A population‐based survey on the influence of the menstrual cycle and the use of hormonal contraceptives on sleep patterns in São Paulo, Brazil

Hachul, Helena; Andersen, Mônica Levy; Bittencourt, Lia; Santos-Silva, Rogério; Tufik, Sérgio

doi:10.1016/j.ijgo.2012.08.020

Cited by 28 publications

(30 citation statements)

References 25 publications

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“…Indeed, even though a number of studies have found no difference in terms of the subjective sleep quality between naturally cycling women and OC users [73,74], a modulation of sleep architecture by OC use has been shown [73-77]. Sleep alterations, such as a reduced sleep latency [77], and specifically a short REM sleep latency [31,74,76], a decrease in SWS [73-75] but an increase in stage 2 [73] and in REM sleep [77], reduced arousals and a tendency towards a better sleep efficiency [31,78] have been reported. Burdick and colleagues [77] reported that both depressed and healthy OC users had a shorter REM latency and less SWS than non-users.…”

Section: Discussionmentioning

confidence: 99%

The relationship between mood and sleep in different female reproductive states

et al. 2014

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BackgroundSleep is disrupted in depressed subjects, but it also deteriorates with age and possibly with the transition to menopause. The nature of interaction between mood, sleep, age and reproductive state is not well-defined. The aim of this study was to evaluate the relationship between mood and sleep among healthy women in different reproductive states.MethodsWe analyzed data from 11 younger (20–26 years), 21 perimenopausal (43–51 years) and 29 postmenopausal (58–71 years) healthy women who participated in a study on menopause, sleep and cognition. The 21-item Beck Depression Inventory (BDI) was administered to assess mood. Subjective sleep quality was assessed with the Basic Nordic Sleep Questionnaire (BNSQ). Objective sleep was measured with all-night polysomnography (PSG) recordings. Perimenopausal and younger women were examined during the first days of their menstrual cycle at the follicular phase.ResultsAmong younger women, less arousals associated with higher BDI total scores (p = 0.026), and higher SWS percentages with more dissatisfaction (p = 0.001) and depressive-somatic symptoms (p = 0.025), but with less depressive-emotional symptoms (p = 0.001). In specific, less awakenings either from REM sleep or SWS, respectively, associated with more punishment (p = 0.005; p = 0.036), more dissatisfaction (p < 0.001; p = 0.001) and more depressive-somatic symptoms (p = 0.001; p = 0.009), but with less depressive-emotional symptoms (p = 0.002; p = 0.003). In perimenopausal women, higher BNSQ insomnia scores (p = 0.005), lower sleep efficiencies (p = 0.022) and shorter total sleep times (p = 0.024) associated with higher BDI scores, longer sleep latencies with more depressive-somatic symptoms (p = 0.032) and longer REM latencies with more dissatisfaction (p = 0.017). In postmenopausal women, higher REM percentages associated with higher BDI total scores (p = 0.019) and more depressive-somatic symptoms (p = 0.005), and longer SWS latencies with more depressive-somatic symptoms (p = 0.030).ConclusionsDepressive symptoms measured with the total BDI scores associated with sleep impairment in both perimenopausal and postmenopausal women. In younger women, specific BDI factors revealed minor associations, suggesting that the type of sleep impairment can vary in relation to different depressive features. Our data indicate that associations between sleep and depressed mood may change in conjunction with hormonal milestones.

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Section: Discussionmentioning

confidence: 99%

The relationship between mood and sleep in different female reproductive states

et al. 2014

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“…Hormonal fluctuations characteristic of the female sex affect sleep patterns. 21 Progesterone increases the ventilatory drive and action of the dilator muscles of the upper airway, thereby acting as a protective factor in premenopausal women. 40,41 Postmenopausal women have increased incidence of OSAS, but it has been observed that hormone therapy (estrogen and progesterone) can act as a protective factor against OSAS and thus decrease the prevalence of the sleep disorder.…”

Section: Discussionmentioning

confidence: 99%

“…Perimenopausal women referred to those who had irregular menstrual cycles within the past year and FSH and LH concentrations no higher than 30 mIU/mL. 21 The postmenopausal group was defined by amenorrhea for more than 1 year or FSH and LH concentrations higher than 30 mIU/mL. This group was divided into EPM (in menopause for up to 5 y) and LPM (in menopause for 95 y), in accordance with the Stages of Reproductive Aging Workshop staging system.…”

Section: Clinical Assessmentmentioning

confidence: 99%

Waist circumference and postmenopause stages as the main associated factors for sleep apnea in women

et al. 2015

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OSAS is prevalent in postmenopausal women, especially in late postmenopause. This study highlights the association between waist circumference, early postmenopause and late postmenopause, and severity of OSAS. Our findings suggest that postmenopause stages may potentially exacerbate the presence of sleep disturbance and that reducing waist circumference may be an important strategy for managing OSAS in women.

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“…However, such menstrual changes may vary across individuals, methods and duration of use, complicating providers' task of adequately counseling contraceptive clients. [6] …”

Section: Physical Impact Of Contraception Menstrual Bleedingmentioning

confidence: 99%

Impact of Contraceptive Use Upon Women’s Health Status Attending Health Family Planning Centers in Kut City

Jumaa¹

2017

WJPR

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A population‐based survey on the influence of the menstrual cycle and the use of hormonal contraceptives on sleep patterns in São Paulo, Brazil

Abstract: The use of hormonal contraceptives was associated with a lower apnea-hypopnea index and a trend toward improved sleep efficiency. The current findings suggest that the use of hormonal contraceptives has a stronger association with sleep duration compared with menstrual cycle phase.

Cited by 28 publications

References 25 publications

The relationship between mood and sleep in different female reproductive states

The relationship between mood and sleep in different female reproductive states

Waist circumference and postmenopause stages as the main associated factors for sleep apnea in women

Impact of Contraceptive Use Upon Women’s Health Status Attending Health Family Planning Centers in Kut City

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