Article

Major Sleep Disorders Among Women: (Women's Health Series).

From the Medical Service, G.V. (Sonny) Montgomery Veteran Affairs Medical Center, Jackson, Mississippi, and the Department of Medicine, Quillen College of Medicine, East Tennessee State University, Johnson City.
Southern medical journal (Impact Factor: 1.12). 08/2013; 106(8):470-8. DOI: 10.1097/SMJ.0b013e3182a15af5
Source: PubMed

ABSTRACT Disruption of sleep causes adverse health outcomes and poor quality of life. People with sleep disruption have higher levels than people without disrupted sleep of depression and anxiety and increased rates of cardiovascular diseases. Women have a higher incidence than men of insomnia and depression related to poor sleep. The types of complaints differ significantly between the sexes. Women are more likely than men to complain of insomnia, headache, irritability, and fatigue than the "typical" symptoms of loud snoring and breathing cessation during sleep. Hormones play an important role in sleep in women. Reproductive hormones were found to have a protective effect on sleep apnea in women of premenopausal age. Pregnancy is another period when the prevalence of sleep apnea and restless leg syndrome increases from hormonal effect. Cardiovascular mortality is high in women with obstructive sleep apnea. Continuous positive airway pressure therapy improves outcomes in most cases of obstructive sleep apnea. The epidemiology, risk factors, diagnostic criteria, and therapies for the three most common sleep disorders (insomnia, obstructive sleep apnea, and restless leg syndrome), along with effects of menopause, pregnancy, and social factors on sleep in women, are key considerations for clinicians caring for female patients across the adult life span.

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    • "There is an uncertainty regarding the pharmacological treatment of sleeping disorders during pregnancy due to the fear of negative birth outcomes. It has been reported that 64–88% of pregnant women in western countries experience disturbed sleep during pregnancy, in contrast to 20–38% of women in the general population [1, 2]. "
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    Obstetrics and Gynecology International 04/2014; 2014:945621. DOI:10.1155/2014/945621
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    • "moderate to severe SAS and stroke prevalence [6]. Previous studies also have found that the development of SAS is associated with age and sex [7] [8]; however, the association of age-and sex-specific differences between stroke and SAS patients remains unclear. In our study, we took advantage of a universal healthcare insurance system , the National Health Insurance in Taiwan, to study a large cohort of patients with SAS to assess the age-and sex-specific vulnerability of developing stroke. "
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