Abstract
BackgroundThis 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.MethodsOf 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.ResultsIrregular 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).ConclusionIn endometriosis women, SQ was lower than healthy individuals. Lifestyle factors can effect on SQ of these patients.
Highlights
This study aimed to compare the lifestyle factors and Sleep quality (SQ) between women with and without endometriosis
The total Pittsburgh Sleep Quality Index (PSQI) score (P < 0.001) and the scores for the subjective sleep quality (P = 0.002), sleep latency (P < 0.001), sleep disturbance (P < 0.001) domains were significantly different between women with and without endometriosis
Our results showed that scores of subjective sleep quality, sleep latency and sleep disturbance subscales were significantly less in patients than healthy women
Summary
This study aimed to compare the lifestyle factors and SQ between women with and without endometriosis. Some of the studies introduced that the appearance of endometriosis has been developed by hormonal and immunological mechanisms, genetic and inflammatory processes, as well as environmental and lifestyle factors [5]. Available evidence on the effect of lifestyle-related factors such as physical activity, nutritional status, body mass index, smoking, and SQ on endometriosis is controversial [1, 6,7,8,9]. Some studies depicted the anti-estrogenic activity of cigarette has a protective effect on endometriosis, others suggested that cigarette with an impact on pro-inflammatory gene overexpression can trigger inflammation [6, 7]
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