Prevalence of poor sleep quality during menopause: a meta-analysis.

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY

Sleep and Breathing Pub Date : 2024-08-15 DOI:10.1007/s11325-024-03132-y

Yu Jia, Zitong Zhou, Xuehua Cao

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Abstract

Purpose: Numerous researches have demonstrated that sleep quality deteriorates during menopause, but the prevalence rates vary between studies. The purpose of this meta-analysis was to determine the pooled prevalence of poor sleep quality during menopause and to explore potential moderators of discrepancies in prevalence between studies.

Methods: Web of Science, PubMed, PsycINFO and Embase databases were comprehensively searched from database creation to June 19, 2024. Studies were included if they focused on menopausal women and provided an estimate of the prevalence of poor sleep quality, which could be derived from the Pittsburgh Sleep Quality Index (PSQI).

Results: Totally, 37 studies with 29,284 menopausal women were included in the analysis. A meta-analysis based on a random-effects model revealed that the prevalence of poor sleep quality during menopause was 50.8% (95% CI: 45.4-56.3%). The PSQI score was 6.24 (95% CI: 5.73-6.75). Subgroup analyses indicated that cut-off values of PSQI, menopausal status, age range, depressive symptoms and geographic region moderated the prevalence of poor sleep quality. Meta-regression analyses indicated that quality score was negatively correlated with the pooled prevalence.

Conclusions: Poor sleep quality is a prevalent phenomenon among women during menopause. In light of the numerous adverse effects of poor sleep quality on menopausal women, it is of paramount importance to assess sleep quality on a regular basis and to implement effective interventions for menopausal women.

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更年期睡眠质量差的发生率：一项荟萃分析。

目的：大量研究表明，更年期期间睡眠质量会下降，但不同研究的患病率各不相同。本荟萃分析旨在确定更年期睡眠质量差的总体患病率，并探讨不同研究患病率差异的潜在调节因素：方法：全面检索了从数据库创建到 2024 年 6 月 19 日的 Web of Science、PubMed、PsycINFO 和 Embase 数据库。只要研究对象是更年期女性，并提供了根据匹兹堡睡眠质量指数（PSQI）得出的睡眠质量差患病率的估计值，就会被纳入研究：共有 37 项研究、29 284 名更年期妇女参与了分析。基于随机效应模型的荟萃分析显示，更年期睡眠质量差的发生率为 50.8%（95% CI：45.4-56.3%）。PSQI 得分为 6.24（95% CI：5.73-6.75）。亚组分析表明，PSQI 临界值、更年期状况、年龄范围、抑郁症状和地理区域对睡眠质量差的发生率有调节作用。元回归分析表明，睡眠质量得分与总体患病率呈负相关：结论：睡眠质量差是更年期妇女的普遍现象。鉴于睡眠质量差对更年期妇女的诸多不利影响，定期评估睡眠质量并对更年期妇女采取有效的干预措施至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.