Departamento de Psicobiologia, Universidade Federal de São Paulo, Sao Paulo, SP, Brazil.
Menopause. 2012 Feb;19(2):186-93. doi: 10.1097/gme.0b013e318228225f.
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.
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.
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.
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.
瑜伽练习已被证明对缓解失眠有积极影响。研究还表明其对缓解更年期症状有一定效果。然而,迄今为止,尚未有研究在随机临床试验中评估瑜伽对被诊断为失眠的绝经后妇女的影响。本研究旨在评估瑜伽练习对被诊断为失眠的绝经后妇女的身心健康和更年期症状的影响。
未接受激素治疗、年龄在 50 至 65 岁之间、呼吸暂停低通气指数(apnea-hypopnea index)小于 15、被诊断为失眠的绝经后妇女被随机分为三组:对照组、被动拉伸组和瑜伽组。干预前和干预后 4 个月对生活质量、焦虑和抑郁症状、更年期症状、失眠严重程度、白天嗜睡和压力进行问卷调查。志愿者还接受了多导睡眠图检查。研究持续 4 个月。
研究结束时有 44 名志愿者。与对照组相比,瑜伽组治疗后更年期症状和失眠严重程度评分显著降低,生活质量和压力抵抗阶段评分显著升高。瑜伽组失眠严重程度的降低显著高于对照组和被动拉伸组。
本研究表明,特定的瑜伽序列可能对缓解失眠和更年期症状以及提高失眠绝经后妇女的生活质量有效。