Association of sleep disturbance and sexual function in postmenopausal women.
Citation: Menopause. 24(6):604-612, 2017 JunPMID: 28141665Institution: MedStar Washington Hospital CenterDepartment: Medicine/EndocrinologyForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Orgasm/ph [Physiology] | *Postmenopause/ph [Physiology] | *Sexual Behavior/ph [Physiology] | *Sleep Wake Disorders/pp [Physiopathology] | Aged | Cross-Sectional Studies | Female | Humans | Logistic Models | Middle Aged | Sexual Dysfunction, Physiological/ep [Epidemiology] | Sexual Partners | Sleep Apnea Syndromes/ep [Epidemiology] | Sleep Initiation and Maintenance Disorders/ep [Epidemiology] | Sleep/ph [Physiology] | Women's HealthYear: 2017Local holdings: Available online from MWHC library: November 2000 - presentISSN:- 1072-3714
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 28141665 | Available | 28141665 |
Available online from MWHC library: November 2000 - present
CONCLUSIONS: Shorter sleep durations and higher insomnia scores were associated with decreased sexual function, even after adjustment for potential confounders, suggesting the importance of sufficient, high-quality sleep for sexual function. Longitudinal investigation of sleep and its impact on sexual function postmenopause will clarify this relationship.
METHODS: Sexual function in the last year and sleep characteristics (past 4 wk) were assessed by self-report at baseline for 93,668 women age 50 to 79 years enrolled in the Women's Health Initiative (WHI) Observational Study (OS). Insomnia was measured using the validated WHI Insomnia Rating Scale. Sleep-disordered breathing (SDB) risk was assessed using questions adapted from the Berlin Questionnaire. Using multivariate logistic regression, we examined cross-sectional associations between sleep measures and two indicators of sexual function: partnered sexual activity and sexual satisfaction within the last year.
OBJECTIVE: Sleep disturbance and sexual dysfunction are common in menopause; however, the nature of their association is unclear. The present study aimed to determine whether sleep characteristics were associated with sexual activity and sexual satisfaction.
RESULTS: Fifty-six percent overall reported being somewhat or very satisfied with their current sexual activity, and 52% reported partnered sexual activity within the last year. Insomnia prevalence was 31%. After multivariable adjustment, higher insomnia scores were associated with lower odds of sexual satisfaction (yes/no) (odds ratio [OR] 0.92, 95% CI, 0.87-0.96). Short sleep duration (<7-8 h) was associated with lower odds of partnered sexual activity (yes/no) (<5 h, OR 0.88, 95% CI, 0.80-0.96) and less sexual satisfaction (<5 h, OR 0.88, 95% CI, 0.81-0.95).
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