Evaluation of sleep disorders, falls and fractures in women in menopausal transition period, menopause and climacteric

Abstract

Menopause is a complex period, characterized by the definitive cessation of the fertile period with amenorrhea of, at least, one year; the climacteric includes from premenopause to menopause. All of which, impacts health through various clinical manifestations and comorbidities. General aims: To evaluate women in premenopause, menopause and climacteric: sleep disturbances, falls in standing position and fracture risk. Specific aims: To study medical background and previous bone fractures.

Descriptive, analytical, correlational cross-sectional study. The sampling was non-probabilistic and for convenience. FRAX index (fracture risk) and Pittsburgh (sleep quality) were used. Project approved by CIEIS. Inclusion criteria: women from 36 to 69 years old, who consult the APS Dispensario de Alta Gracia and Consultorios Externos of Clínica Médica of Sanatorio Alta Gracia. Exclusion criteria: women with cognitive disorders; women with secondary osteoporosis on corticosteroids; pregnant women.

Sample made up of 101 women, average age: 51,1 years old, menopausic 57,8 %; average age of menopause 47,8 years old. Of the total amount: 45,5% were “bad sleepers; 37,8% presented falls and 5,9% with hip fracture risk. The relationship between FRAX for hip fracture with other background, showed significant positive associations with: current age (p=<0,0001); menopause (p=<0,0001); delta menopause (p=<0,001); statins (p=<0,009); cough/nocturnal snoring (p=<0,05); previous fracture (p=<0,0001) and the following significant negative associations: HTA(p=<0,042); antihypertensive(p=<0,021).

In this group of women, it was evidenced that one in two women was a “bad sleeper” and more than half of them were postmenopausal. It was shown that 45,5% of “bad sleepers”; 37,8% day time falls from a standing position; 19,8 % previous bone fractures in all women; increased risk of hip fractures in >60 years old. FRAX for hip fracture was significantly associated with background of current age; menopause, previous fracture and cough/nocturnal snoring.