Evaluation of Sleep Quality and Duration in Pregnancy and Risk of Gestational Diabetes Mellitus: A Prospective Follow-up Study

Overview

Journal Biomedicine (Taipei)

Specialty Biomedical Engineering

Date 2022 Feb 28

PMID 35223401

Authors

Saloumeh Peivandi

Ali Habibi

Seyed Hamzeh Hosseini

Mohammad Khademloo

Mohammad Raisian

Hedieh Pournorouz

Affiliations

Soon will be listed here.

Abstract

Background And Objectives: Sleep disorders during pregnancy may be linked an increase risk of adverse pregnancy outcomes. This study aimed to evaluate the relationship between sleep quality and duration in pregnancy and risk of gestational diabetes mellitus (GDM).

Materials And Methods: This prospective follow-up study was performed on 240 pregnant women with a gestational age between 20 to 24 weeks, who were referred to Imam Khomeini Hospital in Sari from 2018 to 2019 for prenatal care. The sleep quality of all eligible women were evaluated with the Pittsburgh Sleep Quality Index (PSQI). During the 26 to 28 weeks of gestation, 1-hour and 2-hour oral glucose tolerance test (OGTT) was done for all women.

Results: The results showed that women with poor sleep quality had a significantly higher mean BMI and 1-hour and 2-hour OGTT results (P < 0.05). Compared to women with good sleep quality, women with poor sleep quality (PSQI >5) had a greater risk of developing GDM (OR = 2.99, 95% CI 1.77 to 5.06). In women with sleep duration of less than 7 and more than 9 hours, the frequency of GDM was significantly higher than women with the 7-9 hour sleep duration (P < 0.05). Also, the frequency of GDM in women with three or more than three times of snoring in a week (63.44%) was significantly higher than women with once a week (30.61%) (P-value <0.001).

Conclusion: It seems that sleep disorders and poor sleep quality can be a risk factor in developing GDM. Therefore, sleep characteristics should be considered in pregnancy care; especially in women with higher risk of GDM.

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References

Buysse D, Reynolds 3rd C, Monk T, BERMAN S, Kupfer D . The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28(2):193-213. DOI: 10.1016/0165-1781(89)90047-4. View

Facco F, Parker C, Reddy U, Silver R, Koch M, Louis J . Association Between Sleep-Disordered Breathing and Hypertensive Disorders of Pregnancy and Gestational Diabetes Mellitus. Obstet Gynecol. 2016; 129(1):31-41. PMC: 5512455. DOI: 10.1097/AOG.0000000000001805. View

Zhang X, Zhang R, Cheng L, Wang Y, Ding X, Fu J . The effect of sleep impairment on gestational diabetes mellitus: a systematic review and meta-analysis of cohort studies. Sleep Med. 2020; 74:267-277. DOI: 10.1016/j.sleep.2020.05.014. View

Grandner M, Seixas A, Shetty S, Shenoy S . Sleep Duration and Diabetes Risk: Population Trends and Potential Mechanisms. Curr Diab Rep. 2016; 16(11):106. PMC: 5070477. DOI: 10.1007/s11892-016-0805-8. View

Myoga M, Tsuji M, Tanaka R, Shibata E, Askew D, Aiko Y . Impact of sleep duration during pregnancy on the risk of gestational diabetes in the Japan environmental and Children's study (JECS). BMC Pregnancy Childbirth. 2019; 19(1):483. PMC: 6902452. DOI: 10.1186/s12884-019-2632-9. View

Baradari A, Emami Zeydi A, Aarabi M, Ghafari R . Metformin as an adjunct to insulin for glycemic control in patients with type 2 diabetes after CABG surgery: a randomized double blind clinical trial. Pak J Biol Sci. 2012; 14(23):1047-54. DOI: 10.3923/pjbs.2011.1047.1054. View

Ferrie J, Kumari M, Salo P, Singh-Manoux A, Kivimaki M . Sleep epidemiology--a rapidly growing field. Int J Epidemiol. 2011; 40(6):1431-7. PMC: 3655374. DOI: 10.1093/ije/dyr203. View

Shan Z, Ma H, Xie M, Yan P, Guo Y, Bao W . Sleep duration and risk of type 2 diabetes: a meta-analysis of prospective studies. Diabetes Care. 2015; 38(3):529-37. DOI: 10.2337/dc14-2073. View

Chang J, Pien G, Duntley S, Macones G . Sleep deprivation during pregnancy and maternal and fetal outcomes: is there a relationship?. Sleep Med Rev. 2009; 14(2):107-14. PMC: 2824023. DOI: 10.1016/j.smrv.2009.05.001. View

10.

Okun M, Luther J, Wisniewski S, Sit D, Prairie B, Wisner K . Disturbed sleep, a novel risk factor for preterm birth?. J Womens Health (Larchmt). 2011; 21(1):54-60. PMC: 3256561. DOI: 10.1089/jwh.2010.2670. View

11.

Qiu C, Enquobahrie D, Frederick I, Abetew D, Williams M . Glucose intolerance and gestational diabetes risk in relation to sleep duration and snoring during pregnancy: a pilot study. BMC Womens Health. 2010; 10:17. PMC: 2885310. DOI: 10.1186/1472-6874-10-17. View

12.

Najafi F, Hasani J, Izadi N, Hashemi-Nazari S, Namvar Z, Mohammadi S . The effect of prepregnancy body mass index on the risk of gestational diabetes mellitus: A systematic review and dose-response meta-analysis. Obes Rev. 2018; 20(3):472-486. DOI: 10.1111/obr.12803. View

13.

Herring S, Nelson D, Pien G, Homko C, Goetzl L, Davey A . Objectively measured sleep duration and hyperglycemia in pregnancy. Sleep Med. 2013; 15(1):51-5. PMC: 3947268. DOI: 10.1016/j.sleep.2013.07.018. View

14.

Silvestri R, Arico I . Sleep disorders in pregnancy. Sleep Sci. 2020; 12(3):232-239. PMC: 6932848. DOI: 10.5935/1984-0063.20190098. View

15.

Cappuccio F, DElia L, Strazzullo P, Miller M . Quantity and quality of sleep and incidence of type 2 diabetes: a systematic review and meta-analysis. Diabetes Care. 2009; 33(2):414-20. PMC: 2809295. DOI: 10.2337/dc09-1124. View

16.

. Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy: a World Health Organization Guideline. Diabetes Res Clin Pract. 2014; 103(3):341-63. DOI: 10.1016/j.diabres.2013.10.012. View

17.

LeBlanc E, Smith N, Nichols G, Allison M, Clarke G . Insomnia is associated with an increased risk of type 2 diabetes in the clinical setting. BMJ Open Diabetes Res Care. 2019; 6(1):e000604. PMC: 6326337. DOI: 10.1136/bmjdrc-2018-000604. View

18.

Romero R, Badr M . A role for sleep disorders in pregnancy complications: challenges and opportunities. Am J Obstet Gynecol. 2013; 210(1):3-11. PMC: 5881915. DOI: 10.1016/j.ajog.2013.11.020. View

19.

Strand L, Carnethon M, Biggs M, Djousse L, Kaplan R, Siscovick D . Sleep Disturbances and Glucose Metabolism in Older Adults: The Cardiovascular Health Study. Diabetes Care. 2015; 38(11):2050-8. PMC: 4613916. DOI: 10.2337/dc15-0137. View

20.

Sedov I, Cameron E, Madigan S, Tomfohr-Madsen L . Sleep quality during pregnancy: A meta-analysis. Sleep Med Rev. 2017; 38:168-176. DOI: 10.1016/j.smrv.2017.06.005. View