TY - JOUR
T1 - Role of menopause and hormone replacement therapy in sleep-disordered breathing
AU - Bonsignore, Maria Rosaria
AU - Bonsignore, Maria R.
AU - Polo-Kantola, Päivi
AU - Lindberg, Eva
PY - 2020
Y1 - 2020
N2 - There are suggestions that the loss of female sex hormones following menopause is critical for the development or progression of sleep-disordered breathing (SDB). We conducted a review of the literature on the role of menopause and hormone replacement therapy (HRT) in SDB risk. There is an increase in SDB during the menopausal transition period, but data on an effect beyond that of increasing age and changes in body habitus are weak or absent. Early community-based, observational studies reported a protective effect by HRT on SDB prevalence, but this could possibly be explained as a healthy user effect. Interventional studies of the effect of HRT on SDB are sparse, with only a few randomized placebo-controlled studies, often performed on small samples of women without clinically significant SDB. HRT regimens have varied and all the studies are fairly old. They do not definitely assure the alleviation of SDB and HRT cannot thus be recommended as treatment for SDB. It is concluded that there is no evidence that female sex hormone changes during menopause per se are able to explain the increase in SDB in midlife women and conclusions on the effect of HRT on SDB cannot be drawn from the current literature.
AB - There are suggestions that the loss of female sex hormones following menopause is critical for the development or progression of sleep-disordered breathing (SDB). We conducted a review of the literature on the role of menopause and hormone replacement therapy (HRT) in SDB risk. There is an increase in SDB during the menopausal transition period, but data on an effect beyond that of increasing age and changes in body habitus are weak or absent. Early community-based, observational studies reported a protective effect by HRT on SDB prevalence, but this could possibly be explained as a healthy user effect. Interventional studies of the effect of HRT on SDB are sparse, with only a few randomized placebo-controlled studies, often performed on small samples of women without clinically significant SDB. HRT regimens have varied and all the studies are fairly old. They do not definitely assure the alleviation of SDB and HRT cannot thus be recommended as treatment for SDB. It is concluded that there is no evidence that female sex hormone changes during menopause per se are able to explain the increase in SDB in midlife women and conclusions on the effect of HRT on SDB cannot be drawn from the current literature.
KW - Estrogen
KW - Hormone replacement therapy
KW - Menopause
KW - Metabolism
KW - Obesity
KW - Obstructive sleep apnea
KW - Sleep-disordered breathing
KW - Woman
KW - Estrogen
KW - Hormone replacement therapy
KW - Menopause
KW - Metabolism
KW - Obesity
KW - Obstructive sleep apnea
KW - Sleep-disordered breathing
KW - Woman
UR - http://hdl.handle.net/10447/400385
UR - http://www.elsevier.com/inca/publications/store/6/2/3/0/7/4/index.htt
M3 - Article
VL - 49
SP - 1
EP - 9
JO - Sleep Medicine Reviews
JF - Sleep Medicine Reviews
SN - 1087-0792
ER -