Tryptophan modulates the impact of prolactin on insomnia in perimenopausal women: a cross-sectional study - Summary - MDSpire

Tryptophan modulates the impact of prolactin on insomnia in perimenopausal women: a cross-sectional study

  • By

  • Shizhuo Yang

  • Lanrong Sun

  • Weiyi Liu

  • Chaoyi Guo

  • Kexin Wang

  • Hong Huang

  • Peipei Zhou

  • Zhonglu Liao

  • Yanxiang Chang

  • Wenyan Wang

  • Yu-Hsin Chen

  • Xingguang Luo

  • Yimin Kang

  • Yanlong Liu

  • Sishi Du

  • Fan Wang

  • Qiulin Wu

  • May 1, 2026

  • 0 min

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Objective:

To identify factors associated with insomnia in perimenopausal women and understand the specific moderating role of tryptophan in the relationship between prolactin levels and insomnia.

Key Findings:
  • Serum prolactin levels positively correlated with insomnia, anxiety, and depression scores, indicating a significant relationship.
  • Prolactin levels were associated with sleep-onset difficulties and sleep maintenance problems, highlighting their impact on sleep quality.
  • Higher serum tryptophan levels strengthened the positive relationship between prolactin levels and insomnia severity, suggesting a potential therapeutic target.
Interpretation:

The findings suggest that tryptophan may enhance the effects of prolactin on insomnia, indicating a complex interplay between neuroendocrine factors and sleep disturbances in perimenopausal women, which aligns with existing literature on hormonal influences on sleep.

Limitations:
  • Cross-sectional design limits causal inferences.
  • Sample size may not be representative of all perimenopausal women.
  • Potential confounding factors not fully controlled, including reliance on self-reported measures.
Conclusion:

Understanding the moderating effect of tryptophan on prolactin's influence on insomnia may inform future research and therapeutic strategies for perimenopausal women.

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