Background <p>The menopausal transition is associated with vasomotor, musculoskeletal, and psychological symptoms that significantly diminish women’s quality of life. As concerns over hormone therapy risks persist, exercise has emerged as a crucial non-pharmacological intervention. Despite a rapid proliferation of literature, a comprehensive macroscopic synthesis of global research trajectories and emerging hotspots remains lacking.</p> Objective <p>This study aims to map the evolving knowledge domain of exercise interventions for menopausal health from 2016 to 2025.</p> Methods <p>A comprehensive bibliometric analysis was conducted using publications retrieved from the Web of Science Core Collection and Scopus databases spanning from January 2016 to December 2025. Studies were included if they explored topics related to physical activity or exercise among perimenopausal and postmenopausal populations. Following rigorous screening, 5146 original articles were included.</p> Results <p>The volume of academic publications investigating the topic of exercise and menopause has increased steadily from 2016 to 2025. The United States, Australia, and Canada led the field in total citations and per-paper impact. co-citation clustering identified seven established research hotspots, focusing on resistance training for osteoporosis, aerobic exercise for symptom management, pelvic floor muscle training for urinary incontinence, and combined regimens for sarcopenia. Keyword burst analysis revealed five emerging frontiers: Pilates, cognitive behavioral therapy, neuromotor training, digital interventions, and balance ability, signaling a paradigm shift toward mind–body integration and technology-supported personalized care.</p> Conclusion <p>This bibliometric review delineates the global intellectual structure of exercise interventions for menopausal health. By highlighting the transition from traditional modalities to holistic and digitally enhanced strategies, these findings provide evidence-based guidance for optimizing individualized exercise prescriptions and directing future mechanistic and long-term clinical research.</p>

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A decade of research on exercise and menopause: a comprehensive bibliometric analysis and emerging hotspots (2016–2025)

  • Ziyi Yang,
  • Peichen Zhang,
  • Wenbing Yu

摘要

Background

The menopausal transition is associated with vasomotor, musculoskeletal, and psychological symptoms that significantly diminish women’s quality of life. As concerns over hormone therapy risks persist, exercise has emerged as a crucial non-pharmacological intervention. Despite a rapid proliferation of literature, a comprehensive macroscopic synthesis of global research trajectories and emerging hotspots remains lacking.

Objective

This study aims to map the evolving knowledge domain of exercise interventions for menopausal health from 2016 to 2025.

Methods

A comprehensive bibliometric analysis was conducted using publications retrieved from the Web of Science Core Collection and Scopus databases spanning from January 2016 to December 2025. Studies were included if they explored topics related to physical activity or exercise among perimenopausal and postmenopausal populations. Following rigorous screening, 5146 original articles were included.

Results

The volume of academic publications investigating the topic of exercise and menopause has increased steadily from 2016 to 2025. The United States, Australia, and Canada led the field in total citations and per-paper impact. co-citation clustering identified seven established research hotspots, focusing on resistance training for osteoporosis, aerobic exercise for symptom management, pelvic floor muscle training for urinary incontinence, and combined regimens for sarcopenia. Keyword burst analysis revealed five emerging frontiers: Pilates, cognitive behavioral therapy, neuromotor training, digital interventions, and balance ability, signaling a paradigm shift toward mind–body integration and technology-supported personalized care.

Conclusion

This bibliometric review delineates the global intellectual structure of exercise interventions for menopausal health. By highlighting the transition from traditional modalities to holistic and digitally enhanced strategies, these findings provide evidence-based guidance for optimizing individualized exercise prescriptions and directing future mechanistic and long-term clinical research.