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Menopausal symptoms

Lifestyle modifications

NUTRITION

  • Alcohol, caffeine and spices may worsen menopausal symptoms (1)

  • Drinking cold water (1)

  • A whole food plant based diet low in fat with a daily 1/2 cup (86g) of cooked soybeans: In a randomized controlled study including postmenopausal women with 2 or more hot flashes daily there was a 79% reduction of total hot flashes (49% in the control group with no intervention), 84% reduction of moderate-severe hot flashes (42% in the control group). From week 0-12 56% of the intervention group reported becoming free of moderate-severe hot flashes (no change in control group) (2).


STRESS

  • Stress management as stress may worsen symptoms (1)

  • Avoid warm environment (1)


WEIGHT & PHYSICAL ACTIVITY

  • Weight reduction if obese/overweight and regular exercise may not reduce menopausal symptoms (hot flashes, etc.), but have benefits for cardiovascular and bone health (1).


References

1) https://bestpractice.bmj.com/topics/en-gb/194/management-approach

2) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8462449/

Resources

Evidence Pyramid

EXPLANATION TO EVIDENCE PRESENTATION

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Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD

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Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE

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Evidence based on randomized controlled trials is written in plain font

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Evidence based on observational / cohort studies is written in CURSIVE

Figure: Evidence pyramid

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