Examining the relationship between subjective sleep disturbance and menopause: a systematic review and meta-analysis

The purpose of this study was to conduct a systematic review and meta-analysis of the relationship between menopausal stages and sleep disturbance reported using subjective methods. Secondary aims included examining the influence of culture/ethnicity on the relationship between menopausal stages and...

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Veröffentlicht in:Menopause (New York, N.Y.) Jg. 21; H. 12; S. 1301
Hauptverfasser: Xu, Qunyan, Lang, Cathryne P
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States 01.12.2014
Schlagworte:
Aging
Asian People
Cross-Sectional Studies
Ethnicity
Female
Hispanic or Latino
Humans
Menopause
Middle Aged
Perimenopause - physiology
Postmenopause - physiology
Premenopause - physiology
Prevalence
Sleep Initiation and Maintenance Disorders - epidemiology
Sleep Initiation and Maintenance Disorders - ethnology
Vasomotor System - physiology
White People
ISSN:1530-0374, 1530-0374
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Zusammenfassung:The purpose of this study was to conduct a systematic review and meta-analysis of the relationship between menopausal stages and sleep disturbance reported using subjective methods. Secondary aims included examining the influence of culture/ethnicity on the relationship between menopausal stages and sleep disturbance. Multiple electronic databases were searched from the first available year to November 2013, and a manual search of the reference lists of review articles identified was also conducted. Twenty-four studies with a total of 63,542 midlife women were identified, coded, and analyzed. The crude and adjusted odds of experiencing sleep disturbance were small but statistically significant for perimenopausal and postmenopausal women, using premenopause as the reference group. The ethnicity of the samples influenced effect sizes; Asian and white women both experienced an increased rate of sleep disturbance at the perimenopausal and postmenopausal stages compared with the premenopausal stage, whereas Hispanic women experienced no change in sleep disturbance across the menopausal transition. The prevalence of sleep disturbance is higher in perimenopausal, postmenopausal, and surgical menopausal women than in premenopausal women. There is an independent relationship between menopausal stages and sleep disturbance beyond the effects of aging and other confounders, although the magnitude of the relationship is small. Culture, ethnicity, or both might affect the levels of sleep disturbance at various menopausal stages.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
ObjectType-Review-3
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ObjectType-Undefined-4
ISSN:1530-0374
1530-0374
DOI:10.1097/GME.0000000000000240