中国传统运动对围绝经期和绝经后妇女更年期症状、骨骼健康和心理健康的影响:系统综述和荟萃分析

IF 2.1
Yuanxia Liu, Yapeng He, Qi Zhang, Qunfeng Lu
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引用次数: 0

摘要

背景:围绝经期和绝经后妇女通常会经历血管舒缩症状、骨质流失和心理健康挑战,这些都会降低生活质量。虽然传统中国运动(TCE)已显示出缓解某些更年期症状的益处,但其对健康相关结果的总体影响仍存在争议。目的:本研究旨在系统分析TCE对围绝经期和绝经后妇女的更年期症状、骨骼健康和心理健康的影响。方法:系统检索了截至2025年4月的7个数据库,随机对照试验(rct)调查了TCE对围绝经期和绝经后妇女的影响。使用Cochrane风险偏倚工具2 (RoB 2)评估偏倚风险。使用Stata 17.0进行荟萃分析,合并结果报告为标准化或平均差异(SMD/MD), 95%置信区间(ci)。结果:纳入12项随机对照试验,共1023名受试者。荟萃分析显示,TCE显著减轻了绝经期症状(SMD = -0.82, 95% CI: -1.41至-0.22)和抑郁(SMD = -1.73, 95% CI: -2.49至-0.98)。TCE还能改善脊柱骨密度(MD = 0.05, 95% CI: 0.02 ~ 0.08)。对于上肢、大腿、骨盆、躯干和全身骨密度,由于研究数量有限,影响仍不确定。三项研究评估了生活质量,汇总结果显示身体(MD = 4.52, 95% CI: -2.93至11.97)或精神成分评分(MD = 3.28, 95% CI: -3.67至10.23)没有显著改善。结论:TCE似乎是绝经期症状、脊柱骨密度和抑郁症的有效干预措施。然而,它对生活质量和其他骨骼部位的影响仍不确定。需要更大规模、高质量的随机对照试验来阐明最佳方案和长期效益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of Traditional Chinese Exercise on Menopausal Symptoms, Bone Health and Mental Health in Perimenopausal and Postmenopausal Women: A Systematic Review and Meta-Analysis.

Background: Perimenopausal and postmenopausal women commonly experience vasomotor symptoms, bone loss, and mental health challenges that diminish quality of life (QoL). Although Traditional Chinese Exercise (TCE) has shown benefits in alleviating certain menopausal symptoms, its overall effects on health-related outcomes remain controversial. Objectives: This study aimed to systematically analyze the effects of TCE on menopausal symptoms, bone health, and mental health in perimenopausal and postmenopausal women. Methods: A systematic search was conducted across 7 databases through April 2025 for randomized controlled trials (RCTs) investigating the effects of TCE in perimenopausal and postmenopausal women. Risk of bias was assessed using the Cochrane Risk of Bias Tool 2 (RoB 2). Stata 17.0 was used for meta-analysis, with pooled outcomes reported as standardized or mean differences (SMD/MD) with 95% confidence intervals (CIs). Results: Twelve RCTs involving 1,023 participants were included. Meta-analysis showed that TCE significantly reduced menopausal symptoms (SMD = -0.82, 95% CI: -1.41 to -0.22), and depression (SMD = -1.73, 95% CI: -2.49 to -0.98). TCE also improved spine BMD (MD = 0.05, 95% CI: 0.02 to 0.08). For upper limb, thigh, pelvis, trunk, and whole-body BMD, effects remained uncertain due to the limited number of studies. Three studies assessed QoL, and pooled results showed no significant improvement in physical (MD = 4.52, 95% CI: -2.93 to 11.97) or mental component scores (MD = 3.28, 95% CI: -3.67 to 10.23). Conclusions: TCE appears to be an effective intervention for menopausal symptoms, spine BMD, and depression. However, its effects on QoL and other skeletal sites remain inconclusive. Larger, high-quality RCTs are warranted to clarify optimal protocols and long-term benefits.

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