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Resistance training increases muscle volume and strength in postmenopausal women with hot flushes

Resistance training increases muscle volume and strength in postmenopausal women with hot flushes
Photo by Total Shape / Unsplash
Key Takeaway
Consider that resistance training may improve muscle volume and strength in postmenopausal women with hot flushes, but evidence is from a secondary analysis.

This secondary analysis of a randomized controlled trial examined the effects of resistance training on muscle parameters in postmenopausal women with hot flushes and low physical activity. Of 65 women initially randomized, 44 underwent MRI scans at baseline and after 15 weeks. The intervention group received supervised resistance training three times per week, while the control group maintained their low activity level.

The primary findings showed significant between-groups differences in muscle volume change, with the intervention group experiencing an increase of about 4% (p < 0.001 for within-group increase; p < 0.001-0.015 for between-groups differences). Muscle strength also increased significantly in the training group, though specific effect sizes were not reported. Muscle fat infiltration did not change in either group.

Safety and tolerability data were not reported. Key limitations include that this was a secondary analysis and the sample size for imaging outcomes was reduced from 65 to 44 participants. The findings suggest that postmenopausal women with hot flushes and low activity could increase muscle volume and strength through 15 weeks of resistance training, but the evidence is limited by the study's design and reporting.

Study Details

Study typeRct
EvidenceLevel 2
PublishedApr 2026
View Original Abstract ↓
OBJECTIVES: To investigate changes in muscle volume and muscular fat infiltration in postmenopausal women after 15 weeks of resistance training compared with a control group with an unchanged low level of physical activity. We also assessed whether the intervention group increased their muscle strength. STUDY DESIGN: This study was a secondary analysis of a randomised controlled trial on the effects of resistance training in postmenopausal women. Women with hot flushes (n = 65) were randomised to supervised resistance training three times per week for 15 weeks or to a control group. MAIN OUTCOME MEASURES: Muscle strength in the intervention group was measured with 8-repetition maximum tests. At baseline and after 15 weeks, 44 subjects were scanned with a 3.0 T magnetic resonance scanner using a whole-body Dixon protocol. A semi-automated method was used for calculation of muscle volume and muscle fat infiltration. RESULTS: Significant between-groups differences were seen in change of muscle volume (p < 0.001-0.015) between the intervention and control group from baseline to 15 weeks. Muscle volume increased by about 4 % (p < 0.001) for all muscles in the intervention group, whereas no change was seen in the control group. Muscle strength increased significantly in the intervention group for all tested muscles. Muscle fat infiltration did not change. CONCLUSION: Postmenopausal women with hot flushes and a low level of physical activity could, in just 15 weeks, increase their muscle volume and strength through resistance training. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT01987778.
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