不同体力活动干预措施对更年期妇女抑郁症状的影响:系统性审查和网络元分析
Hongyu Wang1, Shuang Li1, Xiaolin Zhang1
1School of Physical Education and Health, Guangxi Normal University, Guilin, China.
BMC public health
|September 24, 2025
概括
有氧运动在减轻更年期妇女抑郁症方面最有效. 多式运动和伸展也带来好处,但长期坚持仍然是一个挑战.
科学领域:
- 绝经研究 绝经研究
- 运动科学 运动科学
- 心理健康 心理健康
背景情况:
- 抑郁症在经期前后更年期期间对妇女产生重大影响.
- 身体活动是治疗更年期抑郁症的公认补充疗法.
- 之前的研究缺乏对不同体力活动干预措施的直接比较.
研究的目的:
- 进行一个网络元分析,比较各种体育活动模式来治疗更年期妇女的抑郁症.
- 建立基于证据的身体活动干预措施层次结构.
- 为管理更年期抑郁症状提供指导.
主要方法:
- 在四个数据库 (PubMed,Cochrane,Embase,Web of Science) 中对RCT进行系统搜索.
- 包括从数据库创建到2025年4月的研究.
- 频率主义网络的元分析整合了直接和间接的证据,使用SUCRA (积累性排名曲线下的表面) 进行干预排名.
主要成果:
- 其中包括23个RCT.
- 有氧运动在缓解抑郁症状方面表现出最高的疗效 (SUCRA=78.7%).
- 多模式运动 (SUCRA=78.1%) 和伸展 (SUCRA=72.6%) 也显示出显著的改善.
结论:
- 有氧运动,多式运动和拉伸是有效的减少更年期抑郁症.
- 临床医生应优先考虑有氧运动.
- 需要策略来增强长期坚持身体活动,考虑到更年期的生理变化.
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