在整个怀孕期间延迟睡眠的中点与过度的妊娠体重增加有关
Chia-Lun Yang1, Jean M Kerver1, Kelly Hirko1
1Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, Michigan, USA.
Journal of women's health (2002)
|August 8, 2023
概括
怀孕期间晚些时候的睡眠中点,特别是延迟一个小时或更长时间,与过度的妊娠体重增加 (GWG) 有关. 监测睡眠变化可以帮助识别有不健康体重增加风险的孕妇.
科学领域:
- 孕产妇健康 孕产妇健康
- 睡眠科学 睡眠科学
- 产科 产科 产科 产科 产科
背景情况:
- 孕期体重增加 (GWG) 和睡眠模式变化在怀孕期间很常见.
- 怀孕期间睡眠模式和GWG之间的关系尚不清楚.
- 识别与过度GWG相关的因素对于母亲和胎儿的健康至关重要.
研究的目的:
- 为了研究孕妇在怀孕期间的母亲睡眠模式与过度GWG之间的联系.
- 为了确定从怀孕早期到晚期的睡眠持续时间或中点的变化是否预测过度GWG.
主要方法:
- 利用了密歇根儿童健康研究档案 (MARCH) 队列研究 (n=372) 的数据.
- 收集的孕产妇睡眠数据 (入睡,起床时间) 在早期和第三个三个月.
- 计算睡眠时间和中点的变化;使用孕前和分娩体重评估GWG;使用Poisson回归分析,调整共变量.
主要成果:
- 过度的GWG发生在46.5%的参与者中,在那些患有妊娠前肥胖的人中更为普遍.
- 从怀孕初期到第三季度的睡眠中期延迟 (≥1小时) 与过度GWG的风险更高有关 (RR: 1.3;95% CI: 1.1-1.7).
- 单个睡眠时间点或睡眠持续时间的变化与GWG之间没有发现显著的关联.
结论:
- 在怀孕期间,睡眠中点转移到晚期是过度GWG的潜在指标.
- 医疗保健提供者应考虑在怀孕期间监测睡眠模式的变化,以评估过度GWG的风险.
- 进一步的研究可能会探索将睡眠时间变化和GWG联系在一起的机制.
相关概念视频
Pathophysiology of Diabetes
989
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
989
Diabetes Mellitus: Type 2 and Gestational
2.5K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.5K
Obesity
534
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
534
Sleep Apnea
187
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
187
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Insufficient Sleep and Sleep Deprivation
171
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
171


