Sleep Quality In Women Research Articles

The Relationship Between Postpartum Physical Symptom Severity and Sleep Quality in Women with Cesarean Section

The Relationship Between Postpartum Physical Symptom Severity and Sleep Quality in Women with Cesarean Section

Mindfulness-based stress reduction via mobile phone on female family caregivers' anxiety and sleep quality during COVID-19

Purpose This study aims to determine the effect of Mindfulness-Based Stress Reduction (MBSR) via mobile phone on female family caregivers during COVID-19. Design/methodology/approach In the experimental study, 81 female family caregivers were randomly divided into the experimental group (n = 40) and control group (n = 41). The experimental group received MBSR via mobile phone. Pittsburgh Sleep Quality Inventory and Generalized Anxiety Disorder Questionnaire - Seventh Edition were evaluated at the beginning of the study, week 3 and week 8, respectively. Findings In both groups, anxiety decreased over time, although the decrease in the experimental group was significantly higher than in the control group (F = 22.912 p < 0.001). Sleep quality improved slightly in both groups over time; this improvement in the experimental group was significantly more than in the control group (F = 3.751 p = 0.035). Originality/value The MBSR via mobile phone helps to reduce anxiety and improve sleep quality in women caring for isolated patients at home.

Investigating the association between hair progesterone, anxiety, sleep quality, and other determinants in South African females

BackgroundAnxiety symptoms and poor sleep quality are common in women. The role of sex hormones, particularly progesterone, in anxiety and sleep quality in women is understudied. Measurement of hair progesterone concentrations (HPC) is a promising method to investigate the effects of progesterone on anxiety symptoms and sleep quality in women. ObjectivesWe analysed sociodemographic, hair-related, and clinical factors associated with HPC and investigated the association between HPC and anxiety severity and sleep quality in a sample of 159 South African women (mean age: 46.5 years; range: 18-79 years). MethodsData were obtained from control participants from the SHARED ROOTS study. HPC were determined using an established liquid chromatography-tandem mass spectrometry (LC-MS/MS) method. Unadjusted and adjusted multiple linear regression models were used to investigate whether sleep quality, measured with the Pittsburgh Sleep Quality Index (PSQI), and anxiety, measured with the Spielberger State-Trait Anxiety Inventory (STAI), were associated with HPC. Significant sociodemographic, hair-related, and clinical factors were adjusted for. ResultsHPC was significantly associated with age, duration of sample storage, hormonal treatment, postmenopausal status, and the number of different types of trauma exposures in adjusted models. Neither anxiety severity nor sleep quality was significantly associated with HPC. ConclusionsCertain demographic, hair related, and clinical factors were associated with HPC and need to be considered in future research using HPC. Although anxiety and sleep were not associated with HPC, greater trauma exposure was associated with higher HPC, suggesting an association between severe stress and hypothalamic-pituitary-gonadal (HPG) axis functioning.

The Effect of Mindfulness-Based Counseling on Sleep Quality Women with a History of COVID-19 in Pregnancy

Background: During the COVID-19 outbreak, certain populations, including pregnant women, were particularly vulnerable. This increased susceptibility could lead to postnatal complications, including sleep disorders, which are common in the postpartum period. Objectives: To determine the effect of mindfulness-based counseling on sleep quality in women with a history of COVID-19 during pregnancy. Methods: This quasi-experimental study utilized a pre- and post-consultation design and included 100 women with a history of COVID-19 during pregnancy. Using convenience sampling, participants were randomly assigned to either an intervention group or a control group. Data were collected through a demographic questionnaire and the Pittsburgh Sleep Quality Index. The intervention group received eight weekly mindfulness-based counseling sessions, each lasting 45 minutes, conducted via social messenger by the researcher. Outcomes were assessed eight weeks after the final counseling session. Results: The two study groups were comparable in terms of demographic characteristics. In the intervention group, mean sleep quality scores improved from 7.28 ± 0.99 at the beginning to 4.28 ± 0.79 at the end of the study (95%CI: 2.18 to 3.81, MD = 3, P = 0.002). In the control group, scores changed from 6.94 ± 0.84 to 6.76 ± 0.71 (95%CI: - 0.20 to 0.33, MD = 0.18, P = 0.820). Comparing the groups after counseling, the intervention group had a mean sleep quality score of 4.28 ± 0.79, while the control group had 6.76 ± 0.71 (95%CI: 1.68 to 3.31, MD = 2.50, P < 0.001). Conclusions: Mindfulness-based counseling positively affected sleep quality in the intervention group. Utilizing existing social networking platforms for such interventions can effectively improve sleep quality in women.

Relationship between pain activity patterns, and physical and psychological aspects and sleep quality in women with migraine.

Migraine can cause different pain activity patterns. This cross-sectional study examines the relationship between pain activity patterns and physical and psychological aspects and sleep quality in women with migraine. Women diagnosed with migraine (n = 129) were reached through social media and announcements. Outcome measures were Pattern of Activity Measure-Pain (POAM-P) (avoidance, overdoing, pacing), Migraine Disability Assessment Scale (MIDAS), International Physical Activity Questionnaire-Short Form (IPAQ-SF), Depression Anxiety Stress Scale-21 (DASS-21), the Pittsburgh Sleep Quality Index (PSQI). While there was a negative correlation between the POAMP-avoidance and the IPAQ-SF rho = -0.178), there were positive correlations between the POAMP-avoidance and the MIDAS (rho = 0.454), the DASS-21-depression (rho = 0.413), the DASS-21-anxiety (rho = 0.321), and the DASS-21-stress (rho = 0.446). There were positive correlations between the POAMP-overdoing, and the DASS-21-depression (rho = 0.229), the DASS-21-stress (rho = 0.207), and the PSQI (rho = 0.217). There were also positive correlations between the POAMP-pacing and the MIDAS (rho = 0.283), the DASS-21-depression (rho = 0.250), and the DASS-21-anxiety (rho = 0.213) (p < .05). Pain activity patterns in women with migraines were associated with their disability, physical activity, psychological state, and sleep quality. Determining treatment based on pain activity patterns can improve migraine treatment outcomes.

Effects of a tailor-made yoga program on upper limb function and sleep quality in women with breast cancer: A pilot randomized controlled trial

PurposeUpper limb dysfunction and sleep disturbance are common and serious health problems in women with breast cancer. Yoga is a mind-body intervention which is shown to improve physical and psychological health. The aim of this study is to evaluate the effectiveness of a tailor-made yoga program on upper limb function and sleep quality in women with breast cancer. MethodsA pilot randomized controlled trial (RCT) study design was used. Participants were randomly allocated to either the yoga intervention group (YG; eight weekly 60-min group-based yoga sessions) or the wait-list control group (CG). The primary outcome measures were upper limb function and sleep quality, which were assessed by the self-reported questionnaires – the shortened version of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) and the Pittsburgh Sleep Quality Index (PSQI), respectively. The secondary outcome measures were upper limb muscle strength and mobility, heart rate variability (HRV), anxiety and depression, fatigue, and health-related quality of life. All participants underwent assessment at four time-points (baseline, mid-intervention, post-intervention, and 1-month follow-up). The effectiveness of the intervention was tested by two-way mixed-design repeated-measures analysis of covariance. ResultsFor the primary outcomes, there was no significant between-group difference in the upper limb function. The YG demonstrated significantly shorter sleep latency and higher HRV, and less sleep disturbance than the CG at post-intervention, and 1-month follow-up, respectively. For the secondary outcomes, the YG demonstrated significantly improved shoulder muscle strength and arm symptoms compared to the CG from mid-intervention until the 1-month follow-up. ConclusionThis pilot trial revealed that the yoga program was feasible to be implemented for women with primary stage breast cancer. Although yoga was not found to be effective in improving the upper limb function, it improved sleep latency, HRV, shoulder muscle strength and arm symptoms of women with breast cancer.

Evaluation of Prenatal Comfort, Sleep, and Quality of Life in Pregnant Women with Cholestasis: A Cross-Sectional Study.

Associated with adverse pregnancy outcomes, intrahepatic cholestasis of pregnancy is the most prevalent liver disease that women typically experience during pregnancy. This study aimed to evaluate prenatal comfort, sleep, and quality of life in pregnant women with cholestasis. This cross-sectional study was implemented between November 2022 and June 2023 at Mardin Training and Research Hospital with 150 pregnant women who received a diagnosis of pregnancy-induced intrahepatic cholestasis and agreed to participate. The following tools were utilized to collect data: A personal information form exploring socio-demographic and obstetric characteristics of participants, the Prenatal Comfort Scale (PCS), the Pittsburgh Sleep Quality Index (PSQI), and the World Health Organization Quality of Life-Brief Form (WHOQOL-BREF). The mean age of participants was 27.79 ± 6.33 years. The mean PCS and PSQI scores were 61.20 ± 5.84 and 9.52 ± 3.02, respectively. The mean scores of "physical health, psychological health, social relationships, and environmental health" sub-dimensions in WHOQOL-BREF were 10.63 ± 2.18, 10.48 ± 2.10, 11.31 ± 3.28, and 11.27 ± 2.10, respectively. A significant difference was found for PSQI regarding hospitalization status and change in sleep quality variables (p = 0.025 and p = 0.035, respectively). Cholestasis of pregnancy creates problems such as pruritus, body image changes, hospitalization, and poor sleep quality in women. This study showed that pregnant women with cholestasis had low levels of sleep quality and quality of life, implying that cholestasis affects their sleep quality, prenatal comfort levels, and quality of life in general. In addition, it is seen that women with this problem do not want to fall pregnant again.

Relationship Between Optional General and Regional Anesthesia Applied to Patients Undergoing Cesarean Section and Sleep Quality

Objective: This study aimed to explore the association between anesthesia type (spinal or general) administered during cesarean section and subsequent sleep quality in women. Methods: This study conducted from April to August 2023, it involved 150 pregnant participants evenly split between spinal and general anesthesia groups. Patient categorization was based on the type of anesthesia received. Data collection utilized a combination of a Demographic Information and Postpartum Period Survey form, along with the Postpartum Sleep Quality Scale (PSQS). Demographic and clinical details were gathered and compared between the two anesthesia groups. Results: Indicated a higher level of education among the spinal anesthesia group (p &amp;lt; .01). Significant differences were also observed between the groups concerning economic status and number of deliveries (p &amp;lt; .01 and p = .01, respectively). Interestingly, patients who underwent general anesthesia exhibited a notably higher total sleep score, demonstrating a statistically significant difference (p &amp;lt; .01). Weak but statistically significant positive correlations were found between age and number of deliveries, while a weak negative correlation was noted for economic status. Conclusion: Our results indicated that age and general anesthesia were the independent risk factors affecting postpartum sleep quality. Given the increasing trend of women giving birth at alate age, health professionals, particularly midwives, need to be aware of the increased risk of poor sleep quality and should provide suitable advice.

The yin and yang of two opponent processes of sleep-wake regulation: Sex-associated differences in the spectral EEG markers of the drives for sleep and wake

ABSTRACT Although objectively measured characteristics of sleep efficiency and quality were found to be better in women than men, women more frequently than men suffer from poor or insufficient or non-restorative sleep. We explored this apparent paradox by testing the sex-associated differences in electroencephalographic (EEG) indicators of two opponent processes of sleep-wake regulation, the drives for sleep and wake. We tried to provide empirical support for the hypothesis that a stronger women’s sleep drive can explain better objective characteristics of sleep quality in women than men, while a stronger women’s wake drive can be an explanation of a higher frequency of sleep-related complaints in women than men. To our knowledge, this was the first attempt to examine the associations of sex with scores on the 1st and 2nd principal components of the EEG spectrum that can serve as objective spectral EEG markers of the opponent drives for sleep and wake, respectively. The particular prediction was that, in women compared to men, not only the 1st principal component score but also the 2nd principal component score could be higher (i.e. both drives could be stronger). In a sample of 80 university students (40 females), the EEG signals were recorded during 160 afternoon napping attempts (50 min or longer). The difference between male and female students in sleep latencies did not reach a statistically significant level. In accordance with our prediction, both principal component scores were found to be higher in female than in male students irrespective of sleep stage. It is likely that the influence of the wake drive is entirely overlooked in the polysomnographic studies due to the predominant contribution of the indicators of the sleep drive to the conventional objective characteristics of sleep quality. Therefore, a stronger women’s sleep drive can be an explanation of women’s better sleep quality in the results of polysomnographic studies. On the other hand, if a stronger women’s wake drive can influence the perception of their sleep quality, this can explain their more frequent sleep-related complaints.

Associated lifestyle factors of elevated plasma aldosterone concentration in community population, gender-stratified analysis of a cross-sectional survey

BackgroundAldosterone plays important parts in development of cardio-metabolic diseases as end product of renin-angiotensin-aldosterone system. However, factors elevating circulating aldosterone are not clear, and lifestyle-related factors are suggested to be involved, whereas less studied. Therefore, we aimed to explore the association of lifestyle factors with plasma aldosterone concentration (PAC) in community population.MethodsIn this cross-sectional study, we recruited participants using multistage random sampling from Emin China in 2019, and collected data and fasting blood samples. The considered lifestyle factors included obesity parameters (neck circumference, abdominal circumference), alcohol consumption, blood pressure (BP), physical activity, sleep duration, sleep quality, mental state (depression and anxiety), fasting blood glucose (FBG), and lipid profiles (total cholesterol and triglyceride). PAC was measured using radioimmunoassay. We performed sex-stratified linear and logistic regressions to explore associated factors of PAC. Component analysis was further performed to identify the main factors affecting PAC.ResultsTwenty-seven thousand four hundred thirty-six participants with 47.1% men were included. Obesity parameters (neck circumference, abdominal circumference), glucose metabolism (FBG), psychological status (anxiety status in men and women, depression status in men), BP, liver function (in men), lipid metabolism (TC and TG in men), sleep parameters (sleep quality in women), and renal function (in women) are the main factors associated with elevated PAC.Conclusionlower physical activity, alcohol consumption, higher BP, fat accumulation, dyslipidemia, higher fasting blood glucose, and presence of depression and anxiety were the main factors associated with eleveated PAC.

Factors Associated with Poor Sleep Quality in Postpartum Women: A Crossectional Study.

Objective This study aimed to analyze the factors associated with poor sleep quality in women in the postpartum period who were assisted in a municipality in central Brazil. Material and Methods This is a cross-sectional study ( n = 400) conducted virtually from 2020 to 2021. Sociodemographic and clinical characteristics, self-perceived sleep, and the Pittsburgh Sleep Quality Index (PSQI) were assessed. Results It was identified that 82% of postpartum women were between 18 and 35-years-old and had an average monthly household income of R$2,339.27 ± 1,812.95. It was also found that 33.50% (95% CI: 28.7-38.0) had sleep disorders (PSQI >10); 70.25% (95%CI 65.8-74.8) had poor sleep quality (PSQI >5); 57.4% (95% CI: 52.0-63.1) had inadequate sleep on weekdays/workdays; and 64.1% (95% CI 59.3-69.2) had unsuitable sleep on weekends/days off. It was found that the factors associated with sleep disturbance were: age between <18 years and >35 years ( p = 0.048); difficulty to think clearly ( p = 0.043); frequent sadness ( p = 0.046); poor sleep quality; low income ( p = 0.030); difficulty to think clearly ( p = 0.013); and loss of interest in things ( p = 0.030). As for sleep on weekdays, the associated factors were: marital status without a partner ( p = 0.008); and being a victim of physical violence ( p = 0.003). Finally, for sleep on weekends/off: nonwhite skin-color ( p = 0.039); and having postpartum depression ( p = 0.029). Conclusion The findings of the present study call attention to the impacts of changes in women's bodies, behavior, and interpersonal relationships caused by the arrival of a newborn. We also highlight the need for a multidisciplinary and comprehensive medical approach in this period.

Sleep quality, perceived stress and associated factors in women undergoing IVF treatment: short-term longitudinal study.

Despite limited studies in the literature, it is hypothesised that lifestyle factors are modifiable habits that have an impact on couples' fertility health. However, the relationship between sleep quality and infertility is an area that needs to be clarified. To determine sleep quality and associated factors in women receiving in vitro fertilisation treatment and to evaluate the changes in sleep over the treatment cycle. This is a longitudinal descriptive study conducted on 158 women in two infertility centres in Izmir, Turkey. Data were collected using the Personal Introduction Form, Pittsburgh Sleep Quality Index, Visual Analogue Stress Scale, and Physical Symptoms List. Data were collected during three different treatment periods: beginning of the in vitro fertilisation trial, oocyte pick-up day and the postembryo transfer period. The sleep quality score of women progressively decreased as treatment progressed (p < .001). A strong positive correlation was determined between stress and sleep quality (p < .001). Additionally, advanced age, low education level, shift work, prolonged treatment and economic distress were associated with poorer sleep quality (p < .001). In addition, breast fullness, abdominal distension, and pain (p < .001) observed until the oocyte pick-up day, as well as nausea and fatigue during the postembryo transfer period (p < .001), were identified as physical symptoms affecting sleep quality. This article provides information on sleep quality during in vitro fertilisation and guides healthcare professionals to encourage and improve women's sleep quality.

Assessment of Sleep Quality in Spanish Twin Pregnancy: An Observational Single-Center Study.

Women with twin pregnancies experience greater sleep disturbance compared to women with singleton pregnancies. The aims of this study were to explore the sleep quality in women with twin pregnancies and to compare their sleep dimensions with coetaneous single pregnancies. This was an observational study in which women were enrolled at the end of pregnancy in the Obstetric Service of Hospital La Paz (Spain). The women were classified as single (n = 143) or twin pregnancy (n = 62). Pregnant women responded to the Pittsburgh Sleep Quality Index to evaluate sleep quality, latency, duration, efficiency, perturbance, use of medication, and daytime dysfunction. The higher the index, the greater the alteration of sleep quality. Without statistical differences, a poor sleep quality was higher in women with single (66.7%) than women with twin pregnancies (22.8%). The good sleeper slept 6.8 h/day in single pregnancy and 7.3 h/day in twin pregnancy. The sleep perturbation and dysfunctionality were higher in women with twin than single pregnancies. The use of medication to sleep was significantly lower in women with twin than single pregnancies. In women with twin pregnancy, the body weight gain during first trimester had a positive correlation with worse sleep quality and sleep perturbations. Twin pregnancy needed more than 7 h/day to have a high sleep quality, showing greater sleep perturbations and daytime dysfunction than single pregnancies. The control of gestational body weight can improve the sleep quality, disturbances, and duration in twin gestations. Sleep screening during pregnancy would be necessary to handle sleep issues and increase benefits in twin gestational outcomes.

Influence of Pelvic Floor Disorders on Sleep Quality in Women.

Pelvic floor disorders, the impact of their symptoms, and their association with sleep quality and sleep disorders is a little studied area. The aim of this study was to determine if an association exists between pelvic floor disorders in women and sleep disorders. An observational study was conducted among women in Spain during 2021 and 2022. A self-developed questionnaire was used to collect sociodemographic and employment data, previous medical history and health status, lifestyle and habits, obstetric history, and health problems. A validated questionnaire, the Pittsburgh Sleep Quality Index (PSQI), was used to assess the quality of sleep. The presence and impact of pelvic floor problems was assessed with the Pelvic Floor Distress Inventory (PFDI-20). Odds ratios (OR) and adjusted odds ratios (aOR) with their respective 95% confidence intervals were calculated using logistic regression. A total of 1396 women participated in the study. The total PSQI indicated that 75.36% (1052) of women have altered general sleep quality. Women with pelvic floor disorders have a higher probability of developing sleep alterations (aOR: 1.32; 95% CI: 1.22-1.42; for every 20 points). A high BMI (aOR: 1.04; 95% CI: 1.01-1.07; for each point) and the presence of musculoskeletal disorders (aOR: 3.14; 95% CI: 1.20-8.27) are also associated with sleep quality in women. Women with pelvic floor disorders are more likely to develop sleep disorders, probably due to all the discomfort they entail.

Maternal Sleeping Problems Before and After Childbirth - A Systematic Review.

The perinatal and postpartum period is of great significance for women due to physiological changes, shifts in circadian rhythms, social setting, and psychological well-being, all of which affect the quality and quantity of their sleep. A mixed-studies systematic review was undertaken to enhance our understanding of sleep disturbances and mood disorders in women in late pregnancy and the postpartum period, their connection with breastfeeding, and the assessment of interventions for sleep disturbance. Three electronic databases (PUBMED, EMBASE and Google Scholar) were searched for qualitative, observational, and mixed-method studies from the year 2016 to June 2023. Twenty-nine articles were included in the analysis. The results were synthesized into four overarching themes: (і) the sleep quality of women in the perinatal period; (ii) the relationship between sleep and breastfeeding; (iii) the relationship between sleep quality and emotional disturbance in the perinatal period; (iv) sleep interventions in the researched group. The subjective nature of the perception of sleep disturbances, along with the absence of an objective measurement tool is clearly an inconvenience. It is advisable to include the assessment of maternal sleep hygiene and family sleep patterns during postpartum healthcare provider appointments to develop strategies not only for women's sleep quality but also for their mental well-being.

Association of Diabetic Retinopathy and Sleep Quality

Sleep disorders are more common in diabetes mellitus (DM) cases rather than normal ones. In addition, this condition could be associated with diabetic retinopathy (DR) development with more inflammatory indices in circulation. In the present study, we have evaluated the association between DR and sleep quality. This cross-sectional study is a part of the second phase of the study of the elderly cohort of Amirkola City, which was conducted in 2015-2016 on all people aged 60 and higher. Of all diabetic cases, 44 cases had retinopathy and were selected as the case group. To compare two control groups, 135 diabetic patients without retinopathy and 135 people without diabetes were randomly selected. The presence and type of retinopathy were determined based on an eye physical examination by an ophthalmologist. In addition, sleep quality was evaluated based on the Pittsburgh Questionnaire. The obtained data were analyzed by ANOVA, t-test, and linear regression tests. In the present study, there was a significant difference in the score of the Pittsburgh questionnaire between people with DR (45.5±68.2) compared to diabetic people without retinopathy (76.5±48.2) and people without diabetes (95.4±36.2) (P=0.470), but diabetic people without retinopathy had significantly worse sleep quality than people without diabetes (P=0.019). Also, sleep quality in women with DR was worse than in men (P=014). In the linear regression analysis, it was observed that age, gender, diabetes, and history of depression significantly affect the sleep quality of the evaluated cases (P&lt;0.05 for all). According to the results of the present study, DR does not negatively influence the quality of sleep, and DR is not related to sleep disorders.

(104) Zzz’s and the Big O: Investigating the Impact of Orgasm on Sleep Quality in Women

Abstract Introduction Sleep quality and sexual satisfaction are contributors to overall well-being, yet little research has investigated the impact of orgasms on subsequent sleep quality in women. This study aims to address this gap by analyzing sleep data from the Fitbit Versa 3 and self-reported sexual encounters to determine if sleep quality improves following orgasm. This data can contribute to an overall understanding of the connection between sexual experiences and sleep quality and strategies to improve overall health. Objective The primary objective of this study was to investigate whether sleep quality following a sexual encounter with orgasm improves sleep in women using sleep data collected from the Fitbit Versa 3 and self-reported sexual encounters. Methods Sexually healthy women, aged 18 and above, wore Fitbit Versa 3 devices for a duration of 6 weeks. The participants transmitted encrypted and de-identified data through the Fitbit app, ensuring privacy and confidentiality. Weekly online surveys were conducted to record the number, timing, and type of sexual encounters reported by the participants as well as if orgasm was achieved. During sexual encounters, the Fitbit devices measured heart rate, which was normalized to the participants' resting heart rate. Additionally, sleep data including proprietary sleep efficiency scores from the Fitbit devices were collected over the entire study period. Orgasm was self-reported by participants after every sexual encounter. Results A total of 17 sexual encounters were documented within six weeks. 14 representative encounters with full sleep data from the night before, and sleep directly after orgasm were included. For all sexual encounters, sleep data from the Fitbit device for the corresponding night and the previous night were examined. Linear regression analysis was conducted to evaluate any changes in sleep quality during this period. The results revealed a positive trend between improvements in minutes slept (a 54% increase in minutes slept among women with orgasm compared to women without orgasm, R-squared = 0.2434, p = 0.073) as defined by Fitbit with orgasm compared to the night before, respectively. Conclusions The findings of this study suggest a positive correlation between orgasms and improvements in sleep quality, as indicated by increased minutes slept and enhanced sleep efficiency. These results contribute to our understanding of the potential benefits of sexual activity on subsequent sleep. Further research with a larger sample size and controlled variables is warranted to validate and expand upon these findings. These initial findings highlight the potential role of orgasms in promoting better sleep quality, underscoring the importance of considering sexual experiences in the context of overall sleep health. Disclosure No.

Comparative effects of aerobic, resistance, and combined exercises on depression and sleep quality in women with controlled hypothyroidism. A randomized controlled trial

Comparative effects of aerobic, resistance, and combined exercises on depression and sleep quality in women with controlled hypothyroidism. A randomized controlled trial

The Effect of Progressive Muscle Relaxation Exercises on the Sleep Quality of Menapause Women in the Kolaka Health Center Work Area

Menopause is the final phase of a woman's reproduction or it is said that the last menstruation experienced by a woman has a psychological impact, especially sleep disorders.. Four of five women who were surveyed stated that their sleep was often disturbed, especially when it was difficult to fall asleep and woke up feeling it was the middle of the night so they complained of blisters in the morning because the duration of sleep at night was around 4 o'clock. The purpose of this study was to analyze the quality of sleep of mothers before and after carrying out progressive muscle relaxation exercises. Quasy Experiment Method in one group pre test-post test design is the method used with a sample of 30 respondents. The quality of sleep before exercise and after exercise progressive muscle relaxation was measured using a questionnaire. Provision of progressive muscle relaxation exercises in accordance with Standard Operating Procedures (SOP). There were significant differences in the quality of sleep of mothers before and after progressive muscle relaxation exercises on sleep quality of postmenopausal women, namely sleep quality (p value 0.000), sleep latency (p value 0.000), efficiency (p value 0.000), sleep disturbance (p value 0.000), sleep disturbance (p value 0.000), value 0.001), and disturbed activity (0.005). Postmenopausal women's sleep quality improves after doing progressive muscle relaxation exercises is effective. It can be said that the application of progressive muscle relaxation exercises in menopausal women is very good so that the quality of sleep for menopausal women is of high quality.

Overnight Melatonin Concentration and Sleep Quality Are Associated with the Clinical Features of Polycystic Ovary Syndrome.

Circulating melatonin is elevated in women with polycystic ovary syndrome (PCOS); whether circadian disruptions coincide with sleep disturbances in women with PCOS or their symptom severity is unclear. The objective of this observational pilot study was to determine whether altered patterns of melatonin excretion are associated with reduced sleep quality in women with versus without PCOS. Participants underwent a clinical assessment, transvaginal ultrasound, and reproductive hormone testing. Morning and evening urine samples were assayed for urinary 6-sulfatoxymelatonin (MEL) as a proxy for melatonin production. The night (morning MEL)-to-day (evening MEL) ratio, or N:D ratio, was determined to approximate the rhythm of MEL production. Sleep quality and duration were assessed using the Pittsburgh Sleep Quality Index (PSQI) and wrist actigraphy. No differences were detected in overnight MEL, daytime MEL, or the N:D ratio in participants with PCOS versus controls. The PCOS group experienced reduced weekend sleep efficiency vs. controls (81% vs. 88% p < 0.05). The number of follicles per ovary (FNPO) was positively associated with overnight MEL (r = 0.359, p < 0.05). Weekend sleep time and overnight MEL concentrations were dependent on PCOS status. Therefore, diagnostic features of PCOS were associated with MEL production and sleep disturbances, suggesting that women with a more severe clinical presentation of PCOS may be more likely to experience altered MEL production or sleep disturbances.