Effects of sleep duration and sleep quality in early pregnancy and their interaction on gestational diabetes mellitus

Wang, Weiye; Meng, Haozhe; Liu, Yiwa; Yin, Wei Hsian; Li, Zetong; Wan, Mengting; Zou, Linbing; Zhang, Dongfeng

doi:10.1007/s11325-021-02391-3

Cited by 12 publications

(16 citation statements)

References 27 publications

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“…Figure 1 shows a flowchart outlining the selection of eligible literature. There were 5,246 articles initially identified, after removing duplicates and double assessment, 41 of which were ultimately included in the meta‐analysis 8 , 14 , 15 , 21 , 22 , 23 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 . These studies took place mainly in the USA ( n = 13) 8 , 31 , 32 , 33 , 34 , 35 , 38 , 39 , ...…”

Section: Resultsmentioning

confidence: 99%

“…These studies took place mainly in the USA ( n = 13) 8 , 31 , 32 , 33 , 34 , 35 , 38 , 39 , 47 , 49 , 50 , 58 , 59 . Most studies were cohorts ( n = 32) 8 , 14 , 15 , 21 , 22 , 23 , 30 , 31 , 32 , 33 , 34 , 36 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 58 , 59 , 62 , whereas there were seven case–control studies 35 , 37 , 55 , 56 , 57 , 60 , 61 and two cross‐sectional studies ...…”

Section: Resultsmentioning

confidence: 99%

“…A total of 16 studies ( n = 24, 58.8%) reported data for the second trimester. The measurement of sleep time included a questionnaire ( n = 28) 8 , 14 , 15 , 21 , 22 , 29 , 31 , 33 , 34 , 35 , 36 , 37 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 48 , 49 , 50 , 54 , 56 , 59 , 60 , 61 , 63 , PSQI ( n = 8) 23 , 30 , 51 , 53 , 55 , 57 , 58 , 62 , structured interview ( n = 1) 47 , monitor ( n = 2) 38 , 39 , sleep log ( n = 1) 32 and one study did not report 52 . Notably, studies were published from 2004 to 2021.…”

Section: Resultsmentioning

confidence: 99%

“…These studies took place mainly in the USA ( n = 13) 8,31–35,38,39,47,49,50,58,59 . Most studies were cohorts ( n = 32) 8,14,15,21–23,30–34,36,38–54,58,59,62 , whereas there were seven case–control studies 35,37,55–57,60,61 and two cross‐sectional studies 29,63 . A total of 16 studies ( n = 24, 58.8%) reported data for the second trimester.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Maternal sleep during pregnancy and adverse pregnancy outcomes: A systematic review and meta‐analysis

Wang

Yang

et al. 2022

J of Diabetes Invest

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Aims/Introduction Sleep problems are important public health concern worldwide. We carried out a meta‐analysis to quantitatively evaluate whether sleep duration was associated with pregnancy outcomes, and the associations were modified by important characteristics of studies. Materials and Methods Based on PubMed, Embase and the Cochrane Central Register of Controlled Trials databases, we searched for published literature related to maternal sleep duration and adverse pregnancy outcomes before 30 June 2021. We carried out risk of bias assessment, subgroup analyses and sensitivity analysis. The relative risks or odds ratios with 95% confidence intervals (CI) were used to estimate the pooled effects. Results A total of 5,246 references were identified through a database search, and 41 studies were included in the study. Pregnant women with short sleep duration had 1.81‐fold (95% CI 1.35–2.44, P < 0.001) the risk of developing gestational diabetes mellitus. The association between short sleep duration and the risk of gestational hypertension, cesarean section, low birthweight, preterm birth and small for gestational age were not significant ( P > 0.05). Furthermore, long sleep duration was significantly correlated with gestational diabetes mellitus (odds ratio1.24. 95% CI 1.12–1.36, P < 0.001) and CS (odds ratio 1.13. 95% CI 1.04–1.22, P = 0.004), whereas long sleep duration was not linked with gestational hypertension, low birthweight, preterm birth and small for gestational age ( P > 0.05). Conclusions Short/long sleep duration appeared to be associated with adverse pregnancy outcomes, specifically with an increased risk of gestational diabetes mellitus. Sleep should be systematically screened in the obstetric population.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Maternal sleep during pregnancy and adverse pregnancy outcomes: A systematic review and meta‐analysis

Wang

Yang

et al. 2022

J of Diabetes Invest

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Sleep disorders during pregnancy: an underestimated risk factor for gestational diabetes mellitus

Eleftheriou,

Athanasiadou,

Sifnaios

et al. 2023

Endocrine

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Sleep disorders are highly prevalent during pregnancy and significantly affect women’s health and quality of life. Gestational diabetes mellitus (GDM) is one of the most common metabolic complications during pregnancy and constitutes a significant risk factor for both mother and fetus in the short and the long term. While the association between sleep disorders and type 2 diabetes mellitus (T2DM) is indisputable, it is not clear whether there is a link between sleep disorders and GDM. The aim of this article was to investigate the association between sleep disorders and GDM and whether the treatment of sleep disorders may prevent GDM development. Insomnia, obstructive sleep apnea (OSA), restless legs syndrome (RLS), and narcolepsy were the most common sleep disorders identified during pregnancy and were related to poor sleep quality and short or prolonged sleep duration. They were all associated with an increased risk of GDM. The ideal sleep duration for pregnant women was determined at 8–9 h daily. In conclusion, sleep disorders constitute a risk factor for GDM. It is imperative that prospective studies be conducted to evaluate the effect of the early management of sleep disorders on GDM manifestation and control. Healthcare providers should highlight the importance of sufficient sleep to reinforce pregnancy outcomes.

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Associations of self-reported sleep duration and sleep quality during pregnancy with newborn telomere length

et al. 2023

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Effects of sleep duration and sleep quality in early pregnancy and their interaction on gestational diabetes mellitus

Cited by 12 publications

References 27 publications

Maternal sleep during pregnancy and adverse pregnancy outcomes: A systematic review and meta‐analysis

Maternal sleep during pregnancy and adverse pregnancy outcomes: A systematic review and meta‐analysis

Sleep disorders during pregnancy: an underestimated risk factor for gestational diabetes mellitus

Associations of self-reported sleep duration and sleep quality during pregnancy with newborn telomere length

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