痛经妇女睡眠特征与散发性无排卵风险的关系

IF 1.7 4区 医学 Q2 BIOLOGY
Chronobiology International Pub Date : 2025-04-01 Epub Date: 2025-03-31 DOI:10.1080/07420528.2025.2481165
Joshua R Freeman, Brian W Whitcomb, Elizabeth R Bertone-Johnson, Louise M O'Brien, Galit L Dunietz, Alexandra C Purdue-Smithe, Keewan Kim, Robert M Silver, Enrique F Schisterman, Sunni L Mumford
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引用次数: 0

摘要

很少有研究评估睡眠特征,包括社交时差,与排卵功能障碍的关系,排卵功能障碍可能是生育能力低下和代谢健康状况不佳的一个指标。我们的目的是评估包括睡眠时间、睡眠类型、社交时差、睡眠潜伏期、夜间醒来和轮班工作在内的睡眠特征是否与经期妇女的无排卵风险相关。参与者有流产史和规律的月经周期,但没有不孕史。典型的睡眠特征是在基线时自我报告的。研究人员跟踪调查了参与者的受孕周期或长达6个月经周期。使用生育监测数据和生殖激素浓度来评估无排卵。我们使用具有对数泊松分布的广义估计方程来估计相对风险(RR)。该研究已在clinicaltrials.gov注册(NCT00467363)。睡眠时间、社交时差、睡眠潜伏期和夜间觉醒与无排卵无关。较晚的睡眠类型与更大的无排卵风险相关(第三比第二比较位RR: 1.33, 95% CI: 1.05-1.68;RR: 1.05 (95% CI 1.00-1.11)。轮班工作的RR为1.14 (95% CI: 0.90-1.46),夜班工作的RR为1.22 (95% CI: 0.98-1.52)。这些结果表明,较晚的睡眠类型和潜在的轮班工作可能与月经周期功能障碍有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sleep characteristics in association with risk of sporadic anovulation among eumenorrheic women.

Few studies have evaluated sleep characteristics, including social jetlag, with ovulatory dysfunction, which may be an indicator of subfertility and poor metabolic health. Our objective was to evaluate whether sleep characteristics, including sleep duration, chronotype, social jetlag, sleep latency, nocturnal awakenings, and shift work, were associated with risk of anovulation among eumenorrheic women. Participants had a history of pregnancy loss and regular menstrual cycles, but no history of infertility. Typical sleep characteristics were self-reported at baseline. Participants were followed up to the cycle of conception or up to six menstrual cycles. Fertility monitor data and reproductive hormone concentrations were used to assess anovulation. We used generalized estimating equations with log-Poisson distributions to estimate relative risks (RR). The study is registered at clinicaltrials.gov (NCT00467363). Sleep duration, social jetlag, sleep latency, and nocturnal awakenings were not associated with anovulation. Later chronotype was associated with greater anovulation risk (3rd vs. 2nd tertile RR: 1.33, 95% CI: 1.05-1.68; per 1-hour increase RR: 1.05 95% CI 1.00-1.11). The RR for rotating work was 1.14 (95% CI: 0.90-1.46) and for night shift work was 1.22 (95% CI: 0.98-1.52). These results suggest that later chronotype and potentially shift work may be related to menstrual cycle dysfunction.

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来源期刊
Chronobiology International
Chronobiology International 生物-生理学
CiteScore
5.60
自引率
7.10%
发文量
110
审稿时长
1 months
期刊介绍: Chronobiology International is the journal of biological and medical rhythm research. It is a transdisciplinary journal focusing on biological rhythm phenomena of all life forms. The journal publishes groundbreaking articles plus authoritative review papers, short communications of work in progress, case studies, and letters to the editor, for example, on genetic and molecular mechanisms of insect, animal and human biological timekeeping, including melatonin and pineal gland rhythms. It also publishes applied topics, for example, shiftwork, chronotypes, and associated personality traits; chronobiology and chronotherapy of sleep, cardiovascular, pulmonary, psychiatric, and other medical conditions. Articles in the journal pertain to basic and applied chronobiology, and to methods, statistics, and instrumentation for biological rhythm study. Read More: http://informahealthcare.com/page/cbi/Description
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