Sleep During Pregnancy

Meers, Jessica M.; Nowakowski, Sara

doi:10.1007/s11920-022-01343-2

Cited by 19 publications

(13 citation statements)

References 35 publications

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“…It is possible that our data did not contain sufficient variability to capture these associations, given that diet quality among individuals with BMI ≥25, and physical activity among individuals across weight statuses, are generally lower during pregnancy (Laraia et al, 2007; Perak et al, 2020; Shin et al, 2016); further, our sample was comprised solely of pregnant individuals with BMI ≥25. Notably, other studies have found that several of the indices used to calculate CVH metrics included in Life’s Essential 8, including diet, physical activity, and sleep, significantly worsen throughout pregnancy, with declines that are maintained postpartum (Addo, 2011; Borodulin et al, 2008; Meers & Nowakowski, 2022; Moran et al, 2013), indicating the potential for changes in CVH risk across the perinatal period. Given the cross-sectional nature of the current study, in which participants were, on average, in their second trimester, future longitudinal research, with samples not selected for BMI, is needed to examine whether change trajectories in CVH throughout pregnancy and postpartum differ between those with and without prenatal LOC.…”

Section: Discussionmentioning

confidence: 99%

“…In line with these findings, other studies have found that indices for many of the metrics comprising Life’s Simple 7, including diet (Moran et al, 2013), physical activity (Borodulin et al, 2008), and BMI (Addo, 2011), are generally poor during pregnancy. Given that indices of sleep have also been found to be poor during pregnancy (Meers & Nowakowski, 2022), the use of Life’s Essential 8, which includes sleep as an additional CVH metric, offers the opportunity to capture more of the pregnancy-related variance in CVH. To identify targets for interventions designed to improve CVH during pregnancy, it is important to examine potentially modifiable factors related to health risk during this critical period.…”

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confidence: 99%

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Associations between prenatal loss of control eating and cardiovascular health during pregnancy.

Jouppi,

Donofry,

Call

et al. 2024

Health Psychology

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Objective: Loss of control (LOC) eating (feeling unable to control food type/amount eaten) during pregnancy is common and linked to risk for poor cardiovascular health (CVH), but it is unclear whether prenatal LOC eating directly relates to CVH during pregnancy. The current study tested associations between prenatal LOC eating and CVH during pregnancy in a sample with prepregnancy body mass index (BMI) ≥ 25. Method: At 12-20 weeks' gestation, participants (N = 124) self-reported: prenatal LOC eating, diet, physical activity, nicotine use, sleep; height/weight were measured. Data were collected during 2015-2017. We dichotomized LOC eating (0 = absent; 1 = present) and scored CVH metrics using Life's Essential 8 to create a composite CVH score (range = 0-100; higher = better). Linear and binary logistic regression models tested if LOC eating is related to composite CVH score and odds of scoring low (0)/ moderate-high (1) on each CVH metric, respectively. All models employed propensity score adjustment, since those with/without LOC eating may differ in ways affecting CVH, and covaried for: age, gestational age, prepregnancy BMI, ethnicity, race, education, and income. Results: Compared to those without, participants with LOC eating had significantly poorer composite CVH scores (b = −9.27, t(111) = −2.70, p , .01) and lower odds of scoring moderate-high on nicotine use (OR = 0.20, 95% CI [0.04, 0.85], p = .03) and sleep duration (OR = 0.19, 95% CI [0.04, 0.83], p = .03) CVH metrics. Conclusions: Prenatal LOC eating was associated with poorer CVH during pregnancy in this sample with prepregnancy BMI ≥ 25, even after controlling for propensity of experiencing LOC eating and known risk factors for poor CVH. Thus, prenatal LOC may represent a modifiable factor related to prenatal health risk. Public Significance StatementPoor cardiovascular health during pregnancy is associated with short-and long-term adverse health consequences for birthing individuals and their children. The current study found that loss of control eating, the core psychological feature of binge eating disorders, during pregnancy was directly related to poorer cardiovascular health among a sample of pregnant individuals with body mass index ≥25. Thus, prenatal loss of control eating may represent a modifiable factor related to prenatal health risk.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Associations between prenatal loss of control eating and cardiovascular health during pregnancy.

Jouppi,

Donofry,

Call

et al. 2024

Health Psychology

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“…Sleep disorders are one of the most prevalent problems that tend to occur during pregnancy, 1,2 dramatically increasing from 63% in the first trimester to 80% in the second trimester. [3][4][5][6] Nonetheless, sleep disturbances in pregnancy have the highest prevalence in the third trimester. 4,7 During pregnancy, various sleep disruptions can occur, ranging from insomnia, nocturnal awakenings, and parasomnias (with a particular emphasis on restless leg syndrome) to snoring and excessive sleepiness.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Sleep Disorders and the Effect of Sleep Health Education on Sleep Quality in Pregnant Women With Sleep Disorders

Sarvaran,

Abbasalizadeh,

Alaei

et al. 2023

American Journal of Lifestyle Medicine

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Objective Sleep quality affects pregnant women’s health and quality of life. The aims of the study were to investigate the prevalence of sleep disorders and the effect of sleep health education on sleep quality in pregnant women with sleep disorders. Methods To examine the frequency of sleep disorders among pregnant women, a cross-sectional study was conducted with an initial enrollment of 370 participants. Subsequently, 162 pregnant women were recruited for a pretest-posttest quasi-experimental design study. The intervention group (n = 82) performed sleep health education for four weeks and the control group (n = 80) received standard care. Sleep quality was assessed with Pittsburgh Sleep Quality. Results The prevalence of sleep disorder was 61.9 percent (CI 95% 56.85-66.69). It was determined that health education improved some sleep quality subscales including subjective sleep quality, sleep latency, sleep duration and habitual sleep efficiency, and sleep disturbances, daytime dysfunction, and global sleep quality. The difference was still significant after adjusting for the PSQI baseline (η2 = .311, P < .001). Conclusion These findings provide evidence of a relatively high prevalence of sleep disorders in pregnancy. Therefore, screening for sleep disorders and providing supportive programs and models to improve sleep quality during pregnancy should be considered as part of prenatal care.

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“…This potential increased propensity for breathing abnormalities while pregnant may be noteworthy because sleep disruptions may be linked to risky pregnancy outcomes, such as greater chances of preeclampsia and fetal growth restriction [4] . Sleepdeprived women had a greater chance of preterm deliveries, and those who snored loudly in their third trimester were more likely to have newborns with foetal development restrictions [5,6] .…”

Section: Introductionmentioning

confidence: 99%

Third Trimester Sleep Disturbance in Comparison with Non-Pregnant Women: A Cross-Sectional Study

2023

The Egyptian Journal of Hospital Medicine

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Sleep During Pregnancy

Cited by 19 publications

References 35 publications

Associations between prenatal loss of control eating and cardiovascular health during pregnancy.

Associations between prenatal loss of control eating and cardiovascular health during pregnancy.

Prevalence of Sleep Disorders and the Effect of Sleep Health Education on Sleep Quality in Pregnant Women With Sleep Disorders

Third Trimester Sleep Disturbance in Comparison with Non-Pregnant Women: A Cross-Sectional Study

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