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Permalink: http://hdl.handle.net/1866/24060

Effects of menopause on sleep quality and sleep disorders : Canadian longitudinal study on aging

Article [Accepted Manuscript]
Microsoft Word
Revised Complete Version_No Highlight.docx (291.9Kb)
Under embargo until: 2021-02-28
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Is part of
Menopause ; vol. 27, no. 3, pp. 295-304.
Publisher(s)
Lippincott, Williams & Wilkins
2020-02-29
Author(s)
Zolfaghari, Sheida
Yao, Chun
Thompson, Cynthia
Gosselin, Nadia
Desautels, Alex
Dang-Vu, Thien Thanh
Postuma, Ronald B.
Carrier, Julie
Affiliation
  • Université de Montréal. Faculté des arts et des sciences. Département de psychologie
Keywords
  • Sleep initiation and maintenance disorders
  • Somnolence disorder
  • Rapid eye movement sleep behavior disorder
  • Restless legs syndrome
  • Obstructive sleep apnea
  • CLSA
Abstract(s)
OBJECTIVES:Sleep complaints are common during the menopause transition. However, it is difficult to disentangle changes in sleep related to aging from those directly due to menopause. We compared sleep disorders in 45 to 60-year-old women in a large population-based study, according to menopausal status. METHODS:Women aged between 45 and 60 years who self-reported menopausal status were selected from the Canadian Longitudinal Study of Aging, excluding those with prior hysterectomy. Participants completed assessments for overall sleep satisfaction, hours of daily sleep, sleep-onset insomnia, sleep-maintenance insomnia, daytime somnolence, rapid eye movement sleep behavior disorder (RBD), restless leg syndrome (RLS), and obstructive sleep apnea (OSA). Each sleep variable was compared between postmenopausal and pre/perimenopausal women using multivariate regression, adjusting for potential confounders. RESULTS:Among 6,179 women included, 3,713 (60.1%; age 55.7 ± 3.3 years) were postmenopausal and 2,466 (39.9%) were pre/perimenopausal (age 49.80 ± 3.1 years). Compared with pre/perimenopausal women, postmenopausal women were more often reported requiring ≥30 minutes to fall asleep (20.4% vs 15.5%; adjusted odds ratio [AOR] 1.24, 95% confidence interval [CI] 1.00-1.53) and were more likely to meet criteria for possible sleep-onset insomnia disorder (10.8% vs 7.3%; AOR 1.51, 95% CI 1.07-2.12). Postmenopausal women were also more likely to screen positive for OSA (14.6% vs 10.4%; AOR 1.48, 95% CI 1.14-1.92). The two groups did not differ on sleep dissatisfaction (32.4% vs 29%), daytime somnolence disorder (1.6% vs 1.3%), sleep-maintenance insomnia disorder (17% vs 14.5%), RLS (23.5% vs 20.9%), or RBD (3.9% vs 4.0%). CONCLUSIONS:Menopause is associated with increased sleep-onset insomnia. Postmenopausal women also are more likely to screen positive for OSA. However, menopausal status is not associated with sleep maintenance, somnolence, or RLS, and RBD. : Video Summary:http://links.lww.com/MENO/A501.
Other location(s)
https://doi.org/10.1097/GME.0000000000001462
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  • Faculté des arts et des sciences – Département de psychologie - Travaux et publications [161]

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