Sleep during pregnancy

The nuMoM2b pregnancy and sleep duration and continuity study

Kathryn J. Reid, Francesca L. Facco, William A. Grobman, Corette B. Parker, Marcos Herbas, Shannon Hunter, Robert M. Silver, Robert C. Basner, George Saade, Grace W. Pien, Shalini Manchanda, Judette M. Louis, Chia Lang Nhan-Chang, Judith H. Chung, Deborah A. Wing, Hyagriv N. Simhan, David M. Haas, Jay Iams, Samuel Parry, Phyllis C. Zee

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Study Objectives: To characterize sleep duration, timing and continuity measures in pregnancy and their association with key demographic variables. Methods: Multisite prospective cohort study. Women enrolled in the nuMoM2b study (nulliparous women with a singleton gestation) were recruited at the second study visit (16-21 weeks of gestation) to participate in the Sleep Duration and Continuity substudy. Women <18 years of age or with pregestational diabetes or chronic hypertension were excluded from participation. Women wore a wrist activity monitor and completed a sleep log for 7 consecutive days. Time in bed, sleep duration, fragmentation index, sleep efficiency, wake after sleep onset, and sleep midpoint were averaged across valid primary sleep periods for each participant. Results: Valid data were available from 782 women with mean age of 27.3 (5.5) years. Median sleep duration was 7.4 hours. Approximately 27.9% of women had a sleep duration of <7 hours; 2.6% had a sleep duration of >9 hours. In multivariable models including age, race/ethnicity, body mass index, insurance status, and recent smoking history, sleep duration was significantly associated with race/ethnicity and insurance status, while time in bed was only associated with insurance status. Sleep continuity measures and sleep midpoint were significantly associated with all covariates in the model, with the exception of age for fragmentation index and smoking for wake after sleep onset. Conclusions: Our results demonstrate the relationship between sleep and important demographic characteristics during pregnancy.

Original languageEnglish (US)
JournalSleep
Volume40
Issue number5
DOIs
StatePublished - May 1 2017

Fingerprint

Sleep
Pregnancy
Insurance Coverage
Smoking
Demography
Body Mass Index
Cohort Studies
History
Prospective Studies

Keywords

  • Epidemiology
  • Pregnancy
  • Sleep duration
  • Sleep quality

ASJC Scopus subject areas

  • Clinical Neurology
  • Physiology (medical)

Cite this

Reid, K. J., Facco, F. L., Grobman, W. A., Parker, C. B., Herbas, M., Hunter, S., ... Zee, P. C. (2017). Sleep during pregnancy: The nuMoM2b pregnancy and sleep duration and continuity study. Sleep, 40(5). https://doi.org/10.1093/sleep/zsx045

Sleep during pregnancy : The nuMoM2b pregnancy and sleep duration and continuity study. / Reid, Kathryn J.; Facco, Francesca L.; Grobman, William A.; Parker, Corette B.; Herbas, Marcos; Hunter, Shannon; Silver, Robert M.; Basner, Robert C.; Saade, George; Pien, Grace W.; Manchanda, Shalini; Louis, Judette M.; Nhan-Chang, Chia Lang; Chung, Judith H.; Wing, Deborah A.; Simhan, Hyagriv N.; Haas, David M.; Iams, Jay; Parry, Samuel; Zee, Phyllis C.

In: Sleep, Vol. 40, No. 5, 01.05.2017.

Research output: Contribution to journalArticle

Reid, KJ, Facco, FL, Grobman, WA, Parker, CB, Herbas, M, Hunter, S, Silver, RM, Basner, RC, Saade, G, Pien, GW, Manchanda, S, Louis, JM, Nhan-Chang, CL, Chung, JH, Wing, DA, Simhan, HN, Haas, DM, Iams, J, Parry, S & Zee, PC 2017, 'Sleep during pregnancy: The nuMoM2b pregnancy and sleep duration and continuity study', Sleep, vol. 40, no. 5. https://doi.org/10.1093/sleep/zsx045
Reid KJ, Facco FL, Grobman WA, Parker CB, Herbas M, Hunter S et al. Sleep during pregnancy: The nuMoM2b pregnancy and sleep duration and continuity study. Sleep. 2017 May 1;40(5). https://doi.org/10.1093/sleep/zsx045
Reid, Kathryn J. ; Facco, Francesca L. ; Grobman, William A. ; Parker, Corette B. ; Herbas, Marcos ; Hunter, Shannon ; Silver, Robert M. ; Basner, Robert C. ; Saade, George ; Pien, Grace W. ; Manchanda, Shalini ; Louis, Judette M. ; Nhan-Chang, Chia Lang ; Chung, Judith H. ; Wing, Deborah A. ; Simhan, Hyagriv N. ; Haas, David M. ; Iams, Jay ; Parry, Samuel ; Zee, Phyllis C. / Sleep during pregnancy : The nuMoM2b pregnancy and sleep duration and continuity study. In: Sleep. 2017 ; Vol. 40, No. 5.
@article{c3f899ed9d724df58e513b2a0c6d37cd,
title = "Sleep during pregnancy: The nuMoM2b pregnancy and sleep duration and continuity study",
abstract = "Study Objectives: To characterize sleep duration, timing and continuity measures in pregnancy and their association with key demographic variables. Methods: Multisite prospective cohort study. Women enrolled in the nuMoM2b study (nulliparous women with a singleton gestation) were recruited at the second study visit (16-21 weeks of gestation) to participate in the Sleep Duration and Continuity substudy. Women <18 years of age or with pregestational diabetes or chronic hypertension were excluded from participation. Women wore a wrist activity monitor and completed a sleep log for 7 consecutive days. Time in bed, sleep duration, fragmentation index, sleep efficiency, wake after sleep onset, and sleep midpoint were averaged across valid primary sleep periods for each participant. Results: Valid data were available from 782 women with mean age of 27.3 (5.5) years. Median sleep duration was 7.4 hours. Approximately 27.9{\%} of women had a sleep duration of <7 hours; 2.6{\%} had a sleep duration of >9 hours. In multivariable models including age, race/ethnicity, body mass index, insurance status, and recent smoking history, sleep duration was significantly associated with race/ethnicity and insurance status, while time in bed was only associated with insurance status. Sleep continuity measures and sleep midpoint were significantly associated with all covariates in the model, with the exception of age for fragmentation index and smoking for wake after sleep onset. Conclusions: Our results demonstrate the relationship between sleep and important demographic characteristics during pregnancy.",
keywords = "Epidemiology, Pregnancy, Sleep duration, Sleep quality",
author = "Reid, {Kathryn J.} and Facco, {Francesca L.} and Grobman, {William A.} and Parker, {Corette B.} and Marcos Herbas and Shannon Hunter and Silver, {Robert M.} and Basner, {Robert C.} and George Saade and Pien, {Grace W.} and Shalini Manchanda and Louis, {Judette M.} and Nhan-Chang, {Chia Lang} and Chung, {Judith H.} and Wing, {Deborah A.} and Simhan, {Hyagriv N.} and Haas, {David M.} and Jay Iams and Samuel Parry and Zee, {Phyllis C.}",
year = "2017",
month = "5",
day = "1",
doi = "10.1093/sleep/zsx045",
language = "English (US)",
volume = "40",
journal = "Sleep",
issn = "0161-8105",
publisher = "American Academy of Sleep Medicine",
number = "5",

}

TY - JOUR

T1 - Sleep during pregnancy

T2 - The nuMoM2b pregnancy and sleep duration and continuity study

AU - Reid, Kathryn J.

AU - Facco, Francesca L.

AU - Grobman, William A.

AU - Parker, Corette B.

AU - Herbas, Marcos

AU - Hunter, Shannon

AU - Silver, Robert M.

AU - Basner, Robert C.

AU - Saade, George

AU - Pien, Grace W.

AU - Manchanda, Shalini

AU - Louis, Judette M.

AU - Nhan-Chang, Chia Lang

AU - Chung, Judith H.

AU - Wing, Deborah A.

AU - Simhan, Hyagriv N.

AU - Haas, David M.

AU - Iams, Jay

AU - Parry, Samuel

AU - Zee, Phyllis C.

PY - 2017/5/1

Y1 - 2017/5/1

N2 - Study Objectives: To characterize sleep duration, timing and continuity measures in pregnancy and their association with key demographic variables. Methods: Multisite prospective cohort study. Women enrolled in the nuMoM2b study (nulliparous women with a singleton gestation) were recruited at the second study visit (16-21 weeks of gestation) to participate in the Sleep Duration and Continuity substudy. Women <18 years of age or with pregestational diabetes or chronic hypertension were excluded from participation. Women wore a wrist activity monitor and completed a sleep log for 7 consecutive days. Time in bed, sleep duration, fragmentation index, sleep efficiency, wake after sleep onset, and sleep midpoint were averaged across valid primary sleep periods for each participant. Results: Valid data were available from 782 women with mean age of 27.3 (5.5) years. Median sleep duration was 7.4 hours. Approximately 27.9% of women had a sleep duration of <7 hours; 2.6% had a sleep duration of >9 hours. In multivariable models including age, race/ethnicity, body mass index, insurance status, and recent smoking history, sleep duration was significantly associated with race/ethnicity and insurance status, while time in bed was only associated with insurance status. Sleep continuity measures and sleep midpoint were significantly associated with all covariates in the model, with the exception of age for fragmentation index and smoking for wake after sleep onset. Conclusions: Our results demonstrate the relationship between sleep and important demographic characteristics during pregnancy.

AB - Study Objectives: To characterize sleep duration, timing and continuity measures in pregnancy and their association with key demographic variables. Methods: Multisite prospective cohort study. Women enrolled in the nuMoM2b study (nulliparous women with a singleton gestation) were recruited at the second study visit (16-21 weeks of gestation) to participate in the Sleep Duration and Continuity substudy. Women <18 years of age or with pregestational diabetes or chronic hypertension were excluded from participation. Women wore a wrist activity monitor and completed a sleep log for 7 consecutive days. Time in bed, sleep duration, fragmentation index, sleep efficiency, wake after sleep onset, and sleep midpoint were averaged across valid primary sleep periods for each participant. Results: Valid data were available from 782 women with mean age of 27.3 (5.5) years. Median sleep duration was 7.4 hours. Approximately 27.9% of women had a sleep duration of <7 hours; 2.6% had a sleep duration of >9 hours. In multivariable models including age, race/ethnicity, body mass index, insurance status, and recent smoking history, sleep duration was significantly associated with race/ethnicity and insurance status, while time in bed was only associated with insurance status. Sleep continuity measures and sleep midpoint were significantly associated with all covariates in the model, with the exception of age for fragmentation index and smoking for wake after sleep onset. Conclusions: Our results demonstrate the relationship between sleep and important demographic characteristics during pregnancy.

KW - Epidemiology

KW - Pregnancy

KW - Sleep duration

KW - Sleep quality

UR - http://www.scopus.com/inward/record.url?scp=85019748561&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85019748561&partnerID=8YFLogxK

U2 - 10.1093/sleep/zsx045

DO - 10.1093/sleep/zsx045

M3 - Article

VL - 40

JO - Sleep

JF - Sleep

SN - 0161-8105

IS - 5

ER -