Prevalência de distúrbios do sono na pós-menopausa

• Autor(a) principal: Campos, Helena Hachul de [UNIFESP]
• Data de Publicação: 2005
• Outros Autores: Bittencourt, Lia Rita Azeredo [UNIFESP], Haidar, Mauro Abi [UNIFESP], Tufik, Sergio [UNIFESP], Baracat, Edmund Chada [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0100-72032005001200005; http://repositorio.unifesp.br/handle/11600/2763
• topic: Postmenopause; Sleep disorder; Sleep iniciation and maintenance disorders; Sleep apnea syndromes; Restless legs syndrome; Polysomnography; Pós-menopausa; Distúrbios do sono; Distúrbio do início e da manutenção do sono; Síndromes da apnéia do sono; Síndrome das pernas inquietas; Polisonografia

PURPOSE: to evaluate the prevalence of reported sleep disturbances through polysomnographic recording (PSG) in a sample of postmenopausal women. METHODS: thirty-three postmenopausal women with a mean age of 56 years, a mean body mass index (BMI) of 27 kg/m², with 7.7 years of recognized postmenopausal period, and a mean Kupperman index of 17, were selected. The inclusion criteria were: age range from 50 to 65 years, at least one year of amenorrhea and an FSH which equaled or exceeded 30 mU/ml; they should not be undergoing hormone therapy, and should display normal laboratory test results. The patients with severe clinical diseases and/or decompensated were excluded; also the ones with suspicion of carcinoma of endometrium and/or breast cancer, a BMI over 30 kg/m² and those who ingested hypnotic drugs. The patients followed a routine climacteric check-up, answered a questionnaire about sleep and underwent an all-night PSG recording. Frequencies in percentage of emerging sleep complaints based on the questionnaire and those pertaining to PSG diagnosis were then calculated separately. RESULTS: the subjective prevalence of insomnia was 61% against 83% in the PSG recordings. The prevalence of apnea reported was 23% against 27% in the PSG. The subjective restless legs syndrome prevalence was 45%, and the objective, 27%. CONCLUSION: there was a high prevalence of sleep disturbances in postmenopausal patients, specially insomnia, apnea and restless legs.