Abstract
Objectives Vasomotor symptoms (VMS), commonly reported during menopausal transition, negatively affect psychological health and health-related quality of life (HRQoL). While hormone therapy is an effective treatment, its use is limited by concerns about possible harms. Thus, many women with VMS seek nonhormonal, nonpharmacologic treatment options. However, evidence to guide clinical recommendations is inconclusive. This study reviewed the effectiveness of yoga, tai chi and qigong on vasomotor, psychological symptoms, and HRQoL in peri- or post-menopausal women. Design MEDLINE, Cochrane Database of Systematic Reviews, EMBASE, CINAHL and the Allied and Complementary Medicine Database were searched. Researchers identified systematic reviews (SR) or RCTs that evaluated yoga, tai chi, or qigong for vasomotor, psychological symptoms, and health-related quality of life (HRQoL) in peri- or post-menopausal women. Data were abstracted on study design, participants, interventions and outcomes. Risk of bias (ROB) was assessed and updated meta-analyses were performed. Results We identified one high-quality SR (5 RCTs, 582 participants) and 3 new RCTs (345 participants) published after the SR evaluating yoga for vasomotor, psychological symptoms, and HRQoL; no studies evaluated tai chi or qigong. Updated meta-analyses indicate that, compared to controls, yoga reduced VMS (5 trials, standardized mean difference (SMD) −0.27, 95% CI −0.49 to −0.05) and psychological symptoms (6 trials, SDM −0.32; 95% CI −0.47 to −0.17). Effects on quality of life were reported infrequently. Key limitations are that adverse effects were rarely reported and outcome measures lacked standardization. Conclusions Results from this meta-analysis suggest that yoga may be a useful therapy to manage bothersome vasomotor and psychological symptoms.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 156-164 |
| Number of pages | 9 |
| Journal | Complementary Therapies in Medicine |
| Volume | 34 |
| DOIs | |
| State | Published - Oct 2017 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Complementary and Manual Therapy
- Complementary and alternative medicine
- Advanced and Specialized Nursing
Cite this
Improving vasomotor symptoms; psychological symptoms; and health-related quality of life in peri- or post-menopausal women through yoga : An umbrella systematic review and meta-analysis. / Shepherd-Banigan, M.; Goldstein, K. M.; Coeytaux, R. R.; McDuffie, J. R.; Goode, A. P.; Kosinski, A. S.; Van Noord, M. G.; Befus, D.; Adam, S.; Masilamani, V.; Nagi, A.; Williams, J. W.
In: Complementary Therapies in Medicine, Vol. 34, 10.2017, p. 156-164.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Improving vasomotor symptoms; psychological symptoms; and health-related quality of life in peri- or post-menopausal women through yoga
T2 - An umbrella systematic review and meta-analysis
AU - Shepherd-Banigan, M.
AU - Goldstein, K. M.
AU - Coeytaux, R. R.
AU - McDuffie, J. R.
AU - Goode, A. P.
AU - Kosinski, A. S.
AU - Van Noord, M. G.
AU - Befus, D.
AU - Adam, S.
AU - Masilamani, V.
AU - Nagi, A.
AU - Williams, J. W.
PY - 2017/10
Y1 - 2017/10
N2 - Objectives Vasomotor symptoms (VMS), commonly reported during menopausal transition, negatively affect psychological health and health-related quality of life (HRQoL). While hormone therapy is an effective treatment, its use is limited by concerns about possible harms. Thus, many women with VMS seek nonhormonal, nonpharmacologic treatment options. However, evidence to guide clinical recommendations is inconclusive. This study reviewed the effectiveness of yoga, tai chi and qigong on vasomotor, psychological symptoms, and HRQoL in peri- or post-menopausal women. Design MEDLINE, Cochrane Database of Systematic Reviews, EMBASE, CINAHL and the Allied and Complementary Medicine Database were searched. Researchers identified systematic reviews (SR) or RCTs that evaluated yoga, tai chi, or qigong for vasomotor, psychological symptoms, and health-related quality of life (HRQoL) in peri- or post-menopausal women. Data were abstracted on study design, participants, interventions and outcomes. Risk of bias (ROB) was assessed and updated meta-analyses were performed. Results We identified one high-quality SR (5 RCTs, 582 participants) and 3 new RCTs (345 participants) published after the SR evaluating yoga for vasomotor, psychological symptoms, and HRQoL; no studies evaluated tai chi or qigong. Updated meta-analyses indicate that, compared to controls, yoga reduced VMS (5 trials, standardized mean difference (SMD) −0.27, 95% CI −0.49 to −0.05) and psychological symptoms (6 trials, SDM −0.32; 95% CI −0.47 to −0.17). Effects on quality of life were reported infrequently. Key limitations are that adverse effects were rarely reported and outcome measures lacked standardization. Conclusions Results from this meta-analysis suggest that yoga may be a useful therapy to manage bothersome vasomotor and psychological symptoms.
AB - Objectives Vasomotor symptoms (VMS), commonly reported during menopausal transition, negatively affect psychological health and health-related quality of life (HRQoL). While hormone therapy is an effective treatment, its use is limited by concerns about possible harms. Thus, many women with VMS seek nonhormonal, nonpharmacologic treatment options. However, evidence to guide clinical recommendations is inconclusive. This study reviewed the effectiveness of yoga, tai chi and qigong on vasomotor, psychological symptoms, and HRQoL in peri- or post-menopausal women. Design MEDLINE, Cochrane Database of Systematic Reviews, EMBASE, CINAHL and the Allied and Complementary Medicine Database were searched. Researchers identified systematic reviews (SR) or RCTs that evaluated yoga, tai chi, or qigong for vasomotor, psychological symptoms, and health-related quality of life (HRQoL) in peri- or post-menopausal women. Data were abstracted on study design, participants, interventions and outcomes. Risk of bias (ROB) was assessed and updated meta-analyses were performed. Results We identified one high-quality SR (5 RCTs, 582 participants) and 3 new RCTs (345 participants) published after the SR evaluating yoga for vasomotor, psychological symptoms, and HRQoL; no studies evaluated tai chi or qigong. Updated meta-analyses indicate that, compared to controls, yoga reduced VMS (5 trials, standardized mean difference (SMD) −0.27, 95% CI −0.49 to −0.05) and psychological symptoms (6 trials, SDM −0.32; 95% CI −0.47 to −0.17). Effects on quality of life were reported infrequently. Key limitations are that adverse effects were rarely reported and outcome measures lacked standardization. Conclusions Results from this meta-analysis suggest that yoga may be a useful therapy to manage bothersome vasomotor and psychological symptoms.
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UR - http://www.scopus.com/inward/citedby.url?scp=85028703085&partnerID=8YFLogxK
U2 - 10.1016/j.ctim.2017.08.011
DO - 10.1016/j.ctim.2017.08.011
M3 - Review article
C2 - 28917368
AN - SCOPUS:85028703085
VL - 34
SP - 156
EP - 164
JO - Complementary Therapies in Medicine
JF - Complementary Therapies in Medicine
SN - 0965-2299
ER -