Department of Midwifery and Reproductive Health, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Research Center for Prevention of Cardiovascular Diseases, Institute of Endocrinology & Metabolism, Iran University of Medical Sciences, Tehran, Iran.
BMC Womens Health. 2020 Aug 10;20(1):168. doi: 10.1186/s12905-020-01036-z.
This study aimed to compare the lifestyle factors and SQ between women with and without endometriosis. Also in this essay, the influence of food intake, socio-demographic and clinical characteristics on sleep quality of women with endometriosis was determined.
Of the 156 infertile women approached for the study, 78 women had endometriosis and 78 were included in the control group. At first, each participant completed a checklist including questions about demographics, physical activity, reproductive and menstrual status. SQ was assessed by the Pittsburgh Sleep Quality Index (PSQI). Dietary data were collected using a validated 147-item semi-quantitative FFQ.
Irregular menstrual status, menorrhagia, dysmenorrhea, pelvic pain, history of abortion, family history of endometriosis were associated with endometriosis risk (P < 0.05). In women with physical activity more than 3 h per week, high consumption of the dairy product, and fruit endometriosis is less common (P < 0.05). The total PSQI score, and the scores for subjective sleep quality, sleep latency, sleep disturbance domains were significantly different between the two groups (P < 0.05). In women with endometriosis, poor SQ was associated with dysmenorrhea, pelvic pain, dyspareunia, physical activity, and low consumption of the dairy product, fruit, and nut (p < 0.05).
In endometriosis women, SQ was lower than healthy individuals. Lifestyle factors can effect on SQ of these patients.
本研究旨在比较患有和不患有子宫内膜异位症的女性的生活方式因素和睡眠质量（SQ）。本文还确定了饮食摄入、社会人口学和临床特征对子宫内膜异位症女性睡眠质量的影响。
在本研究中，对 156 名不孕妇女进行了调查，其中 78 名妇女患有子宫内膜异位症，78 名妇女被纳入对照组。首先，每位参与者完成了一份清单，其中包括有关人口统计学、身体活动、生殖和月经状况的问题。使用经过验证的 147 项半定量 FFQ 收集饮食数据。
月经不规律、月经过多、痛经、盆腔痛、流产史、子宫内膜异位症家族史与子宫内膜异位症风险相关（P<0.05）。每周进行超过 3 小时的身体活动、大量食用乳制品和水果的女性患子宫内膜异位症的可能性较小（P<0.05）。两组之间的总 PSQI 评分以及主观睡眠质量、睡眠潜伏期、睡眠障碍域的评分存在显著差异（P<0.05）。在患有子宫内膜异位症的女性中，睡眠质量差与痛经、盆腔痛、性交痛、身体活动以及乳制品、水果和坚果摄入不足有关（p<0.05）。
在子宫内膜异位症女性中，睡眠质量低于健康个体。生活方式因素会影响这些患者的 SQ。
