睡眠障碍和更年期症状:拉丁美洲对更年期后健康的观点
Eugenio E Arteaga1, Juan E Blümel2, María S Vallejo3
1Department of Endocrinology and CETREN, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Climacteric : the journal of the International Menopause Society
|August 13, 2025
概括
热和血管运动症状 (VMS) 在绝经后妇女中显著增加睡眠障碍的风险. 这些症状的严重程度与失眠的可能性和强度直接相关,影响整体幸福感.
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:
- 血管运动症状 (VMS),通常被称为热,是绝经期间普遍存在的投诉.
- 睡眠障碍,包括失眠,经常影响绝经后妇女,影响他们的生活质量.
研究的目的:
- 调查9个拉丁美洲国家的绝经后妇女热和失眠之间的关联.
- 为了确定VMS的严重程度是否与睡眠障碍的存在和严重程度相关.
主要方法:
- 一项涉及1185名绝经后妇女的横截面观察性研究.
- 收集的数据包括社会人口统计和临床信息.
- 使用詹金睡眠量表 (JSS-4) 评估睡眠障碍;使用更年期评分量表 (MRS) 评估更年期症状.
主要成果:
- 20.6%的女性报告睡眠障碍,与更长的绝经后持续时间,更高的BMI,吸烟,家庭主妇职业和并发性疾病有关.
- 睡眠障碍与VMS严重程度的比例增加 (p < 0.01).
- 多变量分析确定了VMS (OR 4.47),精神药物使用 (OR 1.84),肥胖 (OR 1.45) 和并发症 (OR 1.45) 作为与睡眠障碍相关的重要因素.
结论:
- 经历VMS的绝经后妇女更容易患上睡眠障碍.
- 静脉综合征的严重程度与睡眠障碍的发生率和严重程度成正比.
- 识别和管理VMS和相关因素,如肥胖和并发病,对于预防睡眠障碍在这个人群中至关重要.
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