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Restless Legs Syndrome and Menopause

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Sleep Disorders in Women

Part of the book series: Current Clinical Neurology ((CCNEU))

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Abstract

There is no known pathophysiological link and, indeed, very little in the literature written about menopause and restless legs syndrome (RLS). Because the cellular mechanisms explaining the causality of RLS are unknown, much literature has focused on numerous associations in order to discover the etiology and pathophysiology of the disorder in men and women. Some widely held generalizations occur in the literature, including characterizions of the disorder as commonly occurring in middle to late age and with higher prevalence in women. Following this line of logic, one would naturally posit a relationship between RLS and menopause. However, as is discussed in this chapter, these widely held generalizations need to be reexamined in the context of recent epidemiological population- and patient-based data so that the information gathered from the clinical and basic sciences can best be integrated and possible mechanisms underlying RLS discovered, including what role, if any, changes associated with menopause may play in the disorder.

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References

  1. Kavanagh, D., S. Siddiqui, and C.C. Geddes, Restless legs syndrome in patients on dialysis. Am J Kidney Dis, 2004;43(5):763–771.

    Article  PubMed  Google Scholar 

  2. Allen, R.P., D. Picchiettti, W.A. Hening, C. Trenkwalder, A.S. Walters, and J. Montplaisir, Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health. Sleep Med, 2003;4(2):101–119.

    Article  PubMed  Google Scholar 

  3. Berger, K., J. Luedemann, C. Trenkwalder, U. John, and C. Kessler, Sex and the risk of restless legs syndrome in the general population. Arch Intern Med, 2004;164(2):196–202.

    Article  PubMed  Google Scholar 

  4. Schapira, A.H., Restless legs syndrome: an update on treatment options. Drugs, 2004;64(2):149–158.

    Article  PubMed  CAS  Google Scholar 

  5. Hornyak, M. and C. Trenkwalder, Restless legs syndrome and periodic limb movement disorder in the elderly. J Psychosom Res, 2004;56(5):543–548.

    Article  PubMed  Google Scholar 

  6. Turjanski, N., A.J. Lees, and D.J. Brooks, Striatal dopaminergic function in restless legs syndrome: 18F-dopa and 11C-raclopride PET studies. Neurology, 1999;52(5):932–937.

    PubMed  CAS  Google Scholar 

  7. Trenkwalder, C. and W. Paulus, Why do restless legs occur at rest?-pathophysiology of neuronal structures in RLS. Neurophysiology of RLS (part 2). Clin Neurophysiol, 2004;115(9):1975–1988.

    Article  PubMed  CAS  Google Scholar 

  8. Garcia-Borreguero, D., O. Larrosa, J.J. Granizo, Y. de la Llave, and W.A. Hening, Circadian effects of dopaminergic treatment in restless legs syndrome. Sleep Med, 2004;5(4):413–420.

    Article  PubMed  Google Scholar 

  9. Chesson, A.L., Jr., M. Wise, D. Davila, et al., Practice parameters for the treatment of restless legs syndrome and periodic limb movement disorder. An American Academy of Sleep Medicine Report. Standards of Practice Committee of the American Academy of Sleep Medicine. Sleep, 1999;22(7):961–968.

    PubMed  Google Scholar 

  10. Walters, A.S., K. Hickey, J. Maltzman, et al., A questionnaire study of 138 patients with restless legs syndrome: the ‘Night-Walkers’ survey. Neurology, 1996;46(1):92–95.

    PubMed  CAS  Google Scholar 

  11. Garcia-Borreguero, D., P. Odin, and C. Schwarz, Restless legs syndrome: an overview of the current understanding and management. Acta Neurol Scand, 2004;109(5):303–317.

    Article  PubMed  CAS  Google Scholar 

  12. Phillips, B., T. Young, L. Finn, K. Asher, W.A. Hening, and C. Purvis, Epidemiology of restless legs symptoms in adults. Arch Intern Med, 2000;160(14):2137–2141.

    Article  PubMed  CAS  Google Scholar 

  13. Winkelmann, J., T.C. Wetter, V. Collado-Seidel, et al., Clinical characteristics and frequency of the hereditary restless legs syndrome in a population of 300 patients. Sleep, 2000;23(5):597–602.

    PubMed  CAS  Google Scholar 

  14. Rothdach, A.J., C. Trenkwalder, J. Haberstock, U. Keil, and K. Berger, Prevalence and risk factors of RLS in an elderly population: the MEMO study. Memory and Morbidity in Augsburg Elderly. Neurology, 2000;54(5):1064–1068.

    PubMed  CAS  Google Scholar 

  15. Allen, R.P., A.S. Walters, J. Montplaisir, et al., Restless legs syndrome prevalence and impact: REST general population study. Arch Intern Med, 2005;165(11):1286–1292.

    Article  PubMed  Google Scholar 

  16. Montplaisir, J., S. Boucher, G. Poirier, G. Lavigne, O. Lapierre, and P. Lesperance, Clinical, polysomnographic, and genetic characteristics of restless legs syndrome: a study of 133 patients diagnosed with new standard criteria. Mov Disord, 1997;12(1):61–65.

    Article  PubMed  CAS  Google Scholar 

  17. Ondo, W. and J. Jankovic, Restless legs syndrome: clinicoetiologic correlates. Neurology, 1996;47(6):1435–1441.

    PubMed  CAS  Google Scholar 

  18. Trenkwalder, C., Restless-legs syndrome in primary care: counting patients in Idaho. Lancet Neurol, 2004;3(2):83.

    Article  PubMed  Google Scholar 

  19. Ondo, W.G., K.D. Vuong, and Q. Wang, Restless legs syndrome in monozygotic twins: clinical correlates. Neurology, 2000;55(9):1404–1406.

    PubMed  CAS  Google Scholar 

  20. Tison, F., A. Crochard, D. Leger, S. Bouee, E. Lainey, and A. El Hasnaoui, Epidemiology of restless legs syndrome in French adults: a nationwide survey: the INSTANT Study. Neurology, 2005;65(2):239–246.

    Article  PubMed  CAS  Google Scholar 

  21. Nichols, D.A., R.P. Allen, J.H. Grauke, et al., Restless legs syndrome symptoms in primary care: a prevalence study. Arch Intern Med, 2003;163(19):2323–2329.

    Article  PubMed  Google Scholar 

  22. Polo-Kantola, P. and R. Erkkola, Sleep and the menopause. J Br Menopause Soc, 2004;10(4):145–150.

    Article  PubMed  Google Scholar 

  23. Chaudhuri, K.R., A. Forbes, D. Grosset, et al., Diagnosing restless legs syndrome (RLS) in primar care. Curr Med Res Opin, 2004;20(11):1785–1795.

    Article  PubMed  Google Scholar 

  24. Sukegawa, T., M. Itoga, H. Seno, et al., Sleep disturbances and depression in the elderly in Japan. Psychiatry Clin Neurosci, 2003;57(3):265–270.

    Article  PubMed  Google Scholar 

  25. Stiasny-Kolster, K., C. Trenkwalder, W. Fogel, et al., Restless legs syndrome-new insights into clinical characteristics, pathophysiology, and treatment options. J Neurol, 2004. 251(Suppl 6):VI/39-VI/43.

    Google Scholar 

  26. Moline, M., L. Broch, and R. Zak, Sleep problems across the life cycle in women. Curr Treat Options Neurol, 2004;6(4):319–330.

    Article  PubMed  Google Scholar 

  27. Garcia-Borreguero, D., C. Serrano, O. Larrosa, and J.J. Granizo, Circadian variation in neuroendocrine response to L-dopa in patients with restless legs syndrome. Sleep, 2004;27(4):669–673.

    PubMed  Google Scholar 

  28. Michaud, M., J.P. Soucy, A. Chabli, G. Lavigne, and J. Montplaisir, SPECT imaging of striatal pre-and postsynaptic dopaminergic status in restless legs syndrome with periodic leg movements in sleep. J Neurol, 2002;249(2):164–1670.

    Article  PubMed  Google Scholar 

  29. Erikson, K.M., B.C. Jones, and J.L. Beard, Iron deficiency alters dopamine transporter functioning in rat striatum. J Nutr, 2000;130(11):2831–2837.

    PubMed  CAS  Google Scholar 

  30. Connor, J.R., P.J. Boyer, S.L. Menzies, et al., Neuropathological examination suggests impaired brain iron acquisition in restless legs syndrome. Neurology, 2003;61(3):304–309.

    PubMed  CAS  Google Scholar 

  31. Lee, K.A., M.E. Zaffke, and K. Baratte-Beebe, Restless legs syndrome and sleep disturbance during pregnancy: the role of folate and iron. J Womens Health Gend Based Med, 2001;10(4):335–341.

    Article  PubMed  CAS  Google Scholar 

  32. Earley, C.J., D. Heckler, and R.P. Allen, Repeated IV doses of iron provides effective supplemental treatment of restless legs syndrome. Sleep Med, 2005;6(4):301–305.

    Article  PubMed  Google Scholar 

  33. Moyer, P., Compromised brain iron abnormalities linked to early-onset restless legs syndrome. Neurology Today, 2005;489.

    Google Scholar 

  34. Manconi, M., V. Govoni, A. De Vito, et al., Restless legs syndrome and pregnancy. Neurology, 2004;63(6):1065–1069.

    PubMed  CAS  Google Scholar 

  35. Rijsman, R., A.K. Neven, W. Graffelman, B. Kemp, and A. de Weerd, Epidemiology of restless legs in The Netherlands. Eur J Neurol, 2004;11(9):607–611.

    Article  PubMed  Google Scholar 

  36. Polo-Kantola, P., M. Dumont, J. Paquet, A. Desautels, M.L. Fantini, and J. Montplaisir, Estrogen replacement therapy and nocturnal periodic limb movements: a randomized controlled trial. Obstet Gynecol, 2001;97(4):548–554.

    Article  PubMed  CAS  Google Scholar 

  37. Manconi, M., M. Dumont, B. Selmaoui, J. Paquet, M.L. Fantini, and J. Montplaisir, Pregnancy as a risk factor for restless legs syndrome. Sleep Med, 2004;5(3):305–308.

    Article  PubMed  Google Scholar 

  38. Eichling, P. and J. Sahni, Menopause related sleep disorders. J Clin Sleep Med, 2005;1(3):291–300.

    PubMed  Google Scholar 

  39. Jourdain, S., M. Morissette, N. Morin, and T. Di Paolo, Oestrogens prevent loss of dopamine transporter (DAT) and vesicular monoamine transporter (VMAT2) is substantia nigra of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine mice. J Neuroendocrinol, 2005;17(8):509–517.

    Article  PubMed  CAS  Google Scholar 

  40. Genazzani, A.R., F. Bernardi, N. Pluchino, et al., Endocrinology of menopausal transition and its brain implications. CNS Spectr, 2005;10(6):449–457.

    PubMed  Google Scholar 

  41. Michaud, M., E. Rauhala, R. Erkkola, K. Irjala, and O. Polo, Circadian variation of the effects of immobility on symptoms of restless legs syndrome. Sleep, 2005;28(7):843–846.

    PubMed  Google Scholar 

  42. Michaud, M., V. Govoni, A. De Vito, et al., Circadian rhythm of restless legs syndrome: relationship with biological markers. Ann Neurol, 2004;55(3):372–380.

    Article  PubMed  CAS  Google Scholar 

  43. Okatani, Y., N. Morioka, and A. Wakatsuki, Changes in nocturnal melatonin secretion in perimenopausal women: correlation with endogenous estrogen concentrations. J Pineal Res, 2000;28(2):111–118.

    Article  PubMed  CAS  Google Scholar 

  44. Zeitzer, J.M., J.E. Daniels, J.F. Duffy, Do plasma melatonin concentrations decline with age? Am J Med, 1999;107(5):432–436.

    Article  PubMed  CAS  Google Scholar 

  45. Fernandez, B., J.L. Malde, A. Montero, and D. Acuna, Relationship between adenohypophyseal and steroid hormones and variations in serum and urinary melatonin levels during the ovarian cycle, perimenopause and menopause in healthy women. J Steroid Biochem, 1990;35(2):257–262.

    Article  PubMed  CAS  Google Scholar 

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© 2006 Humana Press Inc., Totowa, NJ

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Collins, N.S. (2006). Restless Legs Syndrome and Menopause. In: Attarian, H.P. (eds) Sleep Disorders in Women. Current Clinical Neurology. Humana Press. https://doi.org/10.1007/978-1-59745-115-4_17

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  • DOI: https://doi.org/10.1007/978-1-59745-115-4_17

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-592-7

  • Online ISBN: 978-1-59745-115-4

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