Document Detail


Factors related to increased daytime sleepiness during the menopausal transition as evaluated by the Epworth sleepiness scale.
MedLine Citation:
PMID:  19945237     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Sleep disorders and sleep-apnea/hypopnea syndromes are very frequent in women, being misdiagnosed in many cases. The menopause, regardless of age, is associated to poor sleep quality and daytime sleepiness that can lead to impaired quality of life, and reduced productivity and functioning. OBJECTIVE: To assess daytime sleepiness and related risk factors among middle aged Ecuadorian women using the Epworth Sleepiness Scale (ESS). METHODS: In this cross-sectional study 149 women aged 40-59 years were assessed for hot flush presence and intensity using the Menopause Rating Scale (MRS) and requested to fill out the ESS and a questionnaire containing personal and partner data. RESULTS: Mean age of surveyed women was 47.6+/-5.5 years, with 67.8% having less than 12 years of schooling, 33.6% being postmenopausal, and 2.7% on hormone therapy. A 10.1% were current smokers and 20.8% were sedentary. According to the MRS (item 1) 51.7% presented hot flushes, which were graded as severe-very severe in 42.8% of cases. Regarding the partner (n=132), erectile dysfunction was present in 10.6%, premature ejaculation 6.1% and 17.4% abused alcohol. Mean total ESS score was 8+/-4.4 (median 8), with 33.6% considered having some degree of daytime sleepiness (ESS score >or=10). Logistic regression analysis determined that postmenopausal status (OR 6.58, CI 95% [2.51-17.23], p=0.001), sedentarism (OR 3.43, CI 95% [1.14-10.26], p=0.02) and hot flush presence (OR 2.61, CI 95% [1.02-6.65], p=0.04) among women were risk factors for increased daytime sleepiness (ESS total score >or=10) whereas partner faithfulness decreased this risk (OR 0.47, CI 95% [0.24-0.90], p=0.02). CONCLUSION: Increased daytime sleepiness in this middle aged series was related to female (hormonal status and sedentarism) and partner factors; several which are susceptible of intervention.
Authors:
Peter Chedraui; Faustino R P?rez-L?pez; Marcela Mendoza; Mar?a L Leimberg; Mar?a A Mart?nez; Varinia Vallarino; Luis Hidalgo
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-11-27
Journal Detail:
Title:  Maturitas     Volume:  65     ISSN:  1873-4111     ISO Abbreviation:  Maturitas     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-01     Completed Date:  2010-02-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7807333     Medline TA:  Maturitas     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  75-80     Citation Subset:  IM    
Affiliation:
Academic and Research Department, Hospital Gineco-Obst?trico Enrique C. Sotomayor, Guayaquil, Ecuador. pchedraui@jbgye.org.ec <pchedraui@jbgye.org.ec>
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MeSH Terms
Descriptor/Qualifier:
Adult
Analysis of Variance
Confidence Intervals
Cross-Sectional Studies
Disorders of Excessive Somnolence / diagnosis*,  epidemiology*
Ecuador / epidemiology
Female
Humans
Logistic Models
Menopause*
Middle Aged
Odds Ratio
Polysomnography
Prevalence
Psychometrics
Questionnaires*
Regression Analysis
Reproducibility of Results
Severity of Illness Index
Sleep Stages
Women's Health*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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