The transition to menopause is associated with a myriad of physiological changes
including unstable hormone levels (estrogen, progesterone) resulting in hot flashes, sleep deprivation,
weight gain, mood swings and is associated with increased risk of osteoperosis and cardiometabolic
disease. Exercise is a critical component of health and wellbeing at any age; however, it may be
especially beneficial during and following menopause. Currently, there are no physical activity
guidelines specific to post-menopausal women with obesity. However, strong evidence suggests that
greater health benefits may be derived with higher levels of physical activity beyond current
recommendations for adults. This review describes the potential benefits of exercise in this
population, as well as reviewing current guidelines and considerations for exercise in this population.
Keywords: Exercise, prescription, obesity, post-menopause, physiological changes.
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