PDF(Pubmed)
Abstract：
BACKGROUND: Women experiencing problematic menopausal symptoms report lower health-related quality of life and greater healthcare use than women without symptoms. Not all women want to or are able to take hormone replacement therapy. Strengthening the evidence for menopause symptom-management options, including physical activity, improves agency for women.
OBJECTIVE: This overview assesses effectiveness of physical activity and exercise interventions targeting women experiencing menopause symptoms.
METHODS: Medline, Embase, CINAHL, Scopus, The Cochrane Database of Systematic Reviews and Social Science Citation Index were searched (June 2023) for systematic reviews of physical activity and exercise interventions targeting women experiencing menopause. Reviews were assessed using AMSTAR-2 and a best-evidence approach to synthesis without meta-analysis (SWIM) was adopted. The protocol was registered on PROSPERO (CRD42022298908).
RESULTS: Seventeen reviews included 80 unique relevant primary studies with 8983 participants. There is evidence showing improvement of physical, urogenital, and total symptoms following yoga interventions. Evidence for vasomotor and psychological symptoms was inconclusive. Findings for aerobic exercise were inconclusive although there were some examples of beneficial effects on total and vasomotor symptoms. Evidence was very limited for other types of physical activity and impact on physical, sexual and urogenital symptoms.
CONCLUSIONS: There is some evidence that yoga, and to lesser extent, aerobic exercise may be beneficial for some menopause symptoms, but there is insufficient evidence to recommend a particular form of exercise. Current reviews categorise women on menopause status; broadening this to include ethnicity, income status, employment and other factors will allow better understanding of context for successful interventions.
OBJECTIVE: This overview assesses effectiveness of physical activity and exercise interventions targeting women experiencing menopause symptoms.
METHODS: Medline, Embase, CINAHL, Scopus, The Cochrane Database of Systematic Reviews and Social Science Citation Index were searched (June 2023) for systematic reviews of physical activity and exercise interventions targeting women experiencing menopause. Reviews were assessed using AMSTAR-2 and a best-evidence approach to synthesis without meta-analysis (SWIM) was adopted. The protocol was registered on PROSPERO (CRD42022298908).
RESULTS: Seventeen reviews included 80 unique relevant primary studies with 8983 participants. There is evidence showing improvement of physical, urogenital, and total symptoms following yoga interventions. Evidence for vasomotor and psychological symptoms was inconclusive. Findings for aerobic exercise were inconclusive although there were some examples of beneficial effects on total and vasomotor symptoms. Evidence was very limited for other types of physical activity and impact on physical, sexual and urogenital symptoms.
CONCLUSIONS: There is some evidence that yoga, and to lesser extent, aerobic exercise may be beneficial for some menopause symptoms, but there is insufficient evidence to recommend a particular form of exercise. Current reviews categorise women on menopause status; broadening this to include ethnicity, income status, employment and other factors will allow better understanding of context for successful interventions.
摘要：
背景：经历有问题的更年期症状的女性报告说，与没有症状的女性相比，健康相关的生活质量较低，医疗保健使用更多。并非所有女性都希望或能够接受激素替代疗法。加强更年期症状管理选择的证据，包括体力活动,改善女性机构。
目的：本综述评估了针对更年期症状女性的体力活动和运动干预措施的有效性。
方法：Medline，Embase,CINAHL,Scopus,搜索了Cochrane系统评论和社会科学引文索引数据库（2023年6月），以针对更年期女性的身体活动和运动干预措施进行系统评论。使用AMSTAR-2评估评论，并采用无荟萃分析（SWIM）的最佳证据合成方法。该协议在PROSPERO（CRD42022298908）上注册。
结果：17篇综述包括80项独特的相关主要研究，有8983名参与者。有证据表明身体有所改善，泌尿生殖系统,和瑜伽干预后的总症状。血管舒缩和心理症状的证据尚无定论。尽管有一些对总症状和血管舒缩症状有益的例子，但有氧运动的结果尚无定论。其他类型的身体活动和对身体的影响的证据非常有限，性和泌尿生殖器症状。
结论：有一些证据表明瑜伽，在较小程度上，有氧运动可能对某些更年期症状有益，但是没有足够的证据推荐一种特定的锻炼方式。当前的评论对女性的更年期状况进行了分类；将其扩大到包括种族，收入状况,就业和其他因素将有助于更好地理解成功干预的背景。
目的：本综述评估了针对更年期症状女性的体力活动和运动干预措施的有效性。
方法：Medline，Embase,CINAHL,Scopus,搜索了Cochrane系统评论和社会科学引文索引数据库（2023年6月），以针对更年期女性的身体活动和运动干预措施进行系统评论。使用AMSTAR-2评估评论，并采用无荟萃分析（SWIM）的最佳证据合成方法。该协议在PROSPERO（CRD42022298908）上注册。
结果：17篇综述包括80项独特的相关主要研究，有8983名参与者。有证据表明身体有所改善，泌尿生殖系统,和瑜伽干预后的总症状。血管舒缩和心理症状的证据尚无定论。尽管有一些对总症状和血管舒缩症状有益的例子，但有氧运动的结果尚无定论。其他类型的身体活动和对身体的影响的证据非常有限，性和泌尿生殖器症状。
结论：有一些证据表明瑜伽，在较小程度上，有氧运动可能对某些更年期症状有益，但是没有足够的证据推荐一种特定的锻炼方式。当前的评论对女性的更年期状况进行了分类；将其扩大到包括种族，收入状况,就业和其他因素将有助于更好地理解成功干预的背景。
