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Meta-Analysis
. 2024 Dec;28(6):2663-2674.
doi: 10.1007/s11325-024-03132-y. Epub 2024 Aug 15.

Prevalence of poor sleep quality during menopause: a meta-analysis

Yu Jia  1 , Zitong Zhou  1 , Xuehua Cao  2
Affiliations
Meta-Analysis

Prevalence of poor sleep quality during menopause: a meta-analysis

Yu Jia et al. Sleep Breath. 2024 Dec.

Abstract

Purpose: Numerous researches have demonstrated that sleep quality deteriorates during menopause, but the prevalence rates vary between studies. The purpose of this meta-analysis was to determine the pooled prevalence of poor sleep quality during menopause and to explore potential moderators of discrepancies in prevalence between studies.

Methods: Web of Science, PubMed, PsycINFO and Embase databases were comprehensively searched from database creation to June 19, 2024. Studies were included if they focused on menopausal women and provided an estimate of the prevalence of poor sleep quality, which could be derived from the Pittsburgh Sleep Quality Index (PSQI).

Results: Totally, 37 studies with 29,284 menopausal women were included in the analysis. A meta-analysis based on a random-effects model revealed that the prevalence of poor sleep quality during menopause was 50.8% (95% CI: 45.4-56.3%). The PSQI score was 6.24 (95% CI: 5.73-6.75). Subgroup analyses indicated that cut-off values of PSQI, menopausal status, age range, depressive symptoms and geographic region moderated the prevalence of poor sleep quality. Meta-regression analyses indicated that quality score was negatively correlated with the pooled prevalence.

Conclusions: Poor sleep quality is a prevalent phenomenon among women during menopause. In light of the numerous adverse effects of poor sleep quality on menopausal women, it is of paramount importance to assess sleep quality on a regular basis and to implement effective interventions for menopausal women.

Keywords: Menopause; Meta-analysis; Prevalence; Sleep quality.

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Conflict of interest statement

Declarations Ethical approval All steps of this study were in accordance with the ethical standards of the KUMS Ethics Committee (IR.KUMS.REC.1401.096) and the Declaration of Helsinki. Informed consent This article is a review study and does not include any studies with human participants. Conflict of interest The authors declare no competing interests.

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