Centro Italiano Per La Cura E Il Benessere del Paziente Con Obesità (C.I.B.O), Dipartimento Di Medicina Clinica E Chirurgia, Unit of Endocrinology, Federico II University Medical School of Naples, Via Sergio Pansini 5, 80131, Naples, Italy.
Dipartimento di Scienze Umanistiche, Università Telematica Pegaso, Via Porzio, Centro Direzionale, isola F2, 80143, Naples, Italy.
Curr Obes Rep. 2022 Dec;11(4):254-262. doi: 10.1007/s13679-022-00479-9. Epub 2022 Sep 2.
This review primarily provides an overview of the current evidence on chronotype (which reflects an individual's preference for the timing of sleeping, eating, and activity in a 24-h period) and sleep quality changes in obesity in postmenopausal women. It also explores possible nutritional strategies to manage these changes in this phase of a woman's life.
Menopause is a life stage frequently associated with sleep disturbances and changes in circadian rhythms. Sleep disturbances are one of the main symptoms of menopause and are caused by several factors such as hormonal changes, obesity, and melatonin reduction. In addition, the chronotype also changes following menopause. Nutritional strategies are essential because they could help manage menopausal sleep disturbances and circadian misalignment, particularly by tackling obesity and overweight. In the management of postmenopausal women, especially those experiencing obesity, careful assessment of sleep disturbances and chronotype and subsequent development of the most appropriate treatment, including nutritional management, should be part of the treatment routine.
本综述主要概述了目前关于时型(反映个体在 24 小时周期内对睡眠、进食和活动时间的偏好)和绝经后妇女肥胖中睡眠质量变化的证据。它还探讨了在女性生命的这个阶段管理这些变化的可能营养策略。
绝经期通常与睡眠障碍和昼夜节律变化有关。睡眠障碍是绝经的主要症状之一,由多种因素引起,如激素变化、肥胖和褪黑素减少。此外,绝经后时型也会发生变化。营养策略至关重要,因为它们可以帮助管理绝经相关的睡眠障碍和昼夜节律失调,特别是通过解决肥胖和超重问题。在绝经后妇女的管理中,特别是那些肥胖的妇女,仔细评估睡眠障碍和时型,并随后制定最合适的治疗方案,包括营养管理,应成为治疗常规的一部分。