Does the reproductive cycle influence sleep patterns in women with sleep complaints?

Does the reproductive cycle influence sleep patterns in women with sleep complaints?

Author Hachul, H. Autor UNIFESP Google Scholar
Andersen, M. L. Autor UNIFESP Google Scholar
Bittencourt, L. R. A. Autor UNIFESP Google Scholar
Santos-Silva, R. Autor UNIFESP Google Scholar
Conway, S. G. Autor UNIFESP Google Scholar
Tufik, S. Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Methods A total of 931 women who sought clinical assistance because of a sleep complaint were included in the investigation. All subjects filled out a sleep and gynecological questionnaire prior to undergoing a polysomnography (PSG) recording.Results Premenopausal women with an irregular menstrual cycle were more likely to report sleep difficulties (related to falling sleep and insomnia symptoms) than those with a regular cycle (odds ratio 2.1; 95% confidence interval 1.2-3.5). These women showed increased light sleep stages and awakenings. Premenstrual complaints were reported by a higher percentage of women with periodic leg movement, lower time in saturation under 90%, and higher sleep efficiency. A lower percentage of women who took hormonal contraceptives reported snoring, had fewer arousals and longer REM latency compared to those not taking hormonal contraceptives. Menopausal women with hot flushes had more restless leg complaints. Awake time was shorter in hormone therapy users compared with non-users. Women with menopause are more likely to have an apnea-hypoapnea index greater than 5/h.Conclusion the present findings suggest that gynecological status is associated with subjective sleep quality and objective sleep parameters in women with sleep complaints.
Language English
Sponsor Associacao Fundo de Incentivo a Psicofarmacologia (AFIP)
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Grant number FAPESP: 98/14303-3
Date 2010-12-01
Published in Climacteric. Abingdon: Taylor & Francis Ltd, v. 13, n. 6, p. 594-603, 2010.
ISSN 1369-7137 (Sherpa/Romeo, impact factor)
Publisher Taylor & Francis Ltd
Extent 594-603
Access rights Closed access
Type Article
Web of Science ID WOS:000284217700012

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