Effect of Adherence to Physical Exercise on Cardiometabolic Profile in Postmenopausal Women

Valentina Bucciarelli, Francesco Bianco, Francesco Mucedola, Andrea Di Blasio, Pascal Izzicupo, Desiree Tuosto, Barbara Ghinassi, Ines Bucci, Giorgio Napolitano, Angela Di Baldassarre and Sabina Gallina
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Valentina Bucciarelli: Department of Neurosciences, Imaging and Clinical Sciences, “G. d’Annunzio” of Chieti-Pescara, Via dei Vestini, 66100 Chieti, Italy
Francesco Bianco: Department of Neurosciences, Imaging and Clinical Sciences, “G. d’Annunzio” of Chieti-Pescara, Via dei Vestini, 66100 Chieti, Italy
Francesco Mucedola: Department of Neurosciences, Imaging and Clinical Sciences, “G. d’Annunzio” of Chieti-Pescara, Via dei Vestini, 66100 Chieti, Italy
Andrea Di Blasio: Department of Medicine and Aging Sciences, University “G. d’Annunzio” of Chieti-Pescara, Via dei Vestini, 66100 Chieti, Italy
Pascal Izzicupo: Department of Medicine and Aging Sciences, University “G. d’Annunzio” of Chieti-Pescara, Via dei Vestini, 66100 Chieti, Italy
Desiree Tuosto: Department of Neurosciences, Imaging and Clinical Sciences, “G. d’Annunzio” of Chieti-Pescara, Via dei Vestini, 66100 Chieti, Italy
Barbara Ghinassi: Department of Medicine and Aging Sciences, University “G. d’Annunzio” of Chieti-Pescara, Via dei Vestini, 66100 Chieti, Italy
Ines Bucci: Department of Medicine and Aging Sciences, University “G. d’Annunzio” of Chieti-Pescara, Via dei Vestini, 66100 Chieti, Italy
Giorgio Napolitano: Department of Medicine and Aging Sciences, University “G. d’Annunzio” of Chieti-Pescara, Via dei Vestini, 66100 Chieti, Italy
Angela Di Baldassarre: Department of Medicine and Aging Sciences, University “G. d’Annunzio” of Chieti-Pescara, Via dei Vestini, 66100 Chieti, Italy
Sabina Gallina: Department of Neurosciences, Imaging and Clinical Sciences, “G. d’Annunzio” of Chieti-Pescara, Via dei Vestini, 66100 Chieti, Italy

IJERPH, 2021, vol. 18, issue 2, 1-12

Abstract: Background : Menopause is associated with negative cardiovascular adaptations related to estrogen depletion, which could be counteracted by physical exercise (PhE). However, the impact of total adherence-rate (TA) to PhE and sedentary time (SedT) on cardiometabolic profile in this population has not been elucidated. Methods: For 13-weeks, 43 women (57.1 ± 4.7 years) participated in a 4-days-a-week moderate-intensity walking training. They underwent laboratory, anthropometric and echocardiographic assessment, before and after training (T0–T1). Spontaneous physical activity (PhA) was assessed with a portable multisensory device. The sample was divided according to TA to PhE program: <70% ( n = 17) and ≥70% ( n = 26). Results: TA ≥ 70% group experienced a significant T1 improvement of relative wall thickness (RWT), diastolic function, VO2max, cortisol, cortisol/dehydroandrostenedione-sulphate ratio and serum glucose. After adjusting for SedT and 10-min bouts of spontaneous moderate-to-vigorous PhA, TA ≥ 70% showed the most significant absolute change of RWT and diastolic function, body mass index, weight and cortisol. TA ≥ 70% was major predictor of RWT and cortisol improvement. Conclusions: In a group of untrained, postmenopausal women, a high TA to a 13-weeks aerobic PhE program confers a better improvement in cardiometabolic profile, regardless of SedT and PhA levels.

Keywords: adherence to physical exercise; gender medicine; menopause; cardiovascular risk; sedentary time (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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