更年期血管运动症状严重程度与睡眠和工作障碍的关联:美国调查
Barbara DePree1, Aki Shiozawa2, Deanna King2
1From the Women's Specialty Care, Holland Hospital, Holland, MI.
概括
严重的血管运动症状显著扰乱睡眠,降低更年期妇女的工作生产力. 症状严重程度增加与睡眠质量差和白天更大的睡眠障碍相关.
科学领域:
- 生殖医学 生殖医学
- 睡眠医学 睡眠医学
- 职业健康 职业健康 职业健康
背景情况:
- 血管运动症状 (VMS) 是绝经期间常见的投诉.
- 这些症状经常扰乱睡眠,影响日常功能,包括工作生产力.
- 静脉肌痛综合症的严重程度与特定的睡眠和生产力结果之间的关系需要进一步阐明.
研究的目的:
- 评估更年期血管运动症状的严重程度与睡眠质量的相关性.
- 评估血管运动症状严重程度对工作生产力的影响.
- 调查VMS严重程度与睡眠障碍和睡眠障碍之间的相关性.
主要方法:
- 进行了一项在线调查,对619名绝经前和绝经后的美国女性 (40-65岁) 进行了调查.
- 参与者根据VMS严重程度 (轻度,中度,严重) 进行分类,使用更年期评分表.
- 经过验证的问卷评估了睡眠障碍 (PROMIS睡眠障碍8b),睡眠相关障碍 (PROMIS睡眠相关障碍8a),睡眠质量 (PSQI) 和工作生产力 (WPAI).
主要成果:
- 较大的VMS严重程度与睡眠障碍的增加有关 (轻度,中度,重度VMS的PROMIS T分数分别为53.5,57.3,59.8;P<0.001).
- 绝大多数女性报告VMS影响睡眠 (90.8%) 并导致生产力变化 (83.1%).
- 静脉肌痛综合征的严重程度与睡眠质量差,存在主义,缺席主义和整体工作损害正相关.
结论:
- 更年期血管运动症状的严重程度增加与更大的睡眠障碍和障碍有关.
- 更糟糕的VMS严重程度导致睡眠质量下降,白天功能和工作生产率显著下降.
- 这些发现强调了VMS对妇女生活质量和职业表现的重大影响.
相关概念视频
Insufficient Sleep and Sleep Deprivation
171
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
171
Substance Use Disorders Affecting Sleep
196
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
196
Menopause
200
Menopause, a natural biological process marking the end of a woman's fertility, typically occurs between the fifth and sixth decade of life. This phase is characterized by the exhaustion of the ovarian follicle pool, leading to less responsive ovaries despite the high levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). The consequential decrease in estrogen production results in symptoms like hot flashes, heavy sweating, headaches, hair loss, muscle pains, vaginal...
200
Assessment of the Cardiovascular System I: Subjective Data
366
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
366
Management of Insomnia
281
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
281
Sedatives and Hypnotics Drugs: Miscellaneous Agents
202
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
202


