PDF(Pubmed)
Abstract：
Menopausal women experience changes in ovarian activity and fluctuating hormone levels. The aim of this study was to detect ongoing sleep and nutritional problems in postmenopausal women. This study was conducted with 62 postmenopausal women who had been diagnosed with major depressive disorder, were aged 42-64, were not dieting for at least 1 month, and had been using antidepressants for at least 6 months. The Pittsburgh Sleep Quality Index and Depression Anxiety Stress Scale-42 were used. Anthropometric measurements were taken and body composition analysis was performed. The prevalence of obesity and overweight were 12.9% and 71%, respectively. Hot flashes, night sweats, and mood swing were more common in those who had been through menopause for <5 years. Also, the PSQI, Depression, and Stress scores of those women were higher. Women who had been menopausal for ≥5 years had a higher BMI, waist/hip ratio, and fat mass and better sleep quality and lower daytime dysfunction according to the PSQI. Energy and fat intake were higher, while protein, vitamin C, and calcium intakes were lower in women who had been menopausal for ≥5 years. It is crucial for healthcare professionals to review approaches for early and late menopausal periods and to individualize treatment options, especially in patients whose symptoms persist.
摘要：
更年期妇女经历卵巢活动和激素水平波动的变化。这项研究的目的是检测绝经后妇女的持续睡眠和营养问题。这项研究是对62名被诊断患有重度抑郁症的绝经后妇女进行的，年龄42-64岁，至少1个月没有节食，并使用抗抑郁药至少6个月。采用匹兹堡睡眠质量指数和抑郁焦虑应激量表-42。进行人体测量并进行身体成分分析。肥胖和超重的患病率分别为12.9%和71%,分别。潮热,盗汗,和情绪波动在绝经<5年的人群中更为常见。此外，PSQI,抑郁症,这些女性的压力分数更高。绝经≥5年的女性BMI较高，腰/臀比,根据PSQI，脂肪量和更好的睡眠质量和更低的白天功能障碍。能量和脂肪摄入量较高，而蛋白质,维生素C,绝经≥5年的女性钙摄入量较低。对于医疗保健专业人员来说，审查更年期早期和晚期的方法并个性化治疗方案至关重要。尤其是症状持续的患者。
