Frequencia dos disturbios de sono em mulheres na pos-menopausa com sobrepeso/obesidade

Detalhes bibliográficos
Autor(a) principal: Correa, Karin Mitiyo
Data de Publicação: 2014
Outros Autores: Bittencourt, Lia Rita Azeredo [UNIFESP], Tufik, Sergio [UNIFESP], Hachul, Helena
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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spelling 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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