Menopozal Dönemde Nonfarmakolojik Yöntemlerin Uyku Kalitesine Etkisi: Randomize Kontrollü Çalışmaların Sistematik Derlemesi

Yıl 2022, , 334 - 347, 31.08.2022

Mevlüde Alpaslan Arar , Nülüfer Erbil

https://doi.org/10.22312/sdusbed.952226

Öz

Amaç: Menopozda uyku kalitesini arttırmak için yapılan randomize kontrollü çalışmaların gözden geçirilmesi ve bu çalışmalardan elde edilen bulguların sistematik biçimde incelenmesi amaçlanmıştır.

Materyal-Metot: Sistematik derleme niteliğinde olan bu çalışmada, sistematik derleme ya da meta analiz araştırma raporunun yazımında kılavuz olan PRISMA protokolünden yararlanılmıştır. Çalışmada Scopus, PubMed, Web of Science, Cochrane ve Türk Medline veri tabanlarından Aralık 2020-Mart 2021 tarihleri arasında tarama yapılmıştır. Taramada, Türkçe “menopoz, uyku kalitesi, randomized kontrollü çalışma” İngilizce “menopause, sleep quality, randomized controlled trial” anahtar kelimeleri kullanılmıştır. Bu sistematik derlemeye menopozal dönemde nonfarmakolojik yöntemlerin uyku kalitesine etkisini ele alan, tam metnine ulaşılan, Türkçe veya İngilizce olarak yayınlanmış, Ocak 2015-Aralık 2020 tarihleri arasında yayınlanan randomize kontrollü çalışmalar alınmıştır.
Bulgular: Çalışmada toplam 365 kayda ulaşılmış ve analiz sonucunda 13 randomize kontrollü çalışmaya alınmıştır. Menopozda uyku kalitesini arttırmak için yapılan nonfarmakolojik çalışmalardan; akupunktur, akupresür, telefon tabanlı bilişsel davranışçı terapi, pedometre ile yürüme, acı portakal veya lavanta çiçeği tozu, pilates temelli egzersizler, farkındalık meditasyon eğitimi, hünnap tohum kapsülü, ayak banyosu menopozda uyku kalitesini önemli ölçüde iyileştirirken, papatya özü ve rezenenin etkinliği belirsiz bulunmuştur.
Sonuç: Nonfarmakolojik girişimlerin menopozda uyku kalitesinin arttırmada etkili olduğu, ancak orta ve uzun vadeli etkileri açıklayan gelecekteki nonfarmakolojik çalışmalar için objektif uyku ölçüm tekniklerinin uygulanması gerektiği sonucuna varılmıştır.

Anahtar Kelimeler

Menopoz, uyku kalitesi, farmakolojik olmayan yöntemler, randomize kontrollü çalışma, sistematik derleme

The Effect of Nonpharmacological Methods on Sleep Quality in Menopausal Period: A Systematic Review of Randomized Controlled Studies Abstract

Öz

Objective: It is aimed to review randomized controlled studies to improve sleep quality in menopause and to systematically examine the findings obtained from these studies.

Method: In this study, which is a systematic review, the PRISMA protocol, which is a guide in writing the systematic review or meta-analysis research report, was used. In the study, Scopus, PubMed, Web of Science, Cochrane and Türk Medline databases were searched between December 2020 and March 2021. The keywords "menopause, sleep quality, randomized controlled trial" in Turkish and "menopause, sleep quality, randomized controlled trial" in English were used in the search. Randomized controlled studies, published in Turkish or English, published between January 2015 and December 2020, which address the effect of non-pharmacological methods on sleep quality in the menopausal period, with full text available, were included in this systematic review

Results: A total of 365 records were reached in the study and 13 randomized controlled studies were included as a result of the analysis. From non-pharmacological studies to improve sleep quality in menopause; While acupuncture, acupressure, telephone-based cognitive behavioral therapy, pedometer walking, bitter orange or lavender flower powder, pilates-based exercises, mindfulness meditation training, jujube seed capsule, foot bath significantly improved sleep quality in menopause, the effectiveness of chamomile extract and fennel was found to be uncertain.

Conclusion: It was concluded that non-pharmacological interventions are effective in increasing sleep quality in menopause, but objective sleep measurement techniques should be applied for future non-pharmacological studies explaining the medium and long-term effects.

Anahtar Kelimeler

Menopause, sleep quality, non-pharmacological methods, randomized controlled trials, systematic review

Kaynakça

• [1] Santoro N, Crawford, SL, El Khoudary SR, Allshouse AA, Burnett-Bowie SA, Finkelstein J. et al. Menstrual cycle hormone changes in women traversing menopause: study of women’s health across the nation. The Journal of Clinical Endocrinology and Metabolism, 2017;102(7):2218-2229.
• [2] Somani YB, Moore DJ, Kim DJK, Gonzales JU, Barlow MA, Elavsky S. et al.Retrograde and oscillatory shear increase across the menopause transition. Physiological Reports. 2019;7(1):e13965.
• [3] Jones HJ, Zak R, Lee KA. Sleep disturbances in midlife women at the cusp of the menopausal transition. Journal of Clinical Sleep Medicine. 2018;14(07):1127–1133.
• [4] Abdi F, Mobedi H, Roozbeh N. Hops for menopausal vasomotor symptoms: Mechanisms of action. Journal Menopausal Medicine. 2016; 22:62-4.
• [5] Pengo MF, Won CH, Bourjeily G. Sleep in women across the life span. Chest. 2018; 154:196–206.
• [6] Baker FC, De Zambotti M, Colrain IM, Bei B. (2018). Sleep problems during the menopausal transition: prevalence, impact, and management challenges. Nature And Science of Sleep, 10, 73.
• [7] Kim MJ, Yim G, Park HY. Vasomotor and physical menopausal symptoms are associated with sleep quality. PLOS One, 2018;13.
• [8] Posadzki P, Lee MS, Moon TW, Choi TY, Park TY, Ernst E. Prevalence of complementary and alternative medicine (CAM) use by menopausal women: a systematic review of surveys. Maturitas. 2013;75:34–43.
• [9] Marjoribanks J, Farquhar C, Roberts H, Lethaby A, Lee J. Long-term hormone therapy for perimenopausal and postmenopausal women, Cochrane Database Systematic. Review. 2017;(1).
• [10] Johnson A, Roberts L, Elkins G. Complementary and alternative medicine for menopause. Journal Evid Based Integr Medicine. 2019;24:1e14.
• [11] Wenbo P, Jon A, Sibbritt DW, Frawley JE. Critical review of complementary and alternative medicine use in menopause: focus on prevalence, motivation, decisionmaking, and communication, Menopause- Journal North American. Menopause. Society. 2014:21(5):536–548.
• [12] Ernst E, Posadzki P. Alternative therapies for the management of menopausal symptoms. Managing the Menopause. 2020;264.
• [13] Moher D, Liberati A, Tetzlaff J. Reprint—preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Physical Therapy, 2009;89:873-80.
• [14] Karaçam Z. Sistematik derleme metodolojisi: sistematik derleme hazırlamak için bir rehber. DEUHYO ED. 2013;6:26-33.
• [15] Higgins J. Green S. Cochrane handbook for systematic reviews of interventions Version 5.1. 0. The Cochrane Collaboration. Confidence intervals. 2011.
• [16] Tufanaru C, Munn Z, Aromataris E, Campbell J, Hopp L. Explanation for the critical appraisal tool for RCTs with individual participants in parallel groups. In: Aromataris E, Munn Z, editors. Joanna Briggs Institute Reviewer's Manual. The Joanna Briggs Institute. 2017;1-9.
• [17] Snilstveit B, Oliver S, Vojtkova, M. Narrative approaches to systematic review and synthesis of evidence for international development policy and practice. Journal of Development Effectiveness. 2012;4(3):409–429.
• [18] Ryan R, Cochrane Consumers and Communication Review Group. Cochrane consumers and communication review group: data synthesis and analysis. Cochrane Consum. Commun. Rev. Gr. 2013;1–5.
• [19] Mollayeva T, Thurairajah P, Burton K, Mollayeva S, Shapiro CM. Colantonio A. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: a systematic review and meta-analysis. Sleep Medicine Review. 2016;25;52e73.
• [20] Mahmoudi R, Ansari S, Haghighizadeh MH, Maram NS, Montazeri S. Investigation the effect of jujube seed capsule on sleep quality of postmenopausal women: A double-blind randomized clinical trial. BioMedicine. 2020;10(4):42.
• [21] Maliheh A, Fatemeh RD, Leila K, Seyede HMV, Masumeh G. Effect of foeniculum vulgare (fennel) on sleep quality of menopausal women: a double-blinded, randomized placebo-controlled trial. Journal Menopausal Medicine. 2018;24 (3):204–209
• [22] Iqbal K. Outcome of use of High Quality Chamomile Extract on Sleep Disorders Occurring after Menopause. General Sectıon-Orıgınal Artıcles. 2018; 16(3):766.
• [23] Kamalifard M, Farshbaf-Khalili A, Namadian M, Ranjbar Y, Herizchi S. Comparison of the effect of lavender and bitter orange on sleep quality in postmenopausal women: a triple-blind, randomized, controlled clinical trial. Women and Health. 2018;58(8): 851-865.
• [24] McCurry SM, Guthrie KA, Morin CM, Woods NF, Landis CA, Ensrud KE. et al. Telephone delivered cognitive-behavior therapy for insomnia in midlife women with vasomotor symptoms: an MsFLASH randomized trial. Journal of the American Medical Association İnternal Medicine. 2016; 176(7):913.
• [25] Garcia MC, Kozasa EH, Tufik S, Mello LEA, Hachul H. The effects of mindfulness and relaxation training for insomnia (MRTI) on postmenopausal women: a pilot study. Menopause. 2018;25(9):992-1003.
• [26] Tadayon M, Abedi P, Farshadbakht F. Impact of pedometer-based walking on menopausal women’s sleep quality: a randomized controlled trial. Climacteric. 2016; 19(4):364-368.
• [27] Ahmadinezhad M, Kargar M, Vizeshfar F, Hadianfard MJ. Comparison of the effect of acupressure and Pilates-based exercises on sleep quality of postmenopausal women: a randomized controlled trial. Iranian Journal of Nursing and Midwifery Research. 2017;22(2):140.
• [28] Almazán A, Hita-Contreras F, Cruz-Día D, de la Torre-Cruz M, Jiménez-García JD, Martínez-Amat A. Effects of Pilates training on sleep quality, anxiety, depression and fatigue in postmenopausal women: A randomized controlled trial. Maturitas. (2019);124: 62-67.
• [29] Abedian Z, Eskandari L, Abdi H, Ebrahimzadeh S. The effect of acupressure on sleep quality in menopausal women: a randomized control trial. Iranian Journal of Medical Sciences. 2015; 40(4): 328.
• [30] Fu C, Zhao N, Liu Z, Yuan LH, Xie C, Yang WJ, Chen YF. Acupuncture improves peri-menopausal insomnia: a randomized controlled trial. Sleep. 2017; 40(11):zsx153.
• [31] Li S, Wang Z, Wu H, Yue H, Yin P, Zhang W, Xu S. Electroacupuncture versus Sham Acupuncture for Perimenopausal Insomnia: A Randomized Controlled Clinical Trial. Nature and Science of Sleep. 2020;12:1201.
• [32] Aghamohammadi V, Salmani R, Ivanbagha R, Effati daryani F, Nasiri K. Footbath as a safe, simple, and non‐pharmacological method to improve sleep quality of menopausal women. Research in Nursing and Health. 2020;43(6):621-628.
• [33] Hershman DL, Unger JM, Greenlee H. Effect of acupuncture vs sham acupuncture or waitlist control on joint pain related to aromatase inhibitors among women with early-stage breast cancer: A randomized clinical trial. Journal of the American Medical Association. 2018;320:167–76
• [34] Xiao B, Liu ZH. Efficacy on depression in breast cancer treated with acupuncture and auricular acupressure. Zhongguo Zhen Jiu. 2014;34:956–60.
• [35] Hmwe NTT, Browne G, Mollart L, Allanson V, Chan SWC. (2020). Acupressure to improve sleep quality of older people in residential aged care: a randomised controlled trial protocol. Trials. 2020; 21:1-10. [36] Hunter MS. Cognitive behavioral therapy for menopausal symptoms. Climacteric. 2020; 1-6.
• [37] Drake CL, Kalmbach DA, Arnedt JT, Cheng P, Tonnu CV, Cuamatzi-Castelan A. et al. Treating chronic insomnia in postmenopausal women: a randomized clinical trial comparing cognitive-behavioral therapy for insomnia, sleep restriction therapy, and sleep hygiene education. Sleep. 2019;42(2):zsy217
• [38] Chien L. Cheng WSL, Liu CF. The effect of lavender aromatherapy on autonomic nervous system in midlife women with insomnia. Evidence-Based Complementary and Alternative Medicine. 2012:1–8.
• [39] Najafi Z, Tagharrobi Z, Shahriari M. Effect of aromatherapy on sleep quality among patients undergoing hemodialysis. Journal of Kashan University of Medical Sciences. 2014;18 (2):145–50.
• [40] Chen MN, Lin CC, Liu CF. Efficacy of phytoestrogens for menopausal symptoms: a meta-analysis and systematic review. Climacteric. 2015; 18:260269.
• [41] Shirazi M, Saedi N, Shariat M, Azadi F, Davari Tanha F. Comparison of melissa with citalopram and placebo in treatment of sleep disorders in menopausal women: Clinical trial. Tehran Universty Medicine Journal. 2016;74: 562-8.
• [42] Polonini H, Mesquita D, Lanine J, Dijkers E, Gkinis S, Raposo NRB. et al.I ntranasal use of lavender and fennel decreases salivary cortisol levels and improves quality of sleep: a double-blind randomized clinical trial. European Journal of Integrative Medicine. 2020: 34.
• [43] Garrison KA, Zeffiro TA, Scheinost D, Constable RT, Brewer JA.. Meditation leads to reduced default mode network activity beyond an active task. Cognitive Affect Behaviour Neurosci. 2015;15:712–20.
• [44] Garcia MC, Pompéia S, Hachul H, Kozasa EH, de Souza AA, Tufik S. Is mindfulness associated with insomnia after menopause. Menopause. 2014; 21(3): 301-05.
• [45] Thomas T, Kamath N, KuMAr A. Mindfulness and Menopause-A Review. Journal of Clinical and Diagnostic Research. 2020;14(7).
• [46] Xiao C, Mou C, Zhou X. Effect of mindfulness meditation training on anxiety, depression and sleep quality in perimenopausal women. Nan Fang yi ke da xue xue bao. Journal of Southern Medical University. 2019;39(8): 998-1002.
• [47] Palmieri G, Contaldi P, Fogliame G. Evaluation of effectiveness and safety of a herbal compound in primary insomnia symptoms and sleep disturbances not related to medical or psychiatric causes. Nature Science Sleep. 2017;9: 63e9.
• [48] Chen J, Liu X, Li Z, Qi A, Yao P, Zhou Z. A review of dietary Ziziphus jujuba fruit (Jujube): Developing health food supplements for brain protection. Evid Based Complement Alternat Medicine. 2017;1-10.
• [49] Ghobadi A, Amini Behbahani F, Yousefi A, Taghavi Shirazi M, Behnoud N. Medicinal and nutritional propertiesof Ziziphus jujuba Mill. in traditional persian medicine and modern phytotherapy. Crescent Journal Medical Biological Science. 2019;6(2):146e50.
• [50] Hajbaghery MA, Mousavi SN. (2017). The effects of chamomile extract on sleep quality among elderly people: A clinical trial. Complementary Therapies in Medicine. 2017; 35:109–114.
• [51] Ghadicolaei HT, Gorji MAH, Bagheri B. The effect of warm footbath on the quality of sleep on patients with acute coronary syndrome in cardiac care unit. Journal of Caring Sciences. 2019;8(3):137–142