Highlights
- •Self-reported sleep disturbance is a core menopausal symptom.
- •Methodological quality of included studies is overall high.
- •Cultural impact on sleep disturbance and menopausal transition remains unknown.
Abstract
Sleep disturbance is a common complaint for women going through the menopausal transition.
A previous systematic review and meta-analysis of cross-sectional studies showed a
small but significant relationship between self-reported sleep disturbance and menopausal
stage and highlighted a possible influence of culture. However, the longitudinal relationship
between self-reported sleep disturbance and menopausal transition has not been explored.
This paper aimed to review literature on the longitudinal relationship between self-reported
sleep disturbance and menopausal transition among community dwelling midlife women.
Multiple electronic databases were systematically searched. Literature published prior
to 2013 was reviewed. A narrative synthesis was used to analyse the results due to
high level of heterogeneity across the included studies. Overall, review of eligible
studies showed a small increased risk of self-reported sleep disturbance as women
go through the menopausal transition after adjustment of potential confounders. Although
the methodological quality of the majority of included studies was classified as high,
the impact of culture on this relationship could not be explored, as all of the included
studies were conducted in western countries. Like vasomotor symptoms, self-reported
sleep disturbance is one of the core menopausal symptoms. Management strategies should
be put in place to help women manage sleep disturbance to prevent complications and
to improve health related quality of life.
Keywords
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Article info
Publication history
Published online: September 29, 2014
Accepted:
September 20,
2014
Received:
September 12,
2014
Identification
Copyright
© 2014 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
