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@article{210112,
        author = {Sakshi Jadhav and dr. s. Anandh and vedika karmarkar and tanvi bhujbal},
        title = {Effects of Functional Agility-Based Training on Dynamic Stability, Flexibility, Core Endurance, and Quality of Life in Midlife Women Experiencing Climacteric Symptoms: A Systematic Review},
        journal = {International Journal of Innovative Research in Technology},
        year = {2026},
        volume = {13},
        number = {5},
        pages = {4210-4221},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=210112},
        abstract = {The climacteric period, encompassing the perimenopausal and postmenopausal years, is accompanied by a decline in oestrogen levels that adversely affects neuromuscular control, postural stability, joint flexibility, trunk muscle endurance, and overall well-being. Functional agility training, which integrates multidirectional movement, dynamic balance challenges, coordination, and core-engaging tasks, has been proposed as a comprehensive, non-pharmacological strategy to counter these age- and hormone-related declines. Objective: To systematically review and critically appraise the available evidence on the effectiveness of functional agility training on dynamic balance, flexibility, core muscle endurance, and quality of life (QOL) among climacteric women. Methods: The review was conducted and reported in accordance with the PRISMA 2020 guidelines. Six electronic databases (PubMed, Scopus, Google Scholar, ScienceDirect, Web of Science, and PEDro) were searched for studies published between January 2010 and July 2026. Only randomised controlled trials and cross-sectional studies involving perimenopausal, menopausal, or postmenopausal women that examined functional, agility-based, core-stabilisation, or related exercise interventions, or their observational correlates, were eligible. Randomised controlled trials were appraised using the Cochrane Risk-of-Bias 2 (RoB 2) tool, and cross-sectional studies were appraised using the AXIS tool. Thirteen studies (nine randomised controlled trials and four cross-sectional studies) satisfied the eligibility criteria. Results: Functional and agility-based training programmes — including combined aerobic-strength training, dynamic neuromuscular stabilisation, core stabilisation exercise, and Pilates — consistently improved dynamic balance, functional flexibility, core/trunk muscular endurance, and QOL scores in climacteric women. Cross-sectional evidence corroborated these findings, showing consistent positive associations between habitual physical activity, functional fitness, and well-being. All nine trials were rated as having “some concerns” on RoB 2, principally owing to the inherent difficulty of blinding participants and assessors in exercise-based interventions, while the cross-sectional studies showed generally good methodological quality on AXIS, with minor concerns regarding sample representativeness and non-response bias. Conclusion: Functional agility training is a safe and effective non-pharmacological intervention for improving dynamic balance, flexibility, core muscle endurance, and quality of life among climacteric women. Multicomponent, functionally oriented exercise programmes should be considered a key element of preventive and rehabilitative care for women transitioning through menopause, although larger trials with standardised protocols and longer follow-up are still needed.},
        keywords = {Functional agility training; dynamic balance; flexibility; core muscle endurance; quality of life; climacteric women; menopause; systematic review.},
        month = {October},
        }