Association of Oxidative Stress and Proinflammation with Insomnia in Perimenopause

Background: The levels of oxidative stress and proinflammatory factors in perimenopausal females increased, and they were also deeply troubled by insomnia. The occurrence of insomnia is related to the changes of oxidative stress and inflammation levels in the body. Perimenopausal insomnia may be related to mild systemic inflammation, and oxidative stress can promote chronic inflammation. However, the underlying mechanism behind the phenomenon is still unclear. Objective: The aim was to investigate whether the occurrence of perimenopausal insomnia disorder is related to higher levels of oxidative stress and inflammation in the body, and to explore the role of inducible nitric oxide synthase (iNOS) in perimenopausal insomnia. Methods: A total of 127 perimenopausal participants were recruited in this study. Participants with global scores of the Pittsburgh sleep quality index (PSQI) >7 were diagnosed with insomnia (n = 54). The patient health questionnaire-9 (PHQ-9) and generalized anxiety disorder-7 (GAD-7) were evaluated, and sociodemographic data were obtained. The serum concentrations of iNOS, interleukin 6 (IL6), and tumor necrosis factor α (TNFα) were measured using commercial assays. Results: In the insomnia group, IL6 levels were positively correlated with scores of component 5 and component 7 of PSQI, respectively. PHQ-9 and GAD-7 were positively correlated with the global score of PSQI component 7 and PSQI, respectively; PHQ-9 was positively correlated with the global score of PSQI component 1. Finally, PHQ-9, iNOS, and IL6 were found to be independent predictors of perimenopausal insomnia using logistic regression. Conclusions: Moderate oxidative stress caused by a certain concentration of iNOS plays a protective role in perimenopausal insomnia, while proinflammation and depression are potential risk factors.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:33

Enthalten in:

Journal of women's health (2002) - 33(2024), 3 vom: 23. März, Seite 379-387

Sprache:

Englisch

Beteiligte Personen:

Zhao, Jing [VerfasserIn]
Ji, Yubo [VerfasserIn]
Zuo, Yanni [VerfasserIn]
Zhang, Long [VerfasserIn]
Ku, Congwen [VerfasserIn]
Wang, Wenyan [VerfasserIn]
Wang, Pengxiang [VerfasserIn]
Yang, Yan [VerfasserIn]
Kang, Yimin [VerfasserIn]
Wang, Fan [VerfasserIn]

Links:

Volltext

Themen:

Depression
Inducible nitric oxide synthetase
Insomnia
Interleukin-6
Journal Article
Perimenopause

Anmerkungen:

Date Completed 13.03.2024

Date Revised 13.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1089/jwh.2023.0316

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368841529