Yoga for menopausal symptoms—A systematic review and meta-analysis

Cramer, Holger; Peng, Wenbo; Lauche, Romy

doi:10.1016/j.maturitas.2017.12.005

Cited by 62 publications

(53 citation statements)

References 53 publications

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“…Results from the meta-analysis showed a large significant intervention effect on exercise-based interventions and MBTs on reducing menopausal symptoms. Previous reviews and a study on MBTs (Cramer et al, 2018;Innes et al, 2010;Wong et al, 2018) and an exercise-based intervention (Ueda & Tokunaga, 2000) supported the finding in this review that these interventions were effective in reducing menopausal symptoms among Western and Asian perimenopausal women.…”

Section: Discussionsupporting

confidence: 82%

“…Most previous reviews did not meta‐analyse evidence on MBTs (Innes, Selfe, & Vishnu, ; Woods et al, ) and exercise‐based interventions (Daley, Stokes‐Lampard, & MacArthur, ) but evidence were qualitatively summarized. Reviews that conducted meta‐analysis on MBTs were too specific on a specific form of MBT—yoga (Cramer, Lauche, Langhorst, & Dobos, ; Cramer, Peng, & Lauche, ) or relaxation (Saensak, Vutyavanich, Somboonporn, & Srisurapanont, ). A systematic review and meta‐analysis of newly available evidence on both MBTs and exercise‐based interventions among Asian perimenopausal women is needed.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, it is important to examine quality of life and depression along with menopausal symptoms as outcomes in this review. Previous reviews suggest evidence on the effectiveness of varied forms of MBTs and exercise-based interventions in reducing menopausal symptoms, such as hot flashes and musculoskeletal pain and improving psychological well-being, such as mood and sleep disturbances, among menopausal women living in different geographical regions (Cramer et al, 2018;Daley et al, 2009;Innes et al, 2010;Woods et al, 2014). These reviews evaluated the efficacy of a specific form of MBTs and exercise-based interventions on both Western and Asian perimenopausal women.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Shorey

Ang

Lau

2020

Journal of Advanced Nursing

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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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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Shorey

Ang

Lau

2020

Journal of Advanced Nursing

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“…This may have contributed to results displaying no significant effect in sleep quality in the peri/postmenopausal subgroup of women. Yoga seems to be effective for reducing total menopausal symptoms including psychological, somatic, vasomotor and in previous systematic review and meta-analysis [75], but there is no direct answer in the study focusing on reducing sleep problems. Future research should ensure more rigorous methodology and adequate sample size concerning the effects of yoga on quality of sleep improvement among the subgroup of peri/postmenopausal women.…”

Section: Comparison With Prior Reviewsmentioning

confidence: 96%

The effect of yoga on sleep quality and insomnia in women with sleep problems: a systematic review and meta-analysis

Wang

Chen

Pan

et al. 2020

Preprint

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Objectives: To examine the effectiveness and safety of yoga of women with sleep problems by performing a systematic review and meta-analysis. Methods: Medline/PubMed, ClinicalKey, ScienceDirect, Embase, PsycINFO, and the Cochrane Library were searched throughout the month of June, 2019. Randomized controlled trials comparing yoga groups with control groups in women with sleep problems were included. Two reviewers independently evaluated risk of bias by using the risk of bias tool suggested by the Cochrane Collaboration for programming and conducting systematic reviews and meta-analyses. The main outcome measure was sleep quality or the severity of insomnia, which was measured using subjective instruments, such as the Pittsburgh Sleep QualityIndex (PSQI),Insomnia Severity Index (ISI), or objective instruments such as polysomnography, actigraphy, and safety of the intervention. For each outcome, a standardized mean difference (SMD) and confidence intervals (CIs) of 95% were determined. Results: Nineteen studies in this systematic review included 1832 participants. The meta-analysis of the combined data conducted according to Comprehensive Meta-Analysis showed a significant improvement in sleep (SMD =−0.327, 95% CI=−0.506 to −0.148,P<0.001).Meta-analyses revealed positive effects of yoga using PSQI scores in 16 randomized control trials (RCTs), compared with the control group in improving sleep quality among women usingPSQI (SMD = −0.54; 95% CI = −0.89 to −0.19; P = 0.003). However, three RCTs revealed no effects of yoga compared to the control groupin reducing insomnia amongwomen using ISI (SMD = −0.13; 95% CI = −0.74 to 0.48; P = 0.69).Yoga was not associated with any serious adverse events. Discussion: This systematic review and meta-analysis demonstrated that yoga intervention in women can be beneficial whencompared to non-active control conditions in term of managing sleep problems.The moderator analyses suggest that participants in the non-breast cancer subgroup and participants in the non-peri/postmenopausal subgroup were associated with greater benefits, with a direct correlation of total class time with quality of sleep among other related benefits.

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“…This may have contributed to results displaying no significant effect in sleep quality in the peri/postmenopausal subgroup of women. Yoga seems to be effective for reducing total menopausal symptoms including psychological, somatic, vasomotor and in previous systematic review and meta-analysis [82], but there is no direct answer in the study focusing on reducing sleep problems. Future research should ensure more rigorous methodology and adequate sample size concerning the effects of yoga on quality of sleep improvement among the subgroup of peri/postmenopausal women.…”

Section: Comparison With Prior Reviewsmentioning

confidence: 96%

Effect of yoga on sleep quality and insomnia in women with sleep problems: a systematic review and meta-analysis

Wang

Chen

Pan

et al. 2019

Preprint

View full text Add to dashboard Cite

Objectives To examine the effectiveness and safety of yoga for women with sleep problems by performing a systematic review and meta-analysis.Methods Medline/PubMed, Clincalkey, ScienceDirect, Embase, PsycINFO, and the Cochrane Library were searched throughout the month of June 2019. Randomized controlled trials comparing yoga groups with control groups in women with sleep problems were included. Two reviewers independently evaluated risk of bias by using the risk of bias tool suggested by the Cochrane Collaboration for programming and conducting systematic reviews and meta-analyses. The main outcome measure was sleep quality or the severity of insomnia, which was measured using subjective instruments, such as the Pittsburgh Sleep Quality Index (PSQI), Insomnia severity index (ISI), or objective instruments, such as polysomnography, actigraphy, and safety of the intervention. For each outcome, standardized mean difference (SMD) and 95% confidence intervals (CIs) were determined. Results Nineteen studies including 1832 participants were included in this systematic review. Meta-analyses revealed positive effects of yoga using PSQI or ISI scores in 16 randomized control trials (RCTs) compared with the control group in improving sleep quality in women, PSQI (SMD = −0.54; 95% CI = −0.89 to −0.19 ; P = 0.003). However, three RCTs revealed no effects of yoga compared with the control group in reducing the severity of insomnia in women using ISI (SMD = −0.13; 95% CI = −0.74 to 0.48; P = 0.69). Seven RCTs revealed no evidence for effects of yoga compared with the control group in improving sleep quality for women with breast cancer using PSQI (SMD = −0.15 ; 95% CI = −0.31 to 0.01; P = 0.5). Four RCTs revealed no evidence for the effects of yoga compared with the control group in improving the sleep quality for peri-or postmenopausal women using PSQI (SMD = −0.31; 95% CI = −0.95 to 0.33; P = 0.34).Yoga was not associated with serious adverse events. Discussion This systematic review and meta-analysis found that yoga intervention in some groups of women was beneficial in managing sleep problems. Despite certain disadvantages in methodology in the included studies, yoga may be recommended as a complementary therapy to women.

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Yoga for menopausal symptoms—A systematic review and meta-analysis

Cited by 62 publications

References 53 publications

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

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

The effect of yoga on sleep quality and insomnia in women with sleep problems: a systematic review and meta-analysis

Effect of yoga on sleep quality and insomnia in women with sleep problems: a systematic review and meta-analysis

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