Sleep In Women Research Articles

Relationship Between High Frequency Component of Heart Rate Variability and Delta EEG Power During Sleep in Women With Irritable Bowel Syndrome Compared to Healthy Women.

To explore the relationship between the high frequency (HF) heart rate variability (HRV) and electroencephalogram (EEG) delta band power in women with irritable bowel syndrome (IBS) versus healthy control women. Twenty women with IBS and twenty healthy controls were studied over three consecutive nights using polysomnography in a sleep laboratory. To avoid the first night effect, only second-night data were analyzed. Power spectral analysis was applied to HRV and EEG recordings. The linear system coherence/phase analysis assessed the relationship between normalized HF power of HRV and normalized delta band power of EEG during the first four NREM-REM sleep cycles. Women with IBS exhibited a significantly higher percentage of NREM sleep, higher normalized HF, lower normalized low frequency (LF) and decreased LF/HF ratio of HRV in the first four NREM-REM sleep cycles compared to controls. Additionally, their normalized delta band power was significantly lower in these sleep cycles and over the whole night. The phase shift between HF and delta band power was significantly longer in the IBS group. While the coherence between normalized HF and normalized delta band power was lower in the IBS group, the difference was not statistically significant. The coherence/phase analysis showed a dysregulated interaction between autonomic and central nervous systems in women with IBS, manifested by increased lag time between cardiac and EEG delta band power compared to healthy controls. Whether this dysregulation contributes to the pathophysiology of IBS remains to be determined.

Altered sleep and diurnal consequences in women with dysmenorrhea: study from the EPISONO database.

Our study aimed to identify alterations in sleep, inflammatory mediators, fatigue and quality of life in women with dysmenorrhea and compare them to women without dysmenorrhea. The sample comprised 328 women from a Brazilian cross-sectional sleep study, EPISONO (2007), who had undergone 1-night polysomnography (PSG) type I and completed questionnaires related to sleep quality, daytime sleepiness, insomnia, fatigue, anxiety, depression, and quality of life. Blood samples were used to assess levels of interleukin 6 (IL-6), tumor necrosis factor-alpha (TNF-alpha), and C-reactive protein (CRP). The 2 groups were distributed based on the presence or absence of dysmenorrhea symptoms. Sleep efficiency was significantly lower in the group of women with dysmenorrhea (82.5% ± 13.8) compared to the non-dysmenorrhea group (86.2% ± 10.9). Dysmenorrhea was associated with significantly higher scores of fatigue and worse scores in the physical quality of life. No statistical differences were detected in inflammatory markers between the 2 groups. Fatigue and physical quality of life were presented in women with dysmenorrhea, as was reduced sleep efficiency, although no alteration on inflammatory markers were observed. These findings show that dysmenorrhea can have a deleterious effect on women's sleep, with repercussions on daily routines and quality of life.

Exploring the Link Between Women's Sleep, Daily Rhythms, and Mental Health in Women Across Different Stages of Life

This research article delves into the intricate connection between women's sleep behaviors, daily rhythms, and mental well-being across different stages of life. Utilizing a comprehensive literature review and empirical data analysis, it examines how variations in sleep quality, circadian preferences, and mental health outcomes manifest in women from adolescence through adulthood and into older age. The study sheds light on the nuanced interactions between these factors and offers insights into potential interventions to promote better sleep hygiene and mental health support tailored to women's specific life stages.

The consequence of 12 weeks of Pilates exercise on the quality of sleep and life of pregnant women

Aim: As one of the most critical periods in women's lives, pregnancy affects their physical, mental, and functional conditions. These changes can affect the quality of life and sleep of pregnant women. The main purpose of this study is to investigate the effect of Pilates exercises on 140 young pregnant women between the ages of 20-40. Methods: This randomized double-blind clinical trial study was done between September 2023 and March 2024, including 60 pregnant women in case group and 90 control subjects of similar age and body mass index (BMI). This study investigated the effect of 12 weeks of pilates exercises on the quality of women's sleep and life. Quality of life was measured by the short-form 36 (SF-36) and quality of sleep by the Pittsburgh Sleep Quality Index (PSQI). People were randomly divided into intervention and control groups. Pregnant women in the intervention group were required to participate in two pilates sessions per week for 12 weeks from the 20th week of pregnancy. Results: Our results found that quality of life levels were statistically significant higher than case group after intervention compared to control group (p<0.05; 67.19 vs. 54.94). Also, a statistically significant association between the case and control regarding quality of sleep (p<0.05; 5.41 vs. 6.77). Conclusion: It is concluded that performing moderate-intensity pilates exercises for 12 weeks in the last months of pregnancy can increase sleep quality and life.

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.

Evaluation of a daily facial massage on perceived sleep quality and well-being: A pilot study.

Sleep disorders are widespread and constitute a major public health risk. The present study thus aims to investigate the effect of a facial cosmetic self-massage daily routine on women's sleep and well-being. The present pilot study was conducted on 62 middle-aged women declaring daily tiredness and sleep troubles. We examined the effect of a regular facial cosmetic self-massage routine on sleep patterns, daytime sleepiness, and well-being over the course of 2 months. After 1 and 2 months, our results show improved sleep quality (Pittsburgh Sleep Quality Index, PSQI - -20.2% after 2 months), reduced daytime sleepiness (Epworth Sleepiness Scale, ESS, -31.2% after 2 months), and increased well-being measures. The number of participants with abnormal sleep (PSQI >5) decreased over the course of the experiment as well, from 71.9% to 49.2% at the end of the 2 months [odds ratio 95% CI for decrease: 0.38 (0.18-0.81)]. Similarly, the number of participants with excessive daytime sleepiness (>10 on the ESS) decreased over the course of the study from 44.3% to 21% after 1 month [95% CI: 0.33 (0.15-0.73)] and to 16.1% after 2 months [95% CI: 0.24 (0.10-0.56)]. These results suggest that a facial cosmetic self-massage routine may improve sleep patterns and is likely to be a useful addition to a standard sleep hygiene routine.

Implications of childhood adversity for women's perinatal sleep quality and depressive symptoms over time: A serial mediation model.

This study sought to examine the effects of childhood adversity on the longitudinal associations between perinatal sleep quality and depressive symptoms, and to determine the prospective associations between these constructs over time. A cross-lagged autoregressive model was used to examine the longitudinal association between sleep quality and depressive symptoms at four points during the perinatal period: 18 and 32 weeks of pregnancy, and 6 and 12 weeks postpartum. Longitudinal mediation models were used to examine whether sleep quality or depressive symptoms mediated the effects of childhood adversity on these symptoms. Most participants (86%) reported poor sleep quality during pregnancy. Significant cross-lagged effects of depressive symptoms on subsequent sleep quality were observed during pregnancy and postpartum. Depressive symptoms significantly mediated the effects of childhood trauma on sleep quality during pregnancy, but sleep quality did not significantly mediate the effects of childhood trauma on depressive symptoms. While sleep quality and depressive symptoms tend to co-occur, our analyses indicate that perinatal depressive symptoms work as the primary driver of sleep quality over time. Childhood adversity may have long-reaching effects in women as it was associated with more depressive symptoms in the perinatal period, which in turn appeared to undermine sleep quality.

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.

Unraveling the link between chronic pain and sleep quality: Insights from a national study

ObjectivesTo assess the relationship between chronic pain and sleep quality in U.S. men and women. MethodsData included adults aged 25-84 from the 2013-2018 nationally representative National Health Interview Surveys (n=161,282). We examined three measures of sleep quality –self-reported days with difficulty falling asleep, difficulty staying asleep, and days not feeling rested. We analyzed multiple measures of chronic pain – any chronic pain, the location of chronic pain, and the count of chronic pain locations. Linear regression models of each sleep outcomes were estimated on the pooled sample, then by sex and age. ResultsThe presence of any chronic pain, migraines/headaches, and the number of chronic pain sites were all associated with worse sleep quality across all three measures. Having migraines tended to be most strongly associated with sleep quality. Our findings also indicate sex differences in how chronic pain affects sleep, with women's sleep issues being associated with minor chronic pain while men's sleep problems are associated more with major chronic pain. ConclusionsChronic pain influences the sleep of the American population, with migraines in particular having a strong relationship. Future research should consider the bi-directionality in the relationship.

How do phases of the menstrual cycle affect sleep? A polysomnographic study of the EPISONO database.

Our study aimed to evaluate the impact of the menstrual cycle stages, especially menses, on sleep, inflammatory mediators, fatigue, anxiety, depression, and quality of life. We used data from the EPISONO study cohort, selecting 96 women who had undergone one-night polysomnography. The women were distributed in three groups according to the time point of the menstrual cycle on the polysomnography night: menses, mid/late follicular phase, and luteal phase. The volunteers completed questionnaires related to sleep quality, daytime sleepiness, insomnia, fatigue, anxiety, depression, and quality of life. Blood samples were collected to analyze interleukin 6, tumor necrosis factor-alpha, and C-reactive protein. Sleep efficiency was statistically higher in women in the mid/late follicular group (89.9% ± 9.6) compared to menstrual (83.0% ± 10.8) and luteal (83.7% ± 12.7) groups. The mid/late follicular group presented a statistically significant reduction in sleep onset latency (7.1 ± 7.1min) compared to the menstrual (22.3 ± 32.4min) and luteal groups (15.9 ± 14.7min). No statistical differences among the three groups were observed in other polysomnographic parameters, inflammatory mediators, daytime sleepiness, insomnia, fatigue, anxiety, depression, and quality of life. Our findings demonstrate that the mid/late follicular phase might be beneficial for women's sleep, although there were no statistically changes in inflammatory mediators among the groups.

Hubungan Premenstrual Syndrome (PMS) Dengan Kualitas Tidur Mahasiswi Program Studi Keperawatan Program Sarjana Universitas Harapan Bangsa

Premenstrual Syndrome or what is often referred to as PMS is discomfort or physical and mental signs that appear when a woman approaches her menstrual period. One of the factors related to PMS is the quality of sleep, the severity of PMS symptoms will worsen the quality of a woman's sleep. The purpose of this study was to understand the relationship or correlation of Premenstrual Syndrome in Nursing Study Program students at the Harapan Bangsa University Undergraduate Program. The approach used in this study is a quantitative method with a cross-sectional research design. Sampling technique with a total sampling of 53 semester 6 students of the Nursing Study Program Undergraduate Program. This study used two questionnaires, namely (sPAF) and (PSQI). The analytical method used was univariate and bivariate analysis using the Spearman Rank test. The results of the analysis using the software show that there is a significant relationship between premenstrual syndrome and sleep quality with a value of ρ = 0.005 where the value of ρ &lt;α = 0.05, with a correlation coefficient of 0.382 which means there is a relationship between premenstrual syndrome and sleep quality with low correlation strength and the direction of the relationship positive.

Reallocating time between device-measured 24-hour activities and cardiovascular risk in Asian American immigrant women: An isotemporal substitution model.

The 24-hour day consists of physical activity (PA), sedentary behavior, and sleep, and changing the time spent on one activity affects the others. Little is known about the impact of such changes on cardiovascular risk, particularly in Asian American immigrant (AAI) women, who not only have a higher cardiovascular risk but also place greater cultural value on family and domestic responsibilities compared to other racial/ethnic groups. The purpose of this study was to evaluate the effects of reallocating 30 minutes of each 24-hour activity component for another on BMI, waist circumference, and blood pressure in AAI women. Seventy-five AAI women completed 7 days of hip and wrist actigraphy monitoring and were included in the analysis (age = 61.5±8.0 years, BMI = 25.5±3.6 kg/m2, waist circumference = 85.9±10.2 cm). Sleep was identified from wrist actigraphy data, and moderate-to-vigorous PA (MVPA), light PA, and sedentary behavior identified from hip actigraphy data. On average, the women spent 0.5 hours in MVPA, 6.2 hours in light PA, 10 hours in sedentary activities, and 5.3 hours sleeping within a 24-hour day. According to the isotemporal substitution models, replacing 30 minutes of sedentary behavior with MVPA reduced BMI by 1.4 kg/m2 and waist circumference by 4.0 cm. Replacing that same sedentary time with sleep reduced BMI by 0.5 kg/m2 and waist circumference by 1.4 cm. Replacing 30 minutes of light PA with MVPA decreased BMI by 1.6 kg/m2 and waist circumference by 4.3 cm. Replacing 30 minutes of light PA with sleep also reduced BMI by 0.8 kg/m2 and waist circumference by 1.7 cm. However, none of the behavioral substitutions affected blood pressure. Considering AAI women's short sleep duration, replacing their sedentary time with sleep might be a feasible strategy to reduce their BMI and waist circumference.

Gender medicine and sleep disorders: from basic science to clinical research.

Several pivotal differences in sleep and sleep disorders are recognized between women and men. This is not only due to changes in hormonal balance during women's reproductive life, such as in pregnancy and menopause. Women are more likely to report insomnia and non-specific symptoms of apneas, such as fatigue or mood disturbance, compared to men. Thus, it is important for clinicians and researchers to take sex and gender differences into account when addressing sleep disorders in order to acknowledge the biology unique to women. We present a narrative review that delves into the primary sleep disorders, starting from basic science, to explore the impact of gender differences on sleep and the current status of research on women's sleep health.

Association between sleep disturbances during pregnancy and adverse perinatal outcomes.

To describe the changes in sleep pattern throughout pregnancy and to evaluate the relationship between sleep and adverse perinatal outcomes. Pregnant women at Qianfoshan Hospital completed questionnaires regarding their sleep during each of the three trimesters. Additionally, a subset of participants engaged in objective sleep monitoring using actigraphy devices. In the perinatal period, the following data were collected: pregnancy complications; gestational age; mode of delivery; Apgar scores for the neonate; and birth weight. The total night sleep time in the second trimester was about 15 minutes shorter than that in the first trimester (P=0.024), and about 31 minutes shorter in the third trimester than in the second trimester (P<0.001). The sleep efficiency in the second trimester was about 10.23% lower than in the first trimester (P<0.001), and the efficiency in the third trimester was about 5.16% lower than in the second trimester (P<0.001). The occurrence of pregnancy-induced hypertension (PIH) was associated with sleep duration (P=0.019), sleep efficiency (P<0.001) and PSQI scores (P<0.001) in the first trimester. Furthermore, the mode of delivery was also found to be associated with sleep duration (P=0.011), sleep efficiency (P<0.001) and PSQI scores (P<0.001) in the first trimester. With the development of the pregnancy process, the sleep situation gets worse. Pregnant women's sleep situation in the first trimester of pregnancy is associated with the occurrence of PIH and delivery mode.

Sleep in Women.

Sleep in Women.

The Menstrual Cycle and Sleep.

Aspects of sleep change across the menstrual cycle in some women. Poorer sleep quality in the premenstrual phase and menstruation is common in women with premenstrual symptoms or painful menstrual cramps. Although objective sleep continuity remains unchanged across the regular, asymptomatic menstrual cycle, activity in the sleep electroencephalogram varies, with a prominent increase in sleep spindle activity in the postovulatory luteal phase, when progesterone is present, relative to the follicular phase. Menstrual cycle phase, reproductive stage, and menstrual-related disorders should be considered when assessing women's sleep complaints.

The Impact of Maternity and Working Demands in Women's Sleep Pattern.

This literature review seeks to understand how motherhood and profession affect women's sleep. After the birth of a child, there is an increase in dissatisfaction with the quantity and quality of sleep. Awakenings and sleep disturbances are more frequent and can lead to increased fatigue and stress to reconcile household activities and work demands. These changes in sleep can lead to physical and/or psychological health problems. Sleep hygiene and social support become fundamental for the performance of the maternal tasks, reducing risks and increasing prevention of future problems, both for women and children.

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.

P19-002-23 Iron Deficiency and Vitamin D Deficiency Are Associated With Sleep in Women at Child-Bearing Age: An Analysis of NHANES 2005–2010 and 2015–2018 Data

P19-002-23 Iron Deficiency and Vitamin D Deficiency Are Associated With Sleep in Women at Child-Bearing Age: An Analysis of NHANES 2005–2010 and 2015–2018 Data

0688 Nocturnal pain and its association with quality of life in women: data from the Epidemiologic Sleep Study (EPISONO)

Abstract Introduction It is known that poor sleep is related to pain, even though this relationship is not fully understood. Women with pain present alterations in sleep pattern and reduced quality of life, but little is known about the negative effects of nocturnal pain on these outcomes. This study aimed to evaluate and compare the levels of anxiety, depression, and fatigue in women with pain during the night with those without pain. We hypothesize that pain perception is associated with worsening fatigue and mood outcomes. Methods This cross-sectional study used data from the 2007’s Epidemiological Study of Sleep (EPISONO). A total of 574 women aged 20-80 years participated in the EPISONO, and 244 women met the inclusion criteria of our study, 85 in the pain group and 171 in the control group. Participants were categorized into the pain group if they responded positively to the following questions: i) they generally had pain, according to the Pre-Sleep Questionnaire (PSQ), and ii) pain usually interfered with sleep 3 or more times a week, according to the Pittsburg Sleep Quality Index (PSQI). Participants who responded negatively to these questions were allocated to the control group. All of them underwent a full night laboratory polysomnography, and answered questionnaires related to fatigue, depression, anxiety, and quality of life. Results Significantly higher levels of fatigue (5.4 times), anxiety and depression were observed in the pain group, as well as significantly lower values in all domains of quality of life, compared to the control group. The presence of pain at night was also correlated with levels of anxiety and depression in the psychological (Rs=-0.463, -0.607, respectively) and social (Rs=-0.423, -0.438, respectively) domains of quality of life. Conclusion The presence of pain at night in women is related to a decrease in quality of life and can lead to worsening mood disorders and fatigue. Our results show the importance of investigating pain and its consequences, as well as the interference in women's sleep patterns. Support (if any) Associação Fundo de Incentivo à Pesquisa (AFIP), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) - Finance Code 001, and Conselho Nacional de Pesquisa (CNPq).