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Objective and Subjective Sleep Quality in Premenopausal, Perimenopausal, and Postmenopausal Women in the Wisconsin Sleep Cohort Study
Abstract
STUDY OBJECTIVE: Assess objectively measured sleep quality in premenopausal, perimenopausal, and postmenopausal women. DESIGN: Observational epidemiology study. SETTING: Community-based. PARTICIPANTS: Probability sample of 589 premenopausal, perimenopausal, and postmenopausal women recruited from state employee records. INTERVENTIONS: None. MEASUREMENTS AND RESULTS: Menopausal status was determined by menstrual history, surgical history, and use of hormone replacement therapy. Sleep quality was objectively measured by full in-laboratory polysomnography and by self-reported sleep problems. Linear and logistic regression were used to estimate associations adjusted for potential confounding factors. OBJECTIVE: Sleep quality was not worse in perimenopausal or postmenopausal women, compared with premenopausal women. To the contrary, postmenopausal woman had more deep sleep (16% vs 13% stages 3/4, P < 0.001) and significantly longer total sleep time (388 minutes vs 374 minutes, P = 0.05). Menopausal status was moderately related to self-reported dissatisfaction with sleep but was not consistently associated with symptoms of insomnia or sleepiness. CONCLUSIONS: Menopause is not associated with diminished sleep quality measured by polysomnography. Although perimenopausal and postmenopausal women, relative to premenopausal women, were less satisfied with their sleep, menopause was not a strong predictor of specific sleep-disorder symptoms. Symptoms and signs of sleep abnormalities in midlife women should not be attributed primarily to menopause before ruling out underlying sleep disorders.
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“The Wisconsin Sleep Cohort study found that peri-menopausal women and postmenopausal women were twice as likely to be dissatisfied with their sleep as pre-menopausal women [96].”
From Non-Pharmacological Treatment of Insomnia (2012) · cites this paper as [96]
In the citing paper
“Although self-reported nocturnal flashes correlate with subjective poor sleep quality, such association is less clear when objective sleep measures are used [96,105,106].”
From Non-Pharmacological Treatment of Insomnia (2012) · cites this paper as [96]
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Metadata
- Authors
- Young, T., Rabago, D., Zgierska, A., Austin, D., & Finn, L.
- Affiliations
- University of Wisconsin–Madison (US)
- Corresponding author
- Young, Terry
- Venue
- SLEEP
- Publisher
- Oxford University Press (OUP)
- Published
- 2003-09-01
- Volume
- 26
- Issue
- 6
- Pages
- 667-672
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W172588831
- Cited by
- 371
- References
- 0
- Citations by year
- 2026: 10 · 2025: 13 · 2024: 7 · 2023: 18 · 2022: 8 · 2021: 16 · 2020: 11 · 2019: 14 · 2018: 12 · 2017: 15 · 2016: 19 · 2015: 18 · 2014: 22 · 2013: 24 · 2012: 15
- FWCI
- 21.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- SLEEP (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (AG1412)
- National Heart, Lung, and Blood Institute (R01HL062252, HL62252)
- National Center for Research Resources (RR03186)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- sleep quality, menopause, perimenopause, postmenopausal women, premenopausal women, slow-wave sleep, total sleep time, sleep dissatisfaction, insomnia, daytime sleepiness, sleep disorders, Wisconsin Sleep Cohort Study
- MeSH terms
- Adult, Climacteric, Female, Humans, Sleep Initiation and Maintenance Disorders, Middle Aged, Population Surveillance, Probability, Sleep Apnea Syndromes, Sleep Stages, Vasomotor System, Cohort Studies, Body Mass Index, Polysomnography, Premenopause, Postmenopause
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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