Short sleep duration and hyperglycemia in pregnancy: Aggregate and individual patient data meta-analysis

Sleep Medicine Reviews
Sirimon ReutrakulAmmarin Thakkinstian

Abstract

Short sleep duration has been linked to maternal hyperglycemia. Systematic review and meta-analysis were performed to evaluate the relationship between sleep duration and hyperglycemia in pregnancy or gestational diabetes (GDM). MEDLINE and Scopus were searched until July 2017. Studies that assessed sleep duration and had objective measurements of hyperglycemia during pregnancy were eligible. Aggregate data were available from eight studies, n = 17,308 (seven with self-reported and one with objectively measured sleep duration). Meta-analysis was applied for pooling aggregate data using a random-effects model. Identified authors provided individual patient data (IPD) from four studies with objectively measured sleep duration, n = 287. A one-stage approach with a hierarchical mixed-effect logit model was applied to pool IPD across studies. Aggregate data analysis revealed that women with short sleep duration (<6-7 h) were more likely to have GDM than women without short sleep duration, odds ratio 1.70 (95% CI: 1.24, 2.33). IPD analysis demonstrated that, compared to sleeping >6.25 h, women who slept ≤6.25 h had higher 1-h glucose levels after 50-g oral glucose tolerance testing by 0.65 mmol/L (0.18, 1.13) and an increased risk of...Continue Reading

Citations

Mar 29, 2018·The Journal of Clinical Endocrinology and Metabolism·Hoirun NisaLu Qi
Sep 27, 2018·Behavioral Sleep Medicine·Marquis HawkinsLisa Chasan-Taber
Jan 19, 2019·Birth·Louise M O'BrienUNKNOWN STARS Consortium
Nov 30, 2019·Current Diabetes Reports·Nur Khairani Farihin Abdul JafarShirong Cai
Feb 11, 2020·Annals of the American Thoracic Society·Bilgay Izci BalserakDavid W Carley
Oct 21, 2018·International Journal of Environmental Research and Public Health·Sanika ChirwaJohn T Clark
Jun 3, 2021·Revista da Associação Médica Brasileira·Cristina FaçanhaRejane Macêdo
Jun 24, 2021·Revista da Associação Médica Brasileira·Cristina FaçanhaRejane Macêdo

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