Yoga decreases insomnia in postmenopausal women: a randomized clinical trial
Abstract
OBJECTIVE: The practice of yoga has been proven to have positive effects on reducing insomnia. Studies have also shown its effects on reducing climacteric symptoms. To date, however, no studies that evaluate the effects of yoga on postmenopausal women with a diagnosis of insomnia in a randomized clinical trial have been conducted. The aim of this study was to evaluate the effect of yoga practice on the physical and mental health and climacteric symptoms of postmenopausal women with a diagnosis of insomnia. METHODS: Postmenopausal women not undergoing hormone therapy, who were 50 to 65 years old, who had an apnea-hypopnea index less than 15, and who had a diagnosis of insomnia were randomly assigned to one of three groups, as follows: control, passive stretching, and yoga. Questionnaires were administered before and 4 months after the intervention to evaluate quality of life, anxiety and depression symptoms, climacteric symptoms, insomnia severity, daytime sleepiness, and stress. The volunteers also underwent polysomnography. The study lasted 4 months. RESULTS: There were 44 volunteers at the end of the study. When compared with the control group, the yoga group had significantly lower posttreatment scores for climacteric symptoms and insomnia severity and higher scores for quality of life and resistance phase of stress. The reduction in insomnia severity in the yoga group was significantly higher than that in the control and passive-stretching groups. CONCLUSIONS: This study showed that a specific sequence of yoga might be effective in reducing insomnia and menopausal symptoms as well as improving quality of life in postmenopausal women with insomnia.
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Sleep duration, daytime functioning, and daytime sleepiness were each reported by one study, whereas hypnotic use was not reported by any trial.
“Sleep duration [75], daytime functioning [63], and daytime sleepiness [62] were each reported by one study, whereas hypnotic use was not reported by any trial.”
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Adverse events were reported only by three trials.
“Adverse events were reported only by three trials [62,70,76].”
From The effects of exercise on sleep in unipolar depression: a systematic review and network meta-analysis (2021) · cites this paper as [62]
Only four of the nine included trials examined adverse effects.
“First, only four of the nine included trials examined adverse effects (Reid et al., 2010; Afonso et al., 2012; Hartescu, Morgan & Stevinson, 2015).”
From Exercise can improve sleep quality: A systematic review and meta-analysis (2018) · cites this paper as Afonso et al., 2012
Three of the four trials measuring adverse events found no adverse events in any participants.
“Three trials found no adverse events in any of the participants (Reid et al., 2010; Afonso et al., 2012; Chan et al., 2016).”
From Exercise can improve sleep quality: A systematic review and meta-analysis (2018) · cites this paper as Afonso et al., 2012
Cites
Writing Group for the Women's Health Initiative Investigators (2002) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.288.3.321 · Cited by 15,889 · see citing works
Rechtschaffen, A. (1968) · Medical Entomology and Zoology · Cited by 11,772 · see citing works
Validation of the Insomnia Severity Index as an outcome measure for insomnia research
Bastien, C. (2001) · Sleep Medicine · doi:10.1016/s1389-9457(00)00065-4 · Cited by 8,067 · see citing works
(2007) · Cited by 6,530 · see citing works
Benson, H., Beary, J. F., & Carol, M. P. (1974) · Psychiatry · doi:10.1080/00332747.1974.11023785 · Cited by 2,467 · see citing works
Complementary and alternative medicine use among adults: United States, 2002
Barnes, P. M., Powell‐Griner, E., McFann, K., & Nahin, R. L. (2004) · Seminars in Integrative Medicine · doi:10.1016/j.sigm.2004.07.003 · Cited by 2,176 · see citing works
Mortality Associated With Sleep Duration and Insomnia
Kripke, D. F., Garfinkel, L., Wingard, D. L., Klauber, M. R., & Marler, M. R. (2002) · Archives of General Psychiatry · doi:10.1001/archpsyc.59.2.131 · Cited by 1,614 · see citing works
Insomnia and Its Treatment: Prevalence and Correlates
Mellinger, G. D. (1985) · Archives of General Psychiatry · doi:10.1001/archpsyc.1985.01790260019002 · Cited by 1,071 · see citing works
The Health Benefits of Yoga and Exercise: A Review of Comparison Studies
Ross, A. C., & Thomas, S. A. (2010) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2009.0044 · Cited by 971 · see citing works
A menopause-specific quality of life questionnaire: development and psychometric properties
Hilditch, J. R., Lewis, J. E., Peter, A., van Maris, B., Ross, A., Franssen, E., Guyatt, G. H., Norton, P., & Dunn, E. V. (1996) · Maturitas · doi:10.1016/s0378-5122(96)82006-8 · Cited by 765 · see citing works
Brown, R. P., & Gerbarg, P. L. (2005) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2005.11.189 · Cited by 655 · see citing works
Mindfulness-based cognitive therapy for generalized anxiety disorder
Evans, S., Ferrando, S., Findler, M., Stowell, C., Smart, C., & Haglin, D. (2008) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2007.07.005 · Cited by 559 · see citing works
Kronenberg, F., & Fugh-Berman, A. (2002) · Annals of Internal Medicine · doi:10.7326/0003-4819-137-10-200211190-00009 · Cited by 555 · see citing works
Yoga for depression: the research evidence
Pilkington, K., Kirkwood, G., Rampes, H., & Richardson, J. (2005) · Journal of Affective Disorders · doi:10.1016/j.jad.2005.08.013 · Cited by 495 · see citing works
Brown, R. P., & Gerbarg, P. L. (2005) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2005.11.711 · Cited by 471 · see citing works
Sephton, S. E., Salmon, P., Weissbecker, I., Ulmer, C., Floyd, A., Hoover, K., & Studts, J. L. (2007) · Arthritis Care & Research · doi:10.1002/art.22478 · Cited by 387 · see citing works
Sleep and its disorders in aging populations
Ancoli‐Israel, S. (2009) · Sleep Medicine · doi:10.1016/j.sleep.2009.07.004 · Cited by 361 · see citing works
Kasiganesan, H., Malhotra, A. S., Pal, K., Prasad, R. K., Kumar, R., Kain, T. C., Rai, L., & Sawhney, R. C. (2004) · The Journal of Alternative and Complementary Medicine · doi:10.1089/107555304323062257 · Cited by 357 · see citing works
Melatonin and the pineal gland: influence on mammalian seasonal and circadian physiology
Arendt, J. (1998) · Reviews of Reproduction · doi:10.1530/ror.0.0030013 · Cited by 347 · see citing works
Yoga Asana Sessions Increase Brain GABA Levels: A Pilot Study
Streeter, C. C., Jensen, J. E., Perlmutter, R., Cabral, H., Tian, H., Terhune, D. B., Ciraulo, D. A., & Renshaw, P. F. (2007) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2007.6338 · Cited by 343 · see citing works
Effect of Iyengar yoga therapy for chronic low back pain
Williams, K. A., Petronis, J. J., Smith, D. J., Goodrich, D. E., Wu, J., Ravi, N., Doyle, E. J., Juckett, G., Kolar, M. M., Gross, R. T., et al. (2005) · Pain · doi:10.1016/j.pain.2005.02.016 · Cited by 333 · see citing works
Michalsen, A., Grossman, P., Acil, A., Langhorst, J., Lüdtke, R., Esch, T., Stefano, G. B., & Dobos, G. J. (2005) · PubMed · Cited by 321 · see citing works
Severe Hot Flashes Are Associated With Chronic Insomnia
Ohayon, M. M. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.12.1262 · Cited by 318 · see citing works
Women's health in midlife: the influence of the menopause, social factors and health in earlier life
Kuh, D. L., Wadsworth, M. E. J., & Hardy, R. (1997) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.1997.tb14352.x · Cited by 304 · see citing works
Malcolm, R. J., & Gross, J. A. (1984) · Postgraduate Medicine · doi:10.1080/00325481.1984.11698665 · Cited by 290 · see citing works
CONTEMPORARY THERAPY OF THE MENOPAUSAL SYNDROME
Kupperman, H. S. (1959) · JAMA · doi:10.1001/jama.1959.03010300001001 · Cited by 268 · see citing works
Effect of integrated yoga on stress and heart rate variability in pregnant women
Maharana, S., Nagendra, H. R., Nagarathna, R., & Padmalatha, V. (2008) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2008.11.013 · Cited by 260 · see citing works
Gracia, C., Sammel, M., Freeman, E., Lin, H., Langan, E., Kapoor, S., & Nelson, D. B. (2005) · Menopause · doi:10.1097/00042192-200512020-00005 · Cited by 250 · see citing works
Carson, J. W., Carson, K. M., Porter, L. S., Keefe, F. J., & Seewaldt, V. L. (2009) · Supportive Care in Cancer · doi:10.1007/s00520-009-0587-5 · Cited by 231 · see citing works
Treatment of Chronic Insomnia with Yoga: A Preliminary Study with Sleep?Wake Diaries
Khalsa, S. B. S. (2004) · Applied Psychophysiology and Biofeedback · doi:10.1007/s10484-004-0387-0 · Cited by 224 · see citing works
Effects of yoga on depression and anxiety of women
Javnbakht, M., Kenari, R. H., & Ghasemi, M. (2009) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2009.01.003 · Cited by 217 · see citing works
Chen, K., Chen, M., Chao, H., Hung, H., Lin, H., & Li, C. (2008) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2008.09.005 · Cited by 215 · see citing works
Epidemiology of severe insomnia and its consequences in Germany
Hajak, G. (2001) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s004060170052 · Cited by 203 · see citing works
Iyengar yoga increases cardiac parasympathetic nervous modulation among healthy yoga practitioners
Khattab, K., Khattab, A. A., Ortak, J., Richardt, G., & Bonnemeier, H. (2007) · Evidence-Based Complementary and Alternative Medicine · doi:10.1093/ecam/nem087 · Cited by 192 · see citing works
Influence of Yoga and Ayurveda on self-rated sleep in a geriatric population.
Manjunath, N. K., & Telles, S. (2005) · PubMed · Cited by 181 · see citing works
The Effects of Yoga on Hypertensive Persons in Thailand
McCaffrey, R. G., Ruknui, P., Hatthakit, U., & Kasetsomboon, P. (2005) · Holistic Nursing Practice · doi:10.1097/00004650-200507000-00009 · Cited by 163 · see citing works
Moilanen, J., Aalto, A., Hemminki, E., Aro, A. R., Raitanen, J. A., & Luoto, R. M. (2010) · Maturitas · doi:10.1016/j.maturitas.2010.08.007 · Cited by 157 · see citing works
Treating the climacteric symptoms in Indian women with an integrated approach to yoga therapy
Chattha, R., Nagarathna, R., Padmalatha, V., & Hongasandra, N. R. (2008) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0b013e318167b902 · Cited by 107 · see citing works
A pilot study of a Hatha yoga treatment for menopausal symptoms
Booth‐LaForce, C., Thurston, R. C., & Taylor, M. R. (2007) · Maturitas · doi:10.1016/j.maturitas.2007.01.012 · Cited by 105 · see citing works
Mind-body therapies for menopausal symptoms: A systematic review
Innes, K. E., Selfe, T. K., & Vishnu, A. (2010) · Maturitas · doi:10.1016/j.maturitas.2010.01.016 · Cited by 103 · see citing works
Hachul, H., Brandão, L. C., D’Almeida, V., Grego, B. H. C., Bittencourt, L., Tufik, S., & Baracat, E. C. (2006) · Climacteric · doi:10.1080/13697130600871947 · Cited by 102 · see citing works
Self-citationHachul, H., Bittencourt, L. R. A., Andersen, M. L., Haidar, M. A., Baracat, E. C., & Tufik, S. (2008) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2008.07.009 · Cited by 101 · see citing works
Self-citationA community-based study of menopause symptoms and estrogen replacement in older women
von Mühlen, D. G., Kritz‐Silverstein, D. C., & Barrett-Connor, E. L. (1995) · Maturitas · doi:10.1016/0378-5122(95)00917-a · Cited by 100 · see citing works
Prevalence of insomnia and its relationship to menopausal status in middle‐aged Korean women
Shin, C., Lee, S., Lee, T., Shin, K., Yi, H., Kimm, K., & Cho, N.-H. (2005) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.2005.01391.x · Cited by 98 · see citing works
Uebelacker, L. A., Tremont, G. N., Epstein-Lubow, G. P., Gaudiano, B. A., Gillette, T., Kalibatseva, Z., & Miller, I. W. (2010) · Behavior Modification · doi:10.1177/0145445510368845 · Cited by 89 · see citing works
Neuroendocrine physiology of the early and late menopause
Hall, J. E. (2004) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/j.ecl.2004.08.002 · Cited by 89 · see citing works
Yoga for stress reduction and injury prevention at work
Gura, S. T. (2002) · Work · doi:10.3233/wor-2002-00221 · Cited by 77 · see citing works
Lee, M. S., Kim, J., Ha, J. Y., Boddy, K., & Ernst, E. (2009) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0b013e31818ffe39 · Cited by 76 · see citing works
The benefits of yoga for rheumatoid arthritis: results of a preliminary, structured 8-week program
Badsha, H., Chhabra, V., Leibman, C., Mofti, A., & Kong, K. O. (2009) · Rheumatology International · doi:10.1007/s00296-009-0871-1 · Cited by 75 · see citing works
Feasibility and acceptability of restorative yoga for treatment of hot flushes: A pilot trial
Cohen, B. E., Kanaya, A. M., Macer, J. L., Shen, H., Chang, A. A., & Grady, D. G. (2006) · Maturitas · doi:10.1016/j.maturitas.2006.08.003 · Cited by 69 · see citing works
Insomnia in Japanese peri- and postmenopausal women
Terauchi, M., Obayashi, S., Akiyoshi, M., Kato, K., Matsushima, E., & Kubota, T. (2009) · Climacteric · doi:10.3109/13697130903353478 · Cited by 68 · see citing works
Melatonin and its physiological and therapeutic properties.
Nowak, J. Z., & Zawilska, J. B. (1998) · Pharmacy World & Science · doi:10.1023/a:1008688724058 · Cited by 64 · see citing works
Kupferer, E., Dormire, S. L., & Becker, H. (2009) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2008.00305.x · Cited by 48 · see citing works
Additive effect of depressed mood and vasomotor symptoms on postmenopausal insomnia
Zervas, I. M., Lambrinoudaki, I. V., Spyropoulou, A. C., Koundi, K. L., Vousoura, E., Tzavara, C. K., Verdeli, H., Aravantinos, L., Creatsa, M. G., & Paparrigopoulos, T. J. (2009) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0b013e318196063e · Cited by 43 · see citing works
Women's health in midlife: the influence of the menopause, social factors and health in earlier life
Kuh, D. L., Hardy, R., & Wadsworth, M. E. J. (1997) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.1997.tb11016.x · Cited by 37 · see citing works
Prevalência de distúrbios do sono na pós-menopausa
Hachul, H., Bittencourt, L., Haidar, M. A., Tufik, S., & Baracat, E. C. (2005) · Revista Brasileira Ginecologia e Obstetrícia · doi:10.1590/s0100-72032005001200005 · Cited by 32 · see citing works
Self-citationHormone replacement therapy and symptom reporting in menopausal women
Bardel, A., Wallander, M.-A. A., & Svärdsudd, K. (2002) · Maturitas · doi:10.1016/s0378-5122(01)00254-7 · Cited by 30 · see citing works
Complications of laparoscopy: a prospective multicentre observational study
Chapron, C., Dubuisson, J., Querleu, D., & Pierre, F. (1997) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.1997.tb11017.x · Cited by 25 · see citing works
Nunes, M. L. (2002) · Jornal de Pediatria · doi:10.1590/s0021-75572002000700010 · Cited by 24 · see citing works
O "efeito domino" dos fogachos: sintomatología depressiva e insonia no climaterio femenino
de Sousa, R. L., Filizola, R. G., & de Moraes, J. L. R. (2003) · RBM. Revista brasileira de medicina · Cited by 3 · see citing works
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3 of the 63 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Nonhormonal management of menopause-associated vasomotor symptoms
(2015) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000000546 · Cited by 339 · see citing works
Complementary and Alternative Medicine for Menopause
Johnson, A. J., Roberts, R. L., & Elkins, G. R. (2019) · Journal of Evidence-Based Integrative Medicine · doi:10.1177/2515690x19829380 · Cited by 257 · see citing works
The Effect of Physical Activity on Sleep Quality and Sleep Disorder: A Systematic Review
Alnawwar, M. A., Alraddadi, M. I., Algethmi, R. A., Salem, G. A., Salem, M. A., & Alharbi, A. A. (2023) · Cureus · doi:10.7759/cureus.43595 · Cited by 253 · see citing works
“Studies conducted to evaluate the effect of yoga, tai chi, and qigong on sleep quality found that they improve sleep outcomes and decrease insomnia [51-53].”
BackgroundExercise can improve sleep quality: A systematic review and meta-analysis
Banno, M., Harada, Y., Taniguchi, M., Tobita, R., Tsujimoto, H., Tsujimoto, Y., Kataoka, Y., & Noda, A. (2018) · PeerJ · doi:10.7717/peerj.5172 · Cited by 246 · see citing works
Exercise for vasomotor menopausal symptoms
Daley, A., Stokes-Lampard, H. J., Thomas, A., & MacArthur, C. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006108.pub4 · Cited by 251 · see citing works
Xie, Y., Liu, S., Chen, X., Yu, H., Yang, Y., & Wang, W. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.664499 · Cited by 224 · see citing works
The Safety of Yoga: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Cramer, H., Ward, L., Saper, R., Fishbein, D., Dobos, G., & Lauche, R. (2015) · American Journal of Epidemiology · doi:10.1093/aje/kwv071 · Cited by 207 · see citing works
Wang, W.-L., Chen, K.-H., Pan, Y.-C., Yang, S.-N., & Chan, Y.-Y. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-02566-4 · Cited by 176 · see citing works
Characteristics of randomized controlled trials of yoga: A bibliometric analysis
Cramer, H., Lauche, R., & Dobos, G. (2014) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-14-328 · Cited by 176 · see citing works
Advances in the management of chronic insomnia
Kay-Stacey, M., & Attarian, H. P. (2016) · BMJ · doi:10.1136/bmj.i2123 · Cited by 163 · see citing works
Rubio-Arias, J. Á., Marín-Cascales, E., Ramos-Campo, D. J., Hernandez, A. V., & Pérez-López, F. R. (2017) · Maturitas · doi:10.1016/j.maturitas.2017.04.003 · Cited by 159 · see citing works
Nowakowski, S., Meers, J. M., & Heimbach, E. (2013) · Sleep Medicine Research · doi:10.17241/smr.2013.4.1.1 · Cited by 157 · see citing works
Efficacy of yoga for vasomotor symptoms
Newton, K. M., Reed, S. D., Guthrie, K. A., Sherman, K. J., Booth‐LaForce, C., Caan, B. J., Sternfeld, B., Carpenter, J. S., Learman, L. A., Freeman, E. W., et al. (2013) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0b013e31829e4baa · Cited by 151 · see citing works
Yoga and meditation for menopausal symptoms in breast cancer survivors—a randomized controlled trial
Cramer, H., Rabsilber, S., Lauche, R., Kümmel, S., & Dobos, G. (2015) · Cancer · doi:10.1002/cncr.29330 · Cited by 131 · see citing works
Cramer, H., Lauche, R., Langhorst, J., & Dobos, G. J. (2016) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2016.02.015 · Cited by 129 · see citing works
Does exercise improve sleep for adults with insomnia? A systematic review with quality appraisal
Lowe, H., Haddock, G., Mulligan, L. D., Gregg, L., Fuzellier-Hart, A., Carter, L.-A., & Kyle, S. D. (2019) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.11.002 · Cited by 121 · see citing works
Menopausal quality of life: RCT of yoga, exercise, and omega-3 supplements
Reed, S. D., Guthrie, K. A., Newton, K. M., Anderson, G. L., Booth‐LaForce, C., Caan, B. J., Carpenter, J. S., Cohen, L. S., Dunn, A. L., Ensrud, K. E., et al. (2013) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2013.11.016 · Cited by 113 · see citing works
Pérez-López, F. R., Martínez-Domínguez, S. J., Lajusticia, H., & Chedraui, P. (2017) · Maturitas · doi:10.1016/j.maturitas.2017.09.001 · Cited by 108 · see citing works
Drake, C. L., Kalmbach, D. A., Arnedt, J. T., Cheng, P., Tonnu, C. V., Cuamatzi-Castelan, A. S., & Fellman-Couture, C. (2018) · SLEEP · doi:10.1093/sleep/zsy217 · Cited by 103 · see citing works
Cramer, H., Lauche, R., Langhorst, J., & Dobos, G. J. (2012) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2012/863905 · Cited by 102 · see citing works
Lim, S.-A., & Cheong, K.-J. (2015) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2014.0044 · Cited by 101 · see citing works
Guthrie, K. A., Larson, J. C., Ensrud, K. E., Anderson, G. L., Carpenter, J. S., Freeman, E. W., Joffe, H., LaCroix, A. Z., Manson, J. E., Morin, C. M., et al. (2017) · SLEEP · doi:10.1093/sleep/zsx190 · Cited by 96 · see citing works
Yoga for menopausal symptoms—A systematic review and meta-analysis
Cramer, H., Peng, W., & Lauche, R. (2017) · Maturitas · doi:10.1016/j.maturitas.2017.12.005 · Cited by 96 · see citing works
The Effects of Mind-Body Interventions on Sleep Quality: A Systematic Review
Neuendorf, R., Wahbeh, H., Chamine, I., Yu, J., Hutchison, K., & Oken, B. S. (2015) · Evidence-Based Complementary and Alternative Medicine · doi:10.1155/2015/902708 · Cited by 116 · see citing works
The Effect of Mind-Body Therapies on Insomnia: A Systematic Review and Meta-Analysis
Wang, X., Li, P., Pan, C., Dai, L.-S., Wu, Y., & Deng, Y. (2019) · Evidence-Based Complementary and Alternative Medicine · doi:10.1155/2019/9359807 · Cited by 77 · see citing works
Jorge, M., Santaella, D. F., Pontes, I. M. D. O., Shiramizu, V. K. M., do Nascimento, E. B., Cabral, A., Lemos, T. M. A. M., Silva, R. H., & Ribeiro, A. M. (2016) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2016.03.014 · Cited by 87 · see citing works
Menezes, C. B., Dalpiaz, N. R., Klumb-Kiesow, L. G., Sperb, W., Hertzberg, J. C., & de Oliveira, A. A. (2015) · Psychology & Neuroscience · doi:10.1037/h0100353 · Cited by 85 · see citing works
Treatment of chronic insomnia disorder in menopause
Attarian, H. P., Hachul, H., Guttuso, T. J., & Phillips, B. A. (2014) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000000348 · Cited by 82 · see citing works
Self-citationEffects of resistance exercise training and stretching on chronic insomnia
D’Aurea, C. V. R., Poyares, D. R., Passos, G. S., Santana, M. G., Youngstedt, S. D., de Souza, A. A. L., Bicudo, J., Tufik, S., & de Mello, M. T. (2018) · Brazilian Journal of Psychiatry · doi:10.1590/1516-4446-2018-0030 · Cited by 81 · see citing works
Self-citationThe effect of laughter Yoga on general health among nursing students.
Yazdani, M., Esmaeilzadeh, M., Pahlavanzadeh, S., & Khaledi, F. (2014) · Europe PMC (PubMed Central) · Cited by 73 · see citing works
Baglioni, C., Bostanova, Z., Bacaro, V., Benz, F., Hertenstein, E., Spiegelhalder, K., Rücker, G., Frase, L., Riemann, D. W., & Feige, B. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9061949 · Cited by 71 · see citing works
Amiri, S., Hasani, J., & Satkin, M. (2021) · Sleep Medicine · doi:10.1016/j.sleep.2021.05.013 · Cited by 69 · see citing works
The effect of meditative movement on sleep quality: A systematic review
Wang, F., Lee, O. E., Feng, F., Vitiello, M. V., Wang, W.-D., Benson, H., Fricchione, G. L., & Denninger, J. W. (2015) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2015.12.001 · Cited by 67 · see citing works
Garcia, M. C., Kozasa, E. H., Tufik, S., Mello, L. E. A. M., & Hachul, H. (2018) · Menopause · doi:10.1097/gme.0000000000001118 · Cited by 65 · see citing works
Brupbacher, G., Gerger, H., Zander-Schellenberg, T., Straus, D., Porschke, H., Gerber, M., von Känel, R., & Schmidt-Trucksäss, A. (2021) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2021.101452 · Cited by 64 · see citing works
Xu, H., Liu, J., Li, P., & Liang, Y. (2024) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000002336 · Cited by 63 · see citing works
Susanti, H. D., Sonko, I., Chang, P., Chuang, Y., & Chung, M. (2022) · Nursing and Health Sciences · doi:10.1111/nhs.12931 · Cited by 64 · see citing works
Sydora, B. C., Fast, H., Campbell, S., Yuksel, N., Lewis, J. E., & Ross, S. (2016) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000000636 · Cited by 59 · see citing works
Comparison groups in yoga research: A systematic review and critical evaluation of the literature
Park, C. L., Groessl, E. J., Maiya, M., Sarkin, A. J., Eisen, S. V., Riley, K. E., & Elwy, A. R. (2014) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2014.08.008 · Cited by 58 · see citing works
Lavender essential oil on postmenopausal women with insomnia: Double-blind randomized trial
Lucena, L. D. R., Santos-Junior, J. G., Tufik, S., & Hachul, H. (2021) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2021.102726 · Cited by 54 · see citing works
Self-citationTal, J. Z., Suh, S. A., Dowdle, C. L., & Nowakowski, S. (2014) · Current Psychiatry Reviews · doi:10.2174/1573400510666140929194848 · Cited by 53 · see citing works
Buchanan, D. T., Landis, C. A., Hohensee, C., Guthrie, K. A., Otte, J. L., Paudel, M. L., Anderson, G. L., Caan, B. J., Freeman, E. W., Joffe, H., et al. (2017) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6376 · Cited by 50 · see citing works
Zhang, J., Chen, G., Lu, W., Yan, X., Zhu, S., Dai, Y., Xi, S., Chen, Y., & Bai, W. (2014) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000000264 · Cited by 48 · see citing works
Integrative Medicine for Insomnia
Zhou, E. S., Gardiner, P. M., & Bertisch, S. M. (2017) · Medical Clinics of North America · doi:10.1016/j.mcna.2017.04.005 · Cited by 47 · see citing works
Shepherd‐Banigan, M. E., Goldstein, K. M., Coeytaux, R. R., McDuffie, J. R., Goode, A. P., Kosinski, A. S., Noord, M. V., Befus, D., Adam, S. S., Masilamani, V., et al. (2017) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2017.08.011 · Cited by 46 · see citing works
Yoga in the workplace and health outcomes: a systematic review
Valencia, L. M. P., Weber, A., Spegel, H., Bögle, R., Selmani, A., Heinze, S., & Herr, C. E. W. (2019) · Occupational Medicine · doi:10.1093/occmed/kqz033 · Cited by 45 · see citing works
Review of Efficacy of Complementary and Alternative Medicine Treatments for Menopausal Symptoms
Moore, T. R., Franks, R. B., & Fox, C. (2017) · Journal of Midwifery & Women s Health · doi:10.1111/jmwh.12628 · Cited by 44 · see citing works
Demarzo, M. M. P., Andreoni, S., Sanches, N., Perez, S., Fortes, S., & Garcia-Campayo, J. (2014) · EXPLORE · doi:10.1016/j.explore.2013.12.005 · Cited by 41 · see citing works
The Efficacy of Body-Oriented Yoga in Mental Disorders
Klatte, R., Pabst, S., Beelmann, A., & Rosendahl, J. (2016) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2016.0195 · Cited by 42 · see citing works
Vousoura, E., Spyropoulou, A. C., Koundi, K. L., Tzavara, C. K., Verdeli, H., Paparrigopoulos, T. J., Augoulea, A., Lambrinoudaki, I. V., & Zervas, I. M. (2015) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000000442 · Cited by 41 · see citing works
Lialy, H. E., Mohamed, M. A., AbdAllatif, L. A., Khalid, M., & Elhelbawy, A. (2023) · BMC Women s Health · doi:10.1186/s12905-023-02515-9 · Cited by 38 · see citing works
Stefanopoulou, E., & Grunfeld, E. A. (2017) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/0167482x.2016.1235147 · Cited by 35 · see citing works
Turmel, D., Carlier, S., Bruyneel, A.-V., & Bruyneel, M. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03936-w · Cited by 35 · see citing works
Postmenopozal kadınlarda uygulanan egzersiz programının uyku kalitesine etkisi
Vardar, O., Özkan, S., & Serçekuş, P. (2020) · Çukurova medical journal (Online)/Çukurova medical journal · doi:10.17826/cumj.701697 · Cited by 34 · see citing works
So, W. W. Y., Lu, E. Y., Cheung, W. M., & Tsang, H. W. H. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17228692 · Cited by 34 · see citing works
Lam, C. M., Hernández-Galán, L., Mbuagbaw, L. C. E., Ewusie, J. E., Thabane, L., & Shea, A. K. (2022) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000002051 · Cited by 34 · see citing works
Wang, H., Liu, Y., Kwok, J. Y. Y., Xu, F., Li, R., Tang, J., Tang, S., & Sun, M. (2024) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2024.104928 · Cited by 34 · see citing works
D’Aurea, C. V. R., Frange, C., Poyares, D., Souza, A. A. L. D., & Lenza, M. (2022) · Einstein (São Paulo) · doi:10.31744/einstein_journal/2022ao8058 · Cited by 33 · see citing works
Black cohosh improves objective sleep in postmenopausal women with sleep disturbance
Jiang, K., Jin, Y., Huang, L., Feng, S., Hou, X., Du, B., Zheng, J., & Li, L. (2015) · Climacteric · doi:10.3109/13697137.2015.1042450 · Cited by 31 · see citing works
Ji, X., Ivers, H., Beaulieu‐Bonneau, S., & Morin, C. M. (2021) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2021.101445 · Cited by 30 · see citing works
Frange, C., Franco, A. M., Brasil, E. L., Hirata, R. P., Lino, J. A., Mortari, D. M., Ykeda, D. S., Leocádio-Miguel, M. A., D’Aurea, C. V. R., Silva, L. O. E., et al. (2022) · Sleep Science · doi:10.5935/1984-0063.20220083 · Cited by 30 · see citing works
The effects of exercise on insomnia disorders: An umbrella review and network meta-analysis
Tian, C., Wei, Y., Xu, M., Liu, J., Tong, B., Ning, J., Wang, Y., Wang, Y., Estill, J. A. M., & Ge, L. (2024) · Sleep Medicine · doi:10.1016/j.sleep.2024.02.002 · Cited by 29 · see citing works
Martínez‐Domínguez, S. J., Lajusticia, H., Chedraui, P. A., Pérez-López, F. R., & for the Health Outcomes and Systematic Analyses (HOUSSAY) Project (2018) · Climacteric · doi:10.1080/13697137.2017.1415321 · Cited by 29 · see citing works
Yue, H., Yang, Y., Xie, F., Cui, J., Li, Y., Si, M., Li, S., & Yao, F. (2025) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-025-01712-z · Cited by 28 · see citing works
Non‐pharmacologic treatment of insomnia in primary care settings
Hrehová, L., & Mezian, K. (2021) · International Journal of Clinical Practice · doi:10.1111/ijcp.14084 · Cited by 26 · see citing works
Qian, J., Sun, S., Wang, M., Sun, Y., Sun, X., Jevitt, C. M., & Yu, X. (2023) · Frontiers in Medicine · doi:10.3389/fmed.2023.1092294 · Cited by 26 · see citing works
Espí‐López, G. V., Monzani, L., Gabaldón-García, E., & Lloréns, R. Z. (2020) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2020.102415 · Cited by 25 · see citing works
Yoga, bioenergetics and eating behaviors: A conceptual review
Ramos‐Jiménez, A., Wall‐Medrano, A., Corona-Hernández, R., & Hernández‐Torres, R. P. (2015) · International Journal of Yoga · doi:10.4103/0973-6131.158469 · Cited by 25 · see citing works
A systematic review of the effect of sleep interventions on presenteeism
Takano, Y., Iwano, S., Aoki, S., Nakano, N., & Sakano, Y. (2021) · BioPsychoSocial Medicine · doi:10.1186/s13030-021-00224-z · Cited by 24 · see citing works
Hachul, H., de Campos, B. H., Lucena, L. D. R., & Tufik, S. (2023) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2023.06.004 · Cited by 24 · see citing works
Self-citationIs mindfulness associated with insomnia after menopause?
Garcia, M. C., Pompéia, S., Hachul, H., Kozasa, E. H., de Souza, A. A. L., Tufik, S., & Mello, L. E. (2013) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0b013e31829996fc · Cited by 24 · see citing works
Self-citationThe Effect of Yoga Therapy on Selected Psychological Variables Among Male Patients with Insomnia
Sobana, R. (2013) · JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH · doi:10.7860/jcdr/2012/5056.2669 · Cited by 24 · see citing works
Han, B., Duan, Y., Zhang, P., Zeng, L., Pi, P., Chen, J., & Du, G. (2024) · BMC Public Health · doi:10.1186/s12889-024-19348-2 · Cited by 28 · see citing works
Women’s Sleep Disorders: Integrative Care
Frange, C., Banzoli, C. V., Colombo, A. E., Siegler, M., Coelho, G. A., Bezerra, A. G., Garcia, M. C., Naufel, M. F., Cesar-Netto, C. A., Andersen, M. L., et al. (2017) · Sleep Science · doi:10.5935/1984-0063.20170030 · Cited by 24 · see citing works
Self-citationEffects of kefir on quality of life and sleep disturbances in postmenopausal women
Özcan, H., Oskay, Ü., & Bodur, A. F. (2019) · Holistic Nursing Practice · doi:10.1097/hnp.0000000000000310 · Cited by 22 · see citing works
Zhao, M., Lu, X., Zhang, Q., Zhao, R., Wu, B., Huang, S., & Li, S. (2024) · Scientific Reports · doi:10.1038/s41598-024-57357-8 · Cited by 32 · see citing works
[Effects of prenatal yoga: a systematic review of randomized controlled trials].
Kawanishi, Y., Hanley, S. J. B., Tabata, K., Nakagi, Y., Ito, T., Yoshioka, E., Yoshida, T., & Saijo, Y. (2015) · PubMed · doi:10.11236/jph.62.5_221 · Cited by 21 · see citing works
Lucena, L. D. R., Santos-Junior, J. G., Tufik, S., & Hachul, H. (2023) · EXPLORE · doi:10.1016/j.explore.2023.07.004 · Cited by 20 · see citing works
Self-citationSaper, R. B., Lemaster, C. M., Elwy, A. R., Paris, R., Herman, P. M., Plumb, D. N., Sherman, K. J., Groessl, E. J., Lynch, S., Wang, S., et al. (2016) · Trials · doi:10.1186/s13063-016-1321-5 · Cited by 20 · see citing works
Khalsa, S. B. S., & Goldstein, M. R. (2021) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.9320 · Cited by 23 · see citing works
Fighting Insomnia and Battling Lethargy: The Yin and Yang of Palliative Care
Davis, M. P., & Goforth, H. W. (2014) · Current Oncology Reports · doi:10.1007/s11912-014-0377-1 · Cited by 17 · see citing works
Portella, C. F. S., Sorpreso, I. C. E., de Assis, A. D. S. M., de Abreu, L. C., Soares, J. M., Baracat, E. C., Moraes, S. D. T. D. A., & Tanaka, A. C. D. (2020) · Advances in Integrative Medicine · doi:10.1016/j.aimed.2020.08.003 · Cited by 17 · see citing works
Sleep quality in women who use different contraceptive methods.
Hachul, H., Bisse, A. R., Sanchez, Z. M., Araujo, F., Guazzelli, C. A. F., Tufik, S., & Barbieri, M. (2020) · PubMed Central · doi:10.5935/1984-0063.20190142 · Cited by 15 · see citing works
Self-citationAydın, L. Z., & Yi̇ği̇talp, G. (2021) · European Journal of Integrative Medicine · doi:10.1016/j.eujim.2020.101281 · Cited by 14 · see citing works
Complementary and alternative therapies for treatment of insomnia in women in postmenopause
Hachul, H., Monson, C., Kozasa, E. H., Oliveira, D. S., Goto, V., Afonso, R. F., Llanas, A. C., & Tufik, S. (2014) · Climacteric · doi:10.3109/13697137.2014.926321 · Cited by 14 · see citing works
Self-citationSleep Disorders and Aging in Women
Akberzie, W., & Kataria, L. (2021) · Clinics in Geriatric Medicine · doi:10.1016/j.cger.2021.05.011 · Cited by 14 · see citing works
Wang, H., Li, S., Zhang, X., Zhu, Y., Huang, Q., Guo, K., & Li, D. (2025) · BMC Public Health · doi:10.1186/s12889-025-24398-1 · Cited by 13 · see citing works
Alghosi, M., Sharifi, M., Namavari, S., Rajamand, N., Bamorovat, F., Norouzi, N., Alimoradi, M., & Konrad, A. (2025) · Frontiers in Neurology · doi:10.3389/fneur.2025.1566445 · Cited by 12 · see citing works
Yoga increased serum estrogen levels in postmenopausal women—a case report
Afonso, R. F., Kozasa, E. H., Rodrigues, D., Leite, J. R., Tufik, S. B., & Hachul, H. (2016) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000000593 · Cited by 13 · see citing works
Self-citationFan, Z., Zhang, Y., Shu, Y., Zhou, Y., & Zuo, Z. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1686981 · Cited by 12 · see citing works
Jing, Y., Liu, M., Tang, H., Kong, N., Cai, J., & Yin, Z. (2024) · BMC Women s Health · doi:10.1186/s12905-024-03477-2 · Cited by 12 · see citing works
Cheng, B., Liu, Y., Tian, J., Gao, R., & Liu, Y. (2019) · Current Vascular Pharmacology · doi:10.2174/1570161117666190506111239 · Cited by 12 · see citing works
Effects of exercise on sleep quality in women — A systematic review and meta-analysis
Qiao, Y., Wang, C., Chen, Q., & Zhang, P. (2024) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2024.11.015 · Cited by 11 · see citing works
Exercise as a therapeutic strategy for insomnia: Current mechanisms and clinical relevance.
Saadh, M. J., Saleh, A. Y., Kareem, R. A., Sharma, R. S. K., Roopashree, R., Sharma, G. C., Verma, R., Juneja, B., Sameer, H. N., Yaseen, A., et al. (2025) · Sleep Medicine · doi:10.1016/j.sleep.2025.108681 · Cited by 9 · see citing works
Ha, B., Kim, J., So, W.-Y., & Kim, S. (2023) · Healthcare · doi:10.3390/healthcare11030327 · Cited by 11 · see citing works
The Effect of Yoga on Menopause Symptoms
Abiç, A., & Vefikuluçay, D. Y. (2024) · Holistic Nursing Practice · doi:10.1097/hnp.0000000000000646 · Cited by 10 · see citing works
Gangadharan, S., Arulappan, J., Matua, G. A., Bhagavathy, M. G., & Alrahbi, H. (2024) · International journal of Nutrition Pharmacology Neurological Diseases · doi:10.4103/ijnpnd.ijnpnd_23_24 · Cited by 10 · see citing works
Examining Sleep Disturbance During the Menopausal Period
Harris, A. L., & Harrison, A. (2020) · Nursing for Women s Health · doi:10.1016/j.nwh.2020.01.008 · Cited by 10 · see citing works
The effects of yoga on quality of life among postmenopausal women: A systematic review study
Sharifi, N., Afshari, F., & Bahri, N. (2021) · Post Reproductive Health · doi:10.1177/20533691211046152 · Cited by 10 · see citing works
Alimoradi, M., Hosseini, E., & Konrad, A. (2024) · European Journal of Applied Physiology · doi:10.1007/s00421-024-05541-z · Cited by 9 · see citing works
- Authors
- Afonso, R. F., Hachul, H., Kozasa, E. H., de Souza Oliveira, D., Goto, V., Rodrigues, D., Tufik, S., & Leite, J. R.
- Affiliations
- Universidade Federal de São Paulo (BR)
- Universidade Nove de Julho (BR)
- Corresponding author
- Hachul, Helena
- Venue
- Menopause
- Published
- 2012-02
- Volume
- 19
- Issue
- 2
- Pages
- 186-193
- ISSN
- 1072-3714 (ISSN-L)
- OpenAlex
- W2071829133
- Cited by
- 174
- References
- 63
- Citations by year
- 2026: 11 · 2025: 12 · 2024: 13 · 2023: 12 · 2022: 9 · 2021: 14 · 2020: 12 · 2019: 8 · 2018: 13 · 2017: 16 · 2016: 12 · 2015: 15 · 2014: 14 · 2013: 10 · 2012: 3
- FWCI
- 11.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Menopause The Journal of The North American Menopause Society (publishedVersion)
- PubMed (publishedVersion)
- UNIFESP Institutional Repository (Universidade Federal de São Paulo) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- yoga, insomnia, postmenopausal women, menopausal symptoms, quality of life, anxiety, depression, stress, daytime sleepiness, passive stretching
- MeSH terms
- Aged, Anxiety, Climacteric, Depression, Female, Humans, Sleep Initiation and Maintenance Disorders, Middle Aged, Quality of Life, Surveys and Questionnaires, Yoga, Polysomnography, Postmenopause
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