Evaluation of the relationship between lifestyle and quality of sleep in postmenopausal women

Document Type : Original Article


1 Lecturer of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Lecturer of Midwifery, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnord, Iran.

3 Associate professor, Department of Biostatistics and Epidemiology, Health Sciences Research Center, School of Public Health, Mashhad University of Medical Sciences, Mashhad, Iran.


Introduction: Lifestyle is one of the factors affecting on health, and if it be unhealthy, it can cause diseases and chronic problems in postmenopausal women. This study was performed with the aim to determine the relationship between lifestyle and quality of sleep in postmenopausal women.
Methods: This cross-sectional study was performed in 2012 on 400 postmenopausal women referring to Women's clinics of training centers in Mashhad. The study tools included health-promoting lifestyle questionnaire and Pittsburgh Sleep Quality. Data was analyzed using SPSS software (version 16), and Pearson correlation coefficient, t-test, ANOVA, and linear regression tests. PResults: The highest score of the behavioral aspects of lifestyle was related to spiritual growth and responsibility for health and the lowest score was related to physical activity. There was a significant inverse correlation between total scores of sleep quality and nutrition (P=0.011, r=-0.127), stress management (P=0.001, r=-0.171), and total score of lifestyle (P=0.001, r=-0.159).
Conclusion: Healthy lifestyle improves quality of sleep in postmenopausal women


  1. Speroff L, Fritz MA. Clinical gynecologic endocrinology and infertility. 7th ed. Piladelphia:Lippincott Williams & Wilkins;2005.
  2. Ebrahimi M. Taghizadeh M. [The effect of soy protein on menopausal symptoms in postmenopausal women Urmia] [Article in Persian]. Hakim 2008 Winter;11(4):16-20.
  3. Miller KL, Versi E, Resnick NM. Geriatric gynecology and aging. In: Ryan KJ, Berkowitz RS, Barbieri RL, Dunaif A. Kistner's gynecology and women's health. 7th ed. Piladelphia: Lippincott Williams & Wilkins;1999:610-38.
  4. Elvsky S, MaAuley E. Personality, menopausal symptoms, and physical activity outcomes in middle-aged women. PersIndividDif 2009;46(2):123-8.
  5. JahanfarSh, RamezaniTehrani F, Hashemi SM. [Early complications of menopause among women in Tehran] [Article in Persian]. J ReprodInfertil 2002;3(2):31-40.
  6. Abdullahi F, Azad Bakht M, Shabankhani B, Abhari Rezaei F, Moslemizadeh N. [Effects of licorice extract on menopausal symptoms] [Article in Persian]. J MazandaranUniv Med Sci 2006;56:75-82.
  7. MohammadiZeidi I, Pakpur Hajji A, MohammadiZeidi B. [Reliability and validity of the Persian version of the health-promoting lifestyle questionnaire] [Article in Persian]. J MazandaranUniv Med Sci 2012;21:156-62.
  8. Sternfeld B. Associated Lifestyle with menopausal symptoms in a population of 40-55- year-old middle-aged women.Am J Epidemio.2000;142(55):145-61.
  9. Moosavi S. [The relationship between lifestyle and quality of life in postmenopausal women] Article in Persian]. J BeheshtiUniv Med Sci 2010;11(5):193-202.
  10. Hunter MS, Gentry-Maharaj A, Ryan A, Burnell M, Lanceley A, Fraser A, et al. Prevalence, frequency and problem rating of hot flushes persist in older postmenopausal women: impact of age, body mass index, hysterectomy, hormone therapy use, lifestyle and mood in a crosssectional cohort study of 10,418 British women aged 54-65. BJOG 2011 Jan;119(1):40–50.
  11. Baruq N. [Lifestyle associated with the risk of hypertension in 65-24 year-old residents of the city of Qazvin Kosar region in 2007] [Article in Persian]. J BeheshtiUniv Med Sci 2011;15(5):193-5.
  12. Lerner-Geva L, Boyko V, Blumstein T. The impact of education, cultural background, and lifestyle on symptoms of the menopausal transition: the Women's Health at Midlife Study. J Womens Health (Larchmt) 2009 May;19(5):975-85.
  13. Milani N, SohailArshadi F, Asadi Noghani AA. [Community health nursing]. Tehran:AndisheRafi;2007. [in Persian]
  14. Heydari F, Kermanshahi S, Vanaki Z, Kazemnezhad A. [Influence of planning increase of health on stress managment in middle age women] [Article in Persian]. Nurs Invest 2011;22(6):25-31
  15. López-Alegría F, De Lorenzi DR. [Lifestyles and quality of life of post-menopausal women] [Article in Spanish]. Rev Med Chil 2011 May;139(5):618-24.
  16. Payamati F, Nazari AA, Noktedan H, Mehran A. [The study of MS patient's life style refereed to MS association in Tehran city in 2008] [Article in Persian]. Yafteh 2012;13(2):26-34.
  17. Gold EB, Block G, Crawford S, Lachance L, FitzGerald G, Miracle H. Lifestyle and demographic factors in relation to vasomotor symptoms: baseline results from the Study of Women’s Health Across the Nation. Am J Epidemiol 2004 Jun 15;159(12):1189-99.
  18. Mohammadi A, Fatemi S. [The relationship between lifestyle and public health students at Rasht University of Medical Sciences in 2007] [Article in Persian]. J MazandaranUniv Med Sci 2007;25(5):145-56.
  19. Greendale A, Lee PN, Arriola RE. The menopause. Lancet 1999 Feb 13;353(9152):571- 80.
  20. Avis NE, Crawford SL, McKinlay SM. Psychosocial, behavioral, and health factors related to menopause symptomatology. Womens Health 1997 Summer;3(2):103-20.
  21. FarrahiMoghaddam J, Nakhaee N, Sheibani V, Garousi B, AmirkafiA.Reliability validity of the Persian version of the Pittsburgh Sleep Quality Index. Sleep Breath 2012 Mar;16(1):79-82.
  22. Ayati C, Kadkhodaeian S, Roodsari FV, Shakier M. [Examine the relationship between environmental factors and the symptoms of menopause] [Article in Persian]. BabolUniv Med Sci J 2008;1(1):40-5.
  23. Burney RO, Schust DJ, Yao MWM. Infertility. In: Berek JS. Berek& Novak’s gynecology. 14thed. Piladelphia:Lippincott Williams & Wilkins;2007:1185-1272.
  24. Mohammad K, Sadat Hashemi SM, Farahani FK. Age at natural menopause in Iran. Maturitas 2004 Dec 10;49(4):321-6.
  25. Eldarabadi E, Dabbaghi F. [Textbook of community health nursing]. Tehran:Jamehnegar Publishers;2008
  26. Moline ML, Broch L, Zak R, Gross V. Sleep in women across the life cycle from adulthood through menopause. Sleep Med Rev 2003 Apr;7(2):155-77.