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

M. Shepherd-Banigan, K. M. Goldstein, R. R. Coeytaux, J. R. McDuffie, A. P. Goode, A. S. Kosinski, M. G. Van Noord, D. Befus, S. Adam, V. Masilamani, A. Nagi, J. W. Williams

Research output: Contribution to journalReview article

3 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)156-164
Number of pages9
JournalComplementary Therapies in Medicine
Volume34
DOIs
StatePublished - Oct 2017
Externally publishedYes

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Yoga
Meta-Analysis
Qigong
Tai Ji
Quality of Life
Psychology
Databases
Therapeutics
Complementary Therapies
MEDLINE
Research Personnel
Outcome Assessment (Health Care)
Hormones
Health

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 journalReview article

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. / 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. In: Complementary Therapies in Medicine. 2017 ; Vol. 34. pp. 156-164.
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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.",
author = "M. Shepherd-Banigan and Goldstein, {K. M.} and Coeytaux, {R. R.} and McDuffie, {J. R.} and Goode, {A. P.} and Kosinski, {A. S.} and {Van Noord}, {M. G.} and D. Befus and S. Adam and V. Masilamani and A. Nagi and Williams, {J. W.}",
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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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