A1 Journal article (refereed)
The role of physical activity in the link between menopausal status and mental well-being (2020)

Bondarev, D., Sipilä, S., Finni, T., Kujala, U. M., Aukee, P., Laakkonen, E. K., Kovanen, V., & Kokko, K. (2020). The role of physical activity in the link between menopausal status and mental well-being. Menopause : The Journal of The North American Menopause Society, 27(4), 398-409. https://doi.org/10.1097/GME.0000000000001490

JYU authors or editors

Publication details

All authors or editors: Bondarev, Dmitriy; Sipilä, Sarianna; Finni, Taija; Kujala, Urho M.; Aukee, Pauliina; Laakkonen, Eija K.; Kovanen, Vuokko; Kokko, Katja

Journal or series: Menopause : The Journal of The North American Menopause Society

ISSN: 1072-3714

eISSN: 1530-0374

Publication year: 2020

Volume: 27

Issue number: 4

Pages range: 398-409

Publisher: Lippincott Williams & Wilkins

Publication country: United States

Publication language: English

DOI: https://doi.org/10.1097/GME.0000000000001490

Publication open access: Openly available

Publication channel open access: Partially open access channel

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/67829


To examine the relationship between menopausal status and mental well-being, and whether this relationship varies as a function of physical activity (PA).
Based on a hormonal analysis and bleeding diary, women aged 47 to 55 were categorized as pre (n = 304), early peri (n = 198), late peri (n = 209), or postmenopausal (n = 387). Mental well-being was assessed using the Centre for Epidemiologic Studies Depression Scale, the International Positive and Negative Affect Schedule Short Form, and the Satisfaction with Life Scale. PA was self-reported and categorized as low, medium, and high. Associations between variables were analyzed using multivariate linear regression adjusted for age, marital and employment status, parity, self-reported mental disorder, use of psycholeptics and psychoanaleptics, and menopausal symptoms.
Depressive symptoms were lower amongst the pre than postmenopausal women (B = 0.07, confidence interval 0.01-0.13). Menopausal symptoms attenuated these associations. Menopausal status showed no associations with life satisfaction, or with positive or negative affectivity.
Women with high PA scored higher on positive affectivity, and the pre, early peri, and postmenopausal women scored higher on life satisfaction (B = 0.79, P < 0.001; B = 0.63, P = 0.009; B = 0.42, P = 0.009, respectively) and scored lower on depressive symptoms (B = −0.13, P = 0.039; B = −0.18, P = 0.034; and B = −0.20, P < 0.001, respectively) than their low PA counterparts. The pre and postmenopausal women with medium PA scored higher on life satisfaction (B = 0.54, P = 0.001; B = 0.038, P = 0.004, respectively) than those with low PA.

Postmenopausal women reported marginally higher depressive symptoms scores compared with premenopausal women, but menopause was not associated with positive mental well-being. However, this association varies with the level of PA.

Keywords: depression (mental disorders); contentment; menopause; physical training; affectivity

Free keywords: depressive symptoms; life satisfaction; menopausal status; negative affectivity; physical activity; positive affectivity

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Ministry reporting: Yes

Reporting Year: 2020

JUFO rating: 1

Last updated on 2022-17-06 at 11:20