Article

Association of fewer hours of sleep at 6 months postpartum with substantial weight retention at 1 year postpartum.

Division of Research, Kaiser Permanente Research Foundation, Oakland, CA 94612, USA.
American journal of epidemiology (Impact Factor: 4.98). 01/2008; 167(2):178-87. DOI: 10.1093/aje/kwm298
Source: PubMed

ABSTRACT Shorter sleep duration is linked to obesity, coronary artery disease, and diabetes. Whether sleep deprivation during the postpartum period affects maternal postpartum weight retention remains unknown. This study examined the association of sleep at 6 months postpartum with substantial postpartum weight retention (SPPWR), defined as 5 kg or more above pregravid weight at 1 year postpartum. The authors selected 940 participants in Project Viva who enrolled during early pregnancy from 1999 to 2002. Logistic regression models estimated odds ratios of SPPWR for sleep categories, controlling for sociodemographic, prenatal, and behavioral attributes. Of the 940 women, 124 (13%) developed SPPWR. Sleep distributions were as follows: 114 (12%) women slept < or =5 hours/day, 280 (30%) slept 6 hours/day, 321 (34%) slept 7 hours/day, and 225 (24%) slept > or =8 hours/day. Adjusted odds ratios of SPPWR were 3.13 (95% confidence interval (CI): 1.42, 6.94) for < or =5 hours/day, 0.99 (95% CI: 0.50, 1.97) for 6 hours/day, and 0.94 (95% CI: 0.50, 1.78) for > or =8 hours/day versus 7 hours/day (p = 0.012). The adjusted odds ratio for SPPWR of 2.05 (95% CI: 1.11, 3.78) was twofold greater (p = 0.02) for a decrease in versus no change in sleep at 1 year postpartum. Sleeping < or =5 hours/day at 6 months postpartum was strongly associated with retaining > or =5 kg at 1 year postpartum. Interventions to prevent postpartum obesity should consider strategies to attain optimal maternal sleep duration.

Download full-text

Full-text

Available from: Erica P Gunderson, Jul 09, 2015
0 Followers
 · 
104 Views
  • Source
    • "The disturbance of sleep cycle during postpartum period might last for several weeks or months. If it persists or worsens, it may negatively affect breastfeeding and reduce mother-infant bonding (Gunderson et al., 2008). Consequently , poor sleep quality, stress, mood sway, and depression may also occur in the mothers and their family members (Posmontier, 2008; Dennis and Ross, 2005). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Prolonged poor sleeping quality can decrease women's ability to perform their maternal and family duties after delivery. The aim of this study was to investigate the effects of a Pilates training program on sleep quality in primigravida postpartum women in a randomized clinical trial. Eighty postpartum women were randomly divided into intervention and control groups (n = 40). Home-based 30-min Pilate's exercises were started 72 h after the delivery and performed five times per week for consecutive 8 weeks. Sleep quality was assessed by the Pittsburgh Sleep Quality Index (PSQI) prior to the intervention and 4th and 8th weeks afterwards. The intervention group showed a significant improvement in subjective sleep quality, sleep latency, daytime dysfunction and global PSQI score (P < 0.001); however, there was no difference in sleep duration, habitual sleep efficiency and sleep disturbance between the groups. In conclusion, Pilates exercises appeared to improve sleep quality in primigravida postpartum women.
    Journal of bodywork and movement therapies 04/2014; 18(2):190-9. DOI:10.1016/j.jbmt.2013.09.007
  • Source
    • "Thus, BED may be linked to weightpromoting behaviors during pregnancy. Reduced sleep duration, which has been linked to obesity [31] [32] [33] [34] and weight retention in the postpartum period [35] also may influence weight gain during pregnancy. Additionally, poor sleep quality early in pregnancy has been linked to increased depressed mood later in pregnancy [36] [37], and poor sleep quality in late pregnancy has been predictive of early postpartum depression [38]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Objectives. To describe psychosocial factors identified as contributors of weight gain in the general population and to examine the relationship between these factors and gestational weight gain among low socioeconomic status, African American, overweight pregnant women. Methods. African American women (n = 120) with a pregravid body mass index ≥25 kg/m(2) completed measures of eating, sleep, and depressed mood between 14 and 24 weeks of gestation. Weight was tracked. Descriptive statistics, correlations, and linear regression modeling were used to characterize the sample and examine predictors of gestational weight gain. Results. Four percent screened positive for night eating syndrome, with 32% consuming at least 25% of their daily caloric intake after dinner (evening hyperphagia). None met criteria for binge eating disorder; 4% reported occasional binge episodes. Cognitive restraint over eating was low. Participants slept 7.1 (SD = 1.9) h per night and reported 4.3 (SD = 3.6) awakenings per week; 18% reported some level of depressed mood. Night and binge eating were related to each other, sleep quality, and depressed mood. Eating due to cravings was the only psychosocial variable to predict gestational weight gain. Conclusions. Depressed mood, night eating, and nighttime awakenings were common in this cohort, while cognitive restraint over eating was low. Most psychosocial variables were not predictive of excess gestational weight gain.
    Obstetrics and Gynecology International 11/2012; 2012:878607. DOI:10.1155/2012/878607
  • Source
    • "Self-report 6 years Short sleepers (5–6h/night) gained more weight than those sleeping 7–8h/night. Gunderson et al 2008 [77] n=940 post-partum women in US, mean age 33.0 (SD 4.7) y "
    [Show abstract] [Hide abstract]
    ABSTRACT: Laboratory studies have found that short-term sleep restriction is associated with impairments in glucose metabolism, appetite regulation and blood pressure regulation. This chapter reviews the epidemiologic evidence for an association between habitual sleep duration and quality and risk of cardiometabolic diseases including obesity, diabetes and hypertension. Multiple studies observed a cross-sectional association between short sleep duration (generally <6 h per night) and increased body mass index or obesity, prevalent diabetes and prevalent hypertension. Many studies also reported an association between self-reported long sleep duration (generally >8 h per night) and cardiometabolic disease. There have been a few prospective studies and several, but not all, have found an association between short sleep and incident diabetes, hypertension and markers of cardiovascular disease. Future prospective epidemiologic studies need to include objective measures of sleep, and intervention studies are needed in order to establish a causal link between impaired or insufficient sleep and cardiometabolic disease risk.
    Best Practice & Research: Clinical Endocrinology & Metabolism 10/2010; 24(5):731-43. DOI:10.1016/j.beem.2010.07.001 · 4.91 Impact Factor