How Exercise Benefits Women Experiencing Perimenopause and Menopause
Perimenopause and menopause reshape hormones, bones, and metabolism all at once — and research shows aerobic and strength training each address a different piece of that puzzle.
- A 2025 systematic review of randomized controlled trials found that regular exercise meaningfully reduced perimenopausal symptoms — including hot flashes, insomnia, irritability, fatigue, and joint or muscle pain — by an average of nearly 16% on a standardized symptom scale.
- A 2025 meta-analysis found aerobic and resistance training improve cholesterol differently: aerobic training was more effective at lowering total and LDL cholesterol, while resistance training was more effective at lowering triglycerides — with both raising protective HDL cholesterol.
- A 2025 meta-analysis of 690 postmenopausal women found resistance training specifically improved bone mineral density at the spine and hip, addressing a risk that accelerates sharply once estrogen declines.
- The two training modes aren't interchangeable — aerobic exercise and resistance training appear to target different aspects of the hormonal and metabolic shifts of this life stage, which is why a combined approach shows up repeatedly as the most effective strategy in the research.