Women's sleep in health and disease

Dzaja, Andrea; Arber, Sara; Hislop, Jenny; Kerkhofs, Myriam; Kopp, Caroline; Pollmächer, Thomas; Polo‐Kantola, Päivi; Skene, Debra J.; Stenuit, Patricia; Tobler, Irene; Porkka‐Heiskanen, Tarja

doi:10.1016/j.jpsychires.2004.05.008

Cited by 178 publications

(110 citation statements)

References 215 publications

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“…One prevailing theory with strong supportive evidence is that sleep serves a restorative function for the brain and body. Chronic insufficient sleep is a risk factor for a variety of psychological [9][10][11][12][13], neurological [14][15][16][17][18][19] and neurodegenerative pathologies [16], as well as cardiovascular and metabolic dysfunctions [20][21][22][23][24]. More recent findings from clinical studies reveal that women suffering from sleep disturbances and insufficient sleep are at greater risk compared with men for mood disorders such as depression [25], as well as metabolic [26] and cardiovascular dysfunction [23,[27][28][29].…”

Section: Overview Of Sleepmentioning

confidence: 99%

“…The menopausal transition is a welldescribed indicator of poor sleep, with the increased prevalence of sleep difficulties. The loss of ovarian oestradiol production is most likely involved in the sleep disturbances since oestrogen replacement therapy is effective at alleviating the sleep disruptions during this period [1,13,65,84]. Juxtaposed to sleep disturbances in the absence of ovarian steroids is the increased risk for sleep disturbances in women that emerges at the time of puberty [63].…”

Section: (C) Sex Steroids Influence Sleepmentioning

confidence: 99%

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Sex differences in sleep: impact of biological sex and sex steroids

Mong

Cusmano

2016

Phil. Trans. R. Soc. B

359

268

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One contribution of 16 to a theme issue 'Multifaceted origins of sex differences in the brain'. Men and women sleep differently. While much is known about the mechanisms that drive sleep, the reason for these sex differences in sleep behaviour is unknown and understudied. Historically, women and female animals are underrepresented in studies of sleep and its disorders. Nevertheless, there is a growing recognition of sex disparities in sleep and rhythm disorders. Women typically report poorer quality and more disrupted sleep across various stages of life. Findings from clinical and basic research studies strongly implicate a role for sex steroids in sleep modulation. Understanding how neuroendocrine mediators and sex differences influence sleep is central to advancing our understanding of sleep-related disorders. The investigation into sex differences and sex steroid modulation of sleep is in its infancy. Identifying the mechanisms underlying sex and gender differences in sleep will provide valuable insights leading to tailored therapeutics that benefit each sex. The goal of this review is to discuss our current understanding of how biological sex and sex steroids influence sleep behaviour from both the clinical and pre-clinical perspective.

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Section: Overview Of Sleepmentioning

confidence: 99%

Section: (C) Sex Steroids Influence Sleepmentioning

confidence: 99%

Sex differences in sleep: impact of biological sex and sex steroids

Mong

Cusmano

2016

Phil. Trans. R. Soc. B

359

268

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“…Studies have shown pronounced gender differences in the occurrence of sleep disorders. 26,27 It has been suggested these differences in sleep, while subtle under baseline conditions, may increase in magnitude under biological or environmental challenges. 26,27 However, the role of food intake pattern in these differences is unknown, and further research should examine this relationship.…”

Section: Anthropometric Evaluationmentioning

confidence: 99%

Relationship between Food Intake and Sleep Pattern in Healthy Individuals

Crispim

Zimberg²,

Reis³

et al. 2011

Journal of Clinical Sleep Medicine

139

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Study Objectives: The purpose of this study was to analyze the relationship between food intake and sleep patterns in healthy individuals. Methods: Fifty-two healthy volunteers (27 women and 25 men) were recruited to participate in the study. Volunteers underwent sleep evaluation through nocturnal polysomnography and completed a 3-day food diary to evaluate food intake. Results S C I E N T I F I C I N V E S T I G A T I O N SO besity is becoming a worldwide epidemic. 1 The etiology of this disease is multifactorial; among the causes are changes in food intake, 2 life style, environment, 2,3 and genetics, 4,5 in addition to physiological 6 and psychological 7 infl uences and, more recently, alterations in sleep patterns. [8][9][10][11] Sleep curtailment has become common due to the demands and opportunities of modern society.12 Recent studies show that alterations in sleep time can infl uence various aspects associated with the nutritional and metabolic balance of the body, such as the control of body mass, 9,11 food intake, 10,13 glycemic levels, 14,15 and the levels of cholesterol and triacylglycerol. 16 Although some studies show that short duration sleep changes the food intake pattern and may cause obesity, 9-11 few studies have analyzed whether the opposite casual sequence also occurs; that is, if food intake promotes alterations in the sleep pattern. Indeed, studies that have examined this matter are controversial and use different methodologies. Some studies indicate an impairment of sleep quality when there is an excessive carbohydrate intake. 17,18 Driver et al.,19 however, comparing the effect of an evening meal on nocturnal sleep in seven healthy men, did not fi nd any effect. Therefore, this study proposes to analyze the correlation between habitual food intake and sleep patterns in healthy individuals. METHODS SampleFifty-two healthy volunteers (27 women and 25 men) between 19 and 45 years old took part in this study. The participants were young adults and were non-obese. They were sedentary and not taking medication. They were all nonsmokers and spent regular times in bed at night (7.5-8.5 h). The subjects did not suffer from sleep disturbances (apnea and hypopnea index [AHI] < 5, and periodic leg movements [PLM] during sleep were < 5, as assessed bRIEF SUMMARY Current Knowledge/Study Rationale: Few studies have analyzed if food intake promotes alterations in the sleep pattern. Therefore, the objective of this study was to analyze the correlation between habitual food intake and sleep patterns in healthy individuals. Study Impact: This study demonstrated that a higher food intake close to the sleeping period is associated with negative aspects of sleep patterns in healthy individuals, especially in women. However, this is an area poorly explored in the literature, and more studies are necessary to elucidate the real infl uence of food intake upon sleep.

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“…A meta-analysis of 29 published studies concluded that the overall risk ratio of insomnia was 1.41 for women compared to men (Zhang & Wing, 2006). Biological or physiological sex differences are often identified as explanations for women's higher levels of disturbed sleep (Chen, Kawachi, Subramanian, Acevedo-Garcia & Lee, 2005;Dzaja, Arber, Hislop, Kerkhofs, Kopp, Pollmacher et al, 2005;Manber & Armitage, 1999), and psychological explanations are also prevalent (Lindberg, Janson, Gislason, Bjornsson, Hetta & Boman, 1997). Women have higher levels of depression and anxiety, and research shows that individuals suffering from psychiatric disorders, such as depression and anxiety, have poorer quality sleep (Piccinelli & Wilkinson, 2000;Ustun, 2000).…”

Section: Introductionmentioning

confidence: 99%