Sleep deprivation and hormone therapy in postmenopausal women

Sleep complaints increase after menopause, but literature on the effect of postmenopausal hormone therapy (HT) on sleep is controversial. The purpose of this study was to determine the effect of ageing and HT on sleep quality, assessed using polysomnography, and on the accuracy of the subjective est...

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Published inSleep medicine Vol. 7; no. 5; pp. 436 - 447
Main Authors Kalleinen, Nea, Polo, Olli, Himanen, Sari-Leena, Joutsen, Atte, Urrila, Anna S., Polo-Kantola, Päivi
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier B.V 01.08.2006
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Abstract Sleep complaints increase after menopause, but literature on the effect of postmenopausal hormone therapy (HT) on sleep is controversial. The purpose of this study was to determine the effect of ageing and HT on sleep quality, assessed using polysomnography, and on the accuracy of the subjective estimation of sleep quality in women before and after sleep deprivation. Twenty postmenopausal women (aged 58–72 years) were recruited: 10 HT-users and 10 non-HT-users. Eleven young women (aged 20–26 years) served as controls. Polysomnography and subjective sleep quality were measured on four consecutive nights: adaptation, baseline, 40-h sleep deprivation and recovery. Although the postmenopausal women slept worse than the controls at baseline, and in particular during the recovery night, their recovery response to sleep deprivation was well preserved. At baseline, HT-users had a shorter latency to rapid eye movement (REM) (P=0.043), with fewer awakenings from slow wave sleep (SWS) (P=0.029) but more from REM (P=0.033) than non-HT-users. During recovery, the HT-users had more stage 2 sleep (P=0.048) and less slow wave activity (SWA) in the first non-rapid eye movement (NREM) sleep episode (P=0.021) than the non-HT-users. The poor correlation between subjective and objective sleep quality at baseline became significant during recovery. Although sleep in postmenopausal women was worse than in young controls, the recovery response following sleep deprivation was relatively well preserved. HT offered no significant advantage to sleep at baseline and slightly weakened the recovery response to prolonged wakefulness.
AbstractList Sleep complaints increase after menopause, but literature on the effect of postmenopausal hormone therapy (HT) on sleep is controversial. The purpose of this study was to determine the effect of ageing and HT on sleep quality, assessed using polysomnography, and on the accuracy of the subjective estimation of sleep quality in women before and after sleep deprivation. Twenty postmenopausal women (aged 58-72 years) were recruited: 10 HT-users and 10 non-HT-users. Eleven young women (aged 20-26 years) served as controls. Polysomnography and subjective sleep quality were measured on four consecutive nights: adaptation, baseline, 40-h sleep deprivation and recovery. Although the postmenopausal women slept worse than the controls at baseline, and in particular during the recovery night, their recovery response to sleep deprivation was well preserved. At baseline, HT-users had a shorter latency to rapid eye movement (REM) (P=0.043), with fewer awakenings from slow wave sleep (SWS) (P=0.029) but more from REM (P=0.033) than non-HT-users. During recovery, the HT-users had more stage 2 sleep (P=0.048) and less slow wave activity (SWA) in the first non-rapid eye movement (NREM) sleep episode (P=0.021) than the non-HT-users. The poor correlation between subjective and objective sleep quality at baseline became significant during recovery. Although sleep in postmenopausal women was worse than in young controls, the recovery response following sleep deprivation was relatively well preserved. HT offered no significant advantage to sleep at baseline and slightly weakened the recovery response to prolonged wakefulness.
BACKGROUND AND PURPOSESleep complaints increase after menopause, but literature on the effect of postmenopausal hormone therapy (HT) on sleep is controversial. The purpose of this study was to determine the effect of ageing and HT on sleep quality, assessed using polysomnography, and on the accuracy of the subjective estimation of sleep quality in women before and after sleep deprivation.PATIENTS AND METHODSTwenty postmenopausal women (aged 58-72 years) were recruited: 10 HT-users and 10 non-HT-users. Eleven young women (aged 20-26 years) served as controls. Polysomnography and subjective sleep quality were measured on four consecutive nights: adaptation, baseline, 40-h sleep deprivation and recovery.RESULTSAlthough the postmenopausal women slept worse than the controls at baseline, and in particular during the recovery night, their recovery response to sleep deprivation was well preserved. At baseline, HT-users had a shorter latency to rapid eye movement (REM) (P=0.043), with fewer awakenings from slow wave sleep (SWS) (P=0.029) but more from REM (P=0.033) than non-HT-users. During recovery, the HT-users had more stage 2 sleep (P=0.048) and less slow wave activity (SWA) in the first non-rapid eye movement (NREM) sleep episode (P=0.021) than the non-HT-users. The poor correlation between subjective and objective sleep quality at baseline became significant during recovery.CONCLUSIONSAlthough sleep in postmenopausal women was worse than in young controls, the recovery response following sleep deprivation was relatively well preserved. HT offered no significant advantage to sleep at baseline and slightly weakened the recovery response to prolonged wakefulness.
Author Polo-Kantola, Päivi
Himanen, Sari-Leena
Joutsen, Atte
Kalleinen, Nea
Urrila, Anna S.
Polo, Olli
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Issue 5
Keywords Aging
Hormone therapy
Woman
Slow wave sleep
Menopause
Sleep deprivation
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Snippet Sleep complaints increase after menopause, but literature on the effect of postmenopausal hormone therapy (HT) on sleep is controversial. The purpose of this...
BACKGROUND AND PURPOSESleep complaints increase after menopause, but literature on the effect of postmenopausal hormone therapy (HT) on sleep is controversial....
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elsevier
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StartPage 436
SubjectTerms Adult
Aged
Aging
Aging - physiology
Estradiol - therapeutic use
Estrogen Replacement Therapy
Female
Hormone therapy
Humans
Menopause
Middle Aged
Norethindrone - therapeutic use
Polysomnography
Postmenopause - physiology
Sleep - drug effects
Sleep deprivation
Sleep Deprivation - physiopathology
Slow wave sleep
Surveys and Questionnaires
Woman
Title Sleep deprivation and hormone therapy in postmenopausal women
URI https://dx.doi.org/10.1016/j.sleep.2006.02.004
https://www.ncbi.nlm.nih.gov/pubmed/16815746
https://search.proquest.com/docview/68700212
Volume 7
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