Postmenopausal women's experiences of a resistance training intervention against vasomotor symptoms: a qualitative study

Abstract Introduction Resistance training may be an effective intervention to improve menopausal symptoms and increase women’s quality of life. However, most postmenopausal women do not perform regular resistance training. The purpose of this study was to explore postmenopausal women’s experiences o...

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Main Authors: Emilia Berin, Anna-Clara Spetz Holm, Mats Hammar, Lotta Lindh-Åstrand, Carina Berterö
Format: Article
Language:English
Published: BMC 2022-07-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-022-01900-0
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author Emilia Berin
Anna-Clara Spetz Holm
Mats Hammar
Lotta Lindh-Åstrand
Carina Berterö
author_facet Emilia Berin
Anna-Clara Spetz Holm
Mats Hammar
Lotta Lindh-Åstrand
Carina Berterö
author_sort Emilia Berin
collection DOAJ
description Abstract Introduction Resistance training may be an effective intervention to improve menopausal symptoms and increase women’s quality of life. However, most postmenopausal women do not perform regular resistance training. The purpose of this study was to explore postmenopausal women’s experiences of participation in a resistance-training intervention to find barriers and motivators for the training. Methods Fifteen postmenopausal women with low physical activity, who participated in a randomized controlled trial evaluating the effect of a resistance-training program on vasomotor symptoms and health-related outcomes, were consecutively recruited to this qualitative study. After completion of the 15-week resistance-training program, they took part in individual semi-structured interviews, followed by a telephone interview 1 year later. All interviews were transcribed verbatim and thematic analysis was used to analyse the data. Results The analysis generated three themes that were involved at different time points. These were: “Trigger—Hopes of symptom relief”, “An evolving motivation as a driving force for change” and “Finding new triggers”. Accountability, and continuous professional and emotional support, were factors that fueled the women’s motivation to perform regular resistance training during the study. Resistance training improved general well-being and most women experienced improvement in vasomotor symptoms. The women’s motivation changed from being driven by a wish to improve bothersome symptoms, into a wish to achieve feelings of well-being and enjoyment. The change was seen regardless of effects of the intervention on vasomotor symptoms. Conclusion This first qualitative evaluation of physical exercise as an intervention to treat vasomotor symptoms in postmenopausal women, found that the symptoms acted as a motivational trigger to initiate resistance training in low-active women. The motivation to exercise changed during the intervention from a wish to ameliorate symptoms into something the women did for enjoyment and well-being in general. This change in motivating factors may have contributed to a behavior change since all participants had increased their physical activity after 1 year regardless of effects on VMS. Trial registration The trial was preregistered at ClinicalTrials.gov; www.clinicaltrials.gov , ID: NCT01987778 , date of first registration: 19/11/2013.
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spelling doaj.art-03fba8d5ae0e4eef8d284fc3ed9ae0d92022-12-22T02:06:57ZengBMCBMC Women's Health1472-68742022-07-0122111310.1186/s12905-022-01900-0Postmenopausal women's experiences of a resistance training intervention against vasomotor symptoms: a qualitative studyEmilia Berin0Anna-Clara Spetz Holm1Mats Hammar2Lotta Lindh-Åstrand3Carina Berterö4Department of Obstetrics and Gynaecology in Linköping, and Department of Biomedical and Clinical Sciences, Linköping UniversityDepartment of Obstetrics and Gynaecology in Linköping, and Department of Biomedical and Clinical Sciences, Linköping UniversityDepartment of Obstetrics and Gynaecology in Linköping, and Department of Biomedical and Clinical Sciences, Linköping UniversityDepartment of Obstetrics and Gynaecology in Linköping, and Department of Biomedical and Clinical Sciences, Linköping UniversityDivision of Nursing Sciences and Reproductive Health, Department of Health, Medicine and Caring Sciences, Linköping UniversityAbstract Introduction Resistance training may be an effective intervention to improve menopausal symptoms and increase women’s quality of life. However, most postmenopausal women do not perform regular resistance training. The purpose of this study was to explore postmenopausal women’s experiences of participation in a resistance-training intervention to find barriers and motivators for the training. Methods Fifteen postmenopausal women with low physical activity, who participated in a randomized controlled trial evaluating the effect of a resistance-training program on vasomotor symptoms and health-related outcomes, were consecutively recruited to this qualitative study. After completion of the 15-week resistance-training program, they took part in individual semi-structured interviews, followed by a telephone interview 1 year later. All interviews were transcribed verbatim and thematic analysis was used to analyse the data. Results The analysis generated three themes that were involved at different time points. These were: “Trigger—Hopes of symptom relief”, “An evolving motivation as a driving force for change” and “Finding new triggers”. Accountability, and continuous professional and emotional support, were factors that fueled the women’s motivation to perform regular resistance training during the study. Resistance training improved general well-being and most women experienced improvement in vasomotor symptoms. The women’s motivation changed from being driven by a wish to improve bothersome symptoms, into a wish to achieve feelings of well-being and enjoyment. The change was seen regardless of effects of the intervention on vasomotor symptoms. Conclusion This first qualitative evaluation of physical exercise as an intervention to treat vasomotor symptoms in postmenopausal women, found that the symptoms acted as a motivational trigger to initiate resistance training in low-active women. The motivation to exercise changed during the intervention from a wish to ameliorate symptoms into something the women did for enjoyment and well-being in general. This change in motivating factors may have contributed to a behavior change since all participants had increased their physical activity after 1 year regardless of effects on VMS. Trial registration The trial was preregistered at ClinicalTrials.gov; www.clinicaltrials.gov , ID: NCT01987778 , date of first registration: 19/11/2013.https://doi.org/10.1186/s12905-022-01900-0MenopauseResistance trainingStrength trainingQualitative researchVasomotor symptomsHot flushes
spellingShingle Emilia Berin
Anna-Clara Spetz Holm
Mats Hammar
Lotta Lindh-Åstrand
Carina Berterö
Postmenopausal women's experiences of a resistance training intervention against vasomotor symptoms: a qualitative study
BMC Women's Health
Menopause
Resistance training
Strength training
Qualitative research
Vasomotor symptoms
Hot flushes
title Postmenopausal women's experiences of a resistance training intervention against vasomotor symptoms: a qualitative study
title_full Postmenopausal women's experiences of a resistance training intervention against vasomotor symptoms: a qualitative study
title_fullStr Postmenopausal women's experiences of a resistance training intervention against vasomotor symptoms: a qualitative study
title_full_unstemmed Postmenopausal women's experiences of a resistance training intervention against vasomotor symptoms: a qualitative study
title_short Postmenopausal women's experiences of a resistance training intervention against vasomotor symptoms: a qualitative study
title_sort postmenopausal women s experiences of a resistance training intervention against vasomotor symptoms a qualitative study
topic Menopause
Resistance training
Strength training
Qualitative research
Vasomotor symptoms
Hot flushes
url https://doi.org/10.1186/s12905-022-01900-0
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