心身炼对绝经前和绝经后妇女的影响:系统性审查和元分析
Hong Xu1, Jian Liu, Peishan Li
1From the Department of Obstetrics and Gynecology, Chengdu Shuangliu District Maternal and Child Health Hospital, Chengdu, China.
概括
心与身体的炼显著改善了绝经前期和绝经后期妇女的骨矿物密度,睡眠,焦虑,抑郁和疲劳. 本系统性审查强调了它们对更年期症状管理的好处.
科学领域:
- 老年病学和妇女健康
- 整合和补充医学是整合和补充医学.
- 运动科学与康复 运动科学与康复
背景情况:
- 全球人口老龄化增加了需要管理的更年期前和更年期后妇女的数量.
- 荷尔蒙疗法是一种常见的更年期治疗方法,具有潜在的癌症风险.
- 心身炼为改善更年期症状和骨健康提供了一个替代方案.
研究的目的:
- 系统地审查心身炼对骨矿物质密度,睡眠质量,焦虑,抑郁和疲劳的影响.
- 评估特定的心身模式,包括太极拳,,皮拉特斯,齐功,巴杜安金和基于正念的减压.
- 为管理更年期症状和改善整体幸福感提供基于证据的见解.
主要方法:
- 在PubMed,Embase,Cochrane和Web of Science数据库中进行系统搜索,直到2023年7月.
- 包括随机对照试验 (RCT),专注于对半绝经和绝经后妇女的心身炼干预措施.
- 使用Cochrane偏差风险评估工具进行方法质量评估.
主要成果:
- 分析了11个RCT,其中有1005名参与者.
- 心身运动显著改善了骨矿物质密度 (SMD=0.41,P=0.001).
- 在睡眠质量 (SMD=-0.48,P=0.002),焦虑 (SMD=-0.80,P<0.0001),抑郁 (SMD=-0.80,P<0.0001) 和疲劳 (SMD=-0.67,P<0.0001) 方面注意到了显著的改善.
结论:
- 心理与身体的练习表明,对绝经前和绝经后妇女的骨矿物质密度有显著的积极影响.
- 这些练习有效地缓解了睡眠不足,焦虑,抑郁和疲劳的症状.
- 心身干预代表了一种有前途的非药物治疗方法,可以改善老年妇女的健康和福祉.
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