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Lifestyle Medicine as a Therapeutic Approach to Menopause: A Narrative Review

Almoutaz Alkhier Ahmed · World Family Medicine Journal /Middle East Journal of Family Medicine · 2026

Background: Menopause is a normal change characterized by the end of ovarian function and lower oestrogen. It causes vasomotor, psychological, metabolic, musculoskeletal, and genitourinary symptoms, which may affect quality of life and health. As life expectancy rises, women spend more years postmenopausal. This highlights the need for effective management strategies. Hormone therapy is important, but many women seek non-pharmacological approaches for symptom relief and health promotion. Objective: To evaluate lifestyle medicine as a primary, holistic approach for menopause symptom management and healthy aging. Methods: We conducted a narrative review of observational studies, randomized trials, systematic reviews, metaanalyses, and clinical guidelines. The review focused on six pillars of lifestyle medicine: nutrition, physical activity, restorative sleep, stress management, avoidance of harmful substances, and social connection. Results: Evidence suggests lifestyle interventions improve menopausal symptoms like hot flushes, sleep issues, mood changes, and weight gain. Lifestyle changes also promote cardiovascular and metabolic health, preserve bone and muscle mass, boost psycholo

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