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Sleep duration and quality, and risk of gestational diabetes mellitus in pregnant Chinese women.
- Source :
-
Diabetic Medicine . Jan2017, Vol. 34 Issue 1, p44-50. 7p. - Publication Year :
- 2017
-
Abstract
- Aims To examine the association between sleep disturbances during pregnancy and risk of gestational diabetes mellitus. Methods From 2010 to 2012, 12 506 women in Tianjin, China, were screened using a 50-g 1-h glucose challenge test at 24-28 weeks' gestation. Those with glucose challenge test values of ≥ 7.8 mmol/l were invited to further undergo a 75-g 2-h oral glucose tolerance test. Gestational diabetes was determined according to the International Association of Diabetes and Pregnancy Study Group's definition. Self-reported sleep duration and sleep quality during pregnancy was documented using a modified questionnaire. Logistic regression was used to obtain odds ratios and 95% CIs. Results A total of 919 women (7.3%) had gestational diabetes. Sleep duration was found to have an approximate J-shaped association with gestational diabetes risk after adjusting for covariates. Compared with a sleep duration of 7-9 h/day (43% of 12 506 women), the adjusted odds ratios for sleep duration of ≥ 9 h/day (55%) and < 7 h/day (2%) for gestational diabetes were 1.21 (95% CI 1.03-1.42) and 1.36 (95% CI 0.87-2.14), respectively. Compared with good sleep quality (37.9% of 12 506 women), the adjusted odds ratios of moderate (59.9%) and poor sleep quality (2.2%) for gestational diabetes were 1.19 (95% CI 1.01-1.41) and 1.61 (95% CI 1.04-2.50), respectively. Conclusion In pregnant Chinese women, poor sleep quality, and shorter and longer duration of sleep during pregnancy were independently associated with an increased risk of gestational diabetes. [ABSTRACT FROM AUTHOR]
- Subjects :
- *SLEEP
*CHI-squared test
*GESTATIONAL diabetes
*CHINESE people
*CONFIDENCE intervals
*DOCUMENTATION
*FASTING
*FISHER exact test
*GESTATIONAL age
*GLUCOSE tolerance tests
*INFORMED consent (Medical law)
*MEDICAL screening
*PREGNANCY
*QUESTIONNAIRES
*RESEARCH funding
*SLEEP disorders
*STATISTICS
*STATURE
*T-test (Statistics)
*LOGISTIC regression analysis
*DATA analysis
*BODY mass index
*DATA analysis software
*DESCRIPTIVE statistics
*ODDS ratio
*MANN Whitney U Test
*DISEASE complications
*GENETICS
*THERAPEUTICS
*DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 07423071
- Volume :
- 34
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Diabetic Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 120231424
- Full Text :
- https://doi.org/10.1111/dme.13155