ASSESSMENT OF SLEEP QUALITY AND QUALITY OF LIFE AMONG WOMEN AGED 45 YEARS AND OLDER
DOI:
https://doi.org/10.56238/Keywords:
Quality of Life, Quality of Sleep, Women's HealthAbstract
The objective of the present study is to analyze the quality of life and sleep among women aged 45 to 59, aiming to understand the challenges faced by this age group. The specific objective is to characterize the participants. This is a quantitative, cross-sectional study, based on a theoretical-deductive method. Data was collected between December 2024 and March 2025 through an electronic questionnaire. Participants were selected intentionally, using a non-probabilistic sampling method, and responded to questions on sociodemographic characteristics, the Pittsburgh Sleep Quality Index (PSQI), and the EUROHIS-QOL 8-Item Index. Data was analyzed statistically and descriptively. The sample consisted of 49 women aged 45 to 59, most of whom were married (79.6%), had a postgraduate degree (49%), had children (89.9%), and were already in menopause (63.3%). Overall quality of life levels were high (55.1%), except for income, which remained at unsatisfactory levels (53.1%). According to the PSQI, 36.7% of participants were classified as having poor sleep quality, and 24.5% presented sleep disorders. It can be concluded that middle-aged women face multiple social, psychological, and hormonal challenges, with sleep quality being particularly affected by these factors. Quality of life levels remain generally high, except for income, which participants perceive as insufficient to meet their personal needs. The present research highlights the need for multiprofessional health support for this age group to address adverse symptoms related to menopause and sleep.
References
AKERSTEDT, T. et al. “Total sleep time, sleep eficiency and next day subjective sleepiness in a large group of women”. Sleep Advances, vol. 7, n. 3, 2022.
ALLAGBÉ, I. et al. “Cardiovascular Risk Among Patients Who Smoke: Risk Profiles and Differences by Sex”. American Journal of Preventive Medicine, vol. 65, n. 5, 2022.
ALSUGEIR, D. et al. “Common mental health diagnoses arising from or coinciding with menopausal transition and prescribing of SSRIs/SNRIs medications and other psychotropic medications”. Journal of Affective Disorders, vol. 364, n. 364, 2024.
ALVES, E. R. P. et al. “Climatério: a intensidade dos sintomas e o desempenho sexual”. Texto & Contexto-Enfermagem, vol. 24, n. 1, 2015.
ASSUNÇÃO, D. F. S. et al. “Qualidade de vida de mulheres climatéricas”. Revista da Sociedade Brasileira de Clínica Médica, vol. 9, 2017.
BAKER, F. C. “Optimizing sleep across the menopausal transition”. Climacteric, vol. 26, n. 3, 2023.
BAKER, F. C. et al. “Sleep and Sleep Disorders in the Menopausal Transition”. Sleep Medicine Clinics, vol. 13, n. 3, 2018.
BARROSO, B. M. A. et al. “Fatores associados à autoavaliação da saúde negativa de mulheres de meia-idade”. Texto e Contexto Enfermagem, vol. 32, 2023.
BERTOLAZI, A. N. et al. “Validation of the Brazilian Portuguese Version of the Pittsburgh Sleep Quality Index”. Sleep Medicine, vol. 12, n.1, 2011.
BONSIGNORE, M. R. et al. “Sex differences in obstructive sleep apnoea”. European Respiratory Review, vol. 28, n. 164, 2019.
BOTELHO, T. A. et al. “Saúde da mulher no climatério, aspectos biológicos e psicológicos: uma revisão integrativa”. Revista Eletrônica Acervo Saúde, vol. 15, n. 4, 2022.
BRASIL. Manual de Atenção à Mulher no Climatério: Menopausa. Brasília: Ministério da Saúde, 2008. Disponível em: . Acesso em: 28/05/2025.
BRAZ, N. M. Fisiopatologia da menopausa e o manejo terapêutico dos seus sintomas associados. (Trabalho de Conclusão de Curso de Graduação em Farmácia). Diadema: UNIFESP, 2023.
BUSS, P. M. et al. “Promoção de saúde e qualidade de vida: uma perspectiva histórica ao longo dos últimos 40 anos (1980-2020)”. Ciência e Saúde Coletiva, vol. 25, n. 12, 2020.
BUYSSE, D. J. et al. “The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research”. Psychiatry Research, vol. 28, n. 2, 1989.
CARDOSO, E. C.; CAMARGO, M. J. G. D. “Terapia Ocupacional em Saúde da Mulher: Impacto dos sintomas do climatério na atividade profissional”. Tempus Actas de Saúde Coletiva, vol. 11, n. 1, 2017.
CAZELLA, L. G. et al. “Qualidade de Vida de Mulheres e as Características Sociodemográficas Associadas”. Enfermagem em Foco, vol. 10, n. 3, 2017.
CHAPUT, J. P. et al. “Sleep duration and health in adults: An overview of systematic reviews”. Applied Physiology, Nutrition and Metabolism, vol. 45, n. 10, 2020.
CURTA, J. C.; WEISSHEIMER, A. M. “Percepções e sentimentos sobre as mudanças físicas em mulheres no climatério”. Revista Gaúcha de Enfermagem, vol. 41, 2020.
DEPREE, B. et al. “Association of menopausal vasomotor symptom severity with sleep and work impairments: a US survey”. Menopause, vol. 30, n. 9, 2023.
DREWS, H. J. et al. “Bed-Sharing in Couples Is Associated With Increased and Stabilized REM Sleep and Sleep-Stage Synchronization”. Frontiers in Psychiatry, vol. 11, 2020.
FEBRASGO – Federação Brasileira das Associações de Ginecologia e Obstetrícia. Propedêutica Mínima no Climatério. São Paulo: Febrasgo, 2022. Disponível em:
. Acesso em: 28/05/2025.
FERREIRA, A. F. et al. “Musculoeskeletal pain, multimorbidity and associated factors in individuals followed at a physiotherapy servisse: cross-sectional observational study”. Brazilian Journal of Physiotherapy, vol. 5, n. 3, 2024.
FREEDMAN, R. R. “Menopausal hot flashes: Mechanisms, endocrinology, treatment”. The Journal of Steroid Biochemistry and Molecular Biology, vol. 142, n. 142, 2014.
GAN, X. et al. “Causal associations between sleep traits and age at natural menopause: A Mendelian randomization study”. Medicine, vol. 103, n. 24, 2024.
GIACOMONI, C. H. “Bem-estar subjetivo: em busca da qualidade de vida”. Temas em Psicologia, vol. 12, n. 1, 2024.
GRACIA, C. R.; FREEMAN, E. W. “Onset of the Menopause Transition: The Earliest Signs and Symptoms”. Obstetrics and Gynecology Clinics of North America, vol. 45, n. 4, 2018.
GUIMARÃES, D. “The Women’s Quality of Life on the Triple Journey: Mother’s, Students and Professionals”. Pretextos, vol. 4, n. 8, 2019.
IBGE – Instituto Brasileiro de Geografia e Estatística. Evolução dos indicadores de qualidade de vida no Brasil com base na Pesquisa de Orçamentos Familiares. Rio de Janeiro: IBGE, 2023. Disponível em: . Acesso em: 28/05/2025.
KHAKKAR, S. R. et al. “Relationship between mental health and climacteric adjustment in middle aged women: a confirmatory analisys”. BMC Women’s Health, vol. 23, n.1, 2023.
KHOUDARY, S. R. et al. “Menopause Transition and Cardiovascular Disease Risk: Implications for Timing of Early Prevention: A Scietific Statement From the American Heart Association”. American Heart Association Journals, vol. 142, n. 25, 2020.
KODAIRA, K. et al. “Sleeping pill use in Brazil: a population-based, cross-sectional study”. BMJ Open, vol. 7, n. 7, 2017.
KUCK, M. J.; HOGERVORST, E. “A consideration of the potential benefits and harms of menopausal hormone treatment”. PLoS Medicine, vol. 22, n. 4, 2025.
LEÃO, A. R. et al. “Evaluation of the quality of life of climate women at a specialized ambulatory”. Brazilian Journal of Health Review, vol. 2, n. 1, 2019.
LEE, Y.; RYU, M. “Sleep-related problems as a mediator in the association between depression and work Family conflict in the middle-aged female workers: A population-based study”. Nursing Open, vol. 10, n. 8, 2023.
LEITE, F. M. C. et al. “Prevalência e fatores associados ao uso de medicamento indutor do sono entre mulheres assistidas na Atenção Primária em Saúde: estudo transversal em Vitória, Espírito Santo, 2014”. Epidemiologia e Serviços de Saúde, vol. 31, n. 1, 2022.
LI, M. “The Positive Influence of British Industrial Revolutions on Women’s Life”. Journal of Sociology and Ethnology, vol. 5, n. 2, 2023.
LOK, R.; QIAN, J.; CHELLAPA, S. L. “Sex differences in sleep, circadian rhythms, and metabolism: Implications for precision medicine”, Sleep Medicine Reviews, vol. 75, 2024.
LUZ, M. M. F.; FRUTUOSO, M. F. P. “O olhar do profissional da Atenção Primária sobre o cuidado à mulher climatérica”. Interface - Comunicação, Saúde, Educação, vol. 25, 2021.
MARLATT, K. L. et al. “Body composition and cardiometabolic health across the menopause transition”. Obesity, vol. 30, n. 1, 2021.
MARTHO, R. G.; CASELLI, C. “Sentidos do Trabalho para Brasileiros de Meia-Idade: Um Estudo Fenomenológico”. Estudos e Pesquisas em Psicologia, vol. 23, n. 1, 2023.
MCBRIDE, R. B. et al. “Alcohol and Tobacco Use in Relation to Mammographic Density in 23,456 Women”. Cancer Epidemiology, Biomarkers and Prevention, vol. 29, n. 5, 2020.
MEZZOIUSO, A. G. et al. “Association Between Smoking and Cancers Among Women: Results from the FRiCaM Mulsitite Cohort Study”. Journal of Cancer, vol. 12, n. 11, 2021.
NEMOTO, Y. et al. “Trajectories of physical activity from mid to older age in women: 21 years of data from the Australian Longitudinal Study on Women’s Health”. International Journal of Behavioral Nutrition and Physical Activity, vol. 21, n. 1, 2024.
O’NEILL, S.; EDEN, J. “The pathophysiology of menopausal symptoms”. Obstetrics, Gynaecology and Reproductive Medicine, vol. 27, n. 10, 2017.
OLIVEIRA, A. M. M. et al. “A mulher de meia-idade e as imposições sobre os seus corpos”. Anais da VIII Semana de Psicologia da Faculdade Luciano Feijão. Fortaleza: UFC, 2021.
OLIVEIRA, G. M. M. “Diretriz Brasileira sobre a Saúde Cardiovascular no Climatério e na Menopausa” Arquivos Brasileiros de Cardiologia, v. 121, n. 7, 2024.
OMS - Organização Mundial da Saúde. “WHOQOL – Measuring Quality of Life”. World Health Organization [2012]. Disponível em: . Acesso em: 29/05/2025.
OMS - Organização Mundial da Saúde. Who Housing and Health Guidelines. Geneva: OMS, 2018. Disponível em: . Acesso em: 29/05/2025.
PALMEIRA, C. S. et al. “Qualidade de Vida em Mulheres com Excesso de Peso”. Revista Baiana de Enfermagem, vol. 37, 2023.
PAPPAS, J. A.; MINER, B. “Sleep Deficiency in the Elderly”. Sleep Medicine Clinics, vol. 19, 2024.
PATEL, A. K. et al. “Physiology, Sleep Stages”. StatPearls [2024]. Disponível em: . Acesso em: 12/05/2025.
PEACOCK, K.; KETVERTIS, K. M. “Menopause”. StatPearls [2022]. Disponível em: . Acesso em: 12/05/2025.
PENGO, M. F. et al. “Sleep in Women Across the Life Span”. Chest Journal, vol. 154, n. 1, 2018.
PEREIRA, C. L.; ASSUNÇÃO, F. M. “The (in)visibility of fibromyalgia through its symptoms and the challenges of its diagnosis and therapy”. Revista Brasileira de Enfermagem, vol. 77, n. 2, 2024.
PEREIRA, É. F. et al. “Qualidade de vida: abordagens, conceitos e avaliação”. Revista Brasileira de Educação Física e Esporte, vol. 26, n. 2, 2012.
PEREIRA, R. R. et al. “Fatores associados à má qualidade do sono em brasileiros mais velhos: uma análise transversal do do ELSI-Brasil”. Ciência e Saúde Coletiva, vol. 30, n. 8, 2023.
PERRY-JENKINS, M. et al. “Work and Family in the second decade of the 21st century”. Journal of Marriage and Family, vol. 82, n. 1, 2020.
PINTO, J. M. et al. “Socioeconomic characteristics, health and quality of life self-evaluation in women”. Revista Família, Ciclos de Vida e Saúde no Contexto Social, vol. 8, n. 2, 2020.
RAGLAN, G. B.; SCHULKIN, J.; MICKS E. “Depression during perimenopause: the role of the obstetrician-gynecologist”. Arch Womens Ment Health, vol. 23, n. 1, 2020.
RAVYTS, S. G.; DZIERZEWSKI, J. M. “Sleep and Healthy Aging: A Systematic Review and Path Forward”. Clinical Gerontologist, vol. 47, n. 3, 2024.
RIEMANN, D. et al. “Chronic insomnia, REM sleep instability and emotional dysregulation: A pathway to anxiety and depression?” Journal of Sleep Research, vol. 34, 2025.
RINDNER, L. et al. “Effect of group education and person-centered support in primary health care on mental health and quality of life in women aged 45-60 years with symptoms commonly associated with stress: a randomized controlled trial”. BMC Women’ Health, vol. 23, 2023.
ROMERO, S., S. et al. “Validade e confiabilidade do EUROHIS-QOL 8-item para avaliar a qualidade de vida em adultos brasileiros”. Cadernos de Saúde Pública, vol. 38, n. 11, 2022.
SALIS, I. et al. “Experiencing menopause in the UK: The interrelated narratives of normality, distress, and transformation.” Journal of Women and Aging, vol. 30, n. 6, 2018.
SAMPAIO, J. V. et al. “Hormônios e Mulheres na Menopausa”. Psicologia: Ciência e Profissão, vol. 41, n. 41, 2021.
SANTORO, N. et al. “The Menopause Transition: Signs, Symptoms, and Management Options”. The Journal of Clinical Endocrinology & Metabolism, vol. 106, n. 1, 2020.
SANTOS M. A. D. et al. “Sleep quality and it’s associtation with menopausal and climacteric symptoms”. Revista Brasileira de Enfermagem, vol. 74, n. 2, 2022.
SANTOS, L. et al. “Percepção das mulheres sobre o climatério e menopausa”. Research, Society and Development, vol.13, n. 3, 2024.
SCAVELLO, I. et al. “Sexual Health in Menopause”. Medicina, vol. 55, n. 9, 2019.
SEEDAT, S.; RONDON, M. “Women’s wellbeing and the burden of unpaid work”. BMJ, vol. 374, 2021.
SILVA SOBRINHO, A. C. et al. “Associação de dor crônica com força, níveis de estresse, sono e qualidade de vida em mulheres acima de 50 anos.”. Fisioterapia e Pesquisa, vol. 26, n. 2, 2019.
SILVA, C. L. et al. “Análise da sintomatologia de mulheres climatéricas ativas e sedentárias”. Research, Society and Development, vol. 10, n. 8, 2021.
SILVA, I. M. et al. “A percepção de mulheres a respeito dos sinais e sintomas do climatério/menopausa e a sua relação com a qualidade de vida”. Research, Society and Development, vol. 11, n. 4, 2022.
SILVA, M. et al. “O padrão de consumo de álcool entre as usuárias das Unidades de Saúde da Família no município do Recife (PE)”. Saúde em Debate, vol. 43, n. 122, 2019.
SPITSCHAN, M. et al. “Sex differences and sex bias in human circadian and sleep physiology research”. eLife, vol. 11, 2022.
SWANSON, L. M. et al. “Sleep timing, sleep regularity, and psychological health in early late life women: Findings from the Study of Women’s Health Across the Nation (SWAN)”. Sleep Health, vol. 9, 2022.
TANDON, V.R. et al. “Menopause and Sleep Disorders”. Journal of Midlife Health, vol. 13, n. 1, 2022.
THOMAS, K. et al. “Associations of psychosocial factors with multiple health behaviors: a population-based study of middle-aged men and women”. International Journal of Environmental Research and Public Health, vol. 17, 2020.
VAZ, M., Z.; BESSA, S. “Propósito de vida, significado e futuro: uma análise de objetivos e bem-estar em estudantes do ensino médio”. Boletim de Conjuntura (BOCA), vol. 22, n. 65, 2025.
WASLEBEN, J. “Women and Sleep”. Handbook of Clinical Neurology, vol. 98, 2011.
WENDT, A. et al. “Sleep disturbances and daytime fatigue: data from the Brazilian National Data Survey, 2013”. Cadernos de Saúde Pública, vol. 35, n. 3, 2019.
WIGG, C. M. A relação entre depressão, ansiedade, ideação suicida, estresse e sono em mulheres na pós-menopausa (Tese de Doutorado em Saúde da Criança e da Mulher). Rio de Janeiro: IFF, 2020.
ZHI, W. N. et al. “Increasing Rigor in Online Health Surveys Through the Reduction of Fraudulent Data”. JMIR Publications, vol. 27, 2025.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c). Conjuncture Bulletin (BOCA)
This work is licensed under a Creative Commons Attribution 4.0 International License.
