怀孕期间的失眠和嗜睡:与妊娠期糖尿病相关
Otto Forsbom1,2, Laura Perasto3,4, Linda Aukia5
1Department of Obstetrics and Gynecology, Helsinki University Hospital, Helsinki, Finland.
Acta obstetricia et gynecologica Scandinavica
|July 11, 2025
概括
怀孕期间睡眠质量会恶化,但怀孕期糖尿病患者的睡眠模式不同. 与没有GDM的女性不同,有GDM的女性在怀孕中期没有经历睡眠减少,这表明睡眠有效性受到损害.
科学领域:
- 产科和妇科 产科和妇科
- 睡眠医学 睡眠医学
- 围产期健康 围产期健康
背景情况:
- 在怀孕期间,睡眠质量通常会下降.
- 睡眠不足是已知的妊娠并发症的风险因素,包括妊娠期糖尿病 (GDM).
- 这是第一个纵向研究,检查整个怀孕期间的睡眠质量和GDM.
研究的目的:
- 调查睡眠质量与妊娠糖尿病 (GDM) 之间的纵向关联.
- 在怀孕期间与GDM状态相关的多个时间点分析睡眠模式.
主要方法:
- 一项对来自FinnBrain队列的3808名孕妇进行的纵向研究.
- 使用北欧基本睡眠问卷四次评估睡眠质量.
- 通过葡萄糖耐受性测试诊断GDM;参与者分为非GDM和GDM组 (包括治疗子组).
主要成果:
- 失眠得分在整个怀孕期间都会增加,无论GDM状态如何.
- 在非GDM怀孕中,睡眠度表现为U形,但在GDM怀孕中仍然较高.
- GDM患者报告说,整体睡眠质量较差,嗜睡性增加,特别是在怀孕早期和中期.
结论:
- 睡眠质量,特别是失眠,随着怀孕的进展而恶化,独立于GDM.
- 在非GDM怀孕中观察到的怀孕中期睡眠减少,在GDM怀孕中没有.
- 这些发现表明,在患有GDM的女性中,睡眠的有效性可能会受到损害.
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