Association of adverse pregnancy outcomes with self-reported measures of sleep duration and timing in women who are nulliparous

Francesca L. Facco, Corette B. Parker, Shannon Hunter, Kathryn J. Reid, Phyllis C. Zee, Robert M. Silver, David M. Haas, Judith H. Chung, Grace W. Pien, Chia Ling Nhan-Chang, Hyagriv N. Simhan, Samuel Parry, Ronald J. Wapner, George Saade, Brian M. Mercer, Caroline Torres, Jordan Knight, Uma M. Reddy, William A. Grobman

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)2047-2056
Number of pages10
JournalJournal of Clinical Sleep Medicine
Volume14
Issue number12
DOIs
StatePublished - Dec 15 2018

Fingerprint

Pregnancy Outcome
Sleep
Gestational Diabetes
Actigraphy
Pregnancy
Odds Ratio
Confidence Intervals

Keywords

  • Gestational diabetes
  • Hypertension
  • Pregnancy
  • Sleep duration
  • Sleep midpoint

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Neurology
  • Clinical Neurology

Cite this

Facco, F. L., Parker, C. B., Hunter, S., Reid, K. J., Zee, P. C., Silver, R. M., ... Grobman, W. A. (2018). Association of adverse pregnancy outcomes with self-reported measures of sleep duration and timing in women who are nulliparous. Journal of Clinical Sleep Medicine, 14(12), 2047-2056. https://doi.org/10.5664/jcsm.7534

Association of adverse pregnancy outcomes with self-reported measures of sleep duration and timing in women who are nulliparous. / Facco, Francesca L.; Parker, Corette B.; Hunter, Shannon; Reid, Kathryn J.; Zee, Phyllis C.; Silver, Robert M.; Haas, David M.; Chung, Judith H.; Pien, Grace W.; Nhan-Chang, Chia Ling; Simhan, Hyagriv N.; Parry, Samuel; Wapner, Ronald J.; Saade, George; Mercer, Brian M.; Torres, Caroline; Knight, Jordan; Reddy, Uma M.; Grobman, William A.

In: Journal of Clinical Sleep Medicine, Vol. 14, No. 12, 15.12.2018, p. 2047-2056.

Research output: Contribution to journalArticle

Facco, FL, Parker, CB, Hunter, S, Reid, KJ, Zee, PC, Silver, RM, Haas, DM, Chung, JH, Pien, GW, Nhan-Chang, CL, Simhan, HN, Parry, S, Wapner, RJ, Saade, G, Mercer, BM, Torres, C, Knight, J, Reddy, UM & Grobman, WA 2018, 'Association of adverse pregnancy outcomes with self-reported measures of sleep duration and timing in women who are nulliparous', Journal of Clinical Sleep Medicine, vol. 14, no. 12, pp. 2047-2056. https://doi.org/10.5664/jcsm.7534
Facco, Francesca L. ; Parker, Corette B. ; Hunter, Shannon ; Reid, Kathryn J. ; Zee, Phyllis C. ; Silver, Robert M. ; Haas, David M. ; Chung, Judith H. ; Pien, Grace W. ; Nhan-Chang, Chia Ling ; Simhan, Hyagriv N. ; Parry, Samuel ; Wapner, Ronald J. ; Saade, George ; Mercer, Brian M. ; Torres, Caroline ; Knight, Jordan ; Reddy, Uma M. ; Grobman, William A. / Association of adverse pregnancy outcomes with self-reported measures of sleep duration and timing in women who are nulliparous. In: Journal of Clinical Sleep Medicine. 2018 ; Vol. 14, No. 12. pp. 2047-2056.
@article{13e56f9c8ab24c268a91a6a5739754f1,
title = "Association of adverse pregnancy outcomes with self-reported measures of sleep duration and timing in women who are nulliparous",
abstract = "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.",
keywords = "Gestational diabetes, Hypertension, Pregnancy, Sleep duration, Sleep midpoint",
author = "Facco, {Francesca L.} and Parker, {Corette B.} and Shannon Hunter and Reid, {Kathryn J.} and Zee, {Phyllis C.} and Silver, {Robert M.} and Haas, {David M.} and Chung, {Judith H.} and Pien, {Grace W.} and Nhan-Chang, {Chia Ling} and Simhan, {Hyagriv N.} and Samuel Parry and Wapner, {Ronald J.} and George Saade and Mercer, {Brian M.} and Caroline Torres and Jordan Knight and Reddy, {Uma M.} and Grobman, {William A.}",
year = "2018",
month = "12",
day = "15",
doi = "10.5664/jcsm.7534",
language = "English (US)",
volume = "14",
pages = "2047--2056",
journal = "Journal of Clinical Sleep Medicine",
issn = "1550-9389",
publisher = "American Academy of Sleep Medicine",
number = "12",

}

TY - JOUR

T1 - Association of adverse pregnancy outcomes with self-reported measures of sleep duration and timing in women who are nulliparous

AU - Facco, Francesca L.

AU - Parker, Corette B.

AU - Hunter, Shannon

AU - Reid, Kathryn J.

AU - Zee, Phyllis C.

AU - Silver, Robert M.

AU - Haas, David M.

AU - Chung, Judith H.

AU - Pien, Grace W.

AU - Nhan-Chang, Chia Ling

AU - Simhan, Hyagriv N.

AU - Parry, Samuel

AU - Wapner, Ronald J.

AU - Saade, George

AU - Mercer, Brian M.

AU - Torres, Caroline

AU - Knight, Jordan

AU - Reddy, Uma M.

AU - Grobman, William A.

PY - 2018/12/15

Y1 - 2018/12/15

N2 - 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.

AB - 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.

KW - Gestational diabetes

KW - Hypertension

KW - Pregnancy

KW - Sleep duration

KW - Sleep midpoint

UR - http://www.scopus.com/inward/record.url?scp=85058803095&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85058803095&partnerID=8YFLogxK

U2 - 10.5664/jcsm.7534

DO - 10.5664/jcsm.7534

M3 - Article

C2 - 30518449

AN - SCOPUS:85058803095

VL - 14

SP - 2047

EP - 2056

JO - Journal of Clinical Sleep Medicine

JF - Journal of Clinical Sleep Medicine

SN - 1550-9389

IS - 12

ER -