Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Maturitas. 2022 Oct;164:88-97. doi: 10.1016/j.maturitas.2022.07.014. Epub 2022 Aug 3.
To chart peer-reviewed literature regarding the psychological and social health outcomes of physical activity (PA) around menopause in a systematic manner.
Nine electronic databases and 10 core journals were searched using specific search strings to identify eligible articles. Manual checking of reference lists was also performed. The selection process was guided by the stages in PRISMA-ScR.
Eighty peer-reviewed articles representing 67 studies from 25 countries were included. All articles were published between 1994 and 2021. For all studies, surveys were the primary method of measuring psychological and social health outcomes, in cross-sectional studies (36 papers), intervention studies (33), longitudinal cohort studies (10) and one paper reporting a mixed-method study. The dataset comprised a total of 103,826 women, with an average age of 52.6 and a variety of menopausal states. Most of the studies involved primarily Caucasian, relatively healthy, married and employed participants. Nineteen psychological and social health outcomes were assessed, including psychological menopause symptoms (N = 34), quality of life (N = 33), depression (N = 30), anxiety (N = 11), mental wellbeing (N = 21), perceived stress (N = 9), satisfaction with life (N = 7) and self-esteem (N = 5).
Collectively, the findings of these studies indicate a relatively evident positive impact of PA on the respective health outcomes, with only a few studies reporting no association. It is also noteworthy that most studies did not report any difference related to menopausal status. Future studies would benefit from, inter alia, a qualitative approach to lived experiences of psychological and social health outcomes of PA during the menopausal transition.
系统地梳理有关绝经前后身体活动（PA）对心理和社会健康影响的同行评议文献。
使用特定的检索词在 9 个电子数据库和 10 种核心期刊中进行检索，以确定符合条件的文章。还对参考文献进行了手动检查。选择过程遵循 PRISMA-ScR 的阶段。
共纳入 80 篇同行评议文章，代表来自 25 个国家的 67 项研究。所有文章均发表于 1994 年至 2021 年。所有研究均使用调查作为测量心理和社会健康结果的主要方法，包括横断面研究（36 篇）、干预研究（33 篇）、纵向队列研究（10 篇）和一篇报告混合方法研究的文章。数据集共包括 103826 名女性，平均年龄为 52.6 岁，处于多种绝经状态。大多数研究涉及主要为白种人、相对健康、已婚和有工作的参与者。评估了 19 个心理和社会健康结果，包括心理绝经症状（N=34）、生活质量（N=33）、抑郁（N=30）、焦虑（N=11）、心理健康（N=21）、感知压力（N=9）、生活满意度（N=7）和自尊（N=5）。
这些研究的综合结果表明，PA 对相应健康结果具有相对明显的积极影响，只有少数研究报告无关联。值得注意的是，大多数研究并未报告与绝经状态相关的任何差异。未来的研究将受益于定性方法，例如在绝经过渡期身体活动对心理和社会健康结果的体验。
