The Effectiveness of Lifestyle Interventions, Including Exercise, Diet, and Health Education on Symptoms Experienced During Perimenopause: A Systematic Review of Randomized Controlled Trials.
Kelly Lee McNulty, Miriam Murphy, Edel Flynn, Aoife Lane, Annalouise Muldoon, Rosarie Kealy, Michael Harrison, John Windle, Patricia Heavey
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引用次数: 0
Abstract
Background: Perimenopause, the transitional period before menopause, is characterized by various physical and psychological symptoms that can impact women's health, well-being, and quality of life. Lifestyle modifications, including exercise, diet, and health education, might help manage these symptoms, but the current evidence is inconsistent. This systematic review aimed to synthesize and identify gaps in existing randomized controlled trials examining the effectiveness of lifestyle interventions on perimenopause symptoms.
Methods: This review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Four electronic databases (PubMed, CENTRAL, Web of Science, and Scopus) were searched. Two reviewers independently screened the records for eligibility, extracted data, and assessed study quality using a modified Downs and Black checklist and a strategy based on the Grading of Recommendations Assessment Development and Evaluation working group.
Results: A total of 25 studies met the inclusion criteria. Nine studies evaluated exercise-only interventions, 12 studies investigated a combined intervention, and five studies focused on health education-only interventions. Notably, no studies exclusively examined diet-based interventions.
Conclusion: The findings suggest that both exercise and health education might offer benefits in managing perimenopausal symptoms. However, due to large between study variances and methodological inconsistencies, evidence-based guidelines for lifestyle interventions during perimenopause remain elusive. Further high-quality research is needed to determine the optimal principles of lifestyle prescription for addressing perimenopause symptoms.
Significance: The findings underscore the potential of exercise and health education in alleviating perimenopausal symptoms, while emphasizing the need for more rigorous studies to establish definitive, evidence-based guidelines.
背景：围绝经期，即绝经前的过渡期，以各种生理和心理症状为特征，这些症状会影响妇女的健康、幸福和生活质量。生活方式的改变，包括运动、饮食和健康教育，可能有助于控制这些症状，但目前的证据并不一致。本系统综述旨在综合和识别现有随机对照试验中检查生活方式干预对围绝经期症状有效性的空白。方法：本综述遵循系统评价和荟萃分析指南的首选报告项目。检索了四个电子数据库（PubMed、CENTRAL、Web of Science和Scopus）。两名审稿人独立筛选记录的合格性，提取数据，并使用修改的Downs和Black检查表和基于建议分级评估发展和评估工作组的策略评估研究质量。结果：共有25项研究符合纳入标准。9项研究仅评估运动干预措施，12项研究调查联合干预措施，5项研究仅关注健康教育干预措施。值得注意的是，没有研究专门研究以饮食为基础的干预措施。结论：研究结果表明，运动和健康教育可能对控制围绝经期症状有益。然而，由于研究差异和方法不一致，围绝经期生活方式干预的循证指南仍然难以捉摸。需要进一步的高质量研究来确定解决围绝经期症状的生活方式处方的最佳原则。意义：研究结果强调了运动和健康教育在缓解围绝经期症状方面的潜力，同时强调需要更严格的研究来建立明确的、基于证据的指导方针。
期刊介绍：
The Journal of Aging and Physical Activity (JAPA) is a multidisciplinary journal that publishes peer-reviewed original research reports, scholarly reviews, and professional-application articles on the relationship between physical activity and the aging process. The journal encourages the submission of articles that can contribute to an understanding of (a) the impact of physical activity on physiological, psychological, and social aspects of older adults and (b) the effect of advancing age or the aging process on physical activity among older adults.
In addition to publishing research reports and reviews, JAPA publishes articles that examine the development, implementation, and evaluation of physical activity programs among older adults. Articles from the biological, behavioral, and social sciences, as well as from fields such as medicine, clinical psychology, physical and recreational therapy, health, physical education, and recreation, are appropriate for the journal. Studies using animal models do not fit within our mission statement and should be submitted elsewhere.
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