Fausto Danielly Yani, Martins Julia Beatriz Bocchi, Moratelli Jéssica Amaro, Lima Alicia Garcia, Guimarães Adriana Coutinho de Azevedo
Physical Activity Leisure Research Laboratory, College of Health and Sport Science, Santa Catarina State University, Florianópolis, Brazil.
Int J Sex Health. 2023 Jun 13;35(3):414-426. doi: 10.1080/19317611.2023.2220327. eCollection 2023.
To review randomized clinical trials on Body Practices (BP) and Physical Exercise (PE) in menopausal women and describe their effect on sexual function.
Searches carried out electronically in five databases, with a temporal criterion of 10 years of publication, from August to September 2022. Methodological quality and risk of bias were assessed using the Cochrane collaboration scale and PEDro (Physiotherapy Evidence Database Physiotherapy Evidence Database) scale score.
The majority of the studies presented a "'low" or "'uncertain" risk of bias. The instruments for assessing sexual function were heterogeneous. Interventions included mindfulness, relaxation hypnosis, Kegel exercises, yoga, and aerobic exercise, and generally lasted 12 weeks. Seven studies were included, of which six made up the meta-analysis, showing high heterogeneity ( = 94.2%; < 0.0001). The analysis of subgroups with BP showed high heterogeneity ( = 94.2%; < 0.01); interventions with PE presented more favorable results ( = 0%; 0; = 0.90); the sexual function instruments showed high heterogeneity ( = 90%; < 0.01); and instruments of quality of life and menopausal symptoms with domains of sexual function presented favorable results for BP and PE ( = 0%; = 0.63). The funnel chart presents the studies in a dispersed manner, which implies publication bias.
Interventions with PE proved to be more efficient compared to BP, however, there are a low number of studies with PE, and those found are limited to aerobic training, without sufficient data on intensity, volume, and frequency. Further studies with PE are needed for the treatment of sexual function symptoms in order to more comprehensively describe their effect.
回顾关于更年期女性身体锻炼（BP）和体育锻炼（PE）的随机临床试验，并描述其对性功能的影响。
于2022年8月至9月在五个数据库中进行电子检索，检索时间标准为10年发表期。使用Cochrane协作量表和PEDro（物理治疗证据数据库）量表评分评估方法学质量和偏倚风险。
大多数研究呈现出“低”或“不确定”的偏倚风险。评估性功能的工具具有异质性。干预措施包括正念、放松催眠、凯格尔运动、瑜伽和有氧运动，通常持续12周。纳入了七项研究，其中六项构成荟萃分析，显示出高度异质性（I² = 94.2%；P < 0.0001）。BP亚组分析显示高度异质性（I² = 94.2%；P < 0.01）；PE干预呈现出更有利的结果（I² = 0%；P = 0；Z = 0.90）；性功能工具显示出高度异质性（I² = 90%；P < 0.01）；性功能领域的生活质量和更年期症状工具对BP和PE呈现出有利结果（I² = 0%；P = 0.63）。漏斗图显示研究分布分散，这意味着存在发表偏倚。
与BP相比，PE干预被证明更有效，然而，关于PE的研究数量较少，且所发现的研究仅限于有氧训练，缺乏关于强度、量和频率的充分数据。需要进一步开展关于PE治疗性功能症状的研究，以便更全面地描述其效果。
