{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T17:09:32Z","timestamp":1793293772801,"version":"4.5.0"},"reference-count":51,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T00:00:00Z","timestamp":1784937600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejog.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Obstetrics & Gynecology and Reproductive Biology"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.ejogrb.2026.115338","type":"journal-article","created":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T15:13:59Z","timestamp":1784992439000},"page":"115338","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Physical exercise and mind\u2013body exercise in the menopausal transition: A systematic review and meta-analysis of effects on quality of life, symptoms, and psychological health"],"prefix":"10.1016","volume":"325","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4222-4033","authenticated-orcid":false,"given":"Africa","family":"Ruiz-Cerezo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuria","family":"Mendoza Laiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9125-2275","authenticated-orcid":false,"given":"Carmen","family":"Romero Ferreiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejogrb.2026.115338_b0005","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1210\/clinem\/dgaa764","article-title":"The Menopause transition: signs, Symptoms, and Management Options","volume":"106","author":"Santoro","year":"2021","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.ejogrb.2026.115338_b0010","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1258\/136218005775544525","article-title":"The menopause transition: endocrine changes and clinical symptoms","volume":"11","author":"Buckler","year":"2005","journal-title":"J Br Menopause Soc"},{"key":"10.1016\/j.ejogrb.2026.115338_b0015","doi-asserted-by":"crossref","DOI":"10.1136\/bmj-2022-072612","article-title":"Management of perimenopausal and menopausal symptoms","volume":"382","author":"Duralde","year":"2023","journal-title":"BMJ"},{"key":"10.1016\/j.ejogrb.2026.115338_b0020","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1097\/GME.0000000000001793","article-title":"Global cross-sectional survey of women with vasomotor symptoms associated with menopause: prevalence and quality of life burden","volume":"28","author":"Nappi","year":"2021","journal-title":"Menopause"},{"key":"10.1016\/j.ejogrb.2026.115338_b0025","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1007\/s00737-016-0701-x","article-title":"Depression during the menopause transition: impact on quality of life, social adjustment, and disability","volume":"20","author":"Wariso","year":"2017","journal-title":"Arch Womens Ment Health"},{"key":"10.1016\/j.ejogrb.2026.115338_b0030","first-page":"393","article-title":"Cardiovascular Risk Factors, Functionality, and Quality of Life in Climacteric Women","volume":"34","author":"Chaves","year":"2021","journal-title":"Int J Cardiovasc Sci"},{"key":"10.1016\/j.ejogrb.2026.115338_b0035","doi-asserted-by":"crossref","first-page":"424","DOI":"10.14739\/2310-1210.2024.5.303438","article-title":"Perimenopause period and menopause: cardiovascular and metabolic risks","volume":"26","author":"Siusiuka","year":"2024","journal-title":"Zaporozhye Medical Journal"},{"key":"10.1016\/j.ejogrb.2026.115338_b0040","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1093\/humupd\/dmab026","article-title":"Hormone therapy in the postmenopausal years: considering benefits and risks in clinical practice","volume":"27","author":"Genazzani","year":"2021","journal-title":"Hum Reprod Update"},{"key":"10.1016\/j.ejogrb.2026.115338_b0045","doi-asserted-by":"crossref","DOI":"10.3389\/fendo.2021.564781","article-title":"Risks, Benefits, and Treatment Modalities of Menopausal Hormone Therapy: Current Concepts","volume":"12","author":"Mehta","year":"2021","journal-title":"Front Endocrinol (Lausanne)"},{"key":"10.1016\/j.ejogrb.2026.115338_b0050","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1111\/jan.14304","article-title":"Efficacy of mind-body therapies and exercise-based interventions on menopausal-related outcomes among asian perimenopause women: a systematic review, meta-analysis, and synthesis without a meta-analysis","volume":"76","author":"Shorey","year":"2020","journal-title":"J Adv Nurs"},{"key":"10.1016\/j.ejogrb.2026.115338_b0055","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2024.e32128","article-title":"Physical and mental health predicts better adherence to exercise intervention in older women: a post-hoc analysis","volume":"10","author":"Laakso","year":"2024","journal-title":"Heliyon"},{"key":"10.1016\/j.ejogrb.2026.115338_b0060","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1186\/s12905-024-03243-4","article-title":"The impact of physical activity and exercise interventions on symptoms for women experiencing menopause: overview of reviews","volume":"24","author":"Money","year":"2024","journal-title":"BMC Womens Health"},{"key":"10.1016\/j.ejogrb.2026.115338_b0065","doi-asserted-by":"crossref","first-page":"644","DOI":"10.3390\/healthcare13060644","article-title":"Effects of Physical Exercise on Symptoms and Quality of Life in Women in Climacteric: a Systematic Review and Meta-Analysis","volume":"13","author":"Trujillo-Mu\u00f1oz","year":"2025","journal-title":"Healthcare (Basel)"},{"key":"10.1016\/j.ejogrb.2026.115338_b0070","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1097\/GME.0000000000002336","article-title":"Effects of mind-body exercise on perimenopausal and postmenopausal women: a systematic review and meta-analysis","volume":"31","author":"Xu","year":"2024","journal-title":"Menopause"},{"key":"10.1016\/j.ejogrb.2026.115338_b0075","doi-asserted-by":"crossref","first-page":"3088","DOI":"10.1186\/s12889-025-24398-1","article-title":"Effects of different physical activity interventions on depressive symptoms in menopausal women: a systematic review and network meta-analysis","volume":"25","author":"Wang","year":"2025","journal-title":"BMC Public Health"},{"key":"10.1016\/j.ejogrb.2026.115338_b0080","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"10.1016\/j.ejogrb.2026.115338_b0085","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1590\/S0104-11692007000300023","article-title":"The PICO strategy for the research question construction and evidence search","volume":"15","author":"da Costa Santos","year":"2007","journal-title":"Rev Lat Am Enfermagem"},{"key":"10.1016\/j.ejogrb.2026.115338_b0090","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.d5928","article-title":"The Cochrane Collaboration\u2019s tool for assessing risk of bias in randomised trials","volume":"343","author":"Higgins","year":"2011","journal-title":"BMJ"},{"key":"10.1016\/j.ejogrb.2026.115338_b0095","doi-asserted-by":"crossref","unstructured":"Effect Sizes Based on Means. Introduction to Meta-Analysis, Hoboken, NJ: John Wiley & Sons; 2009, p. 21\u201332.","DOI":"10.1002\/9780470743386.ch4"},{"key":"10.1016\/j.ejogrb.2026.115338_b0100","unstructured":"Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0. London, UK: The Cochrane Collaboration; 2011."},{"key":"10.1016\/j.ejogrb.2026.115338_b0105","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1136\/bmj.327.7414.557","article-title":"Measuring inconsistency in meta-analyses","volume":"327","author":"Higgins","year":"2003","journal-title":"BMJ"},{"key":"10.1016\/j.ejogrb.2026.115338_b0110","doi-asserted-by":"crossref","first-page":"2886","DOI":"10.3390\/app14072886","article-title":"The Effects of Pilates vs. Zumba Dancing on Functional Performance, Mood and Health-Related Quality of Life in Postmenopausal Women","volume":"14","author":"Ben Waer","year":"2024","journal-title":"Appl Sci"},{"key":"10.1016\/j.ejogrb.2026.115338_b0115","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1007\/s00737-024-01509-2","article-title":"Effects of jazz dance and concurrent training on psychological variables in menopausal women: a randomized controlled trial","volume":"28","author":"Fausto","year":"2025","journal-title":"Arch Womens Ment Health"},{"key":"10.1016\/j.ejogrb.2026.115338_b0120","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.23736\/S0022-4707.20.10995-2","article-title":"Different types of functional training on the functionality and quality of life in postmenopausal women: a randomized and controlled trial","volume":"60","author":"Arag\u00e3o-Santos","year":"2020","journal-title":"J Sports Med Phys Fitness"},{"key":"10.1016\/j.ejogrb.2026.115338_b0125","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1080\/13697137.2022.2153032","article-title":"Effects of concurrent exercise on health-related quality of life in middle-aged women","volume":"26","author":"Mar\u00edn-Jim\u00e9nez","year":"2023","journal-title":"Climacteric"},{"key":"10.1016\/j.ejogrb.2026.115338_b0130","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1080\/13697137.2021.1941849","article-title":"Effects of resistance training on quality of life in postmenopausal women with vasomotor symptoms","volume":"25","author":"Berin","year":"2022","journal-title":"Climacteric"},{"key":"10.1016\/j.ejogrb.2026.115338_b0135","first-page":"33","article-title":"Is concurrent training effective in the symptomatology of menopause, depression, sexual function, and the aging perspective of women during menopause? A randomised clinical trial","volume":"24","author":"Scarpel","year":"2025","journal-title":"Prz Menopauzalny"},{"key":"10.1016\/j.ejogrb.2026.115338_b0140","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000030897","article-title":"Qigong for mental health and sleep quality in postmenopausal women: a randomized controlled trial","volume":"101","author":"Carcel\u00e9n-Fraile","year":"2022","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.ejogrb.2026.115338_b0145","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1111\/nhs.12931","article-title":"Effects of yoga on menopausal symptoms and sleep quality across menopause statuses: a randomized controlled trial","volume":"24","author":"Susanti","year":"2022","journal-title":"Nurs Health Sci"},{"key":"10.1016\/j.ejogrb.2026.115338_b0150","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1097\/HNP.0000000000000646","article-title":"The effect of Yoga on Menopause Symptoms: a Randomized Controlled Trial","volume":"38","author":"Abi\u00e7","year":"2024","journal-title":"Holist Nurs Pract"},{"key":"10.1016\/j.ejogrb.2026.115338_b0155","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1097\/GME.0000000000001947","article-title":"A 16-week multicomponent exercise training program improves menopause-related symptoms in middle-aged women. the FLAMENCO project randomized control trial","volume":"29","author":"Baena-Garc\u00eda","year":"2022","journal-title":"Menopause"},{"key":"10.1016\/j.ejogrb.2026.115338_b0160","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000042689","article-title":"Investigating the effects of Pilates exercises on menopausal symptoms and sexual dysfunction in postmenopausal women: a randomized controlled trial","volume":"104","author":"Yi\u011fit Kocamer","year":"2025","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.ejogrb.2026.115338_b0165","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1080\/0361073X.2023.2172304","article-title":"Effect of 12-Week-Zumba Training on Postural Balance, lower Limb Strength, Mood and Quality of Life in Postmenopausal Women","volume":"50","author":"Lahiani","year":"2024","journal-title":"Exp Aging Res"},{"key":"10.1016\/j.ejogrb.2026.115338_b0170","article-title":"Exercise as a therapeutic strategy for depression in menopausal women: a metaanalysis of randomized trials. Front","volume":"16","author":"Li","year":"2025","journal-title":"Psychiatry"},{"key":"10.1016\/j.ejogrb.2026.115338_b0175","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/s12966-025-01712-z","article-title":"Effects of physical activity on depressive and anxiety symptoms of women in the menopausal transition and menopause: a comprehensive systematic review and meta-analysis of randomized controlled trials","volume":"22","author":"Yue","year":"2025","journal-title":"Int J Behav Nutr Phys Act"},{"key":"10.1016\/j.ejogrb.2026.115338_b0180","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1080\/13697137.2022.2097865","article-title":"Effects of exercise on vasomotor symptoms in menopausal women: a systematic review and meta-analysis","volume":"25","author":"Liu","year":"2022","journal-title":"Climacteric"},{"key":"10.1016\/j.ejogrb.2026.115338_b0185","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1097\/GME.0000000000002610","article-title":"Menopause and movement: exercise for better sleep and psychological well-being-a systematic review","volume":"32","author":"Choudhary","year":"2025","journal-title":"Menopause"},{"key":"10.1016\/j.ejogrb.2026.115338_b0190","doi-asserted-by":"crossref","DOI":"10.1016\/j.maturitas.2025.108774","article-title":"Self-efficacy, quality of life, physical activity and educational interventions in menopausal women: a cross-sectional and pre-post study using Bayesian structural equation modelling","volume":"203","author":"Magistro","year":"2025","journal-title":"Maturitas"},{"key":"10.1016\/j.ejogrb.2026.115338_b0195","doi-asserted-by":"crossref","DOI":"10.1016\/j.pnpbp.2024.111033","article-title":"The relationship between BDNF and physical activity on depression","volume":"134","author":"Zarza-Rebollo","year":"2024","journal-title":"Prog Neuropsychopharmacol Biol Psychiatry"},{"key":"10.1016\/j.ejogrb.2026.115338_b0200","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.jsbmb.2013.08.010","article-title":"Menopausal hot flashes: mechanisms, endocrinology, treatment","volume":"142","author":"Freedman","year":"2014","journal-title":"J Steroid Biochem Mol Biol"},{"key":"10.1016\/j.ejogrb.2026.115338_b0205","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1186\/s12905-025-04231-y","article-title":"Effects of exercise training on vasomotor symptoms and quality of life in postmenopausal women: a randomized controlled trial","volume":"25","author":"Yilmaz Babacan","year":"2025","journal-title":"BMC Womens Health"},{"key":"10.1016\/j.ejogrb.2026.115338_b0210","doi-asserted-by":"crossref","first-page":"548","DOI":"10.3390\/jcm12020548","article-title":"The Efficacy of Strength Exercises for reducing the Symptoms of Menopause: a Systematic Review","volume":"12","author":"Capel-Alcaraz","year":"2023","journal-title":"J Clin Med"},{"issue":"98","key":"10.1016\/j.ejogrb.2026.115338_b0215","first-page":"1154","article-title":"The anti-inflammatory effect of exercise","volume":"2005","author":"Petersen","year":"1985","journal-title":"J Appl Physiol"},{"key":"10.1016\/j.ejogrb.2026.115338_b0220","doi-asserted-by":"crossref","first-page":"404","DOI":"10.3390\/jcm7110404","article-title":"Effects of Mind\u2212Body Exercises (Tai Chi\/Yoga) on Heart Rate Variability Parameters and Perceived stress: a Systematic Review with Meta-Analysis of Randomized Controlled Trials","volume":"7","author":"Zou","year":"2018","journal-title":"J Clin Med"},{"key":"10.1016\/j.ejogrb.2026.115338_b0225","doi-asserted-by":"crossref","DOI":"10.1016\/j.cpnec.2021.100037","article-title":"Psychobiological mechanisms underlying the mood benefits of meditation: a narrative review","volume":"6","author":"Pascoe","year":"2021","journal-title":"Compr Psychoneuroendocrinol"},{"key":"10.1016\/j.ejogrb.2026.115338_b0230","doi-asserted-by":"crossref","first-page":"353","DOI":"10.3389\/fnhum.2018.00353","article-title":"How Breath-Control can Change your Life: a Systematic Review on Psycho-Physiological Correlates of Slow Breathing","volume":"12","author":"Zaccaro","year":"2018","journal-title":"Front Hum Neurosci"},{"key":"10.1016\/j.ejogrb.2026.115338_b0235","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.maturitas.2017.12.005","article-title":"Yoga for menopausal symptoms\u2014A systematic review and meta-analysis","volume":"109","author":"Cramer","year":"2018","journal-title":"Maturitas"},{"key":"10.1016\/j.ejogrb.2026.115338_b0240","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1016\/j.cmet.2023.12.025","article-title":"Understanding the variation in exercise responses to guide personalized physical activity prescriptions","volume":"36","author":"Noone","year":"2024","journal-title":"Cell Metab"},{"key":"10.1016\/j.ejogrb.2026.115338_b0245","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2025.1743949","article-title":"Optimal exercise modality and dose for alleviating depressive symptoms in postmenopausal women: a systematic review and network meta-analysis of randomized controlled trials","volume":"16","author":"Xu","year":"2025","journal-title":"Front Psychol"},{"key":"10.1016\/j.ejogrb.2026.115338_b0250","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1080\/13697137.2025.2548806","article-title":"The role of lifestyle medicine in menopausal health: a review of non-pharmacologic interventions","volume":"28","author":"Anekwe","year":"2025","journal-title":"Climacteric"},{"key":"10.1016\/j.ejogrb.2026.115338_b0255","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.gaceta.2018.05.012","article-title":"Cost-effectiveness of a primary care-based exercise intervention in perimenopausal women","volume":"33","author":"\u0160pac\u00edrov\u00e1","year":"2019","journal-title":"The FLAMENCO Project Gac Sanit"}],"container-title":["European Journal of Obstetrics & Gynecology and Reproductive Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211526004069?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211526004069?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T20:04:53Z","timestamp":1792526693000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0301211526004069"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":51,"alternative-id":["S0301211526004069"],"URL":"https:\/\/doi.org\/10.1016\/j.ejogrb.2026.115338","relation":{},"ISSN":["0301-2115"],"issn-type":[{"value":"0301-2115","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Physical exercise and mind\u2013body exercise in the menopausal transition: A systematic review and meta-analysis of effects on quality of life, symptoms, and psychological health","name":"articletitle","label":"Article Title"},{"value":"European Journal of Obstetrics & Gynecology and Reproductive Biology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejogrb.2026.115338","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"115338"}}