Contents
Steven J. Holfinger (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - August 1, 2023 Category: Sleep Medicine Source Type: research
The Integration of the Maternal Care with Sleep During the Postpartum Period
Our entire life occurs in a constant alternation between wakefulness and sleep. The impossibility of living without sleep implies that any behavior must adapt to the need for sleep, and maternal behavior does not escape from this determination. Additionally, maternal behavior in mammals is a highly motivated behavior, essential for the survival of  the offspring. Thus, the mother has to adapt her physiology of sleep to the constant demands of the pups, where each species will have different strategies to merge these two physiological needs. However, all studied female mammals will experience sleep disturbances at some poi...
Source: Sleep Medicine Clinics - August 1, 2023 Category: Sleep Medicine Authors: Luciana Benedetto, Florencia Pe ña, Mayda Rivas, Annabel Ferreira, Pablo Torterolo Source Type: research
The Effects of Hormonal Contraceptives on the Sleep of Women of Reproductive Age
Research about the effects of hormonal contraceptives on sleep has been performed but is subjected to important levels of methodological heterogeneity. Hormonal contraceptives impact sleep, but the direction of this association is not clear. Most studies describe a negative sleep profile among contraceptive users, including increased sleepiness, insomnia symptoms, decreased sleep efficiency, and a reduced overall sleep quality. Hormonal intrauterine contraceptives are associated with less negative effects. More research on the field, especially randomized controlled trials, is needed to increase the level and certainty of ...
Source: Sleep Medicine Clinics - July 25, 2023 Category: Sleep Medicine Authors: Andr éia Gomes Bezerra, Gabriel Natan Pires, Monica Levy Andersen, Sergio Tufik, Helena Hachul Source Type: research
The Relationship Between Mood and Sleep in Different Female Reproductive States
This article reviews the current literature on the reciprocal relationships between mood and sleep across reproductive phases in women, such as menstrual cycle and related disorders, pregnancy, climacteric, and use of hormonal contraception and hormone replacement therapy. Mood and sleep symptoms seem to covary in relation to physiologic and pathologic reproductive conditions, although the relationship seems more clear for subjective than objective sleep. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - July 24, 2023 Category: Sleep Medicine Authors: P äivi Polo-Kantola, Elena Toffol Source Type: research
Insomnia as a Risk Factor for Substance Use Disorders in Women
Gender differences exist for both insomnia and substance use disorders. Women show a higher prevalence of insomnia and increased susceptibility to the effects of drugs than men. Importantly, a growing body of evidence suggests that insufficient sleep predicts and puts individuals at a higher risk for substance use and associated psychosocial problems. However, the role of insomnia in substance use disorders among women remains poorly understood. The present article discusses gender differences in insomnia and in substance use disorders and reviews evidence suggesting that an increased prevalence of insomnia may be a risk f...
Source: Sleep Medicine Clinics - July 24, 2023 Category: Sleep Medicine Authors: La Ãs F. Berro Source Type: research
The Cardiovascular Impact of Obstructive Sleep Apnea in Women
Overall, cardiovascular diseases have many sex-related differences in prevalence, clinical presentation, and outcomes. A considerable amount of evidence suggests that obstructive sleep apnea (OSA) increases the risk for several cardiovascular diseases. Only recently, the sex-related differences in cardiovascular outcomes gained interest in the literature. In this review, the authors discuss the current evidence addressing the cardiovascular impact of OSA in women. Particular attention is devoted to hypertension, target-organ damage, heart failure, atrial fibrillation, and cardiovascular events (including mortality). A rese...
Source: Sleep Medicine Clinics - July 20, 2023 Category: Sleep Medicine Authors: Barbara K. Parise, Naira Lapi Ferreira, Luciano F. Drager Source Type: research
The Impact of Maternity and Working Demands in Women ’s Sleep Pattern
This literature review seeks to understand how motherhood and profession affect women ’s sleep. After the birth of a child, there is an increase in dissatisfaction with the quantity and quality of sleep. Awakenings and sleep disturbances are more frequent and can lead to increased fatigue and stress to reconcile household activities and work demands. These changes in sleep can lead to physical and/or psychological health problems. Sleep hygiene and social support become fundamental for the performance of the maternal tasks, reducing risks and increasing prevention of future problems, both for women and children. (Source:...
Source: Sleep Medicine Clinics - July 17, 2023 Category: Sleep Medicine Authors: Lisie P. Romanzini, Isabela A. Ishikura, Gabriel N. Pires, Sergio Tufik, Monica L. Andersen Source Type: research
The Menstrual Cycle and Sleep
Aspects of sleep change across the menstrual cycle in some women. Poorer sleep quality in the premenstrual phase and menstruation is common in women with premenstrual symptoms or painful menstrual cramps. Although objective sleep continuity remains unchanged across the regular, asymptomatic menstrual cycle, activity in the sleep electroencephalogram varies, with a prominent increase in sleep spindle activity in the postovulatory luteal phase, when progesterone is present, relative to the follicular phase. Menstrual cycle phase, reproductive stage, and menstrual-related disorders should be considered when assessing women â€...
Source: Sleep Medicine Clinics - July 15, 2023 Category: Sleep Medicine Authors: Elisabet Alzueta, Fiona C. Baker Source Type: research
Sleep During Menopause
Postmenopause is defined retrospectively after 12 consecutive months of amenorrhea. It represents the end of the reproductive period and ovarian failure. A decrease in estrogen leads to several changes in the short and long term. Among the early changes, vasomotor symptoms (hot flashes) are particularly common, occurring in about 70% of women. In addition, there are changes in mood, anxiety, depression, and insomnia. Insomnia occurs in almost 60% of postmenopausal women. Psychosocial aspects may also affect sleep. Proper diagnosis may lead to adequate treatment of sleep disturbances during menopause. Hormonal or other comp...
Source: Sleep Medicine Clinics - July 15, 2023 Category: Sleep Medicine Authors: Helena Hachul, Beatriz Hachul de Campos, Leandro Lucena, Sergio Tufik Source Type: research
Yoga Nidra, a Nonpharmacological Technique in Management of Insomnia and Overall Health in Postmenopausal Women
Yoga Nidra is a promising technique through which body is consciously simulated into a profound relaxation state similar to attained during naturally occurring deep sleep. It is aimed to attain complete emotional, physical, and mental relaxation of body and mind. In postmenopausal phase of life, regular practice of Yoga Nidra at home preferably in morning, can help in reduction in anxiety and pain associated with early morning awakenings. This nonpharmacological technique has a therapeutic potential to improve sleep quality and quantity, and overall well-being. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - July 14, 2023 Category: Sleep Medicine Authors: Kamalesh K. Gulia, Sapna Erat Sreedharan Source Type: research
Dysmenorrhea and Sleep
This review encompasses the clinical features and relevance to investigate sleep in women with dysmenorrhea. Dysmenorrhea is a prevalent gynecologic dysfunction that affects the social and professional lives of women. It can occur at every menstrual cycle, depending on the cause and psychologic factors. Studies have reported poor sleep and insomnia symptoms in dysmenorrhea condition, which may intensify the dysmenorrhea manifestation and interfere negatively to its treatment. There is an urgent need to identify the main cause of this dysfunction and provide efficient treatments to minimize the detrimental effects of dysmen...
Source: Sleep Medicine Clinics - July 13, 2023 Category: Sleep Medicine Authors: Isabela A. Ishikura, Helena Hachul, Sergio Tufik, Monica L. Andersen Source Type: research
Assessment of Vigilance and Fatigue
This article summarizes the definitions of vigilance, fatigue, and sleepiness, as well as tools used in their assessment. Consideration is given to the strengths and limitations of the different subjective and objective tools. Future directions for research are also discussed, as well as the public health importance of continued investigation in this subject. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - July 6, 2023 Category: Sleep Medicine Authors: Tyler Johnson, Indira Gurubhagavatula Source Type: research
Dawn of a New Dawn
Optimal sleep health is a critical component to high-level performance. In populations such as the military, public service (eg, firefighters), and health care, achieving optimal sleep health is difficult and subsequently deficiencies in sleep health may lead to performance decrements. However, advances in sleep monitoring technologies and mitigation strategies for poor sleep health show promise for further ecological scientific investigation within these populations. The current review briefly outlines the relationship between sleep health and performance as well as current advances in behavioral and technological approac...
Source: Sleep Medicine Clinics - July 2, 2023 Category: Sleep Medicine Authors: Alice D. LaGoy, Andrew G. Kubala, Sean Deering, Anne Germain, Rachel R. Markwald Source Type: research
Consumer Wearable Sleep Trackers
As the importance of good sleep continues to gain public recognition, the market for sleep-monitoring devices continues to grow. Modern technology has shifted from simple sleep tracking to a more granular sleep health assessment. We examine the available functionalities of consumer wearable sleep trackers (CWSTs) and how they perform in healthy individuals and disease states. Additionally, the continuum of sleep technology from consumer-grade to medical-grade is detailed. As this trend invariably grows, we urge professional societies to develop guidelines encompassing the practical clinical use of CWSTs and how best to inc...
Source: Sleep Medicine Clinics - June 25, 2023 Category: Sleep Medicine Authors: Ambrose A. Chiang, Seema Khosla Source Type: research
Envisioning Tomorrow Using Dawn ’s First Light
The most certain attribute of the future is how difficult it can be to predict; however, the developing tidal wave of technology within the field of sleep medicine appears to be both inevitable in its coming and incalculable in its impact. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - June 25, 2023 Category: Sleep Medicine Authors: Steven J. Holfinger Tags: Preface Source Type: research
