Comparing the effects of different exercises on blood pressure and arterial stiffness in postmenopausal women: A systematic review and meta-analysis

Zhou, Wen-Sheng; Zheng, Tao; Mao, Su-Jie; Xu, Hong; Wang, Xuefeng; Zhang, Shikun

doi:10.1016/j.exger.2022.111990

Cited by 5 publications

(5 citation statements)

References 54 publications

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Section: Exercise Timing In Cardiometabolic Healthmentioning

confidence: 99%

“…Hypertension, one of the components of the metabolic syndrome and strongly associated with cardiac deaths, responds to exercise training (7,8). As the blood pressure naturally spikes in the morning, Imamura et al investigated the association between blood and habitual physical activity timing throughout the day in a cohort of 2343 Japanese men.…”

Section: Exercise Timing In Cardiometabolic Healthmentioning

confidence: 99%

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Editorial: Circadian rhythms and exercise in cardiometabolic health

2023

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Section: Exercise Timing In Cardiometabolic Healthmentioning

confidence: 99%

Section: Exercise Timing In Cardiometabolic Healthmentioning

confidence: 99%

Editorial: Circadian rhythms and exercise in cardiometabolic health

2023

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“…Currently, most meta-analyses that examine the effects of exercise on vascular health in postmenopausal women focus on single types of exercise and limited outcome measures ( Brislane et al, 2022 ; Saquetto et al, 2022 ). These analyses only reveal the health benefits of a particular type of exercise on blood pressure and lipid levels ( Xin et al, 2022 ; Zhou et al, 2023 ; Debray et al, 2023 ), with fewer studies comparing the effects of different types of exercise on vascular health in postmenopausal women. It is important to note that these findings are limited to the specific outcome measures studied and do not provide a comprehensive understanding of the effects of exercise on overall vascular health in this population.…”

Section: Introductionmentioning

confidence: 99%

Effects of five types of exercise on vascular function in postmenopausal women: a network meta-analysis and systematic review of 32 randomized controlled trials

Sun,

Han,

2024

PeerJ

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Background As women age, especially after menopause, cardiovascular disease (CVD) prevalence rises, posing a significant global health concern. Regular exercise can mitigate CVD risks by improving blood pressure and lipid levels in postmenopausal women. Yet, the optimal exercise modality for enhancing vascular structure and function in this demographic remains uncertain. This study aims to compare five exercise forms to discern the most effective interventions for reducing cardiovascular risk in postmenopausal women. Methods The study searched PubMed, Web of Science, Cochrane, EBSCO, and Embase databases. It conducted a network meta-analysis (NMA) of randomized controlled trials (RCTs) on five exercise interventions: continuous endurance training (CET), interval training (INT), resistance training (RT), aerobic combined with resistance training (CT), and hybrid-type training (HYB). Outcome measures included carotid artery intima-media thickness (IMT), nitric oxide (NO), augmentation index (AIx), pulse wave velocity (PWV), and flow-mediated dilatation (FMD) of the brachial artery. Eligible studies were assessed for bias using the Cochrane tool. A frequentist random-effects NMA was employed to rank exercise effects, calculating standardized mean differences (SMDs) with 95% confidence intervals (CIs). Results The analysis of 32 studies (n = 1,427) indicates significant increases in FMD with CET, INT, RT, and HYB in postmenopausal women. Reductions in PWV were significant with CET, INT, RT, CT, and HYB. AIx decreased significantly with INT and HYB. CET, INT, and CT significantly increased NO levels. However, no significant reduction in IMT was observed. SUCRA probabilities show INT as most effective for increasing FMD, CT for reducing PWV, INT for decreasing AIx, CT for lowering IMT, and INT for increasing NO in postmenopausal women. Conclusion The study demonstrates that CET, INT, RT, and HYB have a significant positive impact on FMD in postmenopausal women. Furthermore, all five forms of exercise significantly enhance PWV in this population. INT and HYB were found to have a significant positive effect on AIx in postmenopausal women, while CET, INT, and CT were found to significantly improve NO levels. For improving vascular function in postmenopausal women, it is recommended to prioritize INT and CT exercise modalities. On the other hand, as CET and RT were not ranked at the top of the Sucra value ranking in this study and were less effective than INT and CT as exercise interventions to improve vascular function in postmenopausal women, it is not recommended that CET and RT be considered the preferred exercise modality.

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“…Nevertheless, there have been debates on using hormone therapy 8 . As alternative treatments for perimenopausal symptoms, practitioners have suggested that long persistent periods of 3 to 10 years of perimenopause syndrome may need nonpharmacological support such as psychotherapy, exercise, and music therapy 9-11 …”

mentioning

confidence: 99%

“…8 As alternative treatments for perimenopausal symptoms, practitioners have suggested that long persistent periods of 3 to 10 years of perimenopause syndrome may need nonpharmacological support such as psychotherapy, exercise, and music therapy. [9][10][11] Several studies of nonpharmacological treatments for women in the perimenopausal period include cognitive behavioral therapy (CBT) and exercises such as pilates, swimming, dance sports, and group exercise. [12][13][14] Of several nonpharmacological treatments, researchers suggest CBT to improve depressive symptoms, reduce emotional stress, and improve sleep and sexual satisfaction in perimenopausal women.…”

mentioning

confidence: 99%

The effects of music therapy on the psychological status of women with perimenopause syndrome

Kim,

Hwang

et al. 2023

Menopause

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Objective Women experience many physical and psychological changes with the reduction of progesterone and estrogen as ovarian function gradually weakens. This study applied a music psychotherapy program as a nonpharmacological treatment method in addition to treatment using drugs such as hormone therapy for perimenopausal women. Method This study's pre-post, control-experimental research compared 20 women in the music psychotherapy experimental group and 20 in the cognitive behavioral therapy (CBT) control group. The perimenopausal women aged between 40 and 60 years experienced no menstrual period for 1 year. We provided eight sessions of music psychotherapy, including CBT, each lasting 60 minutes. The study period was 4 months from the time of recruitment. Results The music therapy group showed a more significant decrease in the Menopause Rating Scale total (change over time, 9.2 points and 3.5 points, respectively; P = 0.008) and psychology subcategory (change over time, 6.5 points and 0.9 points, respectively; P = 0.004) of Menopause Rating Scale scores, compared with the CBT group. In addition, the music therapy group increased their quality of life psychological score, but the CBT group did not. Conclusions These results suggest that music therapy can help the psychological and emotional symptoms of perimenopausal women and is effective for treatment. The study result provides a therapeutic basis for developing treatments for nonpharmacological mediation.

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Comparing the effects of different exercises on blood pressure and arterial stiffness in postmenopausal women: A systematic review and meta-analysis

Cited by 5 publications

References 54 publications

Editorial: Circadian rhythms and exercise in cardiometabolic health

Editorial: Circadian rhythms and exercise in cardiometabolic health

Effects of five types of exercise on vascular function in postmenopausal women: a network meta-analysis and systematic review of 32 randomized controlled trials

The effects of music therapy on the psychological status of women with perimenopause syndrome

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