A practical nutritional guide for the management of sleep disturbances in menopause

Laudisio, Daniela; Barrea, Luigi; Pugliese, Gabriella; Castellucci, Bianca; Savastano, Silvia; Colao, Annamaria; Muscogiuri, Giovanna

doi:10.1080/09637486.2020.1851658

Cited by 12 publications

(8 citation statements)

References 141 publications

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“…Interestingly, prolonged sleep restriction, such as sleep duration of less than 6.5 hours, has been associated with the increased consumption of high-calorie food and beverages rich in sugar. 9,67,68 Furthermore, insufficient sleep, sleep disturbances, and lower daytime functioning can be associated with sleepiness and fatigue which, in turn, may lead to reduced physical activity during the daytime. 69 Together, these factors seem to favor a situation where the energy consumption surpasses energy expenditure, hence promoting obesity and obesity-related complications.…”

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confidence: 99%

Short Sleep Duration and Its Association with Obesity and Other Metabolic Risk Factors in Kuwaiti Urban Adults

Al-Rashed¹,

Sindhu²,

Madhoun³

et al. 2021

NSS

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Background: Efficient sleep duration and its quality are increasingly recognized as important contributors for maintaining normal body weight. However, lifestyle and social structure within the Arab-gulf region differ compared to those in the western world. This study was specifically conducted in Kuwait's population to investigate the link between sleep quality (SQ) and obesity in the absence of sleep apnea (SA) onset. Methods: SQ was measured by the Pittsburgh Sleep Quality Index (PQSI) in 984 participants, then verified in 60 individuals including 20 lean (Body mass index/BMI: 18.5-24.9 kg/m 2 ), 20 overweight (BMI: 25-29.9 kg/m 2 ) and 20 obese (BMI: ≥30 kg/m 2 ) through actigraph worn over the right-hip for 7 consecutive days to characterize their sleep-wake cycle, rest-activity, and physical activity. Blood samples were collected for metabolic markers. Results: 59.6% of participants reported a PSQI score higher than 5, with 57.6% of the participants reporting less than 6 hours of sleep per day. The data show that both SQ and sleep duration are considered inadequate in comparison to the international SQ standards. We found a significant association between SQ and obesity independent of age and sex. Actigraph data further supported the independent association of sleep duration on BMI within the population (p < 0.001). Additionally, total sleep time (TST) was found to significantly correlate with several other metabolic factors including diastolic blood pressure, elevated resting heart rate (RHR), triglycerides, total cholesterol, homeostatic model assessment for insulin resistance (HOMA-IR), C-peptide, and C-Reactive Protein (CRP) secretion. Further multiple-regression analysis showed a significant independent association between blood pressure (p < 0.03), HOMA-IR (p < 0.04), and C-peptide (p < 0.3) and sleep duration. Conclusion: These findings suggest that sleep deprivation and disturbance could be indirect factors involved in the development of not only obesity in Kuwait but also other metabolic syndromes such as type 2 diabetes.

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confidence: 99%

Short Sleep Duration and Its Association with Obesity and Other Metabolic Risk Factors in Kuwaiti Urban Adults

Al-Rashed¹,

Sindhu²,

Madhoun³

et al. 2021

NSS

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“…Багато вчених пропонують використовувати мелатонін для лікування ожиріння [23,31,34], але досі немає розширених досліджень на користь такого підходу. Оптимізація доз мелатоніну, які слід надавати пацієнтам із різним ступенем ожиріння, дотепер залишається відкритим і дискусійним питанням.…”

Section: результати та їх обговоренняunclassified

The features of optimal nonhormonal therapy of vegetative disorders among women with postmenopause

Konkov

Таран

Rud

et al. 2022

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Objectives: to evaluate the clinical effectiveness of the Vitae-Melatonin in the complex treatment of vegetative disorders in postmenopausal women.Materials and methods. The 64 postmenopausal women who complained of vegetative disorders were included in our prospective study. Patients were divided into clinical groups. The first group consisted of 31 women who were prescribed a herbal preparation of Cimicifuga racemosa extract – 30 mg/day for 3 months. The second group included 33 patients who received in addition to the herbal medicine Vitae-Melatonin 3 mg/day every evening 2 hours before bedtime for 1 month. The clinical effectiveness of the therapy was assessed 1, 2 and 3 months after the start of treatment based on the dynamics of psychological disorders, somatic symptoms, vasomotor and sexual disorders, sleep problems and satisfaction with the therapy.Results. The use of herbal medicine containing Cimicifuga rhizome extract alone or in combination with Vitae-Melatonin in postmenopausal women significantly reduced the manifestations of vegetative disorders, including psychological and dyssomnia in a month from the start of therapy. After 3 months from the start of therapy, the advantage of combined therapy involving Vitae-Melatonin compared to the monotherapy of Cimicifuga rhizome was marked by a significant reduction of psychological disorders, somatic symptoms, vasomotor disorders and sleep problems (р = 0.003, р = 0.01, р = 0.02 and p = 0.015, respectively). Patient satisfaction with the combined therapy of vegetative disorders during the menopause compared to monophytotherapy was probably higher (risk ratio 1.63, 95% confidence interval 1.09–2.44, p = 0.018). There was no significant difference between the two research groups regarding side effects during and after the use of the drugs (p > 0.05).Conclusions. The use of Vitae-Melatonin at a dose of 3 mg/day in addition to phytotherapy in postmenopausal women had a clear clinical effect, which was a significant reduction of vegetative disorders, both compared to the initial indicators and in comparison with monophytotherapy. Results of the study showed the safety of melatonin, as well as the willingness of participants to continue using melatonin after 3 months of the treatment.

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“…Additional difficulties with sleep may present as the masters female athlete experiences menopause. Decreasing estrogen levels linked to increased levels of inflammatory cytokines along with declines in melatonin production contribute sleep disturbance in menopause (19). Nutritional management strategies may minimize sleep disturbance in masters female athletes through menopause.…”

Section: Flexibilitymentioning

confidence: 99%

“…Nutritional management strategies may minimize sleep disturbance in masters female athletes through menopause. Consumption of adequate protein, phytoestrogens, fish rich in omega-3, low glycemic index foods, and foods rich in fiber is recommended to support sleep during menopause (19). Key nutrition-related concerns for the masters athlete include the need for adequate energy and protein intake for mitigating muscle and bone loss that occur with aging.…”

Section: Flexibilitymentioning

confidence: 99%

Exercise Considerations for the Masters Female Athlete

Rothschild¹

2022

Strength &Amp; Conditioning Journal

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Female participation in sport as a masters athlete has grown considerably in recent years. Functional losses and physiological changes in the cardiovascular, musculoskeletal, and endocrine systems that occur with female aging require recognition and thoughtful exercise prescription. In working with this population, the strength and conditioning professional should be able to recognize the biology of aging, factors affecting recovery and performance, and application of appropriate training parameters to keep the female athlete in their sport while mitigating the effects of aging and maximizing performance. This special populations article outlines key age-related changes in the female athlete and presents comprehensive, practical training guidelines for this growing population.

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A practical nutritional guide for the management of sleep disturbances in menopause

Cited by 12 publications

References 141 publications

Short Sleep Duration and Its Association with Obesity and Other Metabolic Risk Factors in Kuwaiti Urban Adults

Short Sleep Duration and Its Association with Obesity and Other Metabolic Risk Factors in Kuwaiti Urban Adults

The features of optimal nonhormonal therapy of vegetative disorders among women with postmenopause

Exercise Considerations for the Masters Female Athlete

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