The Effect of Qigong on Menopausal Symptoms and Quality of Sleep for Perimenopausal Women: A Preliminary Observational Study
The study objectives were to examine the effect of a 12-week 30-minute-a-day Ping Shuai Qigong exercise program on climacteric symptoms and sleep quality in perimenopausal women.
This was a prospective observational study.
The subjects (N=70) from two communities were women aged 45 years and above who were experiencing menopausal symptoms.
Thirty-five (35) women from one community were assigned to a Ping Shuai Qigong intervention group, while 35 women from the other community were assigned to the control group.
This was a 12-week, 30-minute-a-day Ping Shuai Qigong program.
The Greene Climacteric Symptom scale and the Pittsburgh Sleep Quality Index were the outcome measures.
Descriptive analysis and repeated-measures analysis of variance were used.
Pretest scores at baseline found no significant group differences in climacteric symptoms or sleep quality. Significant improvements in climacteric symptoms were found at 6 weeks and 12 weeks (t=4.07, p<0.001 and t=11.83, p<0.001) in the intervention group. They were also found to have significant improvements in sleep quality in those times (t=5.93, p<0.001 and t=10.58, p<0.001, respectively).
Ping Shuai Qigong improved climacteric symptoms and sleep quality in perimenopausal women at 6 weeks and 12 weeks. The longer a person practiced this form of meditative exercise, the greater the improvement in sleeping quality and climacteric symptoms.
Available from: Cecilia Chan
- "Our prior study has demonstrated that Qigong exercise not only reduces fatigue and depressive symptoms, but also improves mental functioning and increases telomerase activity in patients with CFS-like illness  ; however, the effects on sleep remain unclear. A number of studies have reported that aerobic exercise has positive effect on sleep quality in patients with chronic insomnia   and obstructive sleep apnea ; and several studies have shown that Qigong exercise improves sleep quality in patients with fibromyalgia  , perimenopausal women , and community-dwelling older adults . However, to our knowledge, no study has examined whether Qigong exercise can improve sleep quality in patients with CFS-like illness or assessed the dose-response relationship between Qigong exercise and symptom improvement. "
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ABSTRACT: Objectives. To evaluate the effectiveness of Baduanjin Qigong exercise on sleep, fatigue, anxiety, and depressive symptoms in chronic fatigue syndrome- (CFS-) like illness and to determine the dose-response relationship. Methods. One hundred fifty participants with CFS-like illness (mean age = 39.0, SD = 7.9) were randomly assigned to Qigong and waitlist. Sixteen 1.5-hour Qigong lessons were arranged over 9 consecutive weeks. Pittsburgh Sleep Quality Index (PSQI), Chalder Fatigue Scale (ChFS), and Hospital Anxiety and Depression Scale (HADS) were assessed at baseline, immediate posttreatment, and 3-month posttreatment. The amount of Qigong self-practice was assessed by self-report. Results. Repeated measures analyses of covariance showed a marginally nonsignificant (P = 0.064) group by time interaction in the PSQI total score, but it was significant for the "subjective sleep quality" and "sleep latency" items, favoring Qigong exercise. Improvement in "subjective sleep quality" was maintained at 3-month posttreatment. Significant group by time interaction was also detected for the ChFS and HADS anxiety and depression scores. The number of Qigong lessons attended and the amount of Qigong self-practice were significantly associated with sleep, fatigue, anxiety, and depressive symptom improvement. Conclusion. Baduanjin Qigong was an efficacious and acceptable treatment for sleep disturbance in CFS-like illness. This trial is registered with Hong Kong Clinical Trial Register: HKCTR-1380.
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ABSTRACT: Da starke klimakterische Beschwerden nur bei etwa einem Drittel der Frauen in der Peri- und Postmenopause auftreten, ist eine Behandlung nicht für jede Frau erforderlich, die Prävention altersassoziierter Erkrankungen dagegen ist für alle sinnvoll. Klassische Naturheilverfahren und Komplementärmedizin bieten viele Möglichkeiten zur Selbsthilfe und sind sowohl zur Prävention als auch zur Besserung verschiedener Symptome geeignet. Da bei (Selbst-)Anwendung nichtpharmakologischer Verfahren kein Risiko für Arzneimittelinteraktionen besteht und das sonstige Risikopotenzial gering ist, lassen sie sich auch bei nicht umfassender Evidenz vorrangig empfehlen. Bei jeder Anwendung wirkstoffbasierter Behandlungen ist die ärztliche Überwachung ratsam, da grundsätzlich ein Risiko- und Interaktionspotenzial besteht, die vorhandene Evidenz i.d.R. nur auf kurzen Therapiezeiten basiert und bei Nahrungsergänzungsmitteln statusbedingt mit Qualitätsproblemen zu rechnen ist. Das Vorgehen sollte sich im Rahmen eines Stufenkonzepts an Art und Ausprägung der Beschwerden sowie an den individuellen Risiken, Möglichkeiten und Vorerfahrungen orientieren.
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ABSTRACT: Breathing exercises practiced in various forms of meditations such as yoga may influence autonomic functions. This may be the basis of therapeutic benefit to hypertensive patients.
The study design was a randomized, prospective, controlled clinical study using three groups.
The subjects comprised 60 male and female patients aged 20-60 years with stage 1 essential hypertension.
Patients were randomly and equally divided into the control and other two intervention groups, who were advised to do 3 months of slow-breathing and fast-breathing exercises, respectively. Baseline and postintervention recording of blood pressure (BP), autonomic function tests such as standing-to-lying ratio (S/L ratio), immediate heart rate response to standing (30:15 ratio), Valsalva ratio, heart rate variation with respiration (E/I ratio), hand-grip test, and cold pressor response were done in all subjects.
Slow breathing had a stronger effect than fast breathing. BP decreased longitudinally over a 3-month period with both interventions. S/L ratio, 30:15 ratio, E/I ratio, and BP response in the hand grip and cold pressor test showed significant change only in patients practicing the slow-breathing exercise.
Both types of breathing exercises benefit patients with hypertension. However, improvement in both the sympathetic and parasympathetic reactivity may be the mechanism that is associated in those practicing the slow-breathing exercise.
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