Sleep conditions and sleep hygiene behaviors in early pregnancy are associated with gestational diabetes mellitus: A propensity-score matched study
Purpose To explore the influence of sleep conditions and sleep hygiene behaviors in early pregnancy on gestational diabetes mellitus (GDM) development. Methods This 1:1 propensity-score matched study included 1,216 pregnant women divided into GDM and control groups based on diagnosis via the oral gl...
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| Veröffentlicht in: | Sleep & breathing 2024-12, Vol.28 (6), p.2421-2430 |
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| creator | Ma, Guojun Cai, Yanqing Zhang, Yong Fan, Jianxia |
| description | Purpose
To explore the influence of sleep conditions and sleep hygiene behaviors in early pregnancy on gestational diabetes mellitus (GDM) development.
Methods
This 1:1 propensity-score matched study included 1,216 pregnant women divided into GDM and control groups based on diagnosis via the oral glucose tolerance test at 24–28 gestational weeks. Sleep conditions and hygiene behaviors were evaluated using structural questionnaires, including the Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, and Sleep Hygiene Practice Scale. Univariate and multivariate logistic regression analyses and Spearman’s correlation were conducted to identify the associations.
Results
After adjusting for baseline clinical characteristics, women with GDM were more likely to have poor sleep quality (adjusted odds ratio [AOR] = 1.585, 95% confidence interval [CI]: 1.261–1.992) and higher scores for subjective sleep quality, latency, duration, efficiency, and sleep disturbances (all
P
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| doi_str_mv | 10.1007/s11325-024-03071-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11567980</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3097850475</sourcerecordid><originalsourceid>FETCH-LOGICAL-c356t-d48b885f0856a243f791c8e95499459822b00bac41df16956678c7a62421ffaa3</originalsourceid><addsrcrecordid>eNp9kU2P1iAUhRujccbRP-DCkLhxUwVaWnBjJhO_kklcqGtyS29bJi1UoGP6O_zDMu87jh8LVxDucw4cTlE8ZfQlo7R9FRmruCgpr0ta0ZaV8l5xygTnJWupun_Y01IJxk-KRzFeUcpqqdjD4qRSTHHK1Wnx4_OMuBLjXW-T9S4ScD2Jh8NpHy06JB1OcG19iMQ6ghDmnawBRwfO7AQCEojRGwsJe_LdpomMGBPcuMFMegsdJoxkwXm2aYuvyXmW-xVdtGkvo_HZYYFkpiyPaev3x8WDAeaIT27Xs-Lru7dfLj6Ul5_ef7w4vyxNJZpU9rXspBQDlaIBXldDq5iRqEStVC2U5LyjtANTs35gjRJN00rTQsNrzoYBoDor3hx9161bsDfoUoBZr8EuEHbtweq_J85OevTXmjHRtErS7PDi1iH4b1tOrRcbTQ4KDv0WdUVVKwWtW5HR5_-gV34L-YcyxbiUSqmmzRQ_Uib4GAMOd69hVN-Uro-l61y6PpSuZRY9-zPHneRXyxmojkDMIzdi-H33f2x_AoICuto</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3128899967</pqid></control><display><type>article</type><title>Sleep conditions and sleep hygiene behaviors in early pregnancy are associated with gestational diabetes mellitus: A propensity-score matched study</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Ma, Guojun ; Cai, Yanqing ; Zhang, Yong ; Fan, Jianxia</creator><creatorcontrib>Ma, Guojun ; Cai, Yanqing ; Zhang, Yong ; Fan, Jianxia</creatorcontrib><description>Purpose
To explore the influence of sleep conditions and sleep hygiene behaviors in early pregnancy on gestational diabetes mellitus (GDM) development.
Methods
This 1:1 propensity-score matched study included 1,216 pregnant women divided into GDM and control groups based on diagnosis via the oral glucose tolerance test at 24–28 gestational weeks. Sleep conditions and hygiene behaviors were evaluated using structural questionnaires, including the Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, and Sleep Hygiene Practice Scale. Univariate and multivariate logistic regression analyses and Spearman’s correlation were conducted to identify the associations.
Results
After adjusting for baseline clinical characteristics, women with GDM were more likely to have poor sleep quality (adjusted odds ratio [AOR] = 1.585, 95% confidence interval [CI]: 1.261–1.992) and higher scores for subjective sleep quality, latency, duration, efficiency, and sleep disturbances (all
P
< 0.01). Mild sleepiness (AOR = 1.311, 95% CI: 1.012–1.699) and worrying about not being able to fall asleep (AOR = 1.123, 95% CI: 1.005–1.255) were more likely to occur in the GDM group. Sleep quality and hygiene behaviors such as sleep-irrelevant activities, staying in bed after waking up, weekend catch-up sleep, and overeating before bedtime were significantly correlated with gestational diabetes variables.
Conclusion
Poor sleep conditions and specific sleep hygiene behaviors in early pregnancy may be independent risk factors for GDM. This suggests that sleep assessment and behavior education can be used as new approaches for the early implementation of surveillance and prevention of GDM.</description><identifier>ISSN: 1520-9512</identifier><identifier>ISSN: 1522-1709</identifier><identifier>EISSN: 1522-1709</identifier><identifier>DOI: 10.1007/s11325-024-03071-8</identifier><identifier>PMID: 39192029</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Dentistry ; Diabetes mellitus ; Diabetes, Gestational - epidemiology ; Female ; Gestational diabetes ; Glucose tolerance ; Humans ; Hygiene ; Internal Medicine ; Latency ; Medicine ; Medicine & Public Health ; Neurology ; Otorhinolaryngology ; Pediatrics ; Pneumology/Respiratory System ; Pregnancy ; Pregnancy complications ; Propensity Score ; Risk Factors ; Sleep ; Sleep and wakefulness ; Sleep Breathing Physiology and Disorders • Original ; Sleep Breathing Physiology and Disorders • Original Article ; Sleep Hygiene ; Sleep Quality ; Sleep Wake Disorders - epidemiology</subject><ispartof>Sleep & breathing, 2024-12, Vol.28 (6), p.2421-2430</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c356t-d48b885f0856a243f791c8e95499459822b00bac41df16956678c7a62421ffaa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11325-024-03071-8$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11325-024-03071-8$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39192029$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ma, Guojun</creatorcontrib><creatorcontrib>Cai, Yanqing</creatorcontrib><creatorcontrib>Zhang, Yong</creatorcontrib><creatorcontrib>Fan, Jianxia</creatorcontrib><title>Sleep conditions and sleep hygiene behaviors in early pregnancy are associated with gestational diabetes mellitus: A propensity-score matched study</title><title>Sleep & breathing</title><addtitle>Sleep Breath</addtitle><addtitle>Sleep Breath</addtitle><description>Purpose
To explore the influence of sleep conditions and sleep hygiene behaviors in early pregnancy on gestational diabetes mellitus (GDM) development.
Methods
This 1:1 propensity-score matched study included 1,216 pregnant women divided into GDM and control groups based on diagnosis via the oral glucose tolerance test at 24–28 gestational weeks. Sleep conditions and hygiene behaviors were evaluated using structural questionnaires, including the Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, and Sleep Hygiene Practice Scale. Univariate and multivariate logistic regression analyses and Spearman’s correlation were conducted to identify the associations.
Results
After adjusting for baseline clinical characteristics, women with GDM were more likely to have poor sleep quality (adjusted odds ratio [AOR] = 1.585, 95% confidence interval [CI]: 1.261–1.992) and higher scores for subjective sleep quality, latency, duration, efficiency, and sleep disturbances (all
P
< 0.01). Mild sleepiness (AOR = 1.311, 95% CI: 1.012–1.699) and worrying about not being able to fall asleep (AOR = 1.123, 95% CI: 1.005–1.255) were more likely to occur in the GDM group. Sleep quality and hygiene behaviors such as sleep-irrelevant activities, staying in bed after waking up, weekend catch-up sleep, and overeating before bedtime were significantly correlated with gestational diabetes variables.
Conclusion
Poor sleep conditions and specific sleep hygiene behaviors in early pregnancy may be independent risk factors for GDM. This suggests that sleep assessment and behavior education can be used as new approaches for the early implementation of surveillance and prevention of GDM.</description><subject>Adult</subject><subject>Dentistry</subject><subject>Diabetes mellitus</subject><subject>Diabetes, Gestational - epidemiology</subject><subject>Female</subject><subject>Gestational diabetes</subject><subject>Glucose tolerance</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Internal Medicine</subject><subject>Latency</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurology</subject><subject>Otorhinolaryngology</subject><subject>Pediatrics</subject><subject>Pneumology/Respiratory System</subject><subject>Pregnancy</subject><subject>Pregnancy complications</subject><subject>Propensity Score</subject><subject>Risk Factors</subject><subject>Sleep</subject><subject>Sleep and wakefulness</subject><subject>Sleep Breathing Physiology and Disorders • Original</subject><subject>Sleep Breathing Physiology and Disorders • Original Article</subject><subject>Sleep Hygiene</subject><subject>Sleep Quality</subject><subject>Sleep Wake Disorders - epidemiology</subject><issn>1520-9512</issn><issn>1522-1709</issn><issn>1522-1709</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kU2P1iAUhRujccbRP-DCkLhxUwVaWnBjJhO_kklcqGtyS29bJi1UoGP6O_zDMu87jh8LVxDucw4cTlE8ZfQlo7R9FRmruCgpr0ta0ZaV8l5xygTnJWupun_Y01IJxk-KRzFeUcpqqdjD4qRSTHHK1Wnx4_OMuBLjXW-T9S4ScD2Jh8NpHy06JB1OcG19iMQ6ghDmnawBRwfO7AQCEojRGwsJe_LdpomMGBPcuMFMegsdJoxkwXm2aYuvyXmW-xVdtGkvo_HZYYFkpiyPaev3x8WDAeaIT27Xs-Lru7dfLj6Ul5_ef7w4vyxNJZpU9rXspBQDlaIBXldDq5iRqEStVC2U5LyjtANTs35gjRJN00rTQsNrzoYBoDor3hx9161bsDfoUoBZr8EuEHbtweq_J85OevTXmjHRtErS7PDi1iH4b1tOrRcbTQ4KDv0WdUVVKwWtW5HR5_-gV34L-YcyxbiUSqmmzRQ_Uib4GAMOd69hVN-Uro-l61y6PpSuZRY9-zPHneRXyxmojkDMIzdi-H33f2x_AoICuto</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Ma, Guojun</creator><creator>Cai, Yanqing</creator><creator>Zhang, Yong</creator><creator>Fan, Jianxia</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20241201</creationdate><title>Sleep conditions and sleep hygiene behaviors in early pregnancy are associated with gestational diabetes mellitus: A propensity-score matched study</title><author>Ma, Guojun ; Cai, Yanqing ; Zhang, Yong ; Fan, Jianxia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-d48b885f0856a243f791c8e95499459822b00bac41df16956678c7a62421ffaa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Dentistry</topic><topic>Diabetes mellitus</topic><topic>Diabetes, Gestational - epidemiology</topic><topic>Female</topic><topic>Gestational diabetes</topic><topic>Glucose tolerance</topic><topic>Humans</topic><topic>Hygiene</topic><topic>Internal Medicine</topic><topic>Latency</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurology</topic><topic>Otorhinolaryngology</topic><topic>Pediatrics</topic><topic>Pneumology/Respiratory System</topic><topic>Pregnancy</topic><topic>Pregnancy complications</topic><topic>Propensity Score</topic><topic>Risk Factors</topic><topic>Sleep</topic><topic>Sleep and wakefulness</topic><topic>Sleep Breathing Physiology and Disorders • Original</topic><topic>Sleep Breathing Physiology and Disorders • Original Article</topic><topic>Sleep Hygiene</topic><topic>Sleep Quality</topic><topic>Sleep Wake Disorders - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ma, Guojun</creatorcontrib><creatorcontrib>Cai, Yanqing</creatorcontrib><creatorcontrib>Zhang, Yong</creatorcontrib><creatorcontrib>Fan, Jianxia</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Sleep & breathing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ma, Guojun</au><au>Cai, Yanqing</au><au>Zhang, Yong</au><au>Fan, Jianxia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sleep conditions and sleep hygiene behaviors in early pregnancy are associated with gestational diabetes mellitus: A propensity-score matched study</atitle><jtitle>Sleep & breathing</jtitle><stitle>Sleep Breath</stitle><addtitle>Sleep Breath</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>28</volume><issue>6</issue><spage>2421</spage><epage>2430</epage><pages>2421-2430</pages><issn>1520-9512</issn><issn>1522-1709</issn><eissn>1522-1709</eissn><abstract>Purpose
To explore the influence of sleep conditions and sleep hygiene behaviors in early pregnancy on gestational diabetes mellitus (GDM) development.
Methods
This 1:1 propensity-score matched study included 1,216 pregnant women divided into GDM and control groups based on diagnosis via the oral glucose tolerance test at 24–28 gestational weeks. Sleep conditions and hygiene behaviors were evaluated using structural questionnaires, including the Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, and Sleep Hygiene Practice Scale. Univariate and multivariate logistic regression analyses and Spearman’s correlation were conducted to identify the associations.
Results
After adjusting for baseline clinical characteristics, women with GDM were more likely to have poor sleep quality (adjusted odds ratio [AOR] = 1.585, 95% confidence interval [CI]: 1.261–1.992) and higher scores for subjective sleep quality, latency, duration, efficiency, and sleep disturbances (all
P
< 0.01). Mild sleepiness (AOR = 1.311, 95% CI: 1.012–1.699) and worrying about not being able to fall asleep (AOR = 1.123, 95% CI: 1.005–1.255) were more likely to occur in the GDM group. Sleep quality and hygiene behaviors such as sleep-irrelevant activities, staying in bed after waking up, weekend catch-up sleep, and overeating before bedtime were significantly correlated with gestational diabetes variables.
Conclusion
Poor sleep conditions and specific sleep hygiene behaviors in early pregnancy may be independent risk factors for GDM. This suggests that sleep assessment and behavior education can be used as new approaches for the early implementation of surveillance and prevention of GDM.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>39192029</pmid><doi>10.1007/s11325-024-03071-8</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Adult Dentistry Diabetes mellitus Diabetes, Gestational - epidemiology Female Gestational diabetes Glucose tolerance Humans Hygiene Internal Medicine Latency Medicine Medicine & Public Health Neurology Otorhinolaryngology Pediatrics Pneumology/Respiratory System Pregnancy Pregnancy complications Propensity Score Risk Factors Sleep Sleep and wakefulness Sleep Breathing Physiology and Disorders • Original Sleep Breathing Physiology and Disorders • Original Article Sleep Hygiene Sleep Quality Sleep Wake Disorders - epidemiology |
| title | Sleep conditions and sleep hygiene behaviors in early pregnancy are associated with gestational diabetes mellitus: A propensity-score matched study |
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