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

Polesel, Daniel Ninello; Hirotsu, Camila; Nozoe, Karen Tieme; Boin, André Campiolo; Bittencourt, Lia; Tufik, Sérgio; Andersen, Mônica Levy; Hachul, Helena

doi:10.1097/gme.0000000000000406

Cited by 49 publications

(27 citation statements)

References 63 publications

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“…al. 16 , this study used repeated measures that allow regression modeling to control for time-invariant personal characteristics that could bias a cross-sectional association. One notable different between these studies and ours is that the magnitude of the associations found in this analysis were substantially smaller.…”

Section: Discussionmentioning

confidence: 99%

“…More rigorous studies accounting for both age and body habitus have yielded conflicting results, with some showing an association independent of age, 13–16 and others showing no association. 17 Among population-based epidemiologic studies, only one prior investigation 13 has followed the same women through different menopausal stages.…”

Section: Introductionmentioning

confidence: 99%

“…using data from the Wisconsin Sleep Cohort found a smaller estimated association between menopause and SDB severity (compared to participants in premenopause, odds ratios of 1.66 for perimenopause, 3.22 for postmenopause, and 2.82 for undetermined peri-postmenopause) than was suggested by studies that used cross-sectional data. 14,16 This discrepancy may be a result of study design, as the longitudinal studies were able to control for time-invariant factors intrinsic to each participant whereas the cross-sectional studies are limited to comparing difference across different women. However the Young et.…”

Section: Introductionmentioning

confidence: 99%

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Sleep-disordered breathing and the menopausal transition among participants in the Sleep in Midlife Women Study

et al. 2017

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Objective Menopause is widely believed to be an established cause of sleep disorders, but evidence for this theory is inconclusive. Attributing any sleep problem to normal processes of menopause may lead to underdiagnosis of treatable sleep disorders in midlife women. This study uses detailed longitudinal data on sleep and menopausal health from participants in the Sleep in Midlife Women Study to investigate whether risk and severity of sleep-disordered breathing increase with progression through menopause, accounting for changes in age and body habitus. Methods 219 participants age 38-62 years were recruited from participants in the Wisconsin Sleep Cohort study. Menopausal status was determined from daily diaries in which participants reported menstrual flow, hot flashes, and use of hormonal medications. Each participant underwent in-home polysomnography studies every six months, to measure the apnea-hypopnea index (N=1,667 studies). Linear models with empirical standard errors were fit for logarithm of apnea-hypopnea index on menopausal status and years in menopause, adjusting for age, BMI, waist girth and neck girth. Results Compared to participants in premenopause, apnea-hypopnea index was 21% higher among participants in perimenopause (95% Confidence Interval [-4, 54]), 31% higher among participants in postmenopause ([2, 68]), and 41% higher among participants whose menopausal stage could not be distinguished between peri- and postmenopause ([8, 82]). Among women who had begun perimenopause, each additional year in menopause was associated with 4% greater AHI ([2,6]). Conclusions Progression through menopause is associated with greater SDB severity. This association is independent of aging and changes in body habitus.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sleep-disordered breathing and the menopausal transition among participants in the Sleep in Midlife Women Study

et al. 2017

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“…По мере по-степенного снижения уровня половых гормонов защита ослабевает, и в менопаузе распространенность СОАС у мужчин и женщин уже сопоставима. В недавнем популя-ционном исследовании показано, что по мере увеличения продолжительности менопаузы риск нарушений дыхания во сне действительно резко возрастает [12].…”

Section: синдром апноэ во снеunclassified

The diagnosis and treatment of sleep disorders: Role of melatonin

Burchakov¹

2015

Ross. vestn. akush.-ginekol.

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“…Post menopause stages and waist size are correlated with the severity of OSA. Reducing the circumference of the waist can reduce OSA symptoms [98]. Postmenopausal women can be diagnosed with a very common condition called polycystic ovary syndrome (PCOS), which causes high androgen levels, low estrogen levels, and is correlated with OSA [99].…”

Section: Femalesmentioning

confidence: 99%

Urological Manifestations of Obstructive Sleep Apnea Syndrome: A Review of Current Literature

Dagur¹,

Warren²,

Ambroise³

et al. 2015

Transl Biomed

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Sleep apnea syndrome is a common health issue that is frequently found in patients with obesity associated cardiovascular and respiratory disorders. Patients with sleep apnea suffer from hypoxia during sleep, resulting in metabolic dysfunction of various organ specific symptoms. Obstructive sleep apnea syndrome results in critical psychological symptoms, which include depression and suicidal tendencies. Sleep apnea syndrome carries significant morbidity and mortality that is frequently ignored by healthcare providers. A high percentage of sleep apnea patients suffer from genitourinary symptoms, such as frequency, nocturia, erectile dysfunction, enuresis, and overactive bladder. Current concepts of sleep apnea, as related to urological health issues, are discussed to facilitate treatment options of sleep apnea syndrome. Current literature is reviewed related to genitourinary symptoms.

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

Cited by 49 publications

References 63 publications

Sleep-disordered breathing and the menopausal transition among participants in the Sleep in Midlife Women Study

Sleep-disordered breathing and the menopausal transition among participants in the Sleep in Midlife Women Study

The diagnosis and treatment of sleep disorders: Role of melatonin

Urological Manifestations of Obstructive Sleep Apnea Syndrome: A Review of Current Literature

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