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NCHS Data kamagra price Brief No. 286, September 2017PDF Versionpdf icon (374 KB)Anjel Vahratian, Ph.D.Key findingsData from the National Health Interview Survey, 2015Among those aged 40âÂÂ59, perimenopausal women (56.0%) were more likely than postmenopausal (40.5%) and premenopausal (32.5%) women to sleep less than 7 hours, on average, in a 24-hour period.Postmenopausal women aged 40âÂÂ59 were more likely than premenopausal women aged 40âÂÂ59 to have trouble falling asleep (27.1% compared with 16.8%, respectively), and staying asleep (35.9% compared with 23.7%), four times or more in the past week.Postmenopausal women aged 40âÂÂ59 (55.1%) were more likely than premenopausal women aged 40âÂÂ59 (47.0%) to not wake up feeling well rested 4 days or more in the past week.Sleep duration and quality are important contributors to health and wellness. Insufficient sleep is associated with an increased kamagra price risk for chronic conditions such as cardiovascular disease (1) and diabetes (2). Women may be particularly vulnerable to sleep problems during times of reproductive hormonal change, such as after the menopausal transition. Menopause is âÂÂthe permanent cessation kamagra price of menstruation that occurs after the loss of ovarian activityâ (3).
This data brief describes sleep duration and sleep quality among nonpregnant women aged 40âÂÂ59 by menopausal status. The age range selected for this analysis reflects the focus on midlife sleep health. In this analysis, 74.2% of women kamagra price are premenopausal, 3.7% are perimenopausal, and 22.1% are postmenopausal. Keywords. Insufficient sleep, kamagra price menopause, National Health Interview Survey Perimenopausal women were more likely than premenopausal and postmenopausal women to sleep less than 7 hours, on average, in a 24-hour period.More than one in three nonpregnant women aged 40âÂÂ59 slept less than 7 hours, on average, in a 24-hour period (35.1%) (Figure 1).
Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period (56.0%), compared with 32.5% of premenopausal and 40.5% of postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to sleep less than 7 hours, on average, in a 24-hour period. Figure 1 kamagra price. Percentage of nonpregnant women aged 40âÂÂ59 who slept less than 7 hours, on average, in a 24-hour period, by menopausal status. United States, kamagra price 2015image icon1Significant quadratic trend by menopausal status (p <.
0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 year kamagra price ago or less. Women were premenopausal if they still had a menstrual cycle. Access data table for Figure 1pdf icon.SOURCE kamagra price.
NCHS, National Health Interview Survey, 2015. The percentage of women aged 40âÂÂ59 who had kamagra price trouble falling asleep four times or more in the past week varied by menopausal status.Nearly one in five nonpregnant women aged 40âÂÂ59 had trouble falling asleep four times or more in the past week (19.4%) (Figure 2). The percentage of women in this age group who had trouble falling asleep four times or more in the past week increased from 16.8% among premenopausal women to 24.7% among perimenopausal and 27.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to have trouble falling asleep four times or more in the past week. Figure 2 kamagra price.
Percentage of nonpregnant women aged 40âÂÂ59 who had trouble falling asleep four times or more in the past week, by menopausal status. United States, 2015image kamagra price icon1Significant linear trend by menopausal status (p <. 0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer kamagra price had a menstrual cycle and their last menstrual cycle was 1 year ago or less.
Women were premenopausal if they still had a menstrual cycle. Access data kamagra price table for Figure 2pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015. The percentage kamagra price of women aged 40âÂÂ59 who had trouble staying asleep four times or more in the past week varied by menopausal status.More than one in four nonpregnant women aged 40âÂÂ59 had trouble staying asleep four times or more in the past week (26.7%) (Figure 3). The percentage of women aged 40âÂÂ59 who had trouble staying asleep four times or more in the past week increased from 23.7% among premenopausal, to 30.8% among perimenopausal, and to 35.9% among postmenopausal women.
Postmenopausal women were significantly more likely than premenopausal women to have trouble staying asleep four times or more in the past week. Figure 3 kamagra price. Percentage of nonpregnant women aged 40âÂÂ59 who had trouble staying asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend kamagra price by menopausal status (p <. 0.05).NOTES.
Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if kamagra price they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data kamagra price table for Figure 3pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015.
The percentage of women aged 40âÂÂ59 who did not wake up feeling well rested 4 days or more in the past week varied by menopausal status.Nearly one in two nonpregnant women aged 40âÂÂ59 did not wake up feeling well rested 4 days or more in the past week (48.9%) (Figure 4). The percentage of women in this age group who did not wake up feeling well rested 4 days or more kamagra price in the past week increased from 47.0% among premenopausal women to 49.9% among perimenopausal and 55.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to not wake up feeling well rested 4 days or more in the past week. Figure 4 kamagra price. Percentage of nonpregnant women aged 40âÂÂ59 who did not wake up feeling well rested 4 days or more in the past week, by menopausal status.
United States, 2015image icon1Significant linear trend by menopausal status (p <. 0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle.
Access data table for Figure 4pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015. SummaryThis report describes sleep duration and sleep quality among U.S. Nonpregnant women aged 40âÂÂ59 by menopausal status. Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period compared with premenopausal and postmenopausal women.
In contrast, postmenopausal women were most likely to have poor-quality sleep. A greater percentage of postmenopausal women had frequent trouble falling asleep, staying asleep, and not waking well rested compared with premenopausal women. The percentage of perimenopausal women with poor-quality sleep was between the percentages for the other two groups in all three categories. Sleep duration changes with advancing age (4), but sleep duration and quality are also influenced by concurrent changes in womenâÂÂs reproductive hormone levels (5). Because sleep is critical for optimal health and well-being (6), the findings in this report highlight areas for further research and targeted health promotion.
DefinitionsMenopausal status. A three-level categorical variable was created from a series of questions that asked women. 1) âÂÂHow old were you when your periods or menstrual cycles started?. ÃÂÂ. 2) âÂÂDo you still have periods or menstrual cycles?.
ÃÂÂ. 3) âÂÂWhen did you have your last period or menstrual cycle?. ÃÂÂ. And 4) âÂÂHave you ever had both ovaries removed, either as part of a hysterectomy or as one or more separate surgeries?. àWomen were postmenopausal if they a) had gone without a menstrual cycle for more than 1 year or b) were in surgical menopause after the removal of their ovaries.
Women were perimenopausal if they a) no longer had a menstrual cycle and b) their last menstrual cycle was 1 year ago or less. Premenopausal women still had a menstrual cycle.Not waking feeling well rested. Determined by respondents who answered 3 days or less on the questionnaire item asking, âÂÂIn the past week, on how many days did you wake up feeling well rested?. ÃÂÂShort sleep duration. Determined by respondents who answered 6 hours or less on the questionnaire item asking, âÂÂOn average, how many hours of sleep do you get in a 24-hour period?.
ÃÂÂTrouble falling asleep. Determined by respondents who answered four times or more on the questionnaire item asking, âÂÂIn the past week, how many times did you have trouble falling asleep?. ÃÂÂTrouble staying asleep. Determined by respondents who answered four times or more on the questionnaire item asking, âÂÂIn the past week, how many times did you have trouble staying asleep?. àData source and methodsData from the 2015 National Health Interview Survey (NHIS) were used for this analysis.
NHIS is a multipurpose health survey conducted continuously throughout the year by the National Center for Health Statistics. Interviews are conducted in person in respondentsâ homes, but follow-ups to complete interviews may be conducted over the telephone. Data for this analysis came from the Sample Adult core and cancer supplement sections of the 2015 NHIS. For more information about NHIS, including the questionnaire, visit the NHIS website.All analyses used weights to produce national estimates. Estimates on sleep duration and quality in this report are nationally representative of the civilian, noninstitutionalized nonpregnant female population aged 40âÂÂ59 living in households across the United States.
The sample design is described in more detail elsewhere (7). Point estimates and their estimated variances were calculated using SUDAAN software (8) to account for the complex sample design of NHIS. Linear and quadratic trend tests of the estimated proportions across menopausal status were tested in SUDAAN via PROC DESCRIPT using the POLY option. Differences between percentages were evaluated using two-sided significance tests at the 0.05 level. About the authorAnjel Vahratian is with the National Center for Health Statistics, Division of Health Interview Statistics.
The author gratefully acknowledges the assistance of Lindsey Black in the preparation of this report. ReferencesFord ES. Habitual sleep duration and predicted 10-year cardiovascular risk using the pooled cohort risk equations among US adults. J Am Heart Assoc 3(6):e001454. 2014.Ford ES, Wheaton AG, Chapman DP, Li C, Perry GS, Croft JB.
Associations between self-reported sleep duration and sleeping disorder with concentrations of fasting and 2-h glucose, insulin, and glycosylated hemoglobin among adults without diagnosed diabetes. J Diabetes 6(4):338âÂÂ50. 2014.American College of Obstetrics and Gynecology. ACOG Practice Bulletin No. 141.
Management of menopausal symptoms. Obstet Gynecol 123(1):202âÂÂ16. 2014.Black LI, Nugent CN, Adams PF. Tables of adult health behaviors, sleep. National Health Interview Survey, 2011âÂÂ2014pdf icon.
2016.Santoro N. Perimenopause. From research to practice. J WomenâÂÂs Health (Larchmt) 25(4):332âÂÂ9. 2016.Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al.
Recommended amount of sleep for a healthy adult. A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. J Clin Sleep Med 11(6):591âÂÂ2. 2015.Parsons VL, Moriarity C, Jonas K, et al. Design and estimation for the National Health Interview Survey, 2006âÂÂ2015.
National Center for Health Statistics. Vital Health Stat 2(165). 2014.RTI International. SUDAAN (Release 11.0.0) [computer software]. 2012.
Suggested citationVahratian A. Sleep duration and quality among women aged 40âÂÂ59, by menopausal status. NCHS data brief, no 286. Hyattsville, MD. National Center for Health Statistics.
2017.Copyright informationAll material appearing in this report is in the public domain and may be reproduced or copied without permission. Citation as to source, however, is appreciated.National Center for Health StatisticsCharles J. Rothwell, M.S., M.B.A., DirectorJennifer H. Madans, Ph.D., Associate Director for ScienceDivision of Health Interview StatisticsMarcie L. Cynamon, DirectorStephen J.
Blumberg, Ph.D., Associate Director for Science.
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