Frequencia dos disturbios de sono em mulheres na pos-menopausa com sobrepeso/obesidade
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/S0100-72032014000100008 http://repositorio.unifesp.br/handle/11600/8218 |
Resumo: | PURPOSE:To evaluate the frequency of sleep disorders, such as obstructive sleep apnea, restless leg syndrome and insomnia in overweight/obese postmenopausal women seen in a climacteric sleep disorders clinic.METHODS:Thirty-four postmenopausal women were selected using the following inclusion criteria: age between 50 and 70 years; at least 12 months of amenorrhea; body mass index (BMI) greater than or equal to 25 kg/m2; and sleep-related complaints with at least one previous polysomnography. Patients provided responses to 6 questionnaires related to sleep characteristics and menopausal symptoms. Weight and height were measured using standardized scales, and abdomen and hip circumferences were also measured. The statistical analyses were performed using the χ2 test for qualitative variables and using Student's t-test for quantitative variables.RESULTS:Patients' characteristics were as follows: mean age of 60.35 years; mean BMI of 31.62; an average of 11.61 postmenopausal years and an average Kupperman Index of 19. A total of 85.2% of the patients had a waist/hip ratio of less than 0.8. The Epworth Scale score was greater than or equal to 9 in 50% of patients; 68% had sleep disturbances according to the Pittsburgh Index, and 68% were classified as high-risk for sleep apnea by the Berlin Questionnaire. On polysomnography, 70.58% of the patients had a sleep efficiency lower than 85%; 79.41% had a sleep latency of less than 30 min; 58.82% had a REM sleep latency of less than 90 min, and 44.11% had mild apnea. When the groups were compared, a linear association was identified between BMI and the AHI average, and a relationship between high BMI and use of drugs for thyroid treatment was found.CONCLUSION:There was a high prevalence of sleep-disordered breathing, initial insomnia, fragmented sleep, and thyroid disorders in the group with higher BMI. |
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Frequencia dos disturbios de sono em mulheres na pos-menopausa com sobrepeso/obesidadeFrequency of sleep disturbances in overweight/obese postmenopausal womenPostmenopauseClimactericSleep disordersSleep apnea syndromeRestless leg syndromeInsomniaObesityPos-menopausaClimaterioDisturbios do sonoSindromes da apneia do sonoSindrome das pernas inquietasInsoniaObesidadePURPOSE:To evaluate the frequency of sleep disorders, such as obstructive sleep apnea, restless leg syndrome and insomnia in overweight/obese postmenopausal women seen in a climacteric sleep disorders clinic.METHODS:Thirty-four postmenopausal women were selected using the following inclusion criteria: age between 50 and 70 years; at least 12 months of amenorrhea; body mass index (BMI) greater than or equal to 25 kg/m2; and sleep-related complaints with at least one previous polysomnography. Patients provided responses to 6 questionnaires related to sleep characteristics and menopausal symptoms. Weight and height were measured using standardized scales, and abdomen and hip circumferences were also measured. The statistical analyses were performed using the χ2 test for qualitative variables and using Student's t-test for quantitative variables.RESULTS:Patients' characteristics were as follows: mean age of 60.35 years; mean BMI of 31.62; an average of 11.61 postmenopausal years and an average Kupperman Index of 19. A total of 85.2% of the patients had a waist/hip ratio of less than 0.8. The Epworth Scale score was greater than or equal to 9 in 50% of patients; 68% had sleep disturbances according to the Pittsburgh Index, and 68% were classified as high-risk for sleep apnea by the Berlin Questionnaire. On polysomnography, 70.58% of the patients had a sleep efficiency lower than 85%; 79.41% had a sleep latency of less than 30 min; 58.82% had a REM sleep latency of less than 90 min, and 44.11% had mild apnea. When the groups were compared, a linear association was identified between BMI and the AHI average, and a relationship between high BMI and use of drugs for thyroid treatment was found.CONCLUSION:There was a high prevalence of sleep-disordered breathing, initial insomnia, fragmented sleep, and thyroid disorders in the group with higher BMI.OBJETIVOS:Avaliar a frequência dos distúrbios do sono, como apneia obstrutiva do sono, síndrome das pernas inquietas e insônia, em pacientes na pós-menopausa com sobrepeso/obesidade no ambulatório de distúrbios do sono no climatério.MÉTODOS:Foram selecionadas 34 pacientes na pós-menopausa, e os seguintes critérios de inclusão foram adotados: idade entre 50 e 70 anos, mínimo de 12 meses de amenorreia, Índice de Massa Corporal igual ou superior a 25 kg/m2, pacientes com queixas relacionadas ao sono e que tivessem sido submetidas a pelo menos uma polissonografia. As pacientes responderam a seis questionários sobre características do sono e sintomas do climatério e uso de medicações. Foram aferidos o peso e a altura em balança padronizada e as medidas das circunferências do abdome e do quadril. Para a análise estatística, o teste do χ2 foi utilizado para variáveis qualitativas, e o teste t de Student, para análise das variáveis quantitativas.RESULTADOS:A média de idade foi de 60,3 anos, o Índice de Massa Corporal médio de 31,6, o tempo de pós-menopausa médio de 11,6 anos e o Índice Menopausal de Kupperman médio de 19. Da amostra, 85,2% apresentou relação cintura/quadril igual ou superior a 0,8; metade apresentou escore igual ou superior a 9 na Escala de Epworth; 68% apresentou distúrbio do sono de acordo com o índice de Pittsburgh e 68% dos casos foram classificados como de alto risco para apneia do sono pelo Questionário Berlin. Na polissonografia, 70,5% apresentou eficiência do sono menor que 85%; 79,4% com latência do sono menor que 30 min; 58,8% com latência para sono REM menor que 90 min e 44,1% com apneia leve. Comparando os grupos, houve associação linear média entre IMC e IAH e relação entre IMC elevado e uso de medicações para distúrbios da tireoide.CONCLUSÃO:Foi observada alta prevalência de distúrbio respiratório do sono, sono fragmentado e insônia de início, bem como maior incidência de distúrbios da tireoide no grupo com IMC mais elevado.Universidade Federal de São Paulo (UNIFESP)Universidade Federal de São Paulo (UNIFESP) Departamento de PsicobiologiaUniversidade Federal de São Paulo (UNIFESP) Departamento de Ginecologia e Ambulatorio de Disturbios do Sono no ClimaterioUNIFESP, Depto. de PsicobiologiaUNIFESP, Depto. de Ginecologia e Ambulatorio de Disturbios do Sono no ClimaterioSciELOFederação Brasileira das Sociedades de Ginecologia e ObstetríciaUniversidade Federal de São Paulo (UNIFESP)Correa, Karin MitiyoBittencourt, Lia Rita Azeredo [UNIFESP]Tufik, Sergio [UNIFESP]Hachul, Helena2015-06-14T13:46:55Z2015-06-14T13:46:55Z2014-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion90-96application/pdfhttp://dx.doi.org/10.1590/S0100-72032014000100008Revista Brasileira de Ginecologia e Obstetrícia. Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, v. 36, n. 2, p. 90-96, 2014.10.1590/S0100-72032014000100008S0100-72032014000200090.pdf0100-7203S0100-72032014000200090http://repositorio.unifesp.br/handle/11600/8218porRevista Brasileira de Ginecologia e Obstetríciainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-30T09:30:49Zoai:repositorio.unifesp.br/:11600/8218Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-30T09:30:49Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Frequencia dos disturbios de sono em mulheres na pos-menopausa com sobrepeso/obesidade Frequency of sleep disturbances in overweight/obese postmenopausal women |
title |
Frequencia dos disturbios de sono em mulheres na pos-menopausa com sobrepeso/obesidade |
spellingShingle |
Frequencia dos disturbios de sono em mulheres na pos-menopausa com sobrepeso/obesidade Correa, Karin Mitiyo Postmenopause Climacteric Sleep disorders Sleep apnea syndrome Restless leg syndrome Insomnia Obesity Pos-menopausa Climaterio Disturbios do sono Sindromes da apneia do sono Sindrome das pernas inquietas Insonia Obesidade |
title_short |
Frequencia dos disturbios de sono em mulheres na pos-menopausa com sobrepeso/obesidade |
title_full |
Frequencia dos disturbios de sono em mulheres na pos-menopausa com sobrepeso/obesidade |
title_fullStr |
Frequencia dos disturbios de sono em mulheres na pos-menopausa com sobrepeso/obesidade |
title_full_unstemmed |
Frequencia dos disturbios de sono em mulheres na pos-menopausa com sobrepeso/obesidade |
title_sort |
Frequencia dos disturbios de sono em mulheres na pos-menopausa com sobrepeso/obesidade |
author |
Correa, Karin Mitiyo |
author_facet |
Correa, Karin Mitiyo Bittencourt, Lia Rita Azeredo [UNIFESP] Tufik, Sergio [UNIFESP] Hachul, Helena |
author_role |
author |
author2 |
Bittencourt, Lia Rita Azeredo [UNIFESP] Tufik, Sergio [UNIFESP] Hachul, Helena |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Correa, Karin Mitiyo Bittencourt, Lia Rita Azeredo [UNIFESP] Tufik, Sergio [UNIFESP] Hachul, Helena |
dc.subject.por.fl_str_mv |
Postmenopause Climacteric Sleep disorders Sleep apnea syndrome Restless leg syndrome Insomnia Obesity Pos-menopausa Climaterio Disturbios do sono Sindromes da apneia do sono Sindrome das pernas inquietas Insonia Obesidade |
topic |
Postmenopause Climacteric Sleep disorders Sleep apnea syndrome Restless leg syndrome Insomnia Obesity Pos-menopausa Climaterio Disturbios do sono Sindromes da apneia do sono Sindrome das pernas inquietas Insonia Obesidade |
description |
PURPOSE:To evaluate the frequency of sleep disorders, such as obstructive sleep apnea, restless leg syndrome and insomnia in overweight/obese postmenopausal women seen in a climacteric sleep disorders clinic.METHODS:Thirty-four postmenopausal women were selected using the following inclusion criteria: age between 50 and 70 years; at least 12 months of amenorrhea; body mass index (BMI) greater than or equal to 25 kg/m2; and sleep-related complaints with at least one previous polysomnography. Patients provided responses to 6 questionnaires related to sleep characteristics and menopausal symptoms. Weight and height were measured using standardized scales, and abdomen and hip circumferences were also measured. The statistical analyses were performed using the χ2 test for qualitative variables and using Student's t-test for quantitative variables.RESULTS:Patients' characteristics were as follows: mean age of 60.35 years; mean BMI of 31.62; an average of 11.61 postmenopausal years and an average Kupperman Index of 19. A total of 85.2% of the patients had a waist/hip ratio of less than 0.8. The Epworth Scale score was greater than or equal to 9 in 50% of patients; 68% had sleep disturbances according to the Pittsburgh Index, and 68% were classified as high-risk for sleep apnea by the Berlin Questionnaire. On polysomnography, 70.58% of the patients had a sleep efficiency lower than 85%; 79.41% had a sleep latency of less than 30 min; 58.82% had a REM sleep latency of less than 90 min, and 44.11% had mild apnea. When the groups were compared, a linear association was identified between BMI and the AHI average, and a relationship between high BMI and use of drugs for thyroid treatment was found.CONCLUSION:There was a high prevalence of sleep-disordered breathing, initial insomnia, fragmented sleep, and thyroid disorders in the group with higher BMI. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-02-01 2015-06-14T13:46:55Z 2015-06-14T13:46:55Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0100-72032014000100008 Revista Brasileira de Ginecologia e Obstetrícia. Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, v. 36, n. 2, p. 90-96, 2014. 10.1590/S0100-72032014000100008 S0100-72032014000200090.pdf 0100-7203 S0100-72032014000200090 http://repositorio.unifesp.br/handle/11600/8218 |
url |
http://dx.doi.org/10.1590/S0100-72032014000100008 http://repositorio.unifesp.br/handle/11600/8218 |
identifier_str_mv |
Revista Brasileira de Ginecologia e Obstetrícia. Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, v. 36, n. 2, p. 90-96, 2014. 10.1590/S0100-72032014000100008 S0100-72032014000200090.pdf 0100-7203 S0100-72032014000200090 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Revista Brasileira de Ginecologia e Obstetrícia |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
90-96 application/pdf |
dc.publisher.none.fl_str_mv |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
publisher.none.fl_str_mv |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268452881301504 |