绝经状态对不同人群睡眠质量的影响——一项叙述性综述

The influence of menopausal status on sleep quality in different populations - a narrative review.

作者信息

Skibiak Klaudia, Dębski Jan, Przybyłowski Józef, Walędziak Maciej, Różańska-Walędziak Anna

机构信息

Interdisciplinary Students Association of Metabolic and Systemic Diseases "Salus Aegroti", Medical Faculty, Collegium Medicum, Cardinal Stefan Wyszyński University, Warsaw, Poland.

Military Institute of Medicine, Warsaw, Poland.

出版信息

Prz Menopauzalny. 2025 Mar;24(1):53-65. doi: 10.5114/pm.2025.150450. Epub 2025 May 12.

Abstract

According to the World Health Organization, menopause occurs between 45-55 years old and is correlated with woman's family constitution, genetic and environmental factors, place of residence and ethnicity. Menopause is defined as no menstrual bleeding for 12 consecutive months without any pathological or pathophysiological or iatrogenic causes. Hormonal changes may lead to various sleep and mental disorders. Poor sleep quality, difficulty falling asleep or waking up during sleep are among the most important sleep disorders associated with insomnia. Without treatment, insomnia results in chronic daily fatigue, impaired concentration and depressive symptoms. The aim of this review was to conduct an analysis of available studies on the influence of menopausal status on the sleep quality. Cochrane and PubMed databases were searched for original articles, published in 2010-2023, which analyzed the correlation between menopausal status in women of different ethnic groups and their sleep quality. The analysis shows a correlation between the menopausal status and sleep quality, with different intensity in different populations. Most studies show that postmenopausal status is associated with insomnia and poor sleep quality. It is suggested that development of individualized healthcare strategies adjusted for cultural, social and psychological factors would be more effective for women from different populations.

摘要

根据世界卫生组织的定义,更年期发生在45至55岁之间,与女性的家族体质、遗传和环境因素、居住地及种族有关。更年期被定义为在没有任何病理、病理生理或医源性原因的情况下,连续12个月无月经出血。激素变化可能导致各种睡眠和精神障碍。睡眠质量差、入睡困难或睡眠中醒来是与失眠相关的最重要的睡眠障碍之一。未经治疗,失眠会导致慢性日常疲劳、注意力不集中和抑郁症状。本综述的目的是对关于更年期状态对睡眠质量影响的现有研究进行分析。在Cochrane和PubMed数据库中检索了2010年至2023年发表的分析不同种族女性更年期状态与其睡眠质量之间相关性的原始文章。分析表明更年期状态与睡眠质量之间存在相关性,在不同人群中的强度不同。大多数研究表明绝经后状态与失眠和睡眠质量差有关。建议针对不同人群的女性制定根据文化、社会和心理因素调整的个性化医疗保健策略会更有效。

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