Nocturnal Lifestyle Behaviours and Risk of Poor Sleep During Pregnancy

Overview

Journal Nutrients

Date 2022 Jun 10

PMID 35684148

Authors

Chee Wai Ku

Rachael Si Xuan Loo

Michelle Mei Ying Tiong

Sing Yee Clara Eng

Yin Bun Cheung

Lay See Ong

Kok Hian Tan

Mary Foong-Fong Chong

Jerry Kok Yen Chan

Fabian Yap

See Ling Loy

Affiliations

Soon will be listed here.

Abstract

The extent to which lifestyle practices at night influence sleep quality in pregnant women remains unknown. This study aimed to examine whether nocturnal behaviours were associated with poor sleep during pregnancy. We performed a cross-sectional analysis of a prospective cohort of pregnant women at 18-24 gestation weeks recruited from KK Women's and Children's Hospital, Singapore, between 2019 and 2021. Nocturnal behaviours were assessed with questionnaires, and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) with a global score ≥5 indicative of poor sleep quality. Modified Poisson regression and linear regression were used to examine the association between nocturnal behaviour and sleep quality. Of 299 women, 117 (39.1%) experienced poor sleep. In the covariate-adjusted analysis, poor sleep was observed in women with nocturnal eating (risk ratio 1.51; 95% confidence interval [CI] 1.12, 2.04) and nocturnal artificial light exposure (1.63; 1.24, 2.13). Similarly, nocturnal eating (β 0.68; 95% CI 0.03, 1.32) and light exposure (1.99; 1.04, 2.94) were associated with higher PSQI score. Nocturnal physical activity and screen viewing before bedtime were not associated with sleep quality. In conclusion, reducing nocturnal eating and light exposure at night could potentially improve sleep in pregnancy.

Citing Articles

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References

Bourjeily G, Raker C, Chalhoub M, Miller M . Pregnancy and fetal outcomes of symptoms of sleep-disordered breathing. Eur Respir J. 2010; 36(4):849-55. DOI: 10.1183/09031936.00021810. View

Lanoix D, Guerin P, Vaillancourt C . Placental melatonin production and melatonin receptor expression are altered in preeclampsia: new insights into the role of this hormone in pregnancy. J Pineal Res. 2012; 53(4):417-25. DOI: 10.1111/j.1600-079X.2012.01012.x. View

Katagiri R, Asakura K, Kobayashi S, Suga H, Sasaki S . Low intake of vegetables, high intake of confectionary, and unhealthy eating habits are associated with poor sleep quality among middle-aged female Japanese workers. J Occup Health. 2014; 56(5):359-68. DOI: 10.1539/joh.14-0051-oa. View

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

Lin H, Tsai P, Fang S, Liu J . Effect of kiwifruit consumption on sleep quality in adults with sleep problems. Asia Pac J Clin Nutr. 2011; 20(2):169-74. View

Guerrero-Vargas N, Espitia-Bautista E, Buijs R, Escobar C . Shift-work: is time of eating determining metabolic health? Evidence from animal models. Proc Nutr Soc. 2018; 77(3):199-215. DOI: 10.1017/S0029665117004128. View

Honma K, Honma S, Kohsaka M, Fukuda N . Seasonal variation in the human circadian rhythm: dissociation between sleep and temperature rhythm. Am J Physiol. 1992; 262(5 Pt 2):R885-91. DOI: 10.1152/ajpregu.1992.262.5.R885. View

Zou G . A modified poisson regression approach to prospective studies with binary data. Am J Epidemiol. 2004; 159(7):702-6. DOI: 10.1093/aje/kwh090. View

Lyssenko V, Nagorny C, Erdos M, Wierup N, Jonsson A, Spegel P . Common variant in MTNR1B associated with increased risk of type 2 diabetes and impaired early insulin secretion. Nat Genet. 2008; 41(1):82-8. PMC: 3725650. DOI: 10.1038/ng.288. View

10.

Phillips A, Vidafar P, Burns A, McGlashan E, Anderson C, Rajaratnam S . High sensitivity and interindividual variability in the response of the human circadian system to evening light. Proc Natl Acad Sci U S A. 2019; 116(24):12019-12024. PMC: 6575863. DOI: 10.1073/pnas.1901824116. View

11.

Lovibond P, LOVIBOND S . The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995; 33(3):335-43. DOI: 10.1016/0005-7967(94)00075-u. View

12.

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

13.

Murawski B, Wade L, Plotnikoff R, Lubans D, Duncan M . A systematic review and meta-analysis of cognitive and behavioral interventions to improve sleep health in adults without sleep disorders. Sleep Med Rev. 2018; 40:160-169. DOI: 10.1016/j.smrv.2017.12.003. View

14.

Ohayon M, Smirne S . Prevalence and consequences of insomnia disorders in the general population of Italy. Sleep Med. 2003; 3(2):115-20. DOI: 10.1016/s1389-9457(01)00158-7. View

15.

Tan E, Healey D, Gray A, Galland B . Sleep hygiene intervention for youth aged 10 to 18 years with problematic sleep: a before-after pilot study. BMC Pediatr. 2012; 12:189. PMC: 3538572. DOI: 10.1186/1471-2431-12-189. View

16.

Loy S, Cheung Y, Chong M, Muller-Riemenschneider F, Lek N, Lee Y . Maternal night-eating pattern and glucose tolerance during pregnancy: study protocol for a longitudinal study. BMJ Open. 2019; 9(10):e030036. PMC: 6797284. DOI: 10.1136/bmjopen-2019-030036. View

17.

Lee K, Zaffke M . Restless legs syndrome and sleep disturbance during pregnancy: the role of folate and iron. J Womens Health Gend Based Med. 2001; 10(4):335-41. DOI: 10.1089/152460901750269652. View

18.

Stranges S, Tigbe W, Gomez-Olive F, Thorogood M, Kandala N . Sleep problems: an emerging global epidemic? Findings from the INDEPTH WHO-SAGE study among more than 40,000 older adults from 8 countries across Africa and Asia. Sleep. 2012; 35(8):1173-81. PMC: 3397790. DOI: 10.5665/sleep.2012. View

19.

Grivas T, Savvidou O . Melatonin the "light of night" in human biology and adolescent idiopathic scoliosis. Scoliosis. 2007; 2:6. PMC: 1855314. DOI: 10.1186/1748-7161-2-6. View

20.

Felder J, Baer R, Rand L, Jelliffe-Pawlowski L, Prather A . Sleep Disorder Diagnosis During Pregnancy and Risk of Preterm Birth. Obstet Gynecol. 2017; 130(3):573-581. DOI: 10.1097/AOG.0000000000002132. View