Exercise during early pregnancy is associated with greater sleep continuity.

Exercise during early pregnancy is associated with greater sleep continuity.
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DOI:
10.1080/15402002.2016.1228649
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发表时间:
2018-09
影响因子:
3.1
通讯作者:
Okun ML
Okun ML
中科院分区:
医学3区
文献类型:
--
作者:
Baker JH;Rothenberger SD;Kline CE;Okun ML

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孕妇报告从怀孕早期开始睡眠受到干扰。在非怀孕人群中,运动与改善睡眠有关。然而,对怀孕样本的研究一直模棱两可。我们研究了不同程度的运动是否与妊娠早期孕妇更好的夜间睡眠有关。收集了 172 名孕妇在妊娠早期:T1(10-12 周)、T2(14-16 周)和 T3(18-20 周)期间自我报告的睡眠和运动以及客观睡眠。运动被分为三个随时间变化的组:每周 0 代谢当量分钟 [MET-min/wk]、1 至 <500 MET-min/wk 或 ≥ 500 MET-min/wk。采用线性混合效应模型来检验假设。观察到时间 (F(2,254)=9.77,p<0.0001) 和时间*运动组交互作用对活动记录睡眠效率 (aSE) 的显着主效应 (F(4,569)=2.73,p=0.0285)。在 T2 时,报告 ≥ 500 MET-min/wk 的女性的 aSE 高于报告 0 MET-min/wk 的女性。观察到运动组和时间对于入睡后的活动记录唤醒 (aWASO) 具有显着的主效应(F(2,694)=3.04,p=0.0483 和 F(2,260)=3.21,p=0.0419)。对于报告 1 至 < 500 MET-min/wk 的患者,aWASO 最低(t(701) = 2.35,调整后 p = .0489),aWASO 从 T1 下降至 T3(t(258)=2.53,调整后 p 值 = 0.036)。最后,时间对 PSQI 有主要影响(F(2,689)=52.11,p<0.0001),表明睡眠质量随着时间的推移而改善。孕妇进行一定程度的运动似乎比完全不运动更有利。适度运动虽然仍不清楚,但可能是对抗怀孕期间睡眠障碍的一种有价值的辅助治疗。
Pregnant women report disturbed sleep beginning in early pregnancy. Among non-pregnant populations, exercise has been associated with improved sleep; however, research in pregnant samples has been equivocal. We examined whether varying degrees of exercise were associated with better nocturnal sleep among pregnant women during early gestation. Self-reported sleep and exercise and objective sleep were collected during early gestation: T1 (10–12 wk), T2 (14–16 wk), and T3 (18–20 wk) from 172 pregnant women. Exercise was categorized into three time-varying groups: 0 metabolic equivalent minutes per week [MET-min/wk], 1 to <500 MET-min/wk, or ≥ 500 MET-min/wk. Linear mixed-effects models were employed to test hypotheses. A significant main effect for Time (F(2,254)=9.77, p<0.0001) and Time*Exercise group interaction were observed for actigraphic sleep efficiency (aSE) (F(4,569)=2.73, p=0.0285). At T2, women who reported ≥ 500 MET-min/wk had higher aSE than those who reported 0 MET-min/wk. Significant main effects for Exercise Group and Time were observed for actigraphic wake after sleep onset (aWASO) (F(2,694)=3.04, p=0.0483 and F(2,260)=3.21, p=0.0419). aWASO was lowest for those reporting 1 to < 500 MET-min/wk (t(701) = 2.35, adjusted p = .0489) and aWASO decreased from T1 to T3 (t(258)=2.53, adjusted p-value=0.036). Lastly, there was a main effect for Time for the PSQI (F(2,689)=52.11, p<0.0001), indicating that sleep quality improved over time. Some level of exercise among pregnant women appears to be more advantageous than no exercise at all. Moderate exercise, while still unclearly defined, may be a worthwhile adjunct treatment to combat sleep disturbances during pregnancy.
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