Impaired sleep quality and mental health are associated with the severity of menopausal symptoms.

Physical activity and nutrition Pub Date : 2026-03-01 Epub Date: 2026-03-31 DOI:10.20463/pan.2026.0003
Jin Sakamoto, Saya Okamoto, Chao-An Lin, Kazushige Goto
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Abstract

Purpose: We compared sleep quality and mental health in healthy menopausal women and healthy young women. In addition, the impact of the severity of menopausal symptoms on each variable was determined.

Methods: Twenty menopausal women (MW; 49 ± 3 years) and 20 young women (YM; 20 ± 1 years) were recruited. Body composition, mental health scores (evaluated using the Center for Epidemiologic Studies Depression Scale [CES-D], the Depression Anxiety Stress Scale-21 [DASS-21], the School Form-8 [SF-8, health-related QOL]), and sleep score (evaluated using the Pittsburgh Sleep Quality Index [PSQI]) were assessed.

Results: Body composition did not significantly differ between the groups. In the MW group, the CES-D and DASS-21 scores were significantly higher. Also, PSQI scores were significantly higher, indicating impaired sleep quality. Moreover, women with more severe menopausal symptoms had significantly lower sleep quality and inferior mental stress (evaluated by DASS-21 [Stress]) than those with less-severe symptoms.

Conclusion: Sleep quality and mental health are negatively impacted by menopause, especially among those with severe symptoms.

睡眠质量和心理健康受损与更年期症状的严重程度有关。
目的:比较健康绝经期妇女和健康年轻妇女的睡眠质量和心理健康状况。此外,还确定了更年期症状严重程度对各变量的影响。方法:招募绝经期妇女(MW; 49±3岁)20例,青年妇女(YM; 20±1岁)20例。评估身体成分、心理健康评分(使用流行病学研究中心抑郁量表[CES-D]、抑郁焦虑压力量表-21 [DASS-21]、学校表格-8 [SF-8,健康相关生活质量])和睡眠评分(使用匹兹堡睡眠质量指数[PSQI])。结果:各组间体成分差异无统计学意义。MW组CES-D和DASS-21评分显著高于对照组。此外,PSQI得分明显较高,表明睡眠质量受损。此外,与症状较轻的女性相比,更年期症状较严重的女性睡眠质量明显较低,精神压力也较低(通过das -21 [stress]评估)。结论:绝经对睡眠质量和心理健康有负面影响,尤其是对症状严重的妇女。
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