RT journal article T1 Association of objectively measured physical activity and physical fitness with menopause symptoms. The Flamenco Project A1 Aparicio, Virginia Ariadna A1 Borges Cosic, Milkana María A1 Ruiz-Cabello, Pilar A1 Coll-Risco, Irene A1 Acosta-Manzano, Pedro A1 Sparcipova, Zusana A1 Soriano-Maldonado, Alberto A2 Didáctica de la Educación FísicaPlástica y Musical K1 Flexibility K1 cardiorespiratory fitness K1 Blatt–Kupperman Menopausal Index K1 accelerometry K1 moderatevigorous physical activity Flexibility AB *Objective: The primary aim was to analyze the association of moderate-to-vigorous physical activity (MVPA) with menopause symptomatology and its overall impact. A secondary/exploratory aim was to assess the association of different components of physical fitness with menopause symptomatology. *Methods: This cross-sectional study comprised 191 perimenopausal women from Southern Spain (age range 45–60 years, mean age 52.6 ± 4.5 years). The Blatt–Kupperman Menopausal Index was used to evaluate menopause symptomatology. Objectively measured MVPA was registered with accelerometry. Physical fitness was assessed with the Senior Fitness Test battery plus handgrip strength and sit-andreach tests. *Results: After adjustment for multiple confounders, MVPA was only inversely associated with vertigo (r¼ 0.185, p<0.05) and palpitations (r¼ 0.148, p<0.05). Upper-body flexibility was inversely associated with the Blatt–Kupperman Menopausal Index global score (r¼ 0.147, p<0.05). This test was also inversely associated with vertigo (r¼ 0.230, p<0.01) and arthralgia (r¼ 0.168, p<0.05). Lowerbody muscle strength was associated with lower nervousness (r¼ 0.171, p<0.05). Cardiorespiratory fitness was inversely associated with paresthesia (r¼ 0.158, p<0.05), vertigo (r¼ 0.219, p<0.01), fatigue (r¼ 0.159, p<0.05) and arthralgia (r¼ 0.180, p<0.05). *Conclusion: The main findings of the present study indicate a weak association of objectively measured MVPA with menopause symptomatology. Exploratory analyses suggest that upper-body flexibility was associated with slightly lower overall menopause impact whereas neither MVPA nor any physical fitness components studied were associated with vasomotor symptoms. PB Taylor & Francis Group SN 1473-0804 YR 2017 FD 2017 LK http://hdl.handle.net/10498/35103 UL http://hdl.handle.net/10498/35103 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 08-nov-2026