Women with postpartum weight retention have delayed wake times and decreased sleep efficiency during the perinatal period: a brief report

Sharkey, Katherine M.; Boni, GM; Quattrucci, J.A.; Blatch, S.; Carr, S.N.

doi:10.1016/j.sleh.2016.05.002

Cited by 12 publications

(6 citation statements)

References 25 publications

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“…16,17 Data from studies that have explored the relationship between objectively measured sleep and pregnancy outcomes suggest that short sleep duration and altered sleep patterns are risk factors for adverse outcomes. [18][19][20][21][22][23][24][25][26] Our own data show an association of objectively measured short sleep duration and late sleep midpoint with gestational diabetes. 26 Yet, the use of objectively measured sleep as a risk factor in the routine clinical context is limited due to the burden of ascertaining sleep via polysomnography or actigraphy.…”

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confidence: 54%

Association of Adverse Pregnancy Outcomes With Self-Reported Measures of Sleep Duration and Timing in Women Who Are Nulliparous

Facco

Parker

Hunter

et al. 2018

Journal of Clinical Sleep Medicine

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Study Objectives: To examine the relationship of self-reported sleep during pregnancy with adverse pregnancy outcomes. A secondary objective was to describe the concordance between self-reported and objectively assessed sleep during pregnancy. Methods: In this prospective cohort, women completed a survey of sleep patterns at 6 to 13 weeks' gestation (visit 1) and again at 22 to 29 weeks' gestation (visit 3). Additionally, at 16 to 21 weeks (visit 2), a subgroup completed a week-long sleep diary coincident with an actigraphy recording. Weekly averages of self-reported sleep duration and sleep midpoint were calculated. A priori, sleep duration < 7 hours was defined as "short," and sleep midpoint after 5:00 am was defined as "late." The relationship of these sleep abnormalities with hypertensive disorders of pregnancy (HDP) and gestational diabetes mellitus (GDM) was determined. Results: Of the 10,038 women enrolled, sleep survey data were available for 7,524 women at visit 1 and 7,668 women at visit 3. A total of 752 women also provided ≥ 5 days of sleep diary data coincident with actigraphy at visit 2. We did not observe any consistent relationship between self-reported short sleep and HDP or GDM. There was an association between self-reported late sleep midpoint and GDM (visit 1 adjusted odds ratio 1.67, 95% confidence interval 1.17, 2.38; visit 2 adjusted odds ratio 1.73, 95% confidence interval 1.23, 2.43). At visit 2, 77.1% of participants had concordance between their diary and actigraphy for short sleep duration, whereas 94.3% were concordant for sleep midpoint. Conclusions: Self-reported sleep midpoint, which is more accurate than self-reported sleep duration, is associated with the risk of GDM.

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confidence: 54%

Association of Adverse Pregnancy Outcomes With Self-Reported Measures of Sleep Duration and Timing in Women Who Are Nulliparous

Facco

Parker

Hunter

et al. 2018

Journal of Clinical Sleep Medicine

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“…In this study, we did not detect statistically significant associations of WASO, sleep midpoint, or sleep efficiency with postpartum weight changes. Although Sharkey and colleagues found that women with 16‐week postpartum weight retention had later sleep offset times and lower sleep efficiencies than those without postpartum weight retention , their study was limited by its small sample ( n = 21), inclusion only of women with a history of major depression or bipolar disorder, and predominance of Caucasian mothers. Adequately powered studies in diverse samples are needed to further investigate associations of sleep quality with postpartum weight gain.…”

Section: Discussionmentioning

confidence: 99%

Influence of Sleep Duration on Postpartum Weight Change in Black and Hispanic Women

Herring

Spaeth

et al. 2018

Obesity

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Objective The primary purpose of this study was to examine associations of objectively measured sleep duration with weight changes in black and Hispanic mothers over the first postpartum year. Methods Data were from 159 mothers (69% black, 32% Hispanic). Nocturnal sleep duration was assessed using wrist actigraphy at 6 weeks and 5 months post partum, examined as a continuous variable and in categories (< 7 vs. ≥ 7 hours/night, consistent with American Academy of Sleep Medicine recommendations). Body weights were abstracted from medical records in pregnancy and measured at 6 weeks, 5 months, and 12 months post partum. Outcomes included early postpartum (6 weeks to 5 months) and late postpartum (5 to 12 months) weight changes. Results The majority of participants slept < 7 hours/night at 6 weeks (75%) and 5 months (63%) post partum. Early postpartum weight change did not differ by 6‐week sleep duration category. By contrast, adjusted average late postpartum weight gain (SE) was 1.8 (0.7) kg higher in participants sleeping < 7 hours/night at 5 months post partum compared with those sleeping ≥ 7 hours/night (P = 0.02). Results did not show statistically significant associations of continuous measures of sleep duration, nor of measures of sleep quality, with postpartum weight changes. Conclusions Sleeping < 7 hours/night was associated with late postpartum weight gain in minority mothers.

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“…In addition, women need to escape weight retention ( Durst et al, 2015 ; Martin et al, 2015 ; Sharkey et al, 2016 ). At 6 months postpartum, 56.8 percent of women in the “persistently high” group experienced weight retention, compared to 40.9 percent of women in the “persistently low” group.…”

Section: Discussionmentioning

confidence: 99%

Trajectory patterns and factors influencing perinatal fatigue among Chinese women from late pregnancy to 6 months after delivery

Zhu¹,

Xia²

2022

PeerJ

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Background Perinatal fatigue among women is related to the clinical outcomes of mothers and infants. Perinatal fatigue changes over time, and the trajectory varies according to the predictors and outcomes of the mothers. This, however, has not been documented in any study. Objectives This study aimed to identify and characterize the trajectory patterns of perinatal fatigue among women from late pregnancy to 6 months after delivery. Methods We used growth mixture modeling to estimate the trajectory of perinatal fatigue at 28 gestational weeks (T0), 37 gestational weeks (T1), 3 days (T2), 1 week (T3), 6 weeks (T4), and 6 months (T5) after delivery with (n = 1,030). The Mann-Whitney U test and binary logistic regression were used to tie the selected trajectory classes to predictors and outcomes. Results There were two distinct patterns of perinatal fatigue in women: “persistently high” (11.1%, n = 114) and “persistently low” (88.9%, n = 916). Levels of perinatal fatigue among women in the “persistently high” group were higher than those in the “persistently low” group across the six measurements. Complications, fatigue at T0, and employment status in late pregnancy were all significant predictors of trajectories. Additionally, the “persistently high” group had a greater prevalence of difficult baby care and weight retention and a lower prevalence of exclusive breastfeeding. Conclusions Our study proved the heterogeneity and characteristics of perinatal fatigue among women. Future research should concentrate on developing intervention packages targeted at specific individuals in order to alleviate perinatal fatigue in women.

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Women with postpartum weight retention have delayed wake times and decreased sleep efficiency during the perinatal period: a brief report

Cited by 12 publications

References 25 publications

Association of Adverse Pregnancy Outcomes With Self-Reported Measures of Sleep Duration and Timing in Women Who Are Nulliparous

Association of Adverse Pregnancy Outcomes With Self-Reported Measures of Sleep Duration and Timing in Women Who Are Nulliparous

Influence of Sleep Duration on Postpartum Weight Change in Black and Hispanic Women

Trajectory patterns and factors influencing perinatal fatigue among Chinese women from late pregnancy to 6 months after delivery

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