@article {Tranoulis2019a,
	title = {{Poor sleep and high anxiety levels in women with functional hypothalamic amenorrhoea: A wake-up call for physicians?}},
	journal = {European Journal of Obstetrics and Gynecology and Reproductive Biology: X},
	volume = {3},
	year = {2019},
	abstract = {{{\textcopyright} 2019 Objective: To assess sleep disorders (SleD)in women with functional hypothalamic amenorrhoea (FHA)and to identify possible associations with known FHA predisposing factors. Study design: We conducted a prospective case-control study spanning the period January 2016 to April 2018. We recruited forty-one FHA women and 86 healthy controls. We assessed SleD and other FHA predisposing factors via self-reported questionnaires. The Spearman{\textquoteright}s correlation coefficient (rho)was used to examine possible correlations among the different variables. Multivariate logistic regression analysis was conducted to identify independent factors associated with SleD. Results: Women with FHA reported having higher SleD (p = 0.004), abnormal eating attitudes (p {\textless} 0.0001), higher anxiety levels (AL)(p {\textless} 0.0001), overweight preoccupation (P {\textless} 0.0001)and increased weekly physical activity (p = 0.004). There was a significant positive correlation between SleD and AL (rho = 0.88, p {\textless} 0.0001). Significant correlation was also found between AL and several Athens insomnia scale constituents, including sleep induction (rho = 0.53},
	keywords = {anxiety, Functional hypothalamic amenorrhoea, Sleep disorders},
	issn = {25901613},
	doi = {10.1016/j.eurox.2019.100035},
	author = {Tranoulis, A. and Georgiou, D. and Soldatou, A. and Triantafyllidi, V. and Loutradis, D. and Michala, L.}
}
