绝经期间睡眠质量差的流行:一个元分析
Yu Jia1, Zitong Zhou1, Xuehua Cao2
1School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China.
Sleep & breathing = Schlaf & Atmung
|August 15, 2024
概括
睡眠质量差影响了更年期妇女的一半. 这次元分析确定了影响睡眠质量变化的因素,强调需要定期评估和干预,以改善更年期健康.
科学领域:
- 生殖医学 生殖医学
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 经常报告说,更年期期间睡眠质量会下降.
- 现有研究表明,更年期妇女报告的睡眠质量差的患病率存在相当大的差异.
- 了解真正的流行率和影响因素对于有针对性的干预至关重要.
研究的目的:
- 进行元分析以确定更年期妇女睡眠质量差的综合流行率.
- 识别潜在的调节因子,解释不同研究中流行率的差异.
主要方法:
- 在主要数据库 (Web of Science,PubMed,PsycINFO,Embase) 进行了系统的文献搜索,截至2024年6月.
- 如果这些研究专注于更年期妇女,并报告睡眠质量差的流行情况,通常使用匹兹堡睡眠质量指数 (PSQI),则将研究纳入.
- 一个随机效应模型被用于元分析,用子组和元回归分析来探索调节者.
主要成果:
- 分析包括37项研究,涉及29,284名绝经妇女.
- 在更年期期间睡眠质量差的综合患病率为50.8% (95% CI: 45.4-56.3%).
- 诸如PSQI截止值,更年期状态,年龄,抑郁症状和地理区域等因素显著降低了患病率. 研究质量与患病率有负相关性.
结论:
- 睡眠质量不佳是绝经过渡的女性的一个非常普遍的问题.
- 定期评估睡眠质量和实施有效的干预措施是必不可少的,因为这些干预措施对更年期妇女的健康有重大不良影响.
- 进一步的研究可能将重点放在基于已识别的缓解因素的改进干预措施上.
相关概念视频
01:28Menopause
146
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...
146
01:13Insufficient Sleep and Sleep Deprivation
138
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...
138
01:27Insomnia
81
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
81
01:24Primary Motives: Sleep, Sex, and Pain Avoidance
520
Primary motives such as sleep, sex, and pain avoidance are crucial drivers of behavior in humans and animals. These motives ensure survival, reproductive success, and overall well-being by prompting actions that meet essential bodily needs.
Sleep is a fundamental physiological drive that fosters a state of restfulness crucial for several bodily functions. It facilitates body restoration, the process by which the body repairs, rejuvenates, and maintains itself during sleep, including memory...
Sleep is a fundamental physiological drive that fosters a state of restfulness crucial for several bodily functions. It facilitates body restoration, the process by which the body repairs, rejuvenates, and maintains itself during sleep, including memory...
520
01:11Understanding Sleep
224
Sleep, an essential biological state, involves significant reductions in physical activity, sensory awareness, and interaction with the environment. This complex physiological process is primarily regulated by specific brain regions, notably the hypothalamus and pons, which govern the sleep-wake cycle or circadian rhythm.
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
224
01:17Sedatives and Hypnotics Drugs: Miscellaneous Agents
163
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...
163