scholarly journals 0868 How Do Sleep Morbidities Differ Amongst Pregnant Women, Women Who Are Intending To Conceive, And Women Who Are Not Intending To Conceive?

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A331-A331
Author(s):  
A R Hartman ◽  
P A Geller ◽  
K Morales ◽  
K Lee ◽  
J Kloss ◽  
...  
Keyword(s):  
Sleep Disturbance ◽  
Pregnant Women ◽  
Sleep Disorders ◽  
Sleep Disorder ◽  
Child Outcomes ◽  
Reproductive Age ◽  
Periodic Limb Movement Disorder ◽  
Maternal Sleep ◽  
Nulliparous Women ◽  
Reproductive Aged Women

Abstract Introduction Maternal sleep disturbance is common during pregnancy and is associated with adverse maternal and child outcomes, such as postpartum depression and preterm birth. The extent to which sleep disorder symptoms are normative among women of reproductive age, however, is largely unknown. The present study’s primary aim was to explore cumulative sleep morbidity and the incidence of disorder-specific symptoms among reproductive-aged women of different childbearing statuses. Methods Sleep morbidity variables were examined cross-sectionally among three groups of reproductive-aged nulliparous women: those 1) currently pregnant (n=148), 2) currently intending to conceive (n=233), and 3) not currently intending to conceive (n=379). All subjects self-reported sleep disorder symptoms at baseline using the Sleep Disorders Symptom Checklist-25 (SDS-CL-25). This instrument measures symptoms related to 13 sleep disorders scaled 0 (never) to 4 (> 5 days per week). Average scores were calculated for each item, each of 13 sleep disorders, and for the whole instrument (0-100). Results Initial results indicated that pregnant women (M=22.80, SD=11.49) had a higher rate of cumulative sleep morbidity than women who were intending to conceive (M=20.33, SD=11.14) and women who were not intending to conceive (M=20.15, SD=12.03) (p=.05). Pregnant women also had increased rates of insomnia (M pregnant=8.38, SD=3.77; M intending=6.86, SD=3.60; M not intending=6.53, SD=3.47; p<.001) and restless legs syndrome/periodic limb movement disorder (M pregnant=2.77, SD=3.05; M intending=2.02, SD=2.28; M not intending=1.99, SD=2.43; p= .004) as compared to non-pregnant women. Conclusion These data suggest, as is widely held, that pregnant women have greater levels of sleep disturbance than women of a common reproductive age who are currently intending to conceive or who are not currently intending to conceive. The observed sleep disturbance appears to be limited to sleep initiation and maintenance and RLS/PLMs symptomatology. Additional analyses are ongoing. Support Perlis & Kloss: R21HD083628; Perlis K24AG055602

scholarly journals PENGARUH USIA KEHAMILAN TERHADAP GANGGUAN TIDUR PADA IBU HAMIL DI PBM ERNA PENIWATI DESA BALONG KECAMATAN BALONG PONOROGO

2018 ◽  
Vol 5 (2) ◽  
pp. 8-16
Author(s):  
Ambika Kurnia Mustikawati
Keyword(s):  
Pregnant Woman ◽  
Sleep Disturbance ◽  
Pregnant Women ◽  
Sleep Disorders ◽  
Sleep Disorder ◽  
Gestational Age ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional ◽  
Physical Comfort

Pregnancy is a valuable thing, but also one of the great stresses for a woman both physically and mentally. Physical comfort disorders at each stage of gestational age vary due to interrupt the rest of pregnant women. This sleep disorder causes hypertension, exhaustion and disrupt activity. Interview results, 7 out of 10 pregnant women said experiencing sleep disorders. The purpose of this study was to analyze the effect of gestational age on sleep disturbance.The research type is analytic with cross-sectional approach. Research location in PMB Erna Peniwati Desa Balong Kabupaten Ponorogo. The study was conducted on May 15 to June 10, 2018. Determination of the sample using a simple random sampling technique of 40. Dependent variable is sleep disturbance, while the independent variable is the age of pregnancy. Data collection techniques using questionnaires. Data analysis using Pearson test with the help of computer program SPSS 22,0 for windows.The results showed that from 40 respondents, half of which were 20 (50%) of pregnant women TM 3 had moderate sleep disorder and almost half that is as many as 12 (30%) pregnant women TM 2 had mild sleep disorder. Result of calculation using Pearson statistic test with significant level 0,01 that is p = 0,000 <α 0,01 meaning Ho rejected and H1 accepted, so there is influence between pregnancy age with sleep disorder in pregnant woman in PMB Erna Peniwati with correlation coefficient 0,572 indicating closeness strong influence.Different pregnancy rates affect sleep disturbance in each pregnant woman especially in the 3rd trimester pregnant women. It is expected to place the research to provide a solution for pregnant women so as to reduce the perceived sleep disturbance and respondents are expected to have a good way of dealing with sleep disorders for their health and the fetus and preparation for labor.

scholarly journals The Association of Unreported Sleep Disturbances and Systemic Inflammation: Findings from the 2005-2008 NHANES

2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Jeff A. Dennis ◽  
Ahmad Alazzeh ◽  
Ann Marie Kumfer ◽  
Rebecca McDonald-Thomas ◽  
Alan N. Peiris
Keyword(s):  
Sleep Apnea ◽  
Sleep Disturbance ◽  
Sleep Disorders ◽  
Sleep Disorder ◽  
Inflammatory Markers ◽  
Sleep Disturbances ◽  
Laboratory Data ◽  
Poor Sleep ◽  
Distribution Width ◽  
Inflammatory Status

Background/Objective. Sleep apnea is associated with elevated inflammatory markers. A subgroup of patients never report sleep disturbances to their physician. The inflammatory status of this subgroup is not known. The present study aims to evaluate two inflammatory markers, C-reactive protein (CRP) and red cell distribution width (RDW), in those with unreported sleep disturbances and compares these findings to those with and without reported sleep disorders. We also investigate the utility of RDW as an inflammatory marker in sleep disorders. Methods. Sample includes 9,901 noninstitutionalized, civilian, nonpregnant adults from the 2005-2008 National Health and Nutrition Examination Survey, a nationally representative, cross-sectional U.S. study. Sleep questionnaire and laboratory data were used to compare inflammatory markers (CRP and RDW) in five subgroups of individuals: reporting physician-diagnosed sleep apnea, reporting another physician-diagnosed sleep disorder, reported sleep disturbance to physician with no resulting diagnosis, unreported sleep disturbance (poor sleep quality not reported to physician), and no diagnosed sleep disorder or sleep disturbance. Results. Individuals with unreported sleep disturbance had significantly higher odds of elevated RDW (>13.6%) when compared to those without a sleep disturbance in adjusted models (OR=1.33). Those with unreported sleep disturbance had significantly higher odds of elevated CRP levels (>1 mg/L) than those without sleep disturbances (OR 1.34), although the association was not significant when adjusted for obesity and other controls. Conclusion. Self-identified unreported sleep disturbances are associated with significantly higher odds of elevated RDW than those without sleep disturbances. RDW may serve as a valuable indicator in identifying individuals at higher risk for sleep apnea and other sleep disorders.

scholarly journals The Association of Sleep Disorder, Obesity Status, and Diabetes Mellitus among US Adults—The NHANES 2009-2010 Survey Results

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Jian Liu ◽  
John Hay ◽  
Brent E. Faught
Keyword(s):  
Sleep Disturbance ◽  
Sleep Disorders ◽  
Sleep Disorder ◽  
Sleep Problems ◽  
Tolerance Test ◽  
Oral Glucose ◽  
Logistic Regression Models ◽  
Obesity Status ◽  
Overnight Fasting ◽  
The Impact

To examine the association between sleep disorders, obesity status, and the risk of diabetes in adults, a total of 3668 individuals aged 40+ years from the NHANES 2009-2010 without missing information on sleep-related questions, measurements related to diabetes, and BMI were included in this analysis. Subjects were categorized into three sleep groups based on two sleep questions: (a) no sleep problems; (b) sleep disturbance; and (c) sleep disorder. Diabetes was defined as having one of a diagnosis from a physician; an overnight fasting glucose > 125 mg/dL; Glycohemoglobin > 6.4%; or an oral glucose tolerance test > 199 mg/dL. Overall, 19% of subjects were diabetics, 37% were obese, and 32% had either sleep disturbance or sleep disorder. Using multiple logistic regression models adjusting for covariates without including BMI, the odds ratios (OR, (95% CI)) of diabetes were 1.40 (1.06, 1.84) and 2.04 (1.40, 2.95) for those with sleep disturbance and with sleep disorder, respectively. When further adjusting for BMI, the ORs were similar for those with sleep disturbance 1.36 (1.06, 1.73) but greatly attenuated for those with sleep disorders (1.38 [0.95, 2.00]). In conclusion, the impact of sleep disorders on diabetes may be explained through the individuals’ obesity status.

Sleep Disorders and Pregnancy

2018 ◽  
Author(s):  
Lynn Liu
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Sleep Disorders ◽  
Sleep Disorder ◽  
Sleep Medicine ◽  
Fetal Outcomes ◽  
Potential Interactions ◽  
New Onset

Pregnant women frequently have sleep concerns. Some concerns are related to the course of the pregnancy, some sleep disorders change during pregnancy, and others develop new onset sleep disorders during pregnancy. Having a sleep medicine professional to assist in the management of a pregnant woman to address the treatment of particular sleep disorders can be helpful in alleviating specific concerns over the course of the pregnancy. Anticipating potential interactions or how the pregnancy and the sleep disorder may affect each other may improve maternal and fetal outcomes. This chapter will review common sleep disorders that can be encountered in pregnant women.

Effects of Mindful Yoga on Sleep in Pregnant Women: A Pilot Study

2010 ◽  
Vol 11 (4) ◽  
pp. 363-370 ◽  
Author(s):  
Amy E. Beddoe ◽  
Kathryn A. Lee ◽  
Sandra J. Weiss ◽  
Holly Powell Kennedy ◽  
Chin-Po Paul Yang
Keyword(s):  
Pilot Study ◽  
Sleep Disturbance ◽  
Pregnant Women ◽  
Sample Size ◽  
Small Sample ◽  
Second Trimester ◽  
Third Trimester ◽  
The Third ◽  
Nulliparous Women ◽  
Wrist Actigraphy

Purpose: The purpose of this experimental pilot study was to measure the effects of a mindfulness-based yoga intervention on sleep in pregnant women. Methods: Fifteen healthy, nulliparous women in their second or third trimesters with singleton pregnancies attended weekly mindfulness meditation and prenatal Hatha yoga classes in the community for 7 weeks. Sleep variables, as estimated by 72 hr of continuous wrist actigraphy and the General Sleep Disturbance Scale (GSDS), were recorded at baseline (Time 1) and postintervention (Time 2). Control data were obtained by evaluating sleep in the third-trimester group at Time 1. Due to small sample size, data were analyzed using parametric and nonparametric statistics. Results: Women who began the intervention in the second trimester had significantly fewer awakenings, less wake time during the night, and less perceived sleep disturbance at Time 2 than at baseline. Those who began during the third trimester had poorer sleep over time in spite of the intervention. Women who began the intervention in their second trimester had less awake time at Time 2 compared to third-trimester controls at Time 1. Conclusions: Mindful yoga shows promise for women in their second trimester of pregnancy to diminish total number of awakenings at night and improve sleep efficiency and merits further exploration. Results from this pilot study provide the data to estimate sample size and design and implement powered and more controlled studies in the future.

scholarly journals PRENATAL MATERNAL SLEEP

2021 ◽  
Vol 68 (2) ◽  
pp. 169-173
Author(s):  
Diana-Antonia Iordăchescu ◽  
◽  
Corina-Ioana Paica ◽  
Elena Otilia Vladislav ◽  
Ana-Ilinca Ilie ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Pregnant Women ◽  
Sleep Disorders ◽  
Behavioral Therapy ◽  
Significant Risk ◽  
Hormonal Changes ◽  
Maternal Sleep ◽  
Cesarean Births ◽  
Relaxation Exercises

Pregnancy affects women's sleep in many ways. Physical and emotional difficulties, especially towards the end of pregnancy, can lead to sleep disorders. Several studies suggest associations between sleep quality and high blood pressure, diabetes and depression. Sleep deprivation affect both mother and fetus. Sleep disorders are associated with low birth weight, intrauterine growth restriction, premature birth and cesarean births. This paper is a review based on information from the literature. The analysis was limited to articles and guidelines in English published between January 1, 2000 and May 1, 2020 on PubMed, ScienceDirect and Google Scholar using the following keywords: sleep, pregnancy, depression, anxiety, mental health, sleep disorders, pregnant women, interventions, treatment. In this review, we discuss the characteristics of prenatal maternal sleep, hormonal changes during pregnancy and their effects on sleep, the effects of changing sleep patterns on the pregnant woman, and the interventions needed to optimize sleep quality. According to the literature, sleep disorders are significant risk factors for mood disorders. Knowing sleep changes and their effects is useful for informing mothers. Consideration of non-pharmacological treatments and interventions such as cognitive-behavioral therapy, mindfulness therapy and relaxation exercises can be effective in optimizing the quality of sleep in pregnant women.

scholarly journals Maternal Sleep and Related Pregnancy Outcomes: A Multicenter Cross-sectional Study in 11 Provinces of Iran

2021 ◽  
Author(s):  
Mahmoud Hajipour ◽  
Maryam Soltani ◽  
Roya Safari-Faramani ◽  
Salman Khazaei ◽  
Koorosh Etemad ◽  
...  
Keyword(s):  
Sleep Disturbance ◽  
Pregnant Women ◽  
Gestational Age ◽  
Health Workers ◽  
Physical Violence ◽  
Child Outcomes ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Objective: Sleep disturbance during pregnancy is one of the most common maternal complaints. Not only does it play a crucial role in a mother’s life, but also it comes with a multitude number of complications. This study aimed at assessing the association between sleep disturbance in pregnancy and maternal and child outcomes. Materials and methods: This was a multicenter cross-sectional study, conducted on pregnant women across 11 provinces in Iran in 2018. Sleep disturbance as a composite variable was defined using the principal component analysis based on five questions. Abortion, anemia in the first and third trimester, gestational diabetes, gestational age, glucose tolerance test (GTT), fasting blood sugar (FBS), mode of delivery, low birth weight and stillbirth were defined as study outcomes. Results: Totally, 3675 pregnant women enrolled in the study. Most of the participants (84.5%) reported that their sleep duration is less than 8 hours per day. The prevalence of sleep disturbance was 20.7% (95% CI: 19.1, 22.3). After adjusting for maternal age, education, job, place of residency and physical violence, sleep disturbance would increase the odds of abortion (p=0.009), anemia in both first (p=0.001) and third (p=0.003) trimester, gestational age (p=0.049), abnormal FBS (p=0.015) and cesarean section (p<0.001). Conclusion: Regarding the effect of sleep quality on maternal outcomes, planning and implementing a suitable intervention in the context of primary health care is necessary. Increasing the awareness of mothers, health workers and medical personnel about the suitable quality and quantity of sleep during pregnancy is of great importance.

scholarly journals Interplay among pain intensity, sleep disturbance and emotion in patients with non-specific low back pain

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3282 ◽  
Author(s):  
Shilabant Sen Sribastav ◽  
He Peiheng ◽  
Long Jun ◽  
Li Zemin ◽  
Wei Fuxin ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Sleep Quality ◽  
Sleep Disturbance ◽  
Pain Intensity ◽  
Sleep Disorders ◽  
Sleep Disorder ◽  
Daily Living ◽  
Cross Correlation ◽  
Low Back ◽  
Anxiety Depression

BackgroundLow back pain (LBP) is the most common problem worldwide. There are several negative consequences of LBP, such as sleep disorders, work leave, disability, depression, anxiety, and poor quality of life. In this study, we designed to evaluate the prevalence of sleep disturbance in patients with non-specific LBP(NSLBP), and cross-correlation among sleep disorder, anxiety, depression and pain intensity in patients with NSLBP.AimIn this study, we designed to evaluate the prevalence of sleep disturbance in patients with NSLBP, and cross-correlation among sleep disorder, anxiety, depression and pain intensity in patients with NSLBP.MethodsA cross-sectional self-assessment questionnaire survey was carried out in an outpatient clinic. Anonymous assessments were used to characterize the presence of NSLBP, PSQI, VAS, SF-36 form, ODI, BAI and BDI. Cross-correlation among the severity of NSLBP and sleep disturbance, anxiety, depression and life quality were evaluated.ResultsPatients with NSLBP have a higher incidence of sleep disorder, anxiety and depression, and higher ODI scores than healthy people without LPB (P < 0.01). NSLBP patients with sleep disorders have more severe anxiety, depression, an increased VAS score and poor daily living (P < 0.05). NSLBP patients with anxiety have declined sleep quality, poor daily living, decreased work and social skills, and increased LBP severity (P < 0.05). NSLBP patients with depression have declined sleep quality, poor daily living, decreased work and social skills (P < 0.05). Significant associations were found between the severity of NSLBP and sleep disorders, anxiety and ODI scores.ConclusionPsychological and social factors play an important role in the development of NSLBP. NSLBP leads to sleep disorders, which decrease the sleep quality and increase the unpleasant emotions and memories in return; these can exacerbate the severity of LBP, with the cycle repeating to form a vicious circle.

scholarly journals Clinical and epidemiological factors of internal diseases in females of reproductive age

2014 ◽  
Vol 95 (6) ◽  
pp. 848-852
Author(s):  
N A Konyshko
Keyword(s):  
Physical Activity ◽  
Arterial Hypertension ◽  
Pregnant Women ◽  
Body Mass ◽  
Fat Body ◽  
Economic Status ◽  
Reproductive Age ◽  
Control Group ◽  
Nulliparous Women ◽  
Essential Arterial Hypertension

Aim. To identify the factors of internal and nutrition-related diseases in females of reproductive age. Methods. A comprehensive general physical examination of 383 pregnant women aged 16 to 46 years old with the following internal diseases at pregnancy: gestational arterial hypertension (n=183), essential arterial hypertension (n=66), obesity (n=134) was conducted. Control group consisted of 153 pregnant women without any signs of internal diseases. Results. Combination of social and demographic, psychosomatic and inherited factors may define the risk of neurohormonal mechanisms deregulation, obesity, and type of arterial hypertension. Females with internal diseases had significantly lower level of physical activity compared to females of the control group. The largest number of long-term and heavy smokers was revealed in groups of female patients with gestational and essential arterial hypertension, patients with obesity and mature nulliparous women. Multivariate analysis showed that income level and physical activity of pregnant women have a significant impact on excessive fat body mass in pregnant women during gestation and before it. No statistically significant relationships between educational level and body mass index before pregnancy and at gestation were found. Conclusion. Factors influencing the risk for internal and nutrition-related diseases in females of reproductive age were: (1) the increased demand for nutrients and energy in developing placenta-fetus system, leading to irrational nourishment; (2) decreased body reserves, caused by repeated pregnancies and childbirth; (3) smoking; (4) social and economic status; (5) living area; (6) hereditary factors and constitutional features.

scholarly journals Prevalence of sleep disorders among medical students of Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia

2021 ◽  
Vol 9 (s1) ◽  
Author(s):  
Reda Abdelmoaty Goweda ◽  
Abdurahman Hassan-Hussein ◽  
Mohammed Ali Alqahtani ◽  
Murad Mohammed Janaini ◽  
Adi Hatim Alzahrani ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Medical Students ◽  
Sleep Disorders ◽  
Sleep Disorder ◽  
Demographic Data ◽  
Medical Problem ◽  
Periodic Limb Movement Disorder ◽  
Cross Sectional ◽  
Obstructive Sleep ◽  
Second Year

Background: Sleep disorders are a common medical problem and can affect health and quality of life. There are multiple types of sleep disorders such as obstructive sleep apnea, insomnia, narcolepsy, restless legs/periodic limb movement disorder, circadian rhythm disorders, sleepwalking and nightmares. Medical students appear to be more liable to develop sleep disorders due to their high academic load.Design and Methods: This study seeks to estimate the prevalence of sleep disorders among Umm Al-Qura University medical students and associated risk factors. This cross-sectional study was conducted at the Faculty of Medicine of Umm Al-Qura University in Makkah, Saudi Arabia. A self administrated questionnaire was used to collect the data including socio-demographic data and sleep-50 questionnaire. Four hundred and thirty-eight (438) medical students from the second year to the sixth year were recruited to the study.Results: Three hundred and twenty-three participants (73.8%) complained of at least one sleep disorder. The most prevalent sleep disorder among students was narcolepsy at 226 (51.6%). Female students, second year students and students spending significant time watching television or on smartphones were more affected than others with p values of 0.001, 0.005, and 0.004, respectively.Conclusions: Sleep disorders are common among medical students. It is essential to detect and address them before their condition deteriorates.

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