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The effect of exercise intervention on improving sleep in menopausal women: a systematic review and meta-analysis

Qian, Jialu, Sun, Shiwen, Wang, Man, Sun, Yaping, Sun, Xiangyu, Jevitt, Cecilia, Yu, Xiaoyan·2023·Frontiers in Medicine
DOI 10.3389/fmed.2023.1092294
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Abstract

Background: Sleep disturbance is common in menopausal women and negatively affects their quality of life and could cause increased risks of other menopause-related diseases. Objective: This systematic review aims to synthesize evidence regarding the effects of exercise interventions on improving sleep in menopausal women. Methods: A comprehensive search in seven electronic databases for randomized controlled trials (RCTs) was performed on June 3, 2022. The systematic review included seventeen trials, ten of which provided data for the meta-analysis. The effects on outcomes were presented as mean differences (MDs) or standard mean differences (SMDs) and their 95% confidence intervals (CI). Cochrane risk-of-bias tool was used in quality assessment. Results: The results suggest that exercise intervention significantly reduces insomnia severity (SMD = −0.91, 95% CI = −1.45 to −0.36, Z = 3.27, P = 0.001) and alleviates sleep problems (MD = −0.09, 95% CI = −0.17 to −0.01, Z = 2.20, P = 0.03). For sleep quality, the results showed that insignificant differences were found between the exercise intervention and the control groups (MD = −0.93, 95% CI = −2.73 to 0.87, Z = 1.01, P = 0.31). The results of the subgroup analysis indicated that more apparent effects of exercise intervention were found among women with sleep disorders than among women without sleep disorders. Which exercise intervention duration was more beneficial to sleep outcomes could not be judged. Overall, there was a moderate risk of bias in the primary studies. Conclusion: According to this meta-analysis, exercise interventions can be recommended for menopausal women to improve their sleep. High-quality RCTs applying different types of exercise (e.g., walking, yoga, meditative exercise and so on) with different intervention durations as well as subjective and objective sleep assessment are warranted. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022342277, identifier: CRD42022342277.

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Research works printed but not linked: 54

  1. Lobo, 2022, Management of menopause: a view towards prevention, Lancet Diabetes Endocrinol., 10, 457, 10.1016/S2213-8587(21)00269-2 · DOI
  2. Kontis, 2017, Future life expectancy in 35 industrialised countries: projections with a Bayesian model ensemble, Lancet., 389, 1323, 10.1016/S0140-6736(16)32381-9 · DOI · Paper page
  3. 2022, Menopause: a turning point for women's health, Lancet Diabetes Endocrinol., 10, 373, 10.1016/S2213-8587(22)00142-5 · DOI
  4. Santoro, 2021, The menopause transition: signs, symptoms, and management options, J Clin Endocrinol Metab., 106, 1, 10.1210/clinem/dgaa764 · DOI · Paper page
  5. Kloss, 2015, Sleep, sleep disturbance, and fertility in women, Sleep Med Rev., 22, 78, 10.1016/j.smrv.2014.10.005 · DOI
  6. Proserpio, 2020, Insomnia and menopause: a narrative review on mechanisms and treatments, Climacteric., 23, 539, 10.1080/13697137.2020.1799973 · DOI
  7. Baker, 2018, Sleep and sleep disorders in the menopausal transition, Sleep Med Clin., 13, 443, 10.1016/j.jsmc.2018.04.011 · DOI · Paper page
  8. El, 2019, The menopause transition and women's health at midlife: a progress report from the study of Women's Health Across the Nation (SWAN), Menopause., 26, 1213, 10.1097/GME.0000000000001424 · DOI · Paper page
  9. Lee, 2021, Association between sleep duration and augmentation index in post-menopausal women: a moderating role of depressive symptoms, Maturitas., 149, 8, 10.1016/j.maturitas.2021.04.007 · DOI
  10. Kim, 2018, Vasomotor and physical menopausal symptoms are associated with sleep quality, PLoS ONE., 13, e192934, 10.1371/journal.pone.0192934 · DOI
  11. Chair, 2017, Relationship between sleep quality and cardiovascular disease risk in Chinese post-menopausal women, BMC Womens Health., 17, 79, 10.1186/s12905-017-0436-5 · DOI
  12. Baker, 2018, Sleep problems during the menopausal transition: prevalence, impact, and management challenges, Nat Sci Sleep., 10, 73, 10.2147/NSS.S125807 · DOI · Paper page
  13. Rossouw, 2002, Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results from the women's health initiative randomized controlled trial, JAMA., 288, 321, 10.1001/jama.288.3.321 · DOI · Paper page
  14. Mehta, 2021, Risks, benefits, and treatment modalities of menopausal hormone therapy: current concepts, Front Endocrinol., 12, 564781, 10.3389/fendo.2021.564781 · DOI
  15. Yang, 2018, Effectiveness of aerobic gymnastic exercise on stress, fatigue, and sleep quality during postpartum: a pilot randomized controlled trial, Int J Nurs Stud., 77, 1, 10.1016/j.ijnurstu.2017.09.009 · DOI
  16. Jurado-Fasoli, 2020, Exercise training improves sleep quality: a randomized controlled trial, Eur J Clin Invest., 50, e13202, 10.1111/eci.13202 · DOI
  17. Alkadhi, 2018, Exercise as a positive modulator of brain function, Mol Neurobiol., 55, 3112, 10.1007/s12035-017-0516-4 · DOI
  18. Mansikkamaki, 2012, Sleep quality and aerobic training among menopausal women: a randomized controlled trial, Maturitas., 72, 339, 10.1016/j.maturitas.2012.05.003 · DOI
  19. Tadayon, 2016, Impact of pedometer-based walking on menopausal women's sleep quality: a randomized controlled trial, Climacteric., 19, 364, 10.3109/13697137.2015.1123240 · DOI
  20. Aibar-Almazán, 2019, Effects of pilates training on sleep quality, anxiety, depression and fatigue in postmenopausal women: a randomized controlled trial, Maturitas., 124, 62, 10.1016/j.maturitas.2019.03.019 · DOI
  21. Aiello, 2004, Effect of a yearlong, moderate-intensity exercise intervention on the occurrence and severity of menopause symptoms in postmenopausal women, Menopause., 11, 382, 10.1097/01.GME.0000113932.56832.27 · DOI
  22. Berin, 2022, Effects of resistance training on quality of life in postmenopausal women with vasomotor symptoms, Climacteric., 25, 264, 10.1080/13697137.2021.1941849 · DOI
  23. Buchanan, 2017, Effects of yoga and aerobic exercise on actigraphic sleep parameters in menopausal women with hot flashes, J Clin Sleep Med., 13, 11, 10.5664/jcsm.6376 · DOI
  24. Javadivala, 2020, An interventional strategy of physical activity promotion for reduction of menopause symptoms, Health Promot Perspect., 10, 383, 10.34172/hpp.2020.57 · DOI
  25. Zhao, 2020, Effects of Tai Chi Chuan on the changes of bone mineral density of perimenopausal women, Chin J Tissue Eng Res., 24, 176, 10.3969/j.issn.2095-4344.1908 · DOI
  26. Moher, 2009, Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement, BMJ, 339, 332, 10.1136/bmj.b2535 · DOI · Paper page
  27. Booth, 2012, The nuts and bolts of PROSPERO: an international prospective register of systematic reviews, Syst Rev., 1, 2, 10.1186/2046-4053-2-4 · DOI
  28. Buysse, 1989, The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research, Psychiatry Res., 28, 193, 10.1016/0165-1781(89)90047-4 · DOI · Paper page
  29. Morin, 2011, The insomnia severity index: psychometric indicators to detect insomnia cases and evaluate treatment response, Sleep., 34, 601, 10.1093/sleep/34.5.601 · DOI · Paper page
  30. Wen, 2007, The selection of a summary statistic for use in meta-analysis, Chin J Evid Based Med., 4, 606
  31. Li, 2018, Effects of high-flow nasal cannuae in patients after extubation: a meta-analysis, Chin J Nurs., 53, 1492, 10.3761/j.issn0254-1769.2018.12.017 · DOI
  32. Cohen, 1988, Statistical Power Analysis for the Behavioral Sciences
  33. Higgins, 2003, Measuring inconsistency in meta-analyses, BMJ., 327, 557, 10.1136/bmj.327.7414.557 · DOI · Paper page
  34. Higgins, 2002, Quantifying heterogeneity in a meta-analysis, Stat Med., 21, 1539, 10.1002/sim.1186 · DOI · Paper page
  35. Higgins, 2011, The cochrane collaboration's tool for assessing risk of bias in randomised trials, BMJ., 343, d5928, 10.1136/bmj.d5928 · DOI · Paper page
  36. Abedi, 2015, Effect of pedometer-based walking on depression, anxiety and insomnia among postmenopausal women, Climacteric., 18, 841, 10.3109/13697137.2015.1065246 · DOI
  37. Wilbur, 2005, Menopausal status, moderate-intensity walking, and symptoms in midlife women, Res Theor Nurs Pract., 19, 163, 10.1891/rtnp.19.2.163.66799 · DOI
  38. Zhang, 2014, Effects of physical exercise on health-related quality of life and blood lipids in perimenopausal women, Menopause., 21, 1269, 10.1097/GME.0000000000000264 · DOI
  39. Newton, 2014, Efficacy of yoga for vasomotor symptoms, Menopause., 21, 339, 10.1097/GME.0b013e31829e4baa · DOI
  40. Luoto, 2012, Effect of aerobic training on hot flushes and quality of life—a randomized controlled trial, Ann Med., 44, 616, 10.3109/07853890.2011.583674 · DOI
  41. Siu PM Yu, 2021, Effects of Tai Chi or exercise on sleep in older adults with insomnia: a randomized clinical trial, JAMA Netw Open., 4, e2037199, 10.1001/jamanetworkopen.2020.37199 · DOI
  42. Li, 2021, Effect of exercise intervention on primary insomnia: a meta-analysis, J Sports Med Phys Fitness., 61, 857, 10.23736/S0022-4707.21.11443-4 · DOI
  43. Yang, 2012, Exercise training improves sleep quality in middle-aged and older adults with sleep problems: a systematic review, J Physiother., 58, 157, 10.1016/S1836-9553(12)70106-6 · DOI · Paper page
  44. Ritsche, 2014, Exercise-induced growth hormone during acute sleep deprivation, Physiol Rep, 2, 166, 10.14814/phy2.12166 · DOI
  45. Fang, 2019, Meta-analysis: Exercise intervention for sleep problems in cancer patients, Eur J Cancer Care., 28, e13131, 10.1111/ecc.13131 · DOI
  46. Dolezal, 2017, Interrelationship between sleep and exercise: a systematic review, Adv Prev Med., 2017, 1364387, 10.1155/2017/1364387 · DOI · Paper page
  47. Estévez-López, 2021, Effectiveness of exercise on fatigue and sleep quality in fibromyalgia: a systematic review and meta-analysis of randomized trials, Arch Phys Med Rehabil., 102, 752, 10.1016/j.apmr.2020.06.019 · DOI · Paper page
  48. Oudegeest-Sander, 2013, Impact of physical fitness and daily energy expenditure on sleep efficiency in young and older humans, Gerontology., 59, 8, 10.1159/000342213 · DOI
  49. Chen, 2010, Effects of yoga on sleep quality and depression in elders in assisted living facilities, J Nurs Res., 18, 53, 10.1097/JNR.0b013e3181ce5189 · DOI
  50. Xie, 2021, Effects of exercise on sleep quality and insomnia in adults: a systematic review and meta-analysis of randomized controlled trials, Front Psychiatry., 12, 664499, 10.3389/fpsyt.2021.664499 · DOI
  51. Burgess, 2020, The effect of timing and type of exercise on the quality of sleep in trained individuals, Int J Exerc Sci., 13, 837
  52. Nappi, 2022, Menopause: a cardiometabolic transition, Lancet Diabet Endocrinol., 10, 442, 10.1016/S2213-8587(22)00076-6 · DOI
  53. Hirshkowitz, 2017, Polysomnography and beyond, Principles Pract Sleep Med., 17, 1564, 10.1016/B978-0-323-24288-2.00160-4 · DOI
  54. Tsai, 2021, Objective sleep efficiency but not subjective sleep quality is associated with longitudinal risk of depression in pregnant women: a prospective observational cohort study, Int J Nurs Stud., 120, 103966, 10.1016/j.ijnurstu.2021.103966 · DOI

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Metadata

Authors
Qian, J., Sun, S., Wang, M., Sun, Y., Sun, X., Jevitt, C., & Yu, X.
Venue
Frontiers in Medicine
Publisher
Frontiers Media SA
Published
2023-04-25
Volume
10
ISSN
2296-858X
DOI
10.3389/fmed.2023.1092294
Cited by
22
References
7
Licence
creativecommons.org/licenses/by/4.0/ (vor)
Funders
  • Medical and Health Research Project of Zhejiang Province (2022KY859)
  • China Scholarship Council (202106320274)

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