绝经过渡期日间嗜睡增加的相关因素，通过 Epworth 嗜睡量表评估。

Factors related to increased daytime sleepiness during the menopausal transition as evaluated by the Epworth sleepiness scale.

机构信息

Academic and Research Department, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Guayaquil, Ecuador.

出版信息

Maturitas. 2010 Jan;65(1):75-80. doi: 10.1016/j.maturitas.2009.11.003. Epub 2009 Nov 27.

DOI:10.1016/j.maturitas.2009.11.003

PMID:19945237

Abstract

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.

摘要

背景

睡眠障碍和睡眠呼吸暂停/低通气综合征在女性中非常常见，在许多情况下被误诊。无论年龄大小，更年期都会导致睡眠质量差和白天嗜睡，从而导致生活质量下降、生产力和功能降低。

目的

使用 Epworth 嗜睡量表 (ESS) 评估中年厄瓜多尔女性的白天嗜睡和相关危险因素。

方法

在这项横断面研究中，对 149 名年龄在 40-59 岁的女性进行了热潮红存在和强度的评估，使用了更年期评定量表 (MRS)，并要求她们填写 ESS 和一份包含个人和伴侣数据的问卷。

结果

被调查女性的平均年龄为 47.6±5.5 岁，67.8%的人受教育程度不足 12 年，33.6%处于绝经后状态，2.7%正在接受激素治疗。10.1%的人是当前吸烟者，20.8%的人久坐不动。根据 MRS（项目 1），51.7%的女性出现热潮红，其中 42.8%的女性热潮红严重至非常严重。关于伴侣（n=132），10.6%的人存在勃起功能障碍，6.1%的人存在早泄，17.4%的人存在酗酒。平均总 ESS 得分为 8±4.4（中位数为 8），33.6%的人被认为存在一定程度的白天嗜睡（ESS 得分≥10）。Logistic 回归分析确定，绝经后状态（OR 6.58，95%CI [2.51-17.23]，p=0.001）、久坐不动（OR 3.43，95%CI [1.14-10.26]，p=0.02）和热潮红的存在（OR 2.61，95%CI [1.02-6.65]，p=0.04）是女性白天嗜睡（ESS 总分≥10）的危险因素，而伴侣的忠诚降低了这种风险（OR 0.47，95%CI [0.24-0.90]，p=0.02）。