School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China.
Department of Gynecology Nursing, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, 610072, China.
Sleep Breath. 2024 Dec;28(6):2663-2674. doi: 10.1007/s11325-024-03132-y. Epub 2024 Aug 15.
Numerous researches have demonstrated that sleep quality deteriorates during menopause, but the prevalence rates vary between studies. The purpose of this meta-analysis was to determine the pooled prevalence of poor sleep quality during menopause and to explore potential moderators of discrepancies in prevalence between studies.
Web of Science, PubMed, PsycINFO and Embase databases were comprehensively searched from database creation to June 19, 2024. Studies were included if they focused on menopausal women and provided an estimate of the prevalence of poor sleep quality, which could be derived from the Pittsburgh Sleep Quality Index (PSQI).
Totally, 37 studies with 29,284 menopausal women were included in the analysis. A meta-analysis based on a random-effects model revealed that the prevalence of poor sleep quality during menopause was 50.8% (95% CI: 45.4-56.3%). The PSQI score was 6.24 (95% CI: 5.73-6.75). Subgroup analyses indicated that cut-off values of PSQI, menopausal status, age range, depressive symptoms and geographic region moderated the prevalence of poor sleep quality. Meta-regression analyses indicated that quality score was negatively correlated with the pooled prevalence.
Poor sleep quality is a prevalent phenomenon among women during menopause. In light of the numerous adverse effects of poor sleep quality on menopausal women, it is of paramount importance to assess sleep quality on a regular basis and to implement effective interventions for menopausal women.
大量研究表明，睡眠质量在更年期期间会恶化，但研究之间的患病率存在差异。本荟萃分析的目的是确定更年期女性睡眠质量差的 pooled 患病率，并探讨患病率差异的潜在调节因素。
从数据库创建到 2024 年 6 月 19 日，全面检索了 Web of Science、PubMed、PsycINFO 和 Embase 数据库。如果研究侧重于更年期女性，并提供了睡眠质量差的患病率估计值，该值可以从匹兹堡睡眠质量指数（PSQI）中得出，则将其纳入分析。
共有 37 项研究纳入了 29284 名更年期女性。基于随机效应模型的荟萃分析表明，更年期睡眠质量差的患病率为 50.8%（95%CI：45.4-56.3%）。PSQI 得分为 6.24（95%CI：5.73-6.75）。亚组分析表明，PSQI 的截止值、绝经状态、年龄范围、抑郁症状和地理位置调节了睡眠质量差的患病率。元回归分析表明，质量评分与 pooled 患病率呈负相关。
睡眠质量差是更年期女性普遍存在的现象。鉴于睡眠质量差对更年期女性有许多不良影响，定期评估睡眠质量并为更年期女性实施有效的干预措施至关重要。
