運動改善更年期婦女身體組成之成效－系統性回顧暨統合分析

The Effect of Exercise on Body Composition in Menopausal Women: A Systematic Review and Meta-Analysis

葉美玲(Mei-Ling Yeh) ； 王珮棋(Pei-Chi Wang) ； 林昭庚(Jang-Geng Lin) ； 林宜信(I-Hsin Lin) ； 陳興夏(Hsing-Hsia Chen)

《護理暨健康照護研究》 7卷1期 (2011/03) Pp. 35-44

https://doi.org/10.6225/JNHR.7.1.35

摘要

背景　更年期為一過渡期，此時婦女的體脂肪、腰臀比及身體質量指數(body mass index, BMI)皆較未停經婦女不盡理想，亦即罹患心血管等疾病的風險隨之增加。然而，運動可緩和婦女更年期時的不適，並促進健康。
目的　評估1975-2010年隨機控制試驗研究中，運動介入改善更年期婦女的體重、BMI及體脂肪之成效。
方法　本研究以系統性文獻回顧及統合分析實證研究中介入運動措施之成效。搜尋中華民國期刊論文系統、中國期刊網、萬方資料庫、CEPS、MedLine、PubMed等資料庫之更年期婦女相關文獻。使用CMA統計軟體分析，選用測量變項包含體重、BMI與體脂肪。
結果　運動對更年期婦女的體重、BMI及體脂肪有中至低的改善成效，其綜合效量分別為-0.195 (95% CI: -0.292, -0.098)、-0.213 (95% CI: -0.336, -0.089)及-0.195 (95%CI: -0.334, -0.056)。
結論　本研究結果可提供更客觀的研究結果，以利選擇益於健康運動的參酌，亦期許能避免更年期婦女因不正確選用措施而造成身心的損傷。

關鍵字

更年期 ； 運動 ； 系統性回顧 ； 統合分析 ； 身體組成

並列摘要

Background: Menopause is a transition period for women during which body fat, waist-to-hip ratio and body mass index (BMI) typically deteriorate in comparison to the non-menopausal female population. Such infers that this group faces elevated risks of cardiovascular and other diseases. Exercise offers the potential to improve menopause symptoms and promote health in this population.
Purpose: This study aimed to assess the effect of exercise on weight, BMI, and body fat in menopausal women using the results of randomized controlled trials (RCTs) published between 1975 and 2010.
Methods: This study conducted a systematic review and meta-analysis. Databases searched included the Chinese Periodical Literature System, the Chinese National Knowledge Infrastructure, Wanfang, CEPS, MEDLIINE and PubMed. Study outcome measures included weight, BMI and body fat.
Results: Results showed exercise can help menopausal women to improve weight, BMI and body fat measures. Effect sizes were -0.195 (95% CI: -0.292, -0.098), -0.213 (95% CI: -0.336, -0.089) and -0.195 (95% CI: -0.334, -0.056), respectively.
Conclusion: Study results provide objective and accurate conclusions that may be used to improve the health of menopausal women as well as obviate the application of improper interventions, which elevate risk and increase the potential for physical/mental harm.

並列關鍵字

menopause ； exercises ； systematic review ； meta-analysis ； body composition