Poor sleep quality is associated with perinatal depression. A systematic review of last decade scientific literature and meta-analysis

Abstract Background Although pregnancy is frequently associated with mental states of happiness, hope and well-being, some physical and psychological changes can contribute to increased sleep disturbances and worsened sleep quality. Sleep quality has been linked to negative emotions, anxiety and depression. The main objective of this paper was to systematically review the impact of sleep during pregnancy on maternal mood, studying the association between objective and subjective measures of sleep quality and perinatal depression. Methods We performed a systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, which included studies published between January 2008 and April 2019, and met the following criteria: (i) studies on pregnant women assessing the effects of sleep quality variables on perinatal mood disorders, (ii) studies published in English and (iii) full paper published in a peer-reviewed scientific journal with full-text format available. Results A total of 36 studies published in the last decade met the inclusion criteria for qualitative review and eight of them were suitable for meta-analysis. Both confirmed the negative effects of poor sleep on perinatal mood. However, qualitative analysis showed that unrepresentative samples and low participation rates falling below 80% biased some of the studies. The standard random-effects meta-analysis showed a pooled size effect [ln odds ratio (OR) 1.49 (95% confidence interval [CI] 1.19, 1.79)] for perinatal depression in cases of poor prenatal sleep quality, although heterogeneity was moderate to high [Q 16.05, P ≤ 0.025, H2 2.45 (95% CI 1.01, 13.70)]. Conclusion Poor sleep quality was associated with perinatal mood disturbances. The assessment of sleep quality along the pregnancy could be advisable with a view to offering preventative or therapeutic interventions when necessary.

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Association between maternal sleep duration and quality, and the risk of preterm birth: a systematic review and meta-analysis of observational studies

10.21203/rs.2.12630/v6 ◽

2020 ◽

Author(s):

ling wang ◽

Feng Jin

Keyword(s):

Systematic Review ◽

Preterm Birth ◽

Sleep Quality ◽

Sleep Duration ◽

Meta Analysis ◽

Controlled Study ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Increased Risk ◽

Study Heterogeneity

Abstract Background : To assess the association of sleep duration and quality with the risk of preterm birth. Methods : Relevant studies were retrieved from the PubMed and Web of Science databases up to September 30, 2018. The reference lists of the retrieved articles were reviewed. Random effects models were applied to estimate summarized relative risks (RRs) and 95% confidence intervals (CIs). Results : Ten identified studies (nine cohort studies and one case-controlled study) examined the associations of sleep duration and quality with the risk of preterm birth. As compared with women with the longest sleep duration, the summary RR was 1.23 (95% CI = 1.01–1.50) for women with the shortest sleep duration, with moderate between-study heterogeneity ( I 2 = 57.4%). Additionally, as compared with women with good sleep quality, the summary RR was 1.54 (95% CI = 1.18–2.01) for women with poor sleep quality (Pittsburgh Sleep Quality Index > 5), with high between-study heterogeneity ( I 2 = 76.7%). Funnel plots as well as the Egger’s and Begg’s tests revealed no evidence of publication bias. Conclusions : This systematic review and meta-analysis revealed that short sleep duration and poor sleep quality may be associated with an increased risk of preterm birth. Further subgroup analyses are warranted to test the robustness of these findings as well as to identify potential sources of heterogeneity.

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Prevalence of poor sleep quality in the Ethiopian population: a systematic review and meta-analysis

Sleep And Breathing ◽

10.1007/s11325-019-01871-x ◽

2019 ◽

Vol 24 (2) ◽

pp. 709-716 ◽

Cited By ~ 2

Author(s):

Md Dilshad Manzar ◽

Bayu Begashaw Bekele ◽

Majumi M. Noohu ◽

Mohammed Salahuddin ◽

Abdulrhman Albougami ◽

...

Keyword(s):

Systematic Review ◽

Sleep Quality ◽

Meta Analysis ◽

Poor Sleep ◽

Poor Sleep Quality

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Sleep Disturbances Rate among Medical and Allied Health Professions Students in Iran: Implications from a Systematic Review and Meta-Analysis of the Literature

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17031011 ◽

2020 ◽

Vol 17 (3) ◽

pp. 1011 ◽

Cited By ~ 2

Author(s):

Mojtaba Khaksarian ◽

Masoud Behzadifar ◽

Meysam Behzadifar ◽

Firuzeh Jahanpanah ◽

Ottavia Guglielmi ◽

...

Keyword(s):

Systematic Review ◽

Sleep Quality ◽

Sleep Disturbances ◽

Allied Health ◽

Meta Analysis ◽

Health Professions ◽

Poor Sleep ◽

Allied Health Professions ◽

Healthcare Professions ◽

Medical And Healthcare

Medicine and healthcare professions are prestigious and valued careers and, at the same time, demanding, challenging, and arduous jobs. Medical and allied health professions students, experiencing a stressful academic and clinical workload, may suffer from sleep disturbances. In Iran, several studies have been conducted to explore the prevalence rate among medical and healthcare professions students. The aim of this systematic review and meta-analysis was to quantitatively and rigorously summarize the existing scholarly literature, providing the decision- and policy-makers and educators with an updated, evidence-based synthesis. Only studies utilizing a reliable psychometric instrument, such as the Pittsburgh sleep quality index (PSQI), were included, in order to have comparable measurements and estimates. Seventeen investigations were retained in the present systematic review and meta-analysis, totaling a sample of 3586 students. Studies were conducted between 2008 and 2018 and reported an overall rate of sleep disturbances of 58% (95% confidence interval or CI 45–70). No evidence of publication bias could be found, but formal analyses on determinants of sleep disturbances could not be run due to the dearth of information that could be extracted from studies. Poor sleep is highly prevalent among Iranian medical and healthcare professions students. Based on the limitations of the present study, high-quality investigations are urgently needed to better capture the determinants of poor sleep quality among medical and healthcare professions students, given the importance and the implications of such a topic.

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What type of mattress should be chosen to avoid back pain and improve sleep quality? Review of the literature

Journal of Orthopaedics and Traumatology ◽

10.1186/s10195-021-00616-5 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Gianfilippo Caggiari ◽

Giuseppe Rocco Talesa ◽

Giuseppe Toro ◽

Eugenio Jannelli ◽

Gaetano Monteleone ◽

...

Keyword(s):

Systematic Review ◽

Low Back Pain ◽

Back Pain ◽

Sleep Quality ◽

Sleep Disturbances ◽

Meta Analysis ◽

Sleep Onset ◽

Poor Sleep ◽

Sleep Onset Latency ◽

Low Back

AbstractEnergy spent during daily activities is recuperated by humans through sleep, ensuring optimal performance on the following day. Sleep disturbances are common: a meta-analysis on sleep quality showed that 15–30% of adults report sleep disorders, such as sleep onset latency (SOL), insufficient duration of sleep and frequently waking up at night. Low back pain (LBP) has been identified as one of the main causes of poor sleep quality. Literature findings are discordant on the type of mattress that might prevent onset of back pain, resulting in an improved quality of sleep. We conducted a systematic literature review of articles published until 2019, investigating the association of different mattresses with sleep quality and low back pain. Based on examined studies, mattresses were classified according to the European Committee for Standardization (2000) as: soft, medium-firm, extra-firm or mattresses customized for patients affected by supine decubitus. A total of 39 qualified articles have been included in the current systematic review. Results of this systematic review show that a medium-firm mattress promotes comfort, sleep quality and rachis alignment.

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Sleep in Pregnancy

The Social Epidemiology of Sleep ◽

10.1093/oso/9780190930448.003.0003 ◽

2019 ◽

pp. 49-92

Author(s):

Louise M. O’Brien, PhD, MS ◽

Galit L. Dunietz, MPH, PhD

Keyword(s):

Sleep Quality ◽

Sleep Disturbances ◽

Current Knowledge ◽

Well Being ◽

Poor Sleep ◽

Fetal Origins ◽

Maternal Sleep ◽

Disturbed Sleep ◽

The Impact ◽

In Pregnancy

Pregnancy is the time during which one or more offspring develops inside a woman. This chapter focuses on sleep quality and emergence of sleep disorders in pregnancy, which has implications for both the fetus as well as the mother. An overview of empirical evidence of the association between disturbed sleep in pregnancy and pregnancy-related outcomes is provided along with a ion of The chapter also reviews common sleep disturbances in pregnancy, such as sleep-disordered breathing, insufficient sleep, poor sleep quality, and restless legs syndrome, and synthesizes current knowledge of the impact of poor sleep on pregnancy outcomes, with a particular emphasis on fetal well-being. Evidence is also presented on the potential for maternal sleep to influence fetal origins of chronic disease.

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Low sleep and diet quality impact on well-being among Mexican college students

Proceedings of The Nutrition Society ◽

10.1017/s0029665120001652 ◽

2020 ◽

Vol 79 (OCE2) ◽

Author(s):

Maria Fernanda Zeron-Rugerio ◽

Ana Eugenia Ortega-Regules ◽

Maria Armida Patricia Porras-Loaiza ◽

Giovana Longo-Silva ◽

Trinitat Cambras ◽

...

Keyword(s):

College Students ◽

Young Adults ◽

Sleep Quality ◽

Diet Quality ◽

Soft Drink ◽

Well Being ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Soft Drink Consumption ◽

The Impact

AbstractIntroductionUnderstanding health behaviors, such as sleep and dietary patterns, is important for health promotion and disease prevention. College period is a complicated, difficult time to maintain healthy behaviors. In this regard, little is known about the impact of sleep and diet quality on well-being among college young adults. Hence, we aimed to study the impact of sleep and diet quality on well-being in college students.Materials and MethodsThree hundred-twelve Mexican college students (82% females; 20.6 ± 3.4years) were included in a cross-sectional study. Participants completed the following validated questionnaires: Well-being Index to assess well-being (high scores indicate high well-being), Pittsburg Sleep Quality Index for sleep quality (scores > 5 indicate poor sleep quality), and a validate version of the Health Eating Index for Mexican population to assess diet quality (scores > 80 indicate good diet quality). BMI and physical activity were also assessed. Scores were treated as continuous variables, and statistical analysis were performed using SPSS v24 and adjusted for confounding variables.ResultsSixty-seven percent of our population showed a poor sleep quality and eighty-four percent needs to make changes in their diet in order to improve its quality. On the other hand, fifty-one percent of the studied population had a low well-being perception. Poor sleep quality (p < 0.001) and low diet quality (p < 0.001) associated with a lower well-being perception. In addition, poor sleep quality is associated with low diet quality (p < 0.05). Regarding food consumption, higher sweets (p < 0.001) and soft-drink (p < 0.001) intake was inversely associated with well-being scores. Likewise, high consumption of sweets (p < 0.05) and soft-drink (p < 0.05), and low fruit (p < 0.05) and cereal (p < 0.05) consumption are linked to poor sleep quality.DiscussionOur results show that half of the studied population had a low well-being, and also that poor sleep and diet quality are frequent among college students. Interestingly, the fact that poor sleep and diet quality were associated to a lower perception of well-being highlights the importance of promoting sleep hygiene and diet quality among college students as an important strategy to improve well-being and health, even in young adults. In addition, we found that higher sweets and soft-drink consumption were associated to both low well-being perception and poor sleep quality. Hence, it is important to promote healthy habits regarding eating and sleeping well, in order to improve well-being perception among college students.

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Sleep health epidemiology in low and middle-income countries: a systematic review and meta-analysis of the prevalence of poor sleep quality and sleep duration

Sleep Health ◽

10.1016/j.sleh.2018.03.001 ◽

2018 ◽

Vol 4 (3) ◽

pp. 239-250 ◽

Cited By ~ 14

Author(s):

Guido Simonelli ◽

Nathaniel S. Marshall ◽

Antigone Grillakis ◽

Christopher B. Miller ◽

Camilla M. Hoyos ◽

...

Keyword(s):

Systematic Review ◽

Sleep Quality ◽

Sleep Duration ◽

Meta Analysis ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Sleep Health ◽

Middle Income ◽

Middle Income Countries ◽

Low And Middle Income

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Association between maternal sleep duration and quality, and the risk of preterm birth: a systematic review and meta-analysis of observational studies

10.21203/rs.2.12630/v4 ◽

2020 ◽

Author(s):

ling wang ◽

Feng Jin

Keyword(s):

Systematic Review ◽

Preterm Birth ◽

Sleep Quality ◽

Sleep Duration ◽

Meta Analysis ◽

Controlled Study ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Increased Risk ◽

Study Heterogeneity

Abstract Study Objectives: To assess the association between sleep duration and quality, and the risk of preterm birth.Methods: Relevant studies were retrieved from the PubMed and Web of Science databases up to September 30, 2018. The reference lists of the retrieved articles were reviewed. Random effects models were applied to estimate summarized relative risks (RRs) and 95% confidence intervals (CIs).Results: Ten identified studies (nine cohort studies and one case-controlled study) examined the associations between sleep duration and quality and the risk of preterm birth. As compared with women with the longest sleep duration, the summary RR was 1.23 (95% CI = 1.01–1.50) for women with the shortest sleep duration, with moderate between-study heterogeneity (I2 = 57.4%). Additionally, as compared with women with good sleep quality, the summary RR was 1.54 (95% CI = 1.18–2.01) for women with poor sleep quality (Pittsburgh Sleep Quality Index > 5), with high between-study heterogeneity (I2 = 76.7%). The results of stratified analysis by trimester, geographical location, study design, type of preterm birth, and adjustment for potential confounders were comparable to those of the main meta-analysis. Funnel plots as well as the Egger’s and Begg’s tests showed no evidence of publication bias. Conclusions: This systematic review and meta-analysis revealed that short sleep duration and poor sleep quality may be associated with an increased risk of preterm birth.

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