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Effects of Tele-Pilates Exercise on Menopausal and Urogenital Symptoms and Psychosocial Outcomes in Postmenopausal
Elif Gizem Balcı Arslan1, Bengisu Tufekci2, Manolya Acar3
1Department of Physical Therapy and Rehabilitation, Bayındır Hospital, Ankara, Turkey.
Introduction And Hypothesis:
This study aimed to examine the effects of tele-Pilates exercise on menopausal symptoms, quality of life, depression, and anxiety levels in postmenopausal women.
Methods:
Forty postmenopausal women were separated into two groups: as tele-Pilates and the control group. Pilates exercises were performed 2 days a week for 6 weeks via online. Participants were assessed with the Menopause Rating Scale, Menopausal Quality of Life Scale, Beck Depression Scale, and State and Trait Anxiety Inventory.
Results:
From baseline to week 6, the tele-Pilates group improved more than the control group. Menopausal symptoms decreased, including MRS somatic (Δtele - Δcontrol -3.30; 95% CI -4.23 to -2.38; p < 0.001), MRS psychological (-2.52; 95% CI -3.78 to -1.27; p = 0.0009) and MRS total (-6.09; 95% CI -8.29 to -3.89; p < 0.001), while MRS urogenital did not differ between groups (0.00; p = 1.000). Quality of life improved more with tele-Pilates, including MENQOL vasomotor (-2.52; 95% CI -3.11 to -1.93; p < 0.001), MENQOL psychosocial (-1.52; 95% CI -2.34 to -0.71; p = 0.0018), MENQOL physical (-9.15; 95% CI -11.82 to -6.47; p < 0.001), and MENQOL total (-13.29; 95% CI -17.02 to -9.57; p < 0.001); MENQOL sexual showed no between-group difference (-0.11; p = 0.151). Tele-Pilates also reduced state anxiety (STAI-I -2.79; 95% CI -3.74 to -1.84; p < 0.001) and depressive symptoms (BDS -2.89; 95% CI -5.17 to -0.62; p = 0.023), whereas trait anxiety did not differ (STAI-II -1.32; p = 0.077).
Conclusions:
Tele-Pilates exercises improved somatic and psychological menopausal symptoms, overall quality of life, depression and state anxiety in postmenopausal women, but had no significant effect on urogenital symptoms or sexual quality of life.
