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. 2021 Jul 26;28(9):1012–1025. doi: 10.1097/GME.0000000000001805

TABLE 3.

Sleep disruption, vasomotor symptoms and heart palpitations, mood changes, headache and sore breasts, brain fog and dizziness: number reporting (n, %), frequency, bother and burden for women reporting symptoms by late reproductive stage (LRS) and menopausal transition+ groups (N = 1,436)

Symptom (total N reporting) Number reporting symptom (n = 1,436) LRS number reporting (n = 945) MT+ number reportinga (n = 491) LRS frequency (modal category) MT+ frequency (modal category)b LRS bother rating M (SD) MT+ bother ratingc M (SD) LRS burden score M (SD) MT+ burden scored M (SD)
Sleep disruption
 Hard time falling asleep 42029% 25727% 16333% Few X/wk Daily/almost daily 3.5 (1.7) 3.7 (1.7) 10.6 (6.8) 12.1 (7.3)
 Wake middle of night, back to sleep easily 43630% 28430% 15231% Few X/wk Daily/almost dailye 2.0 (1.6) 2.2 (1.8) 6.4 (5.8) 7.7 (6.5)
 Wake middle of night, awake >1 h 62743% 39642% 23147% Few X/wk Few X/wke 4.1 (1.6) 4.3 (1.5) 10.9 (6.2) 12.7 (6.9)e
 Wake middle of night, panic, anxious worried 35725% 22624% 13127% 1-2 X/mo Few X/wk 4.1 (1.6) 4.1 (1.6) 9.2 (6.1) 9.9 (5.9)
 Wake up very early in the morning 36125% 22023% 14129% Daily/almost daily Daily/almost daily 2.4 (1.7) 2.5 (1.9) 7.4 (6.1) 8.4 (7.0)
Vasomotor symptoms and heart palpitations
 Hot flashes 55739% 27829% 27957%f 4-6 X/mo Daily/almost dailye 3.1 (1.6) 3.7 (1.7)e 7.6 (6.1) 12.3 (7.6)e
 Night/cold sweats 62844% 37740% 25151%f 4-6 X/mo Daily/almost dailyf 3.4 (1.8) 3.7 (1.7) 8.3 (6.5) 11.2 (7.6)e
 Heart palpitations 42330% 27027% 15331% 4-6 X/mo Few X/wke 3.6 (1.6) 3.6 (1.8) 8.0 (5.9) 9.8 (7.1)
Mood changes
 Irritable (eg, short tempered, grumpy, impatient with others) 80256% 53757% 26554% 4-6 X/mo Few X/wke 4.0 (1.5) 3.8 (1.5) 10.0 (6.3) 11.3 (6.6)
 Feelings of anxiety (eg, more nervous) 71350% 45348% 26053% Few X/wk Few X/wke 4.2 (1.5) 4.1 (1.5) 11.8 (6.9) 12.5 (6.6)
 Easily overwhelmed, less able to cope 60542% 38341% 22245% Few X/wk Few X/wkf 4.2 (1.5) 4.3 (1.5) 11.8 (6.8) 13.4 (7.0)f
 Worry more 44231% 27930% 16333% Few X/wk Few X/wk 4.1 (1.5) 3.4 (1.6) 13.1 (6.5) 13.4 (6.8)
 Low feelings (eg, sad, blue, depressed, down, blah) 59041% 36038% 23047%f 4-6 X/mo Few X/wk 4.2 (1.6) 4.1 (1.5) 10.6 (6.8) 11.3 (7.0)
 Mood changes suddenly (mood swings) 40628% 26728% 13928% 4-6X/mo Few X/wke 4.3 (1.5) 4.0 (1.6) 10.7 (6.2) 11.5 (6.8)
 Experiencing panic attacks, feeling panicky 25418% 15717% 9720% 1-2X/mo Few X/wk 2.8 (1.1) 2.7 (1.1) 10.5 (6.7) 10.8 (6.9)
 Experience sudden anger, raging feelings, fly off the handle 41329% 27729% 13628% 1-2X/mo Few X/wke 1.0 (2.9) 1.0 (2.6) 10.1 (6.3) 11.2 (6.6)e
 Tearfulness, crying spells 45932% 29932% 16033% 1-2 X/mo 4-6 X/moe 3.5 (1.7) 3.6 (1.7) 7.7 (6.0) 9.1 (6.7)
 Feel like I can’t calm down on the inside, jumpy startle easily 37226% 23225% 14029% 4-6X/mo Few X/wk 4.4 (1.6) 4.2 (1.6) 11.2 (6.5) 11.7 (7.0)
Headaches and sore breasts
 Tension headaches 51036% 34136% 16934% 4-6 X/mo 4-6 X/mo 3.4 (1.5) 3.5 (1.5) 7.3 (5.4) 8.1 (5.6)
 Migraine headaches 26619% 17819% 8818% 1-2X/mo 1-2X/mo 4.7 (1.4) 4.4 (1.6) 8.1 (5.0) 8.1 (4.7)
 Sore breasts 65546% 49052% 16534%e 1-2X/mo 1-2X/mo 2.7 (1.6) 2.7 (1.7) 4.5 (4.0) 5.2 (5.3)
Brain fog and dizziness
 More forgetful 90463% 59660% 33568%f Few X/wk Daily/almost dailye 3.9 (1.6) 4.2 (1.6) 11.3 (6.6) 13.4 (7.2)e
 Have a harder time concentrating 77854% 49052% 28859% Few X/wk Daily/almost dailye 4.1 (1.5) 4.4 (1.4) 12.8 (6.7) 14.8 (6.9)e
 More difficulty making decisions, fuzzy thinking, confusion 50535% 31033% 19540% Few X/wk Daily/almost dailye 4.1 (1.5) 4.5 (1.4) 11.8 (6.5) 14.5 (7.2)e
 Feel dizzy 31222% 20221% 11022% 1-2X/mo Few X/wke 3.6 (1.7) 3.9 (1.7) 7.7 (5.9) 9.8 (6.4)
 Have vertigo (feel like I am on a boat) 20414% 12313% 8117% 1-2X/mo 1-2X/mo 3.9 (1.7) 4.4 (1.6) 7.2 (5.7) 9.4 (6.5)
 Feel lightheaded, like I might pass out 28220% 18319% 9920% 1-2X/mo Few X/wk 3.8 (1.7) 4.1 (1.6) 7.4 (5.3) 9.8 (6.4)f

LRS, late reproductive stage; MT, menopausal transition.

a

Chi square.

b

Mann-Whitney U.

c

t test.

d

t test.

e

P < 0.001.

f

P < 0.005.