds Sa\u00fade"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.3109\/13697131003597019"},{"key":"e_1_2_6_21_2","first-page":"495\u201350","volume-title":"Menopause: Biology and Pathobiology","author":"Sternfeld B.","year":"2000"},{"issue":"5","key":"e_1_2_6_22_2","first-page":"CD006108","article-title":"Exercise for vasomotor menopausal symptoms","author":"Daley A.","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005768-200106001-00028"}],"container-title":["International Journal of Gynecology &amp; 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