Epworth sleepiness scale scores and adverse pregnancy outcomes

Bourjeily, Ghada; Sabbagh, Rana El; Sawan, Peter; Raker, Christina; Wang, Carren; Hott, Beth; Louis, Mariam

doi:10.1007/s11325-013-0820-9

Cited by 45 publications

(35 citation statements)

References 47 publications

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“…Sleep loss or self-imposed SSD during pregnancy may also impair glucose regulation given that women who sleep less have more opportunities to eat. Furthermore, sleepiness and fatigue, which are common conditions in pregnancy, are independently associated with insulin resistance [54•], resulting in increased risk of obesity [2]. Stress and fatigue due to inadequate sleep may also lead to comfort eating, physical inactivity and eventually obesity.…”

Section: Introductionmentioning

confidence: 99%

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The Relationship and Potential Mechanistic Pathways Between Sleep Disturbances and Maternal Hyperglycemia

Izci‐Balserak

Pien

2014

Curr Diab Rep

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This paper reviews recent work investigating the influence of sleep disturbances on maternal hyperglycemia, particularly gestational diabetes mellitus (GDM). The incidence and prevalence of hyperglycemia are increasing worldwide, which is cause for concern because GDM and even mild hyperglycemia are associated with adverse pregnancy outcomes. A better understanding of sleep-related risk factors for maternal hyperglycemia is an important health matter. Evidence demonstrates associations between sleep disturbances, especially sleep-disordered breathing, and hyperglycemia, but causal effects and the underlying mechanisms linking these conditions have not been fully elucidated. Subjective sleep assessments show associations between sleep disturbances and maternal hyperglycemia. There are, however, few studies using objective measures to support these findings. Large prospective studies are required to examine causal relationships between sleep disturbances and maternal hyperglycemia. There is also a need for smaller mechanistic studies to understand the pathophysiology. Furthermore, interventional studies are required to address whether improvement of sleep parameters can prevent/decrease the risk of developing maternal hyperglycemia. Taken together, the data suggests that sleep disturbances during pregnancy are important to identify and manage in order to minimize maternal hyperglycemia and GDM, and improve maternal and fetal well-being.

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Section: Introductionmentioning

confidence: 99%

“…Results from Bourjeily [54•] et al also have demonstrated that severe daytime sleepiness increases the risk of GDM in nonsnoring pregnant women, independent of confounders. These studies suggest that sleep has modulatory influences on glucose regulation regardless of time of day.…”

Section: Introductionmentioning

confidence: 99%

The Relationship and Potential Mechanistic Pathways Between Sleep Disturbances and Maternal Hyperglycemia

Izci‐Balserak

Pien

2014

Curr Diab Rep

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“…Most studies during pregnancy have used a symptom-based approach, relying on either the patient or partner’s report of snoring, apnea, or excessive leg activity. 31,88,89 Several questionnaires are available (e.g. Berlin or Hawaii questionnaire, Epworth sleepiness scale).…”

Section: The Diagnosis Of Sleep Disordersmentioning

confidence: 99%

“…Berlin or Hawaii questionnaire, Epworth sleepiness scale). 31,34,35,37,42,44,46,48,49,88,90,91 The gold standard for the diagnosis of sleep disorders is polysomnography, in which the patient is studied and monitored continuously in a sleep laboratory. This modality consists of a comprehensive recording of biophysiologic parameters by electroencephalography, electrooculography, electromyography, electrocardiography, nasal and oral airflow as well as pulse oximetry.…”

Section: The Diagnosis Of Sleep Disordersmentioning

confidence: 99%

A role for sleep disorders in pregnancy complications: challenges and opportunities

Romero

Badr

2014

American Journal of Obstetrics and Gynecology

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“…Yet whether women with sleep-disordered breathing and/or daytime napping are at risk for gestational diabetes is unknown. Using the Epworth Sleepiness Scale (ESS) which is a measure of daytime fatigue and surrogate marker of poor nocturnal sleep, Bourjeily et al [33] described a significant association between sleep and GDM in patients with a score >16 compared to those with an ESS of ≤16 which persisted after multiple adjustments (aOR, 6.82; 95% CI, 1.19–39.27). Finally, Reutrakul et al [28] noted that each hour of reduced sleep time was associated with a 4% increase in glucose levels following a 50-gram OGTT during the second trimester.…”

Section: Sleep and Glycemic Controlmentioning

confidence: 99%

The Potential Value of Sleep Hygiene for a Healthy Pregnancy: A Brief Review

Ferraro

Chaput

Gruslin

et al. 2014

ISRN Family Medicine

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The quality of the intrauterine environment influences maternal-fetal health and also offspring predisposition to obesity and cardiometabolic disease later in life. Several determinants, including but not limited to pregravid obesity and excessive gestational weight gain, alter the developmental milieu, fetal growth, and child obesity risk. However, the role of sleep and its relationship to healthy pregnancy is not fully established. Given the host of psychosocial and physiological complications associated with childhood obesity, targeting the gestational period is purported to be an opportune time for preventive intervention. Many longitudinal studies suggest that short sleep duration is a risk factor for the development of impaired glycemia and obesity. However, there is a dearth of information concerning the role of sleep hygiene and its role in a healthy pregnancy. Reports note disrupted and poorer quality of sleep during gestation and highlight an association between reduced sleep and risk of gestational diabetes mellitus. Given the lack of well-designed human trials assessing the value of sleep and healthy pregnancy outcomes, this review summarizes current evidence which suggests that incorporating sleep recommendations and utilizing time management strategies that encourage a healthful night 's sleep may improve the health of the mom and the baby.

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Epworth sleepiness scale scores and adverse pregnancy outcomes

Cited by 45 publications

References 47 publications

The Relationship and Potential Mechanistic Pathways Between Sleep Disturbances and Maternal Hyperglycemia

The Relationship and Potential Mechanistic Pathways Between Sleep Disturbances and Maternal Hyperglycemia

A role for sleep disorders in pregnancy complications: challenges and opportunities

The Potential Value of Sleep Hygiene for a Healthy Pregnancy: A Brief Review

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