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Effect of aerobic exercises versus laser acupuncture in treatment of postmenopausal hot flushes: a randomized controlled trial.

Journal of physical therapy scienceยทFebruary 2018ยทEman Abdelfatah Mohamed Elhosary, Mahmoud Mohamed Ewidea, Hamada Ahmed Hamada Ahmed et al.
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Key Finding

Eight weeks of aerobic exercise three times weekly produced significantly greater reductions in FSH, LH, and hot flush severity compared to laser acupuncture in postmenopausal women.

What This Means For You

Researchers compared aerobic exercise with laser acupuncture to see which works better for hot flushes during menopause. The study involved 48 postmenopausal women aged 45-55 who experienced hot flushes. Half the participants did aerobic exercise while the other half received laser acupuncture treatments, with both groups attending three sessions per week for eight weeks.

The researchers measured hormone levels (FSH and LH) and tracked how often and how severe the hot flushes were using a daily diary card. These measurements were taken before starting treatment and again after the two-month program ended.

The results showed that aerobic exercise was more effective than laser acupuncture. Women who exercised had greater reductions in FSH and LH hormone levels, which are typically elevated after menopause. More importantly, they experienced a bigger decrease in the frequency and severity of their hot flushes compared to those who received laser acupuncture.

What this means for you: If you're struggling with menopausal hot flushes, this study suggests that regular aerobic exercise may be more beneficial than laser acupuncture. An eight-week program of aerobic exercise, done three times weekly, could help reduce both your hormone levels and your hot flush symptoms. Exercise offers the added benefits of being accessible, cost-effective, and providing other health advantages like improved cardiovascular fitness and bone health.

If you're considering acupuncture or other treatments for menopausal symptoms, consult with a qualified healthcare practitioner who can help design an appropriate treatment plan for your individual needs.

Clinical Notes for Practitioners

This single-blind randomized controlled trial compared aerobic exercise with laser acupuncture for postmenopausal hot flushes in 48 women aged 45-55 years. Participants were randomized into two equal groups (n=24 each) receiving either aerobic exercise or laser acupuncture, three sessions weekly for eight weeks. Outcome measures included serum FSH and LH levels and hot flush frequency/severity assessed via daily diary cards.

Results demonstrated statistically significant reductions in FSH, LH, and menopausal daily hot flush scale scores in the aerobic exercise group compared to laser acupuncture post-intervention. The study suggests aerobic exercise provides superior hormonal modulation and symptomatic relief compared to laser acupuncture.

Clinical implications: While laser acupuncture showed some effect, aerobic exercise appears more efficacious for managing postmenopausal vasomotor symptoms. The study's limitations include small sample size, lack of effect size reporting, and absence of traditional needle acupuncture comparison. Practitioners should consider recommending structured aerobic exercise programs as first-line non-pharmacological intervention for menopausal hot flushes, potentially reserving acupuncture for patients unable to exercise.

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