Maternal short sleep duration is associated with increased levels of inflammatory markers at 3 years postpartum.

Maternal short sleep duration is associated with increased levels of inflammatory markers at 3 years postpartum.
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DOI:
10.1016/j.metabol.2010.09.008
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发表时间:
2011-07
影响因子:
9.8
通讯作者:
Mantzoros, Christos S.
Mantzoros, Christos S.
中科院分区:
医学1区
文献类型:
--
作者:
Taveras, Elsie M.;Rifas-Shiman, Sheryl L.;Rich-Edwards, Janet W.;Mantzoros, Christos S.

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这项研究的目的是检查产后第一年的妇女睡眠时间短与产后3年炎症的关系。我们研究了479名女性在项目Viva,一个前瞻性队列。在产后6个月和1年,女性报告了她们在24小时内的睡眠时间,我们从中计算出每日睡眠的加权平均值。我们使用多变量中位数回归分析来预测短睡眠时间(≤ 5 h/d v.> 5 h/d)对炎症标志物的影响,例如产后3年时的白细胞介素-6(IL-6)和C-反应蛋白(CRP)。妇女产后第一年的平均(SD)每日睡眠时间为6.7(0.96)小时。在调整了年龄、种族/民族、教育、产次、孕前体重指数、过度妊娠体重增加和分娩时胎龄后,我们发现,与> 5 h/d相比,产后睡眠≤ 5 h/d与IL 6升高相关(β 0.25 pg/mL; 95% CI:0.14,0.43)。尽管产后睡眠≤ 5 h/d似乎也与CRP升高相关(β 0.15 mg/dL; 95% CI:-0.08,0.52),但这些结果未达到统计学显著性。产后第一年睡眠时间短与产后3年促炎标志物IL 6水平升高相关。
The purpose of this study was to examine the association of short sleep duration among women in the first year postpartum with inflammation at 3-years postpartum. We studied 479 women in Project Viva, a prospective cohort. At 6 months and 1 year postpartum, women reported the number of hours they slept in a 24-hour period, from which we calculated a weighted average of daily sleep. We used multivariable median regression analyses to predict the independent effects of short sleep duration (≤ 5 h/d v.> 5 h/d) on markers of inflammation, e.g. interleukin-6 [IL6] and C-reactive protein [CRP] at 3-years postpartum. Women's mean (SD) hours of daily sleep in the first year postpartum was 6.7 (0.96) hours. After adjusting for age, race/ethnicity, education, parity, pre-pregnancy body mass index, excessive gestational weight gain and gestational age at delivery, we found that postpartum sleep ≤ 5 h/d was associated with elevated IL6 (β 0.25 pg/mL; 95% CI: 0.14, 0.43) compared with > 5 h/d. Although postpartum sleep ≤ 5 h/d appeared to also be associated with elevated CRP (β 0.15 mg/dL; 95% CI: −0.08, 0.52), these results did not reach statistical significance. Short sleep duration in the first year postpartum is associated with elevated levels of the pro-inflammatory marker, IL6, at 3-years postpartum.
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