Sleep disorders in menopause: results from an Italian Multicentric Study

被引:0
作者
Fabbrini, Monica [1 ]
Arico, Irene [2 ]
Tramonti, Francesco [1 ]
Condurso, Rosaria [2 ]
Carnicelli, Luca [1 ]
De Rosa, Anna [1 ]
Di Perri, Caterina [2 ]
Bonsignore, Maria Rosaria [3 ]
Zito, Anna [3 ]
Russo, Giovanna [4 ]
Pagliarulo, Maria Giovanna [5 ]
Guarnieri, Biancamaria [6 ]
Cerroni, Gianluigi [6 ]
Mennuni, Gianfranco [7 ]
Della Marca, Giacomo [7 ]
Bonanni, Enrica [1 ]
Silvestri, Rosalia [2 ]
机构
[1] Univ Pisa, Dept Neurosci, Sleep Ctr, Pisa, Italy
[2] Univ Messina, Sleep Med Ctr, UOSD Neurophysiopathol & Movement Disorders, Messina, Italy
[3] Univ Palermo, Dept Med Pneumol Physiol & Human Nutr DIMPEFINU, I-90133 Palermo, Italy
[4] S Maugeri Fdn IRCCS, Sci Inst Telese, Telese Terme, Benevento, Italy
[5] S Maugeri Fdn IRCCS, Lab Neuropsicol, Telese Terme, Benevento, Italy
[6] Villa Serena Hosp, Sleep Ctr, Ctr Sleep Med, Citta S Angelo, PE, Italy
[7] Univ Cattolica Sacro Cuore, Dept Neurosci, Inst Neurol, Rome, Italy
来源
ARCHIVES ITALIENNES DE BIOLOGIE | 2015年 / 153卷 / 2-3期
关键词
RESTLESS LEGS SYNDROME; GENDER-DIFFERENCES; PRIMARY-CARE; DISTURBANCE; DEPRESSION; SYMPTOMS; INSOMNIA; WOMEN; APNEA; RISK;
D O I
暂无
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Menopause in the female life cycle is a special period due to important hormonal, physical and psychological changes. Sleep disruption represents a common complaint for midlife and menopausal women, related to primary sleep disorders, including insomnia, sleep disordered breathing, and restless legs syndrome (RLS), mood and anxiety disorder, other medical illness, hormonal-related vasomotor symptoms, and aging per se. Aims of our study were to evaluate the prevalence of sleep disorders in a sample of pre and post menopausal women, and to investigate the relationship between them and other medical disorders, and life habits. Among workers in the six participant centers, we enrolled 334 women, aged between 40 and 60 years, that completed a questionnaire included screening on menarche, menstrual cycle, fertility, parity, menopause, life habits, personal medical and sleep history and related treatment, and self-administered scales for sleep quality (PSQI), excessive daytime sleepiness [Epworth Sleepiness Scale (ESS)], mood disorder [Beck Depression Inventory (BDI)], Berlin Questionnaire for sleep disordered breathing (SDB), IRLS diagnostic interview and Rating Scale. Menopausal and perimenopausal women showed an increased prevalence of poor sleep, high risk of SDB, and mood disorder; menopausal women also reported increased RLS severity. Mood disorder had a significant impact on night sleep measures and excessive daytime sleepiness, as well as on RLS severity, and had a greater prevalence in hypertensive women. Sleep disturbances are frequent in menopausal status. Their aetiology is unclear, but probably multifactorial, and many factors contribute to the sleep disruption. Our data suggest the importance of correctly investigating and addressing sleep problems associated with menopause, through sleep history, possibly carring out a sleep study if clinically warranted. Pharmacological and behavioural treatment strategies should then be aimed to improve sleep and life quality in perimenopausal and menopausal women.
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