Menú Cerrar

Efficacy of mind-body therapies and exercise-based interventions on menopausal-related outcomes among Asian perimenopause women: A systematic review, meta-analysis, and synthesis without a meta-analysis

Shorey S1, Ang L2, Lau Y1.

J Adv Nurs. 2020 Jan 16. doi: 10.1111/jan.14304. [Epub ahead of print]

Abstract
AIMS:
To evaluate the efficacy of exercise-based interventions and mind-body therapies on quality of life, menopausal symptoms and depression among Asian perimenopausal women.

DESIGN:
A systematic review, meta-analysis and synthesis without meta-analysis (SWiM).

DATA SOURCES:
Six electronic databases were systematically searched: PubMed, CINAHL, Embase, PsycINFO, Scopus and ProQuest.

REVIEW METHODS:
The point of inception of each database to 15 November 2018 were systematically searched. A meta-analysis and SWiM were used to present the results. Review Manager 5.3 and The Cochrane Risk of Bias tool were used for meta-analyses and assessing of risk of bias respectively.

RESULTS:
Twenty-three studies were reviewed. Significant effects in exercise-based interventions and mind-body therapies were found for quality of life, menopausal symptoms and depression but not for hot flashes. Limitations of this review include insufficient blinding of participants and/or researchers found in most of the included studies and high levels of heterogeneity in the meta-analyses. Evidence found in this review is to be interpreted with caution.

CONCLUSION:
Healthcare professionals can consider exercise-based interventions or mind-body therapies to manage menopausal symptoms. Future trials of good quality can examine the cost-effectiveness and optimal intervention duration. Intervention effects on specific menopausal symptoms such as sleeplessness in Asia can be examined in future.

IMPACT:
What problem did the study address? Exercise-based interventions and mind-body therapies suggests effectiveness on quality of life, menopausal symptoms and depression among Asian perimenopausal women. What were the main findings? Exercise-based interventions and mind-body therapies improve quality of life, menopausal symptoms and depression but not hot flashes. Long-term exercise-based interventions is effective in managing depression. Due to varied limitations in the review and included studies, firm conclusions cannot be reached. Where and on whom will the research have impact? Healthcare professionals in Asia can consider implementing exercise-based interventions and mind-body therapies for symptomatic perimenopausal Asian women.