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

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 In all, 23 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 Exercise‐based interventions and mind–body therapies suggest effectiveness on quality of life, menopausal symptoms, and depression among Asian perimenopausal women. 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. Healthcare professionals in Asia can consider implementing exercise‐based interventions and mind–body therapies for symptomatic perimenopausal Asian women.

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