怀孕期间的睡眠时间和睡眠损失:FinnBrain 出生队列纵向研究。

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Archives of Gynecology and Obstetrics Pub Date : 2024-09-20 DOI:10.1007/s00404-024-07727-4
Linda Aukia, E. Juulia Paavonen, Linnea Karlsson, Juho Pelto, Laura Perasto, Hasse Karlsson, Päivi Polo-Kantola
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引用次数: 0

摘要

目的:调查产前睡眠时间和睡眠损失,并评估相关因素,包括产妇特征和情绪症状:方法:共招募了 3038 名产妇。在孕早期、孕中期、孕晚期和分娩时测量了自我报告的睡眠时间和睡眠损失,后者是根据首选睡眠需求和实际睡眠时间计算得出的。评估了睡眠时间与年龄、体重指数、胎次、教育程度、吸烟、午睡、抑郁和焦虑症状的关系:前三个测量点的睡眠持续时间相似(9.4%、8.9% 和 9.5%),但在分娩前睡眠持续时间有所延长(14.1%,p 结论:我们证实了早先报道的睡眠持续时间缩短的现象:我们证实了之前报道的妊娠末期睡眠时间缩短的情况。作为一项新发现,我们发现在妊娠的最后一个月,睡眠时间减少的情况明显增加。睡眠时间短和睡眠减少与多种因素有关,尤其是多胎妊娠、午睡和抑郁症状。
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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.

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来源期刊
CiteScore
4.70
自引率
15.40%
发文量
493
审稿时长
1 months
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.
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