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Sleep Health and the Menopausal Tran...
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Mirer, Anna G.
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Sleep Health and the Menopausal Transition among Participants in the Sleep in Midlife Women Study.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Sleep Health and the Menopausal Transition among Participants in the Sleep in Midlife Women Study./
作者:
Mirer, Anna G.
面頁冊數:
197 p.
附註:
Source: Dissertation Abstracts International, Volume: 76-10(E), Section: B.
Contained By:
Dissertation Abstracts International76-10B(E).
標題:
Epidemiology. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3706270
ISBN:
9781321798883
Sleep Health and the Menopausal Transition among Participants in the Sleep in Midlife Women Study.
Mirer, Anna G.
Sleep Health and the Menopausal Transition among Participants in the Sleep in Midlife Women Study.
- 197 p.
Source: Dissertation Abstracts International, Volume: 76-10(E), Section: B.
Thesis (Ph.D.)--The University of Wisconsin - Madison, 2015.
This item must not be sold to any third party vendors.
This dissertation investigates the relationship of sleep-disordered breathing (SDB) in midlife women to the menopausal transition, to menopausal hormone therapies, and to insomnia symptoms, using longitudinal data from the Sleep in Midlife Women Study.
ISBN: 9781321798883Subjects--Topical Terms:
568544
Epidemiology.
Sleep Health and the Menopausal Transition among Participants in the Sleep in Midlife Women Study.
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Sleep Health and the Menopausal Transition among Participants in the Sleep in Midlife Women Study.
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197 p.
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Source: Dissertation Abstracts International, Volume: 76-10(E), Section: B.
500
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Adviser: Paul E. Peppard.
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Thesis (Ph.D.)--The University of Wisconsin - Madison, 2015.
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This item must not be sold to any third party vendors.
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This dissertation investigates the relationship of sleep-disordered breathing (SDB) in midlife women to the menopausal transition, to menopausal hormone therapies, and to insomnia symptoms, using longitudinal data from the Sleep in Midlife Women Study.
520
$a
I. Menopause is widely believed to cause sleep disorders, but evidence is inconclusive, and attributing all sleep problems to menopause may lead to underdiagnosis of treatable sleep disorders. This dissertation finds that later menopausal stage is associated SDB, independent of age and body habitus.
520
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II. Observational studies have suggested that menopausal hormone therapy (HT) protects against SDB, but findings may be biased by a "healthy-user effect." When the Women's Health Initiative Study reported in July 2002 that estrogen-progestin therapy increases heart disease risk, many women discontinued HT. This dissertation finds evidence of a healthy-user bias in the association of HT with SDB. HT use was associated with SDB only until July 2002; after that the association disappeared.
520
$a
III. Many studies of sleep clinic patients indicate that obstructive sleep apnea and insomnia often co-occur, particularly among women, which may suggest that women are prone to a more complex SDB phenotype. Population-based studies have been lacking, however, so it is unclear whether referral patterns could explain the co-occurrence. This dissertation finds that SDB is not associated with insomnia, and that most subjects with SDB reported typical symptoms.
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Conclusions: Menopausal women are at risk for SDB, and treatments for menopausal discomforts do not improve this sleep disorder. There is no evidence that midlife women experience atypical SDB symptoms.
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School code: 0262.
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http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3706270
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