Original Articles Open access

Promoting mental and sleep health in menopausal women: the effectiveness of yoga and brain gymnastics interventions

Authors

Published
14 October 2025
Section
Original Articles
DOI
10.4081/hls.2025.14128

Abstract

Menopausal women frequently experience anxiety and sleep disturbances, which negatively impact their mental well-being and overall quality of life. Non-pharmacological approaches such as yoga and brain gymnastics offer accessible, safe, and low-cost strategies to address these issues. This study aimed to assess the effectiveness of yoga and brain gymnastics in promoting mental and sleep health among menopausal women. A quasi-experimental pretest-posttest design was conducted involving 100 menopausal women, divided into yoga and brain gymnastics intervention groups. Yoga sessions were held three times a week for 60 minutes over four weeks, while brain gymnastics was conducted for 15–20 minutes at the same frequency. Anxiety and sleep quality were measured using the State-Trait Anxiety Inventory (STAI) and Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using paired and independent t-tests. Both interventions significantly reduced anxiety and improved sleep quality (p<0.05). Yoga showed a greater reduction in STAI (35%) and PSQI (40%) scores compared to brain gymnastics (22% and 25%, respectively). Comparative analysis indicated yoga was significantly more effective (p<0.05). Yoga and brain gymnastics effectively promote mental and sleep health in menopausal women, with yoga demonstrating superior benefits as a holistic intervention.

Keywords

References

  1. 1. Ministry of Health of the Republic of Indonesia. Healthy Indonesia Profile. 2021;51:1231–81.
  2. 2. Baral S KH. Health-related quality of life among menopausal women: A cross-sectional study from Pokhara, Nepal. Plos One 2023;18:e0280632.
  3. 3. Zolfaghari SM. Effects of menopause on sleep quality and sleep disorders: Canadian longitudinal study on aging. J Menopause Soc 2020;27:295–304.
  4. 4. Moh. Hanafi IGDU. The effect of yoga on anxiety levels of premenopausal women at the Lovina Dolphin Studio, Singaraja’. J Recreat Heal Edu 2021;7:2.
  5. 5. Newsom R. Aging and sleep. Sleep Foundation. In: 3rd ed. 2022. p. 147–52.
  6. 6. Sebtalesy CY, Mathar I. Menopause reproductive health of older women. In: 2nd ed. 2019. p. 203–21.
  7. 7. Chen H, Li Y, Liu X, et al. Efficacy and safety of hormone replacement therapy combined with escitalopram in perimenopausal women: a randomized controlled trial. Front Psychiatry 2025;16:1554165.
  8. 8. Cramer H, Lauche R, Langhorst J, Dobos G. Yoga for anxiety: a systematic review and meta-analysis of randomized controlled trials. Depress Anxiety 2018;35:830-843.
  9. 9. Dennison, Paul E. GE. Complete Brain Gym Guidebook Brain Gymnastics. Jakarta: Grasindo. jakarta: Grasindo; 2018.
  10. 10. Ströhle A. Sports psychiatry: mental health and mental disorders in athletes and exercise treatment of mental disorders. Eur Arch Psychiatry Clin Neurosci 2019;269:485–98.
  11. 11. Utami NN, Mamesah M. The effect of online counseling using systematic desensitization techniques on students’ anxiety during presentations at SMPN 232 Jakarta’. J Guidance Counsel 2021;10:1.
  12. 12. Zsido AN, Teleki SA, Csokasi K, et al. Development of the short version of the Spielberger State-Trait Anxiety Inventory. Psychiatry Res 2020;291:113223.
  13. 13. Sukmawati NMH, Putra IGSW. Reliability of the Indonesian Version of the Pittsburgh Sleep Quality Index (PSQI) questionnaire in measuring sleep quality in the elderly. WICAKSANA, J Lingkung Pembang 2019;3:30-8.
  14. 14. Ren YJ LM. Effect of the information support method combined with yoga exercise on the depression, anxiety, and sleep quality of menopausal women. Psychiatr Danub 2020;266:223-22.
  15. 15. Saputra DRB. The effect of yoga on anxiety levels in pre-menopausal women (study on Lychel Gym Aerobics and Yoga, age 35–45 years, Surabaya). Health J 2016;6:115–23.
  16. 16. Cahyono KH. The effect of elderly gymnastics on sleep quality in the elderly in Lelayangan Village, East Ungaran District, Semarang Regency [Undergraduate thesis]. Semarang: Nursing Study Program, Ngudi Waluyo Health College; 2014.
  17. 17. Lee SB, Park SY, Jeon GS, Hong IK. Phytoestrogen extraction for relaxation of female menopause symptoms from natural products. Appl Chem Eng 2016;27:217-20.
  18. 18. Amila, Henny S. The effect of brain gymnastics on cognitive function and sleep quality in the elderly at the Rantang Medan Health Center. Mutiara Ners 2018;1:112-20.
  19. 19. Cramer H, Peng W LR. Yoga for menopausal symptoms - A systematic review and meta-analysis. Matur An Int J Midlife Heal Beyond 2018;109:13-25.
  20. 20. Fara YD, Pujiastuti SE, Hadisaputro S. Yoga increases the quality of sleep in menopause women. Indones J Med 2019;4:278–84.
  21. 21. Wang H, Liu Y, Kwok JYY, et al. The effectiveness of yoga on menopausal symptoms: a systematic review and meta-analysis of randomized controlled trials. Int J Nurs Stud 2025;161:104928.
  22. 22. Hao W, Fu C, Dong C, et al. Age at menopause and all-cause and cause-specific dementia: a prospective analysis of the UK Biobank cohort. Hum Reprod 2023;38:1746–54.
  23. 23. Wang WL, Chen KH, Pan YC, et al. The effect of yoga on sleep quality and insomnia in women with sleep problems: a systematic review and meta-analysis. BMC Psychiatry 2020;20:195.
  24. 24. Shree Ganesh, Subramanya P, M RR, Udupa V. Role of yoga therapy in improving digestive health and quality of sleep in an elderly population: A randomized controlled trial. J Bodyw Mov Ther 2021;27:692–7.
  25. 25. Khose R, Borkar DV. Effect of brain gym exercises on attention span and quality of sleep in menopausal women: a randomized clinical trial. Int J Multidiscip Res 2023;5:182-8.
  26. 26. Okechukwu CE, Masala D, D'Ettorre G, La Torre G. Moderate-intensity aerobic exercise as an adjunct intervention to improve sleep quality among rotating shift nurses. Clin Ter 2022;173:184-6.
  27. 27. Takemura N, Chia-Chin Lin P. Effectiveness of aerobic exercise and tai chi interventions on sleep quality in patients with advanced lung cancer. JAMA Oncol 2024;10:1291-2.
  28. 28. Alghosi M, Sharifi M, Rajamand N, et al. The effect of chronic yoga intervention on sleep quality in people with sleep disorders: a scoping review. Front Neurol 2025;16:1523456.
  29. 29. Yan J, Liu M, Tang H, et al. The effect of aerobic exercise on sleep disorders in menopausal women: a systematic review and meta-analysis. BMC Womens Health 2024;24:640.
  30. 30. Ozlu I, Ozturk Z, Ozlu ZK, Tekin E. The effects of progressive muscle relaxation exercises on the anxiety and sleep quality of patients with COVID-19: A randomized controlled study. Perspect Psychiatr Care 2021;57:1791-7.
  31. 31. Koldestam M, Brostr A, Petersson C, Knutsson S. Model for Improvements in Learning Outcomes (MILO): development of a conceptual model grounded in caritative caring aimed to facilitate undergraduate nursing students ’ learning during clinical practice (Part 1). Nurse Educ Pract 2021;55:1–9.
  32. 32. Qin F, Luo M, Xiong Y, et al. Prevalence and associated factors of cognitive impairment among the elderly population: A nationwide cross-sectional study in China. Front Public Heal 2022;10:1032666.
  33. 33. Arbianingsih A, Huriati H, Musnayni S, et al. Brain gym effectively reduces anxiety in school- and preschool-aged children in hospitals. J Keperawatan Indones 2021;24:140–8.
  34. 34. Wisuda AC, Sansuwito T bin, Suraya C. Impact of the ARIS Module (Anxiety and Depression Reduction through Islamic Spiritual Care) on patients with coronary heart disease. J Nurs Sci Res 2024;1:56–66.

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