Journal article
Associations of Sleep With Sedentary Behavior and Physical Activity Patterns Across Pregnancy Trimesters
Women's health issues, Vol.31(4), pp.366-375
03/11/2021
DOI: 10.1016/j.whi.2021.02.003
PMCID: PMC8428394
PMID: 33715925
Abstract
Sleep, sedentary behavior, and moderate-to-vigorous physical activity (MVPA) are altered in pregnancy and may affect pregnancy health; however, how these behaviors are associated with each other is unclear.
Pregnant women (N = 120) completed the Pittsburgh Sleep Quality Index and wore an activPAL3 micro and ActiGraph GT3X for 7 days in each trimester to assess sleep, sedentary behavior, and MVPA, respectively. Latent trajectories described patterns of sleep duration, efficiency, and quality as well as sedentary behavior and MVPA. Multinomial logistic regression examined associations of sleep patterns with sedentary behavior and MVPA patterns and, in exploratory analyses, with adverse pregnancy outcomes.
Trajectories were identified for sleep duration (consistently short, 20.7% of sample; consistently adequate, 79.3%), efficiency (consistently low, 17.5%; consistently high, 82.5%), and quality (consistently poor, 15.1%; worsening, 23.5%; and consistently good, 61.5%). Compared with those in more optimal sleep groups, women in the short duration, low efficiency, and worsening quality groups had lower odds of being in the moderate and/or high sedentary behavior group (odds ratio range, 0.21-0.31; 95% confidence interval range, 0.09-0.65). Women in the worsening quality group had greater odds of being in the low MVPA group (odds ratio, 2.51; 95% confidence interval, 1.18-5.38). Trends were observed with women in less optimal sleep groups having greater odds of adverse pregnancy outcomes and lower odds of excessive gestational weight gain.
Less optimal sleep patterns in pregnancy are associated with less sedentary behavior and MVPA; additional research is needed to confirm associations between sleep and pregnancy outcomes.
Details
- Title: Subtitle
- Associations of Sleep With Sedentary Behavior and Physical Activity Patterns Across Pregnancy Trimesters
- Creators
- Kara M Whitaker - University of IowaDong Zhang - University of IowaChristopher E Kline - University of PittsburghJanet Catov - University of PittsburghBethany Barone Gibbs - University of Pittsburgh
- Resource Type
- Journal article
- Publication Details
- Women's health issues, Vol.31(4), pp.366-375
- DOI
- 10.1016/j.whi.2021.02.003
- PMID
- 33715925
- PMCID
- PMC8428394
- NLM abbreviation
- Womens Health Issues
- ISSN
- 1049-3867
- eISSN
- 1878-4321
- Grant note
- DOI: 10.13039/100007930, name: Institute of Clinical and Translational Sciences, award: UL1TR002537, UL1TR000005, 17GRNT3340016; DOI: 10.13039/100010554, name: Clinical and Translational Science Institute, University of Pittsburgh, award: UL1TR002537, UL1TR000005, 17GRNT3340016; DOI: 10.13039/100000002, name: National Institutes of Health, award: UL1TR002537, UL1TR000005, 17GRNT3340016; DOI: 10.13039/100000968, name: American Heart Association, award: UL1TR002537, UL1TR000005, 17GRNT3340016
- Language
- English
- Date published
- 03/11/2021
- Academic Unit
- Epidemiology; Health, Sport, and Human Physiology
- Record Identifier
- 9984245773702771
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