Qigong for mental health and sleep quality in postmenopausal women: A randomized controlled trial

María Del Carmen Carcelén-Fraile, Agustín Aibar-Almazán, Antonio Martínez-Amat, José Daniel Jiménez-García, Vânia Brandão-Loureiro, Patricia Alexandra García-Garro, Raquel Fábrega-Cuadros, Yulieth Rivas-Campo, Fidel Hita-Contreras, María Del Carmen Carcelén-Fraile, Agustín Aibar-Almazán, Antonio Martínez-Amat, José Daniel Jiménez-García, Vânia Brandão-Loureiro, Patricia Alexandra García-Garro, Raquel Fábrega-Cuadros, Yulieth Rivas-Campo, Fidel Hita-Contreras

Abstract

Background: Menopause is one of the stages in a woman's life that affects her psychological health, the most frequent being anxiety and depression. In addition, another problem related to this stage is the lack of sleep that causes a decrease in the quality of sleep. The purpose of this randomized controlled trial was to analyze the effectiveness of a Qigong exercise program on sleep quality, anxiety, and depression in Spanish postmenopausal women.

Methods: A total of 125 women were randomly assigned to an experimental group (EG) (n = 63) that carried out a Qigong exercise program for 12 weeks, or a control group (CG) (n = 62), which did not perform any type of intervention. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) and anxiety and depression using the Hospital Anxiety and Depression Scale (HADS).

Results: Women who underwent an intervention program experienced significant improvements for all measured variables, except for the use of sleeping medication and daytime dysfunctions that did not show any significant effect with respect to the group and group × time interaction.

Conclusions: After an intervention based on a BaDuanJin Qigong exercise program for 12 weeks, improvements were observed in sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbances, the total score of the PSQI, anxiety and depression in postmenopausal Spanish women.

Trial registration: ClinicalTrials.gov NCT03989453.

Conflict of interest statement

The authors have no conflicts of interest to disclose.

Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

Figures

Figure 1.
Figure 1.
Flow diagram of the study participants.

References

    1. Howden LM, Meyer JA. Age and sex composition: 2010. United States Census Bureau, 2011. Available at: .
    1. Cintron D, Lipford M, Larrea-Mantilla L, et al. . Efficacy of menopausal hormone therapy on sleep quality: systematic review and meta-analysis. Endocrine. 2017;55:702–11.
    1. García-Campayo J, Lou-Arnal S. Trastornos afectivos y género. Claves en Salud Mental. 2006;6:1–6.
    1. Bryant C, Judd FK, Hickey M. Anxiety during the menopausal transition: a systematic review. J Affect Disord. 2012;139:141–8.
    1. Mohammed-Ali A, Hassan-Ahmed A, Smail L. Psychological climacteric symptoms and attitudes toward menopause among emirati women. Int J Environ Res Public Health. 2020;17:5028.
    1. Freedman RR. Menopause and sleep. Menopause. 2014;21:534–5.
    1. Polo-Kantola P. Sleep disturbances at the menopause. Maturitas. 2015;22:899–915.
    1. Tom SE, Kuh D, Guralnik JM, et al. . Self-reported sleep difficulty during the menopausal transition: results from a prospective cohort study. Menopause. 2010;17:1128–35.
    1. Goldman SE, Stone KL, Ancoli-Israel S, et al. . Poor sleep is associated with poorer physical performance and greater functional limitations in older women. Sleep. 2007;30:1317–24.
    1. Hita-Contreras F, Zagalaz-Anula N, Martínez-Amat A, et al. . Sleep quality and its association with postural stability and fear of falling among Spanish postmenopausal women. Menopause. 2018;2:62–9.
    1. Hita-Contreras F, Martínez-López E, Latorre-Román PA, et al. . Reliability and validity of the Spanish version of the Pittsburgh Sleep Quality Index (PSQI) in patients with fibromyalgia. Rheumatol Int. 2014;34:929–36.
    1. Anderson D, Seib C, Rasmussen L. Can physical activity prevent physical and cognitive decline in postmenopausal women? A systematic review of the literature. Maturitas. 2014;79:14–33.
    1. Innes KE, Selfe TK, Vishnu A. Mind-body therapies for menopausal symptoms: a systematic review. Maturitas. 2010;66:135–49.
    1. Bai XN. The old four and the new five sets of Qigong exercise on health care. Self-Care. 2015;8:38–9.
    1. Chang PS, Knobf T, Oh B, et al. . Physical and psychological health outcomes of qigong exercise in older adults: a systematic review and meta-analysis. Am J Chin Med. 2019;47:301–22.
    1. Yeh SC, Chang MY. The effect of Qigong on menopausal symptoms and quality of sleep for perimenopausal women: a preliminary observational study. J Altern Complement Med. 2012;18:567–75.
    1. Zou L, SasaKi JE, Wang H, et al. . Systematic review and meta-analysis baduanjin qigong for health benefits: randomized controlled trials. Evid Based Complement Alternat Med. 2017;2017:4548706.
    1. Buysse DJ, Reynolds CF, Monk TH, et al. . The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193–213.
    1. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361–70.
    1. Herrero MJ, Blanch J, Peri JM, et al. . Validation study of the hospital anxiety and depression scale (HADS) in a Spanish population. Gen Hosp Psychiatry. 2003;25:277–83.
    1. Zagalaz-Anula N, Hita-Contreras F, Martínez-Amat A, et al. . The associations between menopausal symptoms and sleep quality in Spanish postmenopausal women. Climacteric. 2019;22:511–7.
    1. Woods NF, Mariella A, Mitchell ES. Patterns of depressed mood across the menopausal transition: approaches to studying patterns in longitudinal data. Acta Obstet Gynecol Scand. 2002;81:623–32.
    1. Moe KE. Hot flushes and sleep in women. Sleep Med Rev. 2004;8:487–97.
    1. Cohen JA. power primer. Psychol Bull. 1992;112:155–9.
    1. Rasuli F, Hagiamiri P. Mental health problems in postmenopausal women. Life Magazine. 2004;20:4–16.
    1. Moline ML, Broch L, Zak R, et al. . Sleep in women across the life cycle from adulthood through menopause. Sleep Med Rev. 2003;7:155–77.
    1. Daley A, Stokes-Lampard H, Thomas A, et al. . Exercise for vasomotor menopausal symptoms. Cochrane Database Syst Rev. 2014;28:CD006108.
    1. Moudi A, Dashtgard A, Salehiniya H, et al. . The relationship between health-promoting lifestyle and sleep quality in postmenopausal women. Biomedicine (Taipei). 2018;8:11.
    1. Casas RS, Pettee Gabriel KK, Kriska AM, et al. . Association of leisure physical activity and sleep with cardiovascular risk factors in postmenopausal women. Menopause. 2012;19:413–9.
    1. Chen MC, Liu HE, Huang HY, et al. . The effect of a simple traditional exercise programme (Baduanjin exercise) on sleep quality of older adults: a randomized controlled trial. Int J Nurs Stud. 2012;49:265–73.
    1. Feng F, Tuchman S, Denninger JW, et al. . Qigong for the prevention, treatment, and rehabilitation of COVID-19 infection in older adults. Am J Geriatr Psychiatry. 2020;28:812–9.
    1. Zou L, Sasaki JE, Wei GX, et al. . Effects of mind-body exercises (Tai Chi/Yoga) on heart rate variability parameters and perceived stress: a systematic review with meta-analysis of randomized controlled trials. J Clin Med. 2018;7:404.
    1. Lu Y, Qu HQ, Chen FY, et al. . Effect of baduanjin qigong exercise on cancer-related fatigue in patients with colorectal cancer undergoing chemotherapy: a randomized controlled trial. Oncol Res Treat. 2019;42:431–9.
    1. Halpern J, Cohen M, Kennedy G, et al. . Yoga for improving sleep quality and quality of life for older adults. Altern Ther Health Med. 2014;2:37–46.
    1. Sternfeld B, Guthrie KA, Ensrud KE, et al. . Efficacy of exercise for menopausal symptoms: a randomized controlled trial. Menopause. 2014;21:330–8.
    1. Tworoger SS, Yasui Y, Vitiello MV, et al. . Effects of a yearlong moderate-intensity exercise and a stretching intervention on sleep quality in postmenopausal women. Sleep. 2003;26:830–6.
    1. Cohen LS, Soares CN, Vitonis AF, et al. . Risk for new onset of depression during the menopausal transition: the Harvard study of moods and cycles. Arch Gen Psychiatry. 2006;63:385–90.
    1. Martínez-Domínguez SJ, Lajusticia H, Chedraui P, et al. . Health outcomes and systematic analyses (HOUSSAY) project. The effect of programmed exercise over anxiety symptoms in midlife and older women: a meta-analysis of randomized controlled trials. Climacteric. 2018;21:123–31.
    1. Asbury E, Collins P, Chandrruangphen P. The importance of continued exercise participation in quality of life and psychological well-being in previously inactive postmenopausal women: a pilot study. Menopause. 2006;13:561–7.
    1. Liu P, You J, Loo WTY, et al. . The efficacy of Guolin-Qigong on the body-mind health of Chinese women with breast cancer: a randomized controlled trial. Qual Life Res. 2017;26:2321–31.
    1. Chan JS, Ho RT, Chung KF, et al. . Qigong exercise alleviates fatigue, anxiety, and depressive symptoms, improves sleep quality, and shortens sleep latency in persons with chronic fatigue syndrome-like illness. Evid Based Complement Alternat Med. 2014;2014:106048.
    1. Chan JS, Ho RT, Wang CW, et al. . Effects of qigong exercise on fatigue, anxiety, and depressive symptoms of patients with chronic fatigue syndrome-like illness: a randomized controlled trial. Evid Based Complement Alternat Med. 2013;2013:485341.
    1. Chow Y, Siu A. The effects of qigong on reducing stress and anxiety and enhancing body–mind well-being. Midnfulness. 2011;3:51–9.
    1. Mulhall S, Andel R, Anstey KJ. Variation in symptoms of depression and anxiety in midlife women by menopausal status. Maturitas. 2018;108:7–12.
    1. Ravindran AV, Balneaves LG, Faulkner G, et al. . Canadian network for mood and anxiety treatments (CANMAT). Clinical guidelines for the management of adults with major depressive disorder: section 5. complementary and alternative medicine treatments. Can J Psychiatr. Revue canadienne de psychiatrie. 2016;61:576–87.
    1. Pérez-López FR, Martínez-Domínguez SJ, Lajusticia H, et al. . Health outcomes systematic analyses project. Effects of programmed exercise on depressive symptoms in midlife and older women: a meta-analysis of randomized controlled trials. Maturitas. 2017;106:38–47.
    1. Jiao J, Russell IJ, Wang W, et al. . Ba-Duan-Jin alleviates pain and fibromyalgia-related symptoms in patients with fibromyalgia: results of a randomised controlled trial. Clin Exp Rheumatol. 2019;37:953–62.
    1. Aibar-Almazán A, Hita-Contreras F, Cruz-Díaz D, et al. . Effects of Pilates training on sleep quality, anxiety, depression and fatigue in postmenopausal women: a randomized controlled trial. Maturitas. 2019;124:62–7.
    1. Jorge MP, Santaella DF, Pontes IM, et al. . Hatha Yoga practice decreases menopause symptoms and improves quality of life: a randomized controlled trial. Complement Ther Med. 2016;26:128–35.
    1. Abedi P, Nikkhah P, Najar YS. Effect of pedometer-based walking on depression, anxiety and insomnia among postmenopausal women. Climateric. 2015;18:841–5.
    1. Villaverde Gutiérrez C, Torres Luque G, Ábalos Medina GM, et al. . Influence of exercise on mood in postmenopausal women. J Clin Nurs. 2012;21:923–8.
    1. Mediouni M, Kaczor-Urbanowicz KE, Madiouni R. Future epidemic: depreobesity. Obes Med. 2020;19:100240.
    1. James D, Larkey LK, Evans B, et al. . Pilot study of tai chi and qigong on body composition, sleep, and emotional eating in midlife/older women. J Women Aging. 2022;34:449–59.
    1. Larkey LK, James D, Belyea M, et al. . Body composition outcomes of tai chi and qigong practice: a systematic review and meta-analysis of randomized controlled trials. Int J Behav Med. 2018;25:487–501.

Source: PubMed

3
購読する