Children's Sleep May Depend on Maternal Sleep Duration During Pregnancy: A Retrospective Study
Children's Sleep May Depend on Maternal Sleep Duration During Pregnancy: A Retrospective Study
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儿童的睡眠可能取决于母亲怀孕期间的睡眠持续时间：一项回顾性研究。
DOI：
10.2147/nss.s239001
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发表时间：
2020-01-01
影响因子：
3.4
通讯作者：
Li, Shenghui
中科院分区：
文献类型：
--
作者：
Lyu, Jiajun;Ye, Xiuxia;Li, Shenghui
背景：动物研究表明，怀孕期间母亲的睡眠与后代的睡眠模式有关；然而，在人类群体中还不清楚。目的：通过流行病学研究探讨产妇睡眠时间与其后代睡眠特征的关系。方法：于2019年5月对上海31所幼儿园的6236对母子进行回顾性横断面研究。回顾性收集孕期三个月产妇睡眠时间的相关信息。通过儿童睡眠习惯问卷（CSHQ）评估儿童当前睡眠特征。采用线性回归和逻辑回归模型以95%置信区间（95% CI）估计beta和校正优势比。结果：母亲睡眠时间与儿童睡眠时间呈正相关，在妊娠早期（β =0.113）、妊娠中期（β =0.131）和妊娠晚期（β =0.088）均有表现。同时，母亲睡眠时间不足会增加儿童睡眠时间短的风险（妊娠早期：AOR=1.25；妊娠中期：AOR=1.33；妊娠晚期：AOR=1.33）。母亲的睡眠时间也与儿童的CSHQ评分有关：第一、第二和第三孕期的beta值分别为-0.308、-0.392和-0.300。同样，母亲睡眠时间不足可以预测儿童睡眠障碍，妊娠中期AOR=1.28，妊娠晚期AOR=1.26。结论：通过一项基于人群的流行病学研究，我们的发现建立了母亲孕期睡眠与其子女睡眠模式之间的关系。当他们的母亲在怀孕期间睡眠时间较少时，尤其是在怀孕的第二和第三个月，就会发现儿童睡眠不佳。
Background: Animal studies suggested that maternal sleep during pregnancy was associated with sleep pattern in offspring; however, it has not been clear in human populations.Aim: Our study discusses the relationships of maternal sleep duration with sleep characteristics in their offspring through an epidemiological study.Methods: A retrospective cross-sectional study including 6236 mother-child dyads was conducted in 31 preschools in May 2019, in Shanghai, China. Information regarding maternal sleep duration in three trimesters of pregnancy was collected retrospectively. Children's current sleep characteristics were evaluated through the Children's Sleep Habits Questionnaire (CSHQ). Linear regressions and logistic regression models were applied to estimate beta and adjusted odds ratios with 95% confidence intervals (95% CI).Results: Maternal sleep duration was positively associated with childhood sleep duration, which was shown in the first (beta=0.113), second (beta=0.131), and third trimesters (beta=0.088). Meanwhile, insufficient maternal sleep duration could increase the risk of children's short sleep duration (first trimester: AOR=1.25; second trimester: AOR=1.33; third trimester: AOR=1.33). Maternal sleep duration was also associated with childhood CSHQ score: beta = -0.308, -0.392, and -0.300 for the first, second, and third trimesters, respectively. Similarly, insufficient maternal sleep duration could predict childhood sleep disturbance as AOR=1.28 in the second trimester and AOR=1.26 in the third trimester.Conclusion: Our findings established a relationship between maternal sleep during pregnancy and their children's sleep pattern through a population-based epidemiology study. Poor childhood sleep was found when their mother experienced less sleep duration during pregnancy, especially in the second and third trimesters.