Linda Aukia, E. Juulia Paavonen, Linnea Karlsson, Juho Pelto, Laura Perasto, Hasse Karlsson, Päivi Polo-Kantola
{"title":"怀孕期间的睡眠时间和睡眠损失:FinnBrain 出生队列纵向研究。","authors":"Linda Aukia, E. Juulia Paavonen, Linnea Karlsson, Juho Pelto, Laura Perasto, Hasse Karlsson, Päivi Polo-Kantola","doi":"10.1007/s00404-024-07727-4","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>To investigate sleep duration and sleep loss during antenatal period and assess associative factors, including maternal characteristic and mood symptoms.</p><h3>Methods</h3><p>A cohort of 3038 women was enrolled. Self-reported sleep duration and sleep loss, the latter being calculated from preferred sleep need and actual sleep duration, were measured in early, mid- and late pregnancy, and at delivery. The associations with age, BMI, parity, education, smoking, napping, and depressive and anxiety symptoms were evaluated.</p><h3>Results</h3><p>Sleep duration was longest in early pregnancy and shortest at delivery (7.93 h–7.76 h, <i>p</i> < 0.001). The proportion of short sleepers (< 6 h) increased from 1.4% to 5.9% throughout the studied period (<i>p</i> < 0.001). Mean sleep loss remained stable in early- and mid-pregnancy, lowering in late pregnancy (<i>p</i> < 0.001) and increasing again until delivery (<i>p</i> = 0.003). The number of women with notable sleep loss (> 2 h) was similar during the first three measurement points (9.4%, 8.9% and 9.5%), but increased until delivery (14.1%, <i>p</i> < 0.001). Older, multiparous, and more-depressive women slept less (<i>p</i> < 0.001, <i>p</i> < 0.001, <i>p</i> = 0.017). Women with higher BMI were more likely to sleep < 6 h in late pregnancy (<i>p</i> = 0.012). Multiparous, more-depressive, and higher-BMI women reported more sleep loss (<i>p</i> < 0.001, <i>p</i> < 0.001, <i>p</i> = 0.049).</p><h3>Conclusion</h3><p>We confirmed earlier reported decrease in sleep duration at the end of pregnancy. As a novel finding, we showed a notable increase in sleep loss during the last month of pregnancy. Various factors were associated with both short sleep and sleep loss, especially multiparity, napping and depressive symptoms.</p></div>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":"310 5","pages":"2541 - 2552"},"PeriodicalIF":2.1000,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sleep duration and sleep loss during pregnancy: a longitudinal FinnBrain birth cohort study\",\"authors\":\"Linda Aukia, E. Juulia Paavonen, Linnea Karlsson, Juho Pelto, Laura Perasto, Hasse Karlsson, Päivi Polo-Kantola\",\"doi\":\"10.1007/s00404-024-07727-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>To investigate sleep duration and sleep loss during antenatal period and assess associative factors, including maternal characteristic and mood symptoms.</p><h3>Methods</h3><p>A cohort of 3038 women was enrolled. Self-reported sleep duration and sleep loss, the latter being calculated from preferred sleep need and actual sleep duration, were measured in early, mid- and late pregnancy, and at delivery. The associations with age, BMI, parity, education, smoking, napping, and depressive and anxiety symptoms were evaluated.</p><h3>Results</h3><p>Sleep duration was longest in early pregnancy and shortest at delivery (7.93 h–7.76 h, <i>p</i> < 0.001). The proportion of short sleepers (< 6 h) increased from 1.4% to 5.9% throughout the studied period (<i>p</i> < 0.001). Mean sleep loss remained stable in early- and mid-pregnancy, lowering in late pregnancy (<i>p</i> < 0.001) and increasing again until delivery (<i>p</i> = 0.003). The number of women with notable sleep loss (> 2 h) was similar during the first three measurement points (9.4%, 8.9% and 9.5%), but increased until delivery (14.1%, <i>p</i> < 0.001). Older, multiparous, and more-depressive women slept less (<i>p</i> < 0.001, <i>p</i> < 0.001, <i>p</i> = 0.017). Women with higher BMI were more likely to sleep < 6 h in late pregnancy (<i>p</i> = 0.012). Multiparous, more-depressive, and higher-BMI women reported more sleep loss (<i>p</i> < 0.001, <i>p</i> < 0.001, <i>p</i> = 0.049).</p><h3>Conclusion</h3><p>We confirmed earlier reported decrease in sleep duration at the end of pregnancy. As a novel finding, we showed a notable increase in sleep loss during the last month of pregnancy. Various factors were associated with both short sleep and sleep loss, especially multiparity, napping and depressive symptoms.</p></div>\",\"PeriodicalId\":8330,\"journal\":{\"name\":\"Archives of Gynecology and Obstetrics\",\"volume\":\"310 5\",\"pages\":\"2541 - 2552\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2024-09-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of Gynecology and Obstetrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://link.springer.com/article/10.1007/s00404-024-07727-4\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Gynecology and Obstetrics","FirstCategoryId":"3","ListUrlMain":"https://link.springer.com/article/10.1007/s00404-024-07727-4","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Sleep duration and sleep loss during pregnancy: a longitudinal FinnBrain birth cohort study
Purpose
To investigate sleep duration and sleep loss during antenatal period and assess associative factors, including maternal characteristic and mood symptoms.
Methods
A cohort of 3038 women was enrolled. Self-reported sleep duration and sleep loss, the latter being calculated from preferred sleep need and actual sleep duration, were measured in early, mid- and late pregnancy, and at delivery. The associations with age, BMI, parity, education, smoking, napping, and depressive and anxiety symptoms were evaluated.
Results
Sleep duration was longest in early pregnancy and shortest at delivery (7.93 h–7.76 h, p < 0.001). The proportion of short sleepers (< 6 h) increased from 1.4% to 5.9% throughout the studied period (p < 0.001). Mean sleep loss remained stable in early- and mid-pregnancy, lowering in late pregnancy (p < 0.001) and increasing again until delivery (p = 0.003). The number of women with notable sleep loss (> 2 h) was similar during the first three measurement points (9.4%, 8.9% and 9.5%), but increased until delivery (14.1%, p < 0.001). Older, multiparous, and more-depressive women slept less (p < 0.001, p < 0.001, p = 0.017). Women with higher BMI were more likely to sleep < 6 h in late pregnancy (p = 0.012). Multiparous, more-depressive, and higher-BMI women reported more sleep loss (p < 0.001, p < 0.001, p = 0.049).
Conclusion
We confirmed earlier reported decrease in sleep duration at the end of pregnancy. As a novel finding, we showed a notable increase in sleep loss during the last month of pregnancy. Various factors were associated with both short sleep and sleep loss, especially multiparity, napping and depressive symptoms.
期刊介绍:
Founded in 1870 as "Archiv für Gynaekologie", Archives of Gynecology and Obstetrics has a long and outstanding tradition. Since 1922 the journal has been the Organ of the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe. "The Archives of Gynecology and Obstetrics" is circulated in over 40 countries world wide and is indexed in "PubMed/Medline" and "Science Citation Index Expanded/Journal Citation Report".
The journal publishes invited and submitted reviews; peer-reviewed original articles about clinical topics and basic research as well as news and views and guidelines and position statements from all sub-specialties in gynecology and obstetrics.