Perinatal Physiological and Psychological Risk Factors and Childhood Sleep Outcomes: A Systematic Review and Meta-analysis.
Perinatal Physiological and Psychological Risk Factors and Childhood Sleep Outcomes: A Systematic Review and Meta-analysis.
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DOI：
10.1097/dbp.0000000000001123
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发表时间：
2022-12-01
影响因子：
2.4
通讯作者：
Liu, Jianghong
中科院分区：
文献类型：
--
作者：
Dai, Ying;Trout, Kimberly Kovach;Liu, Jianghong
探讨孕期及产后产妇生理心理因素对婴幼儿睡眠结局的影响。从成立到2021年4月检索了六个数据库。其中包括调查怀孕期间和怀孕后风险因素与儿童睡眠相关结果之间关系的纵向研究。采用随机效应模型分别取Hedge’s g和odds ratio作为效应大小。共纳入32篇论文。产前母亲饮酒（OR = 1.85, 95% CI: 1.04, 3.28）和吸烟（OR = 1.28, 95% CI: 1.01, 1.62）与儿童睡眠时间较短有关。产前和产后母亲抑郁症状与6个月大的儿童睡眠问题增加有关（OR = 1.97, 95% CI: 1.19, 3.24和2.05,95% CI: 1.37, 3.07）。产前和产后母亲重度抑郁症与较短的睡眠时间（Hedge 's g = - 0.97, 95% CI: - 1.57, - 0.37）和较低的睡眠效率（Hedge 's g = - 1.44, 95% CI: - 1.93, - 0.95）有关。产前焦虑对儿童睡眠问题没有影响（OR = 1.34, 95% CI: 0.86, 2.10）。产妇妊娠和产科因素以及心理因素是影响儿童睡眠健康的潜在危险因素。未来的研究有必要更好地了解这些风险因素对儿童长期睡眠结果的影响及其潜在的调节机制。
To investigate the influence of maternal physiological and psychological factors during pregnancy and after birth on infant and children’s sleep outcomes. Six databases were searched from inception to April 2021. Longitudinal studies that investigated the association of risk factors during and after pregnancy and children’s sleep-related outcomes were included. Hedge’s g and odds ratio were pooled as effect size with random-effects model, respectively. A total of 32 papers were included. Both prenatal maternal alcohol use (OR = 1.85, 95% CI: 1.04, 3.28) and tobacco smoking (OR = 1.28, 95% CI: 1.01, 1.62) were associated with shorter child sleep duration. Pre- and postnatal maternal depression symptoms were associated with increased child sleep problems at six months of age (OR = 1.97, 95% CI: 1.19, 3.24, and 2.05, 95% CI: 1.37, 3.07, respectively). Pre- and postnatal maternal major depression disorder were associated with shorter sleep duration (Hedge’s g = −0.97, 95% CI: −1.57, −0.37) and lower sleep efficiency (Hedge’s g = −1.44, 95% CI: −1.93, −0.95). Prenatal anxiety had no impact on child sleep problems (OR = 1.34, 95% CI: 0.86, 2.10). Maternal pregnancy and obstetric factors, and psychological factors are potential risk factors of poor child sleep health. Future research is warranted to better understand the impact of these risk factors on long-term child sleep outcomes and their potential mediating mechanisms.
影响因子：
3.1
作者：
Chen, Zehang;Dai, Ying;Liu, Xianchen;Liu, Jianghong
通讯作者：
Liu, Jianghong