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.

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Available from: Erica P Gunderson, Jul 09, 2015
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    • "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). "
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    Journal of bodywork and movement therapies 04/2014; 18(2):190-9. DOI:10.1016/j.jbmt.2013.09.007
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    • "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]. "
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    Obstetrics and Gynecology International 11/2012; 2012:878607. DOI:10.1155/2012/878607
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    • "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 "
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    Best Practice & Research: Clinical Endocrinology & Metabolism 10/2010; 24(5):731-43. DOI:10.1016/j.beem.2010.07.001 · 4.91 Impact Factor