Comparison of subjective and objective sleep quality in menopausal and non-menopausal women with insomnia

Xu, Min; Bélanger, Lynda; Ivers, Hans; Guay, Bernard; Zhang, Junjian; Morin, Charles M.

doi:10.1016/j.sleep.2010.09.003

Cited by 77 publications

(49 citation statements)

References 33 publications

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“…6 One study in patients with insomnia found worsening sleep architecture in peri-and postmenopausal women compared to premenopausal women. 10 The concentration of serum follicle-stimulating hormone (S-FSH) is considered as a marker of menopausal state. 11 Accordingly, an association between S-FSH concentration and sleep architecture has been evaluated in a few studies assessing the effect of menopause on sleep.…”

Section: Introductionmentioning

confidence: 99%

Sleep During Menopausal Transition: A 6-Year Follow-Up

Lampio¹,

Polo‐Kantola²,

Himanen³

et al. 2017

Sleep

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Study Objectives: Menopausal transition is associated with increased dissatisfaction with sleep, but the effects on sleep architecture are conflicting. This prospective 6-year follow-up study was designed to evaluate the changes in sleep stages and sleep continuity that occur in women during menopausal transition. Methods: Sixty women (mean age 46.0 years, SD 0.9) participated. All women were premenopausal at baseline, and at the 6-year follow-up, women were in different stages of menopausal transition. Polysomnography was used to study sleep architecture at baseline and follow-up. The effects of aging and menopause (assessed as change in serum follicle-stimulating hormone [S-FSH]) on sleep architecture were evaluated using linear regression models. Results: After controlling for body mass index, vasomotor, and depressive symptoms, aging of 6 years resulted in shorter total sleep time (B −37.4, 95% confidence interval [CI] −71.5 to (−3.3)), lower sleep efficiency (B −6.5, 95%CI −12.7 to (−0.2)), as well as in increased transitions from slow-wave sleep (SWS) to wakefulness (B 1.0, 95%CI 0.1 to 1.9), wake after sleep onset (B 37.7, 95%CI 12.5 to 63.0), awakenings per hour (B 1.8, 95%CI 0.8 to 2.8), and arousal index (B 2.3, 95%CI 0.1 to 4.4). Higher S-FSH concentration in menopausal transition was associated with increased SWS (B 0.09, 95%CI 0.01 to 0.16) after controlling for confounding factors. Conclusions: A significant deterioration in sleep continuity occurs when women age from 46 to 52 years, but change from premenopausal to menopausal state restores some SWS.

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Section: Introductionmentioning

confidence: 99%

Sleep During Menopausal Transition: A 6-Year Follow-Up

Lampio¹,

Polo‐Kantola²,

Himanen³

et al. 2017

Sleep

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“…similar result were obtained by Xu et al, where female respondents using Hrt did not reveal significantly better sleep than respondents not using Hrt. However, hormone level evaluation in a larger sample of women may become the subject of future studies [30]. studies conducted by saletu-zyhlarz et al revealed that the total amount of sleep and its efficacy increased after applying climodien and Estradiol, but they remained unchanged with the placebo.…”

Section: Discussionmentioning

confidence: 99%

Factors causing insomnia in postmenopausal women

Karpeta-Pawlak¹,

Wolińska²,

Mroczek³

2017

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A -study Design, B -Data collection, C -statistical analysis, D -Data Interpretation, E -Manuscript preparation, F -literature search, G -Funds collection Background. Insomnia is the most common sleep disorder among adult people. It causes tiredness, difficulties in focusing, loss of energy, increased sensitivity, and irritability. Insomnia may develop into a chronic sleep disorder which has a direct negative impact on the quality of life of the affected person and it limits their capabilities of functioning in society. Objectives. the study objective was to seek relationships between age, the use of Hrt, occurrence of depression symptoms and chronic conditions and insomnia in postmenopausal women. Material and methods. the study was conducted on 128 women, students of the University of the third age in stargard. the median age was 65 years and ranged from 47 to 82 years old. the study was conducted with the use of the Insomnia severity Index, the Beck Depression Inventory and the authors' own questionnaire. Results. Various degrees of insomnia were diagnosed in 69 women (53.91%). a statistically significant relationship was found between insomnia and age (x 2 = 27.48; p = 0.007), occurrence of depression (x 2 = 12.93; p = 0.005), and depression symptoms (x 2 = 81.86; p < 0.001). the study revealed no statistically significant relationship between insomnia and the use of Hrt, or the existence of chronic conditions. Conclusions. age and depression symptoms have a significant impact on the occurrence of insomnia. However, the use of Hrt or preexisting chronic conditions have no key influence on the occurrence of insomnia. Key words: insomnia, Insomnia severity Index (IsI), Beck Depression Inventory (BDI), chronic conditions, Hrt.

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“…E estudos demonstram uma diferença entre dados objetivos (obtidos com polissonografia) e subjetivos (questionários ou entrevistas) na mensuração de insônia em mulheres na menopausa 1,37,38 . Os resultados devem ser comparados com cautela, sempre observando as diferenças metodológi-cas, de amostra, definições de insônia e menopausa, utilizadas pelos diferentes estudos 39 .…”

Section: Discussionunclassified

Fatores psicossociais e socioeconômicos relacionados à insônia e menopausa: Estudo Pró-Saúde

et al. 2015

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Foi avaliada a associação entre menopausa e insônia e a influência de variáveis socioeconômicas e psicossociais, em estudo transversal com 2.190 funcionárias de uma universidade (Estudo Pró-Saúde), a partir de um questionário autopreenchível com variáveis sobre menopausa, insônia, transtorno mental comum, eventos de vida estressantes, apoio social e variáveis socioeconômicas. Odds ratios foram calculados por meio de regressão logística multivariada, com desfecho politômico. Após ajuste para potenciais confundidoras sociodemográficas, mulheres na menopausa há mais de 60 meses apresentaram maior chance de reportar queixas de sono frequentes (OR entre 1,53 e 1,86) do que as que estavam na menopausa há menos de 60 meses. Após os ajustes, no primeiro grupo, para as variáveis psicossociais, a magnitude dos ORs reduziu para 1,53 (IC95%: 0,92-2,52) para dificuldade em iniciar o sono, 1,81 (IC95%: 1,09-2,98) para dificuldade em manter o sono e 1,71 (IC95%: 1,08-2,73) para queixa geral de insônia. Fatores psicossociais podem mediar a manifestação da insônia em mulheres na menopausa.

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Comparison of subjective and objective sleep quality in menopausal and non-menopausal women with insomnia

Cited by 77 publications

References 33 publications

Sleep During Menopausal Transition: A 6-Year Follow-Up

Sleep During Menopausal Transition: A 6-Year Follow-Up

Factors causing insomnia in postmenopausal women

Fatores psicossociais e socioeconômicos relacionados à insônia e menopausa: Estudo Pró-Saúde

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