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Nocturnal Lifestyle Behaviours and Risk of Poor Sleep during Pregnancy
The extent to which lifestyle practices at night influence sleep quality in pregnant women remains unknown. This study aimed to examine whether nocturnal behaviours were associated with poor sleep during pregnancy. We performed a cross-sectional analysis of a prospective cohort of pregnant women at...
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Published in: | Nutrients 2022-06, Vol.14 (11), p.2348 |
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creator | Ku, Chee Wai Loo, Rachael Si Xuan Tiong, Michelle Mei Ying Eng, Sing Yee Clara Cheung, Yin Bun Ong, Lay See Tan, Kok Hian Chong, Mary Foong-Fong Chan, Jerry Kok Yen Yap, Fabian Loy, See Ling |
description | The extent to which lifestyle practices at night influence sleep quality in pregnant women remains unknown. This study aimed to examine whether nocturnal behaviours were associated with poor sleep during pregnancy. We performed a cross-sectional analysis of a prospective cohort of pregnant women at 18-24 gestation weeks recruited from KK Women's and Children's Hospital, Singapore, between 2019 and 2021. Nocturnal behaviours were assessed with questionnaires, and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) with a global score ≥5 indicative of poor sleep quality. Modified Poisson regression and linear regression were used to examine the association between nocturnal behaviour and sleep quality. Of 299 women, 117 (39.1%) experienced poor sleep. In the covariate-adjusted analysis, poor sleep was observed in women with nocturnal eating (risk ratio 1.51; 95% confidence interval [CI] 1.12, 2.04) and nocturnal artificial light exposure (1.63; 1.24, 2.13). Similarly, nocturnal eating (β 0.68; 95% CI 0.03, 1.32) and light exposure (1.99; 1.04, 2.94) were associated with higher PSQI score. Nocturnal physical activity and screen viewing before bedtime were not associated with sleep quality. In conclusion, reducing nocturnal eating and light exposure at night could potentially improve sleep in pregnancy. |
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This study aimed to examine whether nocturnal behaviours were associated with poor sleep during pregnancy. We performed a cross-sectional analysis of a prospective cohort of pregnant women at 18-24 gestation weeks recruited from KK Women's and Children's Hospital, Singapore, between 2019 and 2021. Nocturnal behaviours were assessed with questionnaires, and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) with a global score ≥5 indicative of poor sleep quality. Modified Poisson regression and linear regression were used to examine the association between nocturnal behaviour and sleep quality. Of 299 women, 117 (39.1%) experienced poor sleep. In the covariate-adjusted analysis, poor sleep was observed in women with nocturnal eating (risk ratio 1.51; 95% confidence interval [CI] 1.12, 2.04) and nocturnal artificial light exposure (1.63; 1.24, 2.13). Similarly, nocturnal eating (β 0.68; 95% CI 0.03, 1.32) and light exposure (1.99; 1.04, 2.94) were associated with higher PSQI score. Nocturnal physical activity and screen viewing before bedtime were not associated with sleep quality. In conclusion, reducing nocturnal eating and light exposure at night could potentially improve sleep in pregnancy.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu14112348</identifier><identifier>PMID: 35684148</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Anxiety ; Behavior ; Body mass index ; Confidence intervals ; Cornea ; Diabetes ; Eating ; Ethnicity ; Exercise ; Exposure ; Lifestyles ; Light ; Likert scale ; Nocturnal ; Physical activity ; Pregnancy ; Questionnaires ; Risk taking ; Screen time ; Sleep ; Statistical analysis</subject><ispartof>Nutrients, 2022-06, Vol.14 (11), p.2348</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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This study aimed to examine whether nocturnal behaviours were associated with poor sleep during pregnancy. We performed a cross-sectional analysis of a prospective cohort of pregnant women at 18-24 gestation weeks recruited from KK Women's and Children's Hospital, Singapore, between 2019 and 2021. Nocturnal behaviours were assessed with questionnaires, and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) with a global score ≥5 indicative of poor sleep quality. Modified Poisson regression and linear regression were used to examine the association between nocturnal behaviour and sleep quality. Of 299 women, 117 (39.1%) experienced poor sleep. In the covariate-adjusted analysis, poor sleep was observed in women with nocturnal eating (risk ratio 1.51; 95% confidence interval [CI] 1.12, 2.04) and nocturnal artificial light exposure (1.63; 1.24, 2.13). 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Similarly, nocturnal eating (β 0.68; 95% CI 0.03, 1.32) and light exposure (1.99; 1.04, 2.94) were associated with higher PSQI score. Nocturnal physical activity and screen viewing before bedtime were not associated with sleep quality. In conclusion, reducing nocturnal eating and light exposure at night could potentially improve sleep in pregnancy.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>35684148</pmid><doi>10.3390/nu14112348</doi><orcidid>https://orcid.org/0000-0001-8291-2756</orcidid><orcidid>https://orcid.org/0000-0003-1083-7958</orcidid><orcidid>https://orcid.org/0000-0003-1945-0266</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Anxiety Behavior Body mass index Confidence intervals Cornea Diabetes Eating Ethnicity Exercise Exposure Lifestyles Light Likert scale Nocturnal Physical activity Pregnancy Questionnaires Risk taking Screen time Sleep Statistical analysis |
title | Nocturnal Lifestyle Behaviours and Risk of Poor Sleep during Pregnancy |
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