Menopause status is associated with circadian- and sleep-related alterations

Gómez-Santos, Cecilia; Saura, Cristina; Lucas, José Antonio Ros; Castell, Pedro; Madrid, Juan Antonio; Garaulet, Marta

doi:10.1097/gme.0000000000000612

Cited by 36 publications

(24 citation statements)

References 52 publications

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“…In this line, we have previously shown that sleep abnormalities are more common in old ages and they increase together with a loss of circadian robustness in menopausal women compared with premenopausal women. 46 Interestingly, we might provide tailor advice to severe obese women based in the results of our discriminant analyses which suggest that these women should try a) to schedule their physical activity in the morning hours and b) to go to bed earlier at night that they usually do in order to avoid tiredness. Both recommendations might help to decrease the propensity to severe obesity and reinforce the recommendation that clinicians should consider the individual chronotype to potentiate the effectiveness of the bariatric surgery.…”

Section: Discussionmentioning

confidence: 97%

Evening chronotype associates with obesity in severely obese subjects: interaction with CLOCK 3111T/C

et al. 2016

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Section: Discussionmentioning

confidence: 97%

Evening chronotype associates with obesity in severely obese subjects: interaction with CLOCK 3111T/C

et al. 2016

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“…Ref. [ 14 ] Loss of circadian robustness directly affects sleep quality. In summary, it has a vicious cycle that leads to menopause, increased cortisol secretion, loss of circadian rhythm, and insomnia.…”

Section: Discussionmentioning

confidence: 99%

Effect of Forest Therapy for Menopausal Women with Insomnia

Kim

et al. 2020

IJERPH

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Female hormone changes during menopause can affect the autonomic nervous system, circadian rhythm, and secretion of cortisol/melatonin, resulting in a vulnerability to insomnia. In this light, therapy has been gaining attention as a way to reduce stress hormones by stabilizing the autonomic nervous system. Thus, this study aims to objectively and scientifically analyze the impact of forest therapy in postmenopausal insomnia patients. The forest therapy program lasted 6 days, wherein 35 postmenopausal women performed activities such as trekking, leg massages, stretches, and bathing in warm and cold water. They also underwent serologic tests, participated in polysomnography (PSG), and answered sleep questionnaires before and after the program. Further, a statistical analysis compared the results. Serologic tests showed a significant reduction of cortisol from 10.2 ± 3.79 to 7.75 ± 2.81, while PSGs showed how sleep efficiency increased to 89.3 ± 4.3% (p < 0.01), and how waking after sleep onset reduced to 47.4 ± 22.3 min (p < 0.01). The total sleep time also increased to 428.5 min and sleep latency was 11.1 ± 11.0 min. Despite its limitations, forest therapy could be a good alternative to nonpharmacological treatment for mitigating insomnia in postmenopausal women.

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“…Postmenopausal women are also more likely to be phase-advanced by 1 h and are more likely to express a "morning" chronotype compared with premenopausal women. 93…”

Section: Vasomotor Symptoms and Sleepmentioning

confidence: 99%

Sleep in Women Across the Life Span

Pengo

Won

Bourjeily

2018

Chest

206

133

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There are many ways in which women experience sleep differently from men. Women contending with distinct sleep challenges respond differently to sleep disorders, as well as sleep deprivation and deficiency, and face particular health outcomes as a result of poor sleep. Idiosyncrasies, including changes that occur with the biological life cycles of menstruation, pregnancy, and menopause, make the understanding of sleep in women an important topic to study. Each phase of a woman's life, from childhood to menopause, increases the risk of sleep disturbance in unique ways that may require distinct management. Indeed, new research is unraveling novel aspects of sleep pathology in women and the fundamental role that sex hormones play in influencing sleep regulation and arousals and possibly outcomes of sleep conditions. Moreover, studies indicate that during times of hormonal change, women are at an increased risk for sleep disturbances such as poor sleep quality and sleep deprivation, as well as sleep disorders such as OSA, restless legs syndrome, and insomnia. This article reviews sleep changes in female subjects from neonatal life to menopause.

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Menopause status is associated with circadian- and sleep-related alterations

Abstract: Postmenopausal women exhibit loss of circadian robustness and an increase in sleep abnormalities compared with premenopausal women.

Cited by 36 publications

References 52 publications

Evening chronotype associates with obesity in severely obese subjects: interaction with CLOCK 3111T/C

Evening chronotype associates with obesity in severely obese subjects: interaction with CLOCK 3111T/C

Effect of Forest Therapy for Menopausal Women with Insomnia

Sleep in Women Across the Life Span

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