Postmenopausal women sleep longer than premenopausal counterparts, but are
less satisfied with the quality of their nap, say a new study, which blames
follicle stimulating hormone (FSH) for the effect.
The study showed that FSH change during menopause is linked with increased
objective sleep duration but poor subjective sleep quality.
In the study, researchers created sleep profiles for365 participants and
found that postmenopausal women had deeper sleep and longer total sleep time
than premenopausal women.
A faster rate of change in FSH was linked with slow wave sleep and sleep
duration, suggesting that as women transitioned more rapidly from an
endocrine perspective, they slept longer. On the other hand, FSH change was
associated with poorer self-reported sleep quality.
The findings indicated that women who are nearing the end of the menopause
cycle, as reflected by the decreasing ratio of estradiol to testosterone
, have more sleep consolidation, or uninterrupted sleep, than women who are
in the early stages of menopause.
Estradiol is a sex hormone that has a critical impact on reproductive and
sexual functioning.
Menopause is a four-to-10 year multifaceted process occurring in women at
mid-life and is linked with numerous factors that might trigger or
exacerbate sleep disturbances.
The results also show that women with higher testosterone (at levels that
are still considered to be normal), or who are close to the completion of
the transition process, have less sleep discontinuity, or waking after the
onset of sleep.
The cross-sectional sleep substudy utilized information obtained from the
Study of Women''s Health Across the Nation (SWAN) along with data collected
for a sleep-study profile from 365 Caucasian, African-American and Chinese
women. Besides, data was also gathered through objective in-home
polysomnography and subjective measures such as the Pittsburgh Sleep Quality
Index.
The study included a comprehensive analysis of sleep (a single sleep study
that lasted for three nights) nested within an ongoing longitudinal study
and was conducted at four of the seven SWAN clinical sites during 2003-2005.
The sleep study for the sleep profile began within seven days of the
beginning of the follicular phase of the menstrual cycle in premenopausal
women who were still menstruating. Polysomnography was conducted in the
homes of participants.
Source : the journal Sleep.