Sleep
disorders (SD) are a common complaint in women going through menopause
transition. It is well known that there is a close relationship between SD and
one of the main menopausal symptoms: vasomotor symptoms (VMS). To acknowledge
this association is essential when investigating menopausal transition and SD.
The Study of Women’s Health across the Nation (SWAN), shows that the prevalence
of sleep disturbance increases with age. The prevalence in perimenopausal and
postmenopausal women varies from 39% to 47% and 35% to 60% respectively.
Although both menopausal transition and aging increase sleep disturbances,
etiology in menopausal women is probably multifactorial. A decline in the
levels of reproductive hormones and melatonin, and the complex interaction
among these hormones can significantly contribute to sleep problems, poor
concentration, fatigue and decreased quality of life. On the one hand menopause
nearly adversely affects all components of metabolic syndrome (MS) and on the
other hand the cumulative long-term effects of deprived sleep have been
associated with many cardio metabolic consequences including hypertension,
obesity, and impaired glucose metabolism. Management strategies should be taken
into account to help women ameliorate their night sleep, in order to prevent
future complications and to improve their quality of life (QoL).
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