Effects of the menopausal transition on energy expenditure: a MONET Group Study

K Duval, D Prud'homme, R Rabasa-Lhoret, I Strychar, M Brochu, J-M Lavoie, E Doucet, K Duval, D Prud'homme, R Rabasa-Lhoret, I Strychar, M Brochu, J-M Lavoie, E Doucet

Abstract

Objectives: Factors that influence weight gain during the menopausal transition are not fully understood. The purpose of this study was to investigate changes in energy expenditure (EE) across the menopausal transition.

Methods: In all, 102 premenopausal women (age: 49.9 ± 1.9 years; body mass index: 23.3 ± 2.2 kg/m(2)) were followed for 5 years. Body composition (dual-energy X-ray absorptiometry), physical activity EE (accelerometer), resting EE and thermic effect of food (indirect calorimetry) were measured annually.

Results: Total EE decreased significantly over time in postmenopausal women (P<0.05), which was mostly due to a decrease in physical activity EE (P<0.05). Although average resting EE remained stable over time in postmenopausal women, a significant increase, over the 5-year period, was noted in women who were in the menopausal transition by year 5 (P<0.05). Finally, the time spent in moderate physical activity decreased and the time spent in sedentary physical activity increased during the menopausal transition (P<0.05).

Conclusion: These results suggest that menopausal transition is accompanied with a decline in EE mainly characterized by a decrease in physical activity EE and a shift to a more sedentary lifestyle.

Conflict of interest statement

Conflict of Interest: None Disclosed

References

    1. Milewicz A, Tworowska U, Demissie M. Menopausal obesity--myth or fact? Climacteric. 2001;4(4):273–83.
    1. Wing RR, Matthews KA, Kuller LH, Meilahn EN, Plantinga PL. Weight gain at the time of menopause. Arch Intern Med. 1991;151(1):97–102.
    1. Guthrie JR, Dennerstein L, Dudley EC. Weight gain and the menopause: a 5-year prospective study. Climacteric. 1999;2(3):205–11.
    1. Crawford SL, Casey VA, Avis NE, McKinlay SM. A longitudinal study of weight and the menopause transition: results from the Massachusetts Women’s Health Study. Menopause. 2000;7(2):96–104.
    1. Sternfeld B, Wang H, Quesenberry CP, Jr, Abrams B, Everson-Rose SA, Greendale GA, et al. Physical activity and changes in weight and waist circumference in midlife women: findings from the Study of Women’s Health Across the Nation. Am J Epidemiol. 2004;160(9):912–22.
    1. Svendsen OL, Hassager C, Christiansen C. Age- and menopause-associated variations in body composition and fat distribution in healthy women as measured by dual-energy X-ray absorptiometry. Metabolism. 1995;44(3):369–73.
    1. Abdulnour J, Doucet E, Brochu M, Lavoie JM, Strychar I, Rabasa-Lhoret R, et al. The effect of the menopausal transition on body composition and cardiometabolic risk factors: a Montreal-Ottawa New Emerging Team group study. Menopause. 2012;19(7):760–7.
    1. Sternfeld B, Bhat AK, Wang H, Sharp T, Quesenberry CP., Jr Menopause, physical activity, and body composition/fat distribution in midlife women. Med Sci Sports Exerc. 2005;37(7):1195–202.
    1. Alfonzo-Gonzalez G, Doucet E, Bouchard C, Tremblay A. Greater than predicted decrease in resting energy expenditure with age: cross-sectional and longitudinal evidence. Eur J Clin Nutr. 2006;60(1):18–24.
    1. Heymsfield SB, Gallagher D, Poehlman ET, Wolper C, Nonas K, Nelson D, et al. Menopausal changes in body composition and energy expenditure. Exp Gerontol. 1994;29(3–4):377–89.
    1. Lovejoy JC, Champagne CM, de Jonge L, Xie H, Smith SR. Increased visceral fat and decreased energy expenditure during the menopausal transition. Int J Obes (Lond) 2008;32(6):949–58.
    1. Wade GN, Zucker I. Modulation of food intake and locomotor activity in female rats by diencephalic hormone implants. J Comp Physiol Psychol. 1970;72(2):328–36.
    1. Lightfoot JT. Sex hormones’ regulation of rodent physical activity: a review. Int J Biol Sci. 2008;4(3):126–32.
    1. Lovejoy JC. Weight Gain in Women at Midlife: The Influence of Menopause. Obesity Management. 2009;5(2):52–56.
    1. Macdonald HM, New SA, Campbell MK, Reid DM. Longitudinal changes in weight in perimenopausal and early postmenopausal women: effects of dietary energy intake, energy expenditure, dietary calcium intake and hormone replacement therapy. Int J Obes Relat Metab Disord. 2003;27(6):669–76.
    1. Soules MR, Sherman S, Parrott E, Rebar R, Santoro N, Utian W, et al. Executive summary: Stages of Reproductive Aging Workshop (STRAW) Park City, Utah, July, 2001. Menopause. 2001;8(6):402–7.
    1. Doucet E, Laviolette M, Imbeault P, Strychar I, Rabasa-Lhoret R, Prud’homme D. Total peptide YY is a correlate of postprandial energy expenditure but not of appetite or energy intake in healthy women. Metabolism. 2008;57(10):1458–64.
    1. Weir JB. New methods for calculating metabolic rate with special reference to protein metabolism. J Physiol. 1949;109(1–2):1–9.
    1. Heil DP. Predicting activity energy expenditure using the Actical activity monitor. Res Q Exerc Sport. 2006;77(1):64–80.
    1. Esliger DW, Tremblay MS. Technical reliability assessment of three accelerometer models in a mechanical setup. Med Sci Sports Exerc. 2006;38(12):2173–81.
    1. Matthews CE, Ainsworth BE, Thompson RW, Bassett DR., Jr Sources of variance in daily physical activity levels as measured by an accelerometer. Med Sci Sports Exerc. 2002;34(8):1376–81.
    1. Bouten CV, Sauren AA, Verduin M, Janssen JD. Effects of placement and orientation of body-fixed accelerometers on the assessment of energy expenditure during walking. Med Biol Eng Comput. 1997;35(1):50–6.
    1. Ravussin E, Bogardus C. Relationship of genetics, age, and physical fitness to daily energy expenditure and fuel utilization. Am J Clin Nutr. 1989;49(5 Suppl):968–75.
    1. Starling RD. Energy expenditure and aging: effects of physical activity. Int J Sport Nutr Exerc Metab. 2001;11(Suppl):S208–17.
    1. Douchi T, Yamamoto S, Nakamura S, Ijuin T, Oki T, Maruta K, et al. The effect of menopause on regional and total body lean mass. Maturitas. 1998;29(3):247–52.
    1. Sowers M, Zheng H, Tomey K, Karvonen-Gutierrez C, Jannausch M, Li X, et al. Changes in body composition in women over six years at midlife: ovarian and chronological aging. J Clin Endocrinol Metab. 2007;92(3):895–901.
    1. Van Pelt RE, Jones PP, Davy KP, Desouza CA, Tanaka H, Davy BM, et al. Regular exercise and the age-related decline in resting metabolic rate in women. J Clin Endocrinol Metab. 1997;82(10):3208–12.
    1. Lovejoy JC, Champagne CM, Smith SR, de Jonge L, Xie H. Ethnic differences in dietary intakes, physical activity, and energy expenditure in middle-aged, premenopausal women: the Healthy Transitions Study. Am J Clin Nutr. 2001;74(1):90–5.
    1. Saris WH, Blair SN, van Baak MA, Eaton SB, Davies PS, Di Pietro L, et al. How much physical activity is enough to prevent unhealthy weight gain? Outcome of the IASO 1st Stock Conference and consensus statement. Obes Rev. 2003;4(2):101–14.
    1. Owens JF, Matthews KA, Wing RR, Kuller LH. Can physical activity mitigate the effects of aging in middle-aged women? Circulation. 1992;85(4):1265–70.
    1. Kohrt WM. Menopause medicine: exercise and weight gain. Geriatrics. 2009;64(6):28–9.
    1. Evans EM, Racette SB. Menopause and risk for obesity: how important is physical activity? J Womens Health (Larchmt) 2006;15(2):211–3.
    1. Astrup A. Physical activity and weight gain and fat distribution changes with menopause: current evidence and research issues. Med Sci Sports Exerc. 1999;31(Suppl 11):S564–S567.
    1. Simkin-Silverman LR, Wing RR, Boraz MA, Kuller LH. Lifestyle intervention can prevent weight gain during menopause: results from a 5-year randomized clinical trial. Ann Behav Med. 2003;26(3):212–20.
    1. ACSM American College of Sports Medicine. ACSM’s Resource Manual for Guidelines for Exercise Testing and Prescription. 4. Lippincott Williams & Wilkins; Philadelphia: 2001.

Source: PubMed

3
구독하다