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. 2025 May 21:7:1524790.
doi: 10.3389/frph.2025.1524790. eCollection 2025.

Impact of a 12-week obesity intervention on menopausal symptoms and psychological well-being across menopause stages: a cross-sectional analysis

Rupal Kumar  1 , Moattar Raza Rizvi  2 , Waqas Sami  3
Affiliations

Impact of a 12-week obesity intervention on menopausal symptoms and psychological well-being across menopause stages: a cross-sectional analysis

Rupal Kumar et al. Front Reprod Health. .

Abstract

Introduction: Menopause poses unique physical and psychological challenges, especially for obese women, impacting quality of life across menopausal stages. This study evaluates a 12-week obesity educator program on body composition, menopausal symptoms, and psychological well-being among pre-, peri-, and post-menopausal obese women in Delhi NCR, India.

Methods: A cross-sectional analysis was conducted with 291 obese women (97 per menopausal stage) assessing anthropometric measures, menopausal symptoms via the Menopause Rating Scale (MRS), and psychological well-being using the Well-being Questionnaire (W-BQ12). Data were analyzed using paired t-tests, ANCOVA, Pearson's correlation, and regression analysis.

Results: The intervention led to significant weight reduction across all groups (3.8-4.5 kg, p < 0.001), waist circumference decreases (5.7-6.5 cm, p < 0.001), and HbA1c reductions by 0.4% (p < 0.001). Regression analysis identified waist-to-hip ratio and hemoglobin as predictors of somato-vegetative and psychological symptoms (R 2 = 0.15, p < 0.05). MRS scores showed the most improvement in perimenopausal women.

Conclusion: The obesity educator program effectively improved body composition, glycemic control, and well-being across menopausal stages, highlighting the value of personalized interventions for menopausal health management.

Keywords: body composition; menopausal rating scale 2.2 sample size calculation; menopause; obesity; obesity interventions; psychological well-being.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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