Optimizing the management of menopause at the workplace: a scoping review of workplace non-hormone interventions and impact on women with menopause.

IF 2.8 3区 医学 Q1 OBSTETRICS & GYNECOLOGY
Angeliki Taniskidi, Eirini Mitsinga, Dani Binnington, Vikram Talaulikar, Bassel H Al Wattar
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Abstract

Importance: There is a need for interventions that employers and employees can adopt to optimize the health, safety, and productivity of women with menopause at the workplace.

Objective: We conducted a structured scoping review to summarize the literature and identify effective interventions that could help women manage menopausal symptoms at the workplace.

Evidence review: We searched electronic databases (MEDLINE and EMBASE) until July 2024 for all studies that evaluated any non-hormone interventions used among women with menopause at the workplace and reported as per PRISMA-ScR. We used a standardized data extraction tool to capture relevant data and conducted a thematic analysis to identify the prominent themes.

Findings: Out of 4,284 potentially relevant citations, we included seven studies, including four randomized trials and three observational studies. Four studies evaluated cognitive behavioral interventions showing improvement in hot flushes, workability, presenteeism, and quality of life, though results varied between studies. One randomized study examined the impact of a structured aerobic exercise program on menopausal symptoms and work-related outcomes showing slight improvement in workability and mental strain. Raja Yoga meditation combined with sleep hygiene education was evaluated in one randomized study showing improvements in insomnia, sleep quality, and menopausal symptoms. Offering regular consultations at an outpatient menopause clinic for managing symptoms through lifestyle modifications improved menopausal symptoms and workability at 3 months after adjusting for potential confounders.

Conclusions and relevance: Several behavioral and lifestyle interventions can help to optimize the health, productivity, and quality of life of women with menopause at the workplace. However, there is limited high-quality evidence on the best available intervention with wide variation in reported outcomes and measurement tools.

优化工作场所绝经管理:工作场所非激素干预及其对绝经妇女影响的范围综述。
重要性:有必要采取雇主和雇员可以采取的干预措施,以优化工作场所更年期妇女的健康、安全和生产力。目的:我们进行了一项结构化的范围综述,以总结文献,并确定有效的干预措施,可以帮助妇女在工作场所管理更年期症状。证据回顾:我们检索了电子数据库(MEDLINE和EMBASE),直到2024年7月,所有评估在工作场所绝经妇女中使用的任何非激素干预措施的研究,并按照PRISMA-ScR报告。我们使用标准化的数据提取工具获取相关数据,并进行专题分析,以确定突出的主题。结果:在4284篇可能相关的引文中,我们纳入了7项研究,包括4项随机试验和3项观察性研究。四项研究评估了认知行为干预在潮热、工作能力、出勤和生活质量方面的改善,尽管研究结果各不相同。一项随机研究调查了有组织的有氧运动计划对更年期症状和工作相关结果的影响,结果显示工作能力和精神压力略有改善。一项随机研究评估了拉贾瑜伽冥想与睡眠卫生教育相结合对失眠、睡眠质量和更年期症状的改善。在门诊更年期诊所提供定期咨询,通过改变生活方式来管理症状,在调整潜在混杂因素后3个月改善更年期症状和工作效率。结论和相关性:一些行为和生活方式干预可以帮助优化工作场所更年期妇女的健康、生产力和生活质量。然而,关于最佳干预措施的高质量证据有限,报告的结果和测量工具差异很大。
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来源期刊
CiteScore
5.40
自引率
7.40%
发文量
330
审稿时长
3-8 weeks
期刊介绍: ​Menopause, published monthly, provides a forum for new research, applied basic science, and clinical guidelines on all aspects of menopause. The scope and usefulness of the journal extend beyond gynecology, encompassing many varied biomedical areas, including internal medicine, family practice, medical subspecialties such as cardiology and geriatrics, epidemiology, pathology, sociology, psychology, anthropology, and pharmacology. This forum is essential to help integrate these areas, highlight needs for future research, and enhance health care.
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