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Sleep disturbance is associated with an increased risk of menstrual problems in female Chinese university students

Abstract

Purpose

We aimed to investigate the association between sleep disturbance and menstrual problems in female Chinese university students.

Methods

A convenience sample of 1006 female university students participated in this study. Sleep duration, sleep quality, and insomnia symptoms were assessed by the Pittsburgh Sleep Quality Index and the Insomnia Severity Index. A structured questionnaire was used to assess participants’ demographics and menstrual characteristics.

Results

The prevalence rates of irregular menstrual cycle, heavy menstrual bleeding, menstrual flow length ≥ 7 days, period pain, and premenstrual syndrome were significantly higher in participants with sleep disturbance than those without sleep disturbance (all p < 0.05). After adjusting for potential confounding variables, poor sleep quality and insomnia symptoms were significantly associated with menstrual flow length ≥ 7 days (OR = 1.81, 95% CI = 1.23–2.68, OR = 1.67, 95% CI = 1.13–2.45), period pain (OR = 1.55, 95% CI = 1.02–2.35, OR = 1.56, 95% CI = 1.02–2.37), and premenstrual syndrome (OR = 1.71, 95% CI = 1.30–2.24, OR = 1.93, 95% CI = 1.46–2.56). In addition, poor sleep quality was significantly associated with heavy menstrual bleeding (OR = 1.75, 95% CI = 1.12–2.72), and insomnia symptoms were significantly associated with irregular menstrual cycle (OR = 1.36, 95% CI = 1.02–1.80). However, short sleep duration (≤ 6 h) was only associated with premenstrual syndrome.

Conclusion

Our results suggested that sleep disturbance is associated with menstrual problems among female university students. More attention should be paid to improving the sleep quality and insomnia symptoms in individuals with menstrual problems.

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Funding

This work was financially supported by the National Natural Science Foundation of China (81700087).

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Correspondence to Junying Zhou.

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The authors declare that they have no conflict of interest

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Xing, X., Xue, P., Li, S.X. et al. Sleep disturbance is associated with an increased risk of menstrual problems in female Chinese university students. Sleep Breath 24, 1719–1727 (2020). https://doi.org/10.1007/s11325-020-02105-1

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  • DOI: https://doi.org/10.1007/s11325-020-02105-1

Keywords

  • Sleep
  • Menstruation
  • Insomnia
  • Dysmenorrhea
  • Premenstrual syndrome