Cited by 124Obstructive Sleep Apnea ResearchNeuroscience of respiration and sleepMenopause: Health Impacts and Treatments

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The Influence of the Menstrual Cycle on Upper Airway Resistance and Breathing During Sleep

Driver, Helen S., Mclean, Heather, Kumar, David V., Farr, Nancy, Day, Andrew G., Fitzpatrick, Michael F.·2005·Sleep

DOI 10.1093/sleep/28.4.449

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Abstract

STUDY OBJECTIVE: Female hormones, specifically progesterone, that peak in the luteal phase may play a significant role in protecting premenopausal women from sleep-disordered breathing. The influence of female hormones on upper airway resistance during sleep was investigated during the follicular and luteal phases of normal menstrual cycles. SETTING: Hospital-based sleep laboratory. DESIGN AND PARTICIPANTS: Healthy women with verified ovulatory cycles and without sleep complaints were recruited into the study. Sleep and upper airway resistance data (mean +/- SD) were collected on 2 nights from 11 women (21-49 years of age [28 +/- 9 years], body mass index of 22.8 +/- 3.6 kg/m2), once during the follicular phase (day 6-11) and once in the luteal phase (day 19-23) in random order. MEASUREMENTS AND RESULTS: Nasal resistance, standardized to a flow rate of 0.3 L/second, measured using posterior active rhinomanometry immediately prior to the sleep study, did not differ between the 2 phases. The respiratory disturbance index tended to be higher in the follicular phase than in the luteal phase and was above 5 per hour for 3 women in the follicular phase. Upper airway resistance, controlled for flow rate and body position, was calculated for 50 random breaths during wakefulness, stage 1, stage 2, slow-wave, and rapid eye movement sleep. During wake and stage 2 sleep, upper airway resistance was significantly higher in the follicular phase than in the luteal phase, as was the overall upper airway resistance combined for wake and across all sleep stages. Combining data from the 2 nights, compared to wake, upper airway resistance increased in stage 2, slow-wave, and rapid eye movement sleep. CONCLUSIONS: Within the menstrual cycle, upper airway resistance is lower in the luteal compared with the follicular phase.

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Authors: Driver, H. S., Mclean, H., Kumar, D. V., Farr, N., Day, A. G., & Fitzpatrick, M. F.
Affiliations: University of the Witwatersrand (ZA)
Kingston General Hospital (CA)
Queen's University (CA)
Corresponding author: Driver, Helen S.
ORCID: Driver, Helen S.
Day, Andrew G.
Fitzpatrick, Michael F.
Venue: Sleep
Publisher: Oxford University Press (OUP)
Published: 2005-04
Volume: 28
Issue: 4
Pages: 449-456
ISSN: 0161-8105 (ISSN-L)
1550-9109
DOI: 10.1093/sleep/28.4.449
OpenAlex: W2159588066
Cited by: 124
References: 44
Citations by year: 2026: 3 · 2025: 9 · 2024: 8 · 2023: 5 · 2022: 10 · 2021: 4 · 2020: 6 · 2019: 4 · 2018: 9 · 2017: 3 · 2016: 6 · 2015: 7 · 2014: 2 · 2013: 8 · 2012: 2
FWCI: 2.96
Type: journal article
Language: en
Open access: closed
Locations: SLEEP (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
Keywords: menstrual cycle, upper airway resistance, sleep-disordered breathing, progesterone, luteal phase, follicular phase, female sex hormones, nasal resistance, sleep stages, respiratory disturbance index, premenopausal women
MeSH terms: Adult, Female, Follicular Phase, Humans, Luteal Phase, Menstrual Cycle, Middle Aged, Progesterone, Prospective Studies, Respiration, Sleep, Sleep Apnea Syndromes, Sleep, REM, Spirometry, Nasal Obstruction, Body Mass Index, Supine Position, Polysomnography, Cross-Over Studies, Rhinomanometry

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The Influence of the Menstrual Cycle on Upper Airway Resistance and Breathing During Sleep

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