Sleep disturbance in healthy middle-aged women
Sleep disturbance in healthy middle-aged women
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DOI：
10.1016/s0378-5122(98)00039-5
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发表时间：
1998-09-20
期刊：
影响因子：
4.9
通讯作者：
Matthews, KA
中科院分区：
文献类型：
--
作者：
Owens, JF;Matthews, KA
目的：本研究的目的是（a）描述健康中年妇女样本的睡眠模式，（B）描述报告睡眠障碍的中年妇女的心理、行为和生物学特征，（c）确定绝经状态变化对自我报告睡眠质量和数量的影响。方法：共521名不同绝经状态的妇女在临床环境中进行了评估。测量包括血压、身高、体重、腰臀比、自我报告的睡眠障碍、人口统计学和家庭特征、心理社会问卷、体力活动和营养摄入。首次访视时绝经前的女性在绝经后接受相同方案的评估。结果：共有42%的女性报告了某种类型的睡眠障碍。睡眠问题与焦虑、抑郁、压力、紧张和公众自我意识水平较高有关。入睡困难的女性收缩压和舒张压较高，腰臀比也较大。比预期早醒的女性收缩压和舒张压更高。在横断面分析中，睡眠障碍与绝经状态无关。在纵向分析中，从绝经前到绝经后状态的转变与选择不接受激素替代治疗的妇女的睡眠障碍显著增加有关。结论：中年女性存在较高程度的睡眠障碍。睡眠障碍与更糟糕的情绪、更高的血压和更高的腰臀比有关。在未接受激素替代治疗的妇女中，进入绝经后状态与睡眠模式的有害变化有关。(C)1998爱思唯尔科学爱尔兰有限公司保留所有权利。
Objectives: The objectives of the study were to (a) describe the sleep patterns of a sample of healthy middle-aged women, (b) to characterize the psychological, behavioral and biological profiles of middle-aged women who report sleep disturbance, and (c) to determine the influence of change in menopausal status on the quality and quantity of self-reported sleep. Methods: A total of 521 women of varying menopausal status were evaluated in a clinic setting. Measurements included blood pressure, height, weight, waist/hip ratio, and self-reported sleep disturbances, demographic and family characteristics, psychosocial questionnaires, physical activity and nutritional intake. The women who were premenopausal at this initial visit were later evaluated, in an identical protocol, when they became postmenopausal. Results: A total of 42% of the women reported some type of sleep disturbance. Trouble sleeping was associated with higher levels of anxiety, depression, stress, tension and public self-consciousness. Women with trouble falling asleep had higher systolic and diastolic blood pressures and greater waist/hip ratios. Women who woke earlier than desired had higher systolic and diastolic blood pressures. Sleep disturbance was independent of menopausal status in cross-sectional analyses. In longitudinal analyses, the transition from pre- to postmenopausal status was associated with a significant increase in sleep disturbance in women who chose to not take hormone replacement therapy. Conclusions: There is a high level of sleep disturbance in middle-aged women. Sleep disturbance is associated with worse mood, higher blood pressure and higher waist/hip ratios. Transition into postmenopausal status is associated with deleterious changes in sleep patterns among women who do not take hormone replacement therapy. (C) 1998 Elsevier Science Ireland Ltd. All rights reserved.