Jing Yan, Liu Mingyi, Tang Honglin, Kong Nianxin, Cai Jingjie, Yin Zikang
College of Physical Education, Wuhan Sports University, Wuhan, 430079, Hubei, China.
China Youth Sports and the Integration of Sports and Education Public Policy Research Center, Wuhan Sports University, Wuhan, 430079, Hubei, China.
BMC Womens Health. 2024 Dec 4;24(1):635. doi: 10.1186/s12905-024-03477-2.
This study systematically evaluated the effect of aerobic exercise on sleep disorders in menopausal women and proposed a practical program from the perspective of "what to practice," "how much to practice," and "how to practice." We proposed the program from the standpoint of training science.
Up to March 20, 2023, a total of 16 articles and 19 RCT studies were retrieved from Web of Science, PubMed, Springer, Science Direct, China Knowledge Network, Wanfang, and VIP. The Cochrane Risk of Bias Assessment Tool was used to assess the quality of the literature, and We used RevMan5.3and STATA 16.0 software to provide a systematic review of included studies.
The overall effect of low- and moderate-intensity aerobic exercise interventions for sleep disorders in menopausal women had a moderate effect size (SMD = -0.52, P < 0.001), and the effect values between different intervention frequencies (I = 60%), intervention duration (I = 60), intervention periods (I = 70), exercise forms (I = 70), and practice methods (I = 70) had moderate heterogeneity. The most significant effect sizes were found for intervention frequency of 3 times/week (SMD = -0.57, P < 0.001); intervention duration of 70-90 min/session (SMD = -0.64, P = 0.004); intervention period of 8-10 weeks (SMD = -0.59, P = 0.35); and exercise form of static exercise ( SMD = -0.55, P = 0.003); and the practice mode was an individual exercise with the most significant effect size (SMD = -0.66, P < 0.01).
Low- and medium-intensity aerobic exercise intervention for sleep disorders in menopausal women has a good effect, but it is affected by training factors such as intervention frequency, intervention time, intervention period, exercise form, and practice mode; the best effect is achieved by adopting the dosage of 3 times/week, 70-90 min/times, and lasting for 8-10 weeks; aerobic intervention in the form of static exercise is the most effective; the best intervention effect is achieved by adopting the mode of individual exercise; but a group exercise approach improved exercise persistence in menopausal women.
本研究系统评价有氧运动对绝经后女性睡眠障碍的影响，并从“练什么”“练多少”“怎么练”的角度提出切实可行的方案。我们从运动训练学角度提出该方案。
截至2023年3月20日，从Web of Science、PubMed、Springer、Science Direct、中国知网、万方和维普数据库共检索到16篇文章和19项随机对照试验研究。采用Cochrane偏倚风险评估工具对文献质量进行评估，并使用RevMan5.3和STATA 16.0软件对纳入研究进行系统评价。
低、中等强度有氧运动干预绝经后女性睡眠障碍的总体效应量具有中等效应大小（标准化均数差SMD=-0.52，P<0.001），不同干预频率（I=60%）、干预时长（I=60）、干预周期（I=70）、运动形式（I=70）和练习方式（I=70）之间的效应值具有中等异质性。干预频率为每周3次（SMD=-0.57，P<0.001）、干预时长为每次70 - 90分钟（SMD=-0.64，P=0.004）、干预周期为8 - 10周（SMD=-0.59，P=0.35）、运动形式为静态运动（SMD=-0.55，P=0.003）时效应大小最显著；练习方式为个体运动时效应大小最显著（SMD=-0.66，P<0.01）。
低、中等强度有氧运动干预绝经后女性睡眠障碍效果良好，但受干预频率、干预时间、干预周期、运动形式和练习方式等训练因素影响；采用每周3次、每次70 - 90分钟、持续8 - 10周的运动量效果最佳；静态运动形式的有氧运动最有效；采用个体运动方式干预效果最佳；但团体运动方式提高了绝经后女性的运动坚持性。
