Overview

This study purpose of this study to see how consuming pistachios and completing a health intervention session a study therapist may improve sleep health in midlife women with poor sleep. Participants in this study will be asked to consume a study snack for about one month, complete a health education session with a study therapist and record information about their sleep. At baseline and after the intervention we will collect information about sleep, alertness, body composition, and blood lipids.

Eligibility

Inclusion Criteria:

• All races and ethnic backgrounds
• Between the ages of 45-65 years old
• Women who meet STRAW staging criteria for late peri-menopause (STRAW score of -1) defined as interval of amenorrhea of 60 days OR meet STRAW staging criteria for early post-menopause (STRAW score of +1a, +1b or +1c) defined as \>12 months since last menstrual period
• History of poor sleep quality (Pittsburgh Sleep Quality Index score \> 5)
• Able and willing to provide informed consent
• Access to an electronic device with teleconferencing capabilities (Teams, etc)
• Willing to consume study intervention
• Fluent (able to read and write) in English

Exclusion Criteria:

• Pregnancy or lactation
• Recent (within the last 3 months) or current use of any prescription or over the counter medications that may impact sleep quality:
  1. including, systemic steroids, anabolic steroids, growth hormone, immunosuppressants, psychotherapy)
  2. recent (within the last 3 months) change in antidepressant medication useage or dosage
• Untreated comorbid sleep disorders that are no known to be responsive to the behavioral interventions: These sleep disorders include but are not limited to narcolepsy, circadian rhythm disorder/shift work, restless leg syndrome, periodic leg movement disorder, obstructive sleep apnea.
• Evidence of recent severe mental health disorders (e.g., suicide attempt or psychiatric hospitalization in past 3 years) that would, in the opinion of the investigator, affect sleep and/or make it difficult for the participant to the investigators instructions.
• Recent (within past 3 years) treated cancer other than basal cell carcinoma
• Current adherence to a weight-loss or weight-gain diet or use of GLP-1 RA medications
• Active or recent (within the past 12 months) alcohol or substance use disorder
• Allergy to study intervention (tree nuts)
• Any other condition or event considered exclusionary by study PI