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瑜伽对更年期症状的有效性:随机对照试验的系统评价和荟萃分析。

Effectiveness of yoga for menopausal symptoms: a systematic review and meta-analysis of randomized controlled trials.

机构信息

Chair of Complementary and Integrative Medicine, University of Duisburg-Essen, Essen, Germany.

出版信息

Evid Based Complement Alternat Med. 2012;2012:863905. doi: 10.1155/2012/863905. Epub 2012 Nov 7.

Abstract

Objectives. To systematically review and meta-analyze the effectiveness of yoga for menopausal symptoms. Methods. Medline, Scopus, the Cochrane Library, and PsycINFO were screened through April 2012. Randomized controlled trials (RCTs) were included if they assessed the effect of yoga on major menopausal symptoms, namely, (1) psychological symptoms, (2) somatic symptoms, (3) vasomotor symptoms, and/or (4) urogenital symptoms. For each outcome, standardized mean differences (SMDs) and 95% confidence intervals (CIs) were calculated. Two authors independently assessed risk of bias using the risk of bias tool recommended by the Cochrane Back Review Group. Results. Five RCTs with 582 participants were included in the qualitative review, and 4 RCTs with 545 participants were included in the meta-analysis. There was moderate evidence for short-term effects on psychological symptoms (SMD = -0.37; 95% CI -0.67 to -0.07; P = 0.02). No evidence was found for total menopausal symptoms, somatic symptoms, vasomotor symptoms, or urogenital symptoms. Yoga was not associated with serious adverse events. Conclusion. This systematic review found moderate evidence for short-term effectiveness of yoga for psychological symptoms in menopausal women. While more rigorous research is needed to underpin these results, yoga can be preliminarily recommended as an additional intervention for women who suffer from psychological complaints associated with menopause.

摘要

目的

系统评价瑜伽对绝经期症状的疗效。

方法

检索 Medline、Scopus、Cochrane 图书馆和 PsycINFO,截止日期为 2012 年 4 月。纳入评估瑜伽对主要绝经期症状(1)心理症状、(2)躯体症状、(3)血管舒缩症状和/或(4)泌尿生殖系统症状影响的随机对照试验(RCT)。对于每个结局,计算标准化均数差(SMD)和 95%置信区间(CI)。两名作者独立使用 Cochrane 偏倚评价工具评估偏倚风险。

结果

定性评价纳入 5 项 RCT(582 名参与者),meta 分析纳入 4 项 RCT(545 名参与者)。短期瑜伽对心理症状有中度疗效(SMD=-0.37;95%CI-0.67 至-0.07;P=0.02)。瑜伽对总绝经期症状、躯体症状、血管舒缩症状或泌尿生殖系统症状无疗效证据。瑜伽与严重不良事件无关。

结论

本系统评价发现短期瑜伽对绝经期妇女心理症状有中度疗效。虽然需要更严格的研究来支持这些结果,但瑜伽可作为有绝经期相关心理症状妇女的一种额外干预措施进行初步推荐。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a198/3524799/2be1df173efa/ECAM2012-863905.001.jpg

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