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Erschienen in: Current Diabetes Reports 12/2019

01.12.2019 | Diabetes and Pregnancy (M-F Hivert and CE Powe, Section Editors)

Sleep in Pregnancy and Maternal Hyperglycemia: a Narrative Review

verfasst von: Nur Khairani Farihin Abdul Jafar, Derric Zenghong Eng, Shirong Cai

Erschienen in: Current Diabetes Reports | Ausgabe 12/2019

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Abstract

Purpose of Review

Prevalence of gestational diabetes is increasing globally and sleep may be a modifiable lifestyle factor associated with it. However, existing findings have been inconsistent.

Recent Findings

Majority of studies reviewed found a link between extreme sleep durations and elevated risk of maternal hyperglycemia. The findings with sleep-disordered breathing are less consistent. Methodological differences across studies, in terms of sleep assessment methods (subjective vs. objective), study population (low vs. high risk), classification of gestational diabetes and sleep problems, may have contributed to the inconsistent findings. Some studies also suggest the possibility of trimester-specific association between sleep and maternal hyperglycemia.

Summary

Large-scale prospective studies comprising objective measurements of sleep, preferably over three trimesters and preconception, are needed to better evaluate the relationship between sleep and maternal hyperglycemia.
Literatur
4.
Zurück zum Zitat Kim C, Newton KM, Knopp RH. Gestational diabetes and the incidence of type 2 diabetes: a systematic review. Diabetes Care. 2002;25(10):1862–8.CrossRef Kim C, Newton KM, Knopp RH. Gestational diabetes and the incidence of type 2 diabetes: a systematic review. Diabetes Care. 2002;25(10):1862–8.CrossRef
5.
Zurück zum Zitat Clausen TD, Mathiesen ER, Hansen T, Pedersen O, Jensen DM, Lauenborg J, et al. High prevalence of type 2 diabetes and pre-diabetes in adult offspring of women with gestational diabetes mellitus or type 1 diabetes: the role of intrauterine hyperglycemia. Diabetes Care. 2008;31(2):340–6. https://doi.org/10.2337/dc07-1596.CrossRefPubMed Clausen TD, Mathiesen ER, Hansen T, Pedersen O, Jensen DM, Lauenborg J, et al. High prevalence of type 2 diabetes and pre-diabetes in adult offspring of women with gestational diabetes mellitus or type 1 diabetes: the role of intrauterine hyperglycemia. Diabetes Care. 2008;31(2):340–6. https://​doi.​org/​10.​2337/​dc07-1596.CrossRefPubMed
13.
Zurück zum Zitat Pien GW, Schwab RJ. Sleep disorders during pregnancy. Sleep. 2004;27(7):1405–17.CrossRef Pien GW, Schwab RJ. Sleep disorders during pregnancy. Sleep. 2004;27(7):1405–17.CrossRef
21.
Zurück zum Zitat Karacay Ö, Sepici-Dincel A, Karcaaltincaba D, Sahin D, Yalvaç S, Akyol M, et al. A quantitative evaluation of total antioxidant status and oxidative stress markers in preeclampsia and gestational diabetic patients in 24–36 weeks of gestation. Diabetes Res Clin Pract. 2010;89(3):231–8.CrossRef Karacay Ö, Sepici-Dincel A, Karcaaltincaba D, Sahin D, Yalvaç S, Akyol M, et al. A quantitative evaluation of total antioxidant status and oxidative stress markers in preeclampsia and gestational diabetic patients in 24–36 weeks of gestation. Diabetes Res Clin Pract. 2010;89(3):231–8.CrossRef
22.
Zurück zum Zitat Retnakaran R, Hanley AJ, Raif N, Connelly PW, Sermer M, Zinman B. C-reactive protein and gestational diabetes: the central role of maternal obesity. J Clin Endocrinol Metab. 2003;88(8):3507–12.CrossRef Retnakaran R, Hanley AJ, Raif N, Connelly PW, Sermer M, Zinman B. C-reactive protein and gestational diabetes: the central role of maternal obesity. J Clin Endocrinol Metab. 2003;88(8):3507–12.CrossRef
23.
Zurück zum Zitat Winkler G, Cseh K, Baranyi É, Melczer Z, Speer G, Hajós P, et al. Tumor necrosis factor system in insulin resistance in gestational diabetes. Diabetes Res Clin Pract. 2002;56(2):93–9.CrossRef Winkler G, Cseh K, Baranyi É, Melczer Z, Speer G, Hajós P, et al. Tumor necrosis factor system in insulin resistance in gestational diabetes. Diabetes Res Clin Pract. 2002;56(2):93–9.CrossRef
24.
Zurück zum Zitat Chua EC-P, Tan W-Q, Yeo S-C, Lau P, Lee I, Mien IH, et al. Heart rate variability can be used to estimate sleepiness-related decrements in psychomotor vigilance during total sleep deprivation. Sleep. 2012;35(3):325–34.PubMedPubMedCentral Chua EC-P, Tan W-Q, Yeo S-C, Lau P, Lee I, Mien IH, et al. Heart rate variability can be used to estimate sleepiness-related decrements in psychomotor vigilance during total sleep deprivation. Sleep. 2012;35(3):325–34.PubMedPubMedCentral
25.
Zurück zum Zitat Reutrakul S, Mokhlesi B. Obstructive sleep apnea and diabetes: a state of the art review. Chest. 2017;152(5):1070–86.CrossRef Reutrakul S, Mokhlesi B. Obstructive sleep apnea and diabetes: a state of the art review. Chest. 2017;152(5):1070–86.CrossRef
26.
Zurück zum Zitat O’Keeffe M, St-Onge M. Sleep duration and disorders in pregnancy: implications for glucose metabolism and pregnancy outcomes. Int J Obes. 2013;37(6):765.CrossRef O’Keeffe M, St-Onge M. Sleep duration and disorders in pregnancy: implications for glucose metabolism and pregnancy outcomes. Int J Obes. 2013;37(6):765.CrossRef
27.
Zurück zum Zitat Palagini L, Gemignani A, Banti S, Manconi M, Mauri M, Riemann D. Chronic sleep loss during pregnancy as a determinant of stress: impact on pregnancy outcome. Sleep Med. 2014;15(8):853–9.CrossRef Palagini L, Gemignani A, Banti S, Manconi M, Mauri M, Riemann D. Chronic sleep loss during pregnancy as a determinant of stress: impact on pregnancy outcome. Sleep Med. 2014;15(8):853–9.CrossRef
28.
Zurück zum Zitat Rizza RA, Mandarino LJ, Gerich JE. Cortisol-induced insulin resistance in man: impaired suppression of glucose production and stimulation of glucose utilization due to a postreceptor defect of insulin action. J Clin Endocrinol Metab. 1982;54(1):131–8.CrossRef Rizza RA, Mandarino LJ, Gerich JE. Cortisol-induced insulin resistance in man: impaired suppression of glucose production and stimulation of glucose utilization due to a postreceptor defect of insulin action. J Clin Endocrinol Metab. 1982;54(1):131–8.CrossRef
29.
Zurück zum Zitat Reutrakul S, Anothaisintawee T, Herring SJ, Balserak BI, Marc I, Thakkinstian A. Short sleep duration and hyperglycemia in pregnancy: aggregate and individual patient data meta-analysis. Sleep Med Rev. 2018;40:31–42.CrossRef Reutrakul S, Anothaisintawee T, Herring SJ, Balserak BI, Marc I, Thakkinstian A. Short sleep duration and hyperglycemia in pregnancy: aggregate and individual patient data meta-analysis. Sleep Med Rev. 2018;40:31–42.CrossRef
30.
Zurück zum Zitat Xu Y-H, Shi L, Bao Y-P, Chen S-J, Shi J, Zhang R-L, et al. Association between sleep duration during pregnancy and gestational diabetes mellitus: a meta-analysis. Sleep Med. 2018;52:67–74.CrossRef Xu Y-H, Shi L, Bao Y-P, Chen S-J, Shi J, Zhang R-L, et al. Association between sleep duration during pregnancy and gestational diabetes mellitus: a meta-analysis. Sleep Med. 2018;52:67–74.CrossRef
41.
Zurück zum Zitat •• Rawal S, Hinkle SN, Zhu Y, Albert PS, Zhang C. A longitudinal study of sleep duration in pregnancy and subsequent risk of gestational diabetes: findings from a prospective, multiracial cohort. Am J Obstet Gynecol. 2017;216(4):399 e1–8. https://doi.org/10.1016/j.ajog.2016.11.1051. This study shows U-shaped association between sleep duration and gestational diabetes and that napping and pre-pregnancy obesity status may modify this association. It was also shown that association of sleep duration and GDM may be trimester-specific, with sleep duration during the second trimester (and not the first trimester) significantly associated with GDM risk. CrossRef •• Rawal S, Hinkle SN, Zhu Y, Albert PS, Zhang C. A longitudinal study of sleep duration in pregnancy and subsequent risk of gestational diabetes: findings from a prospective, multiracial cohort. Am J Obstet Gynecol. 2017;216(4):399 e1–8. https://​doi.​org/​10.​1016/​j.​ajog.​2016.​11.​1051. This study shows U-shaped association between sleep duration and gestational diabetes and that napping and pre-pregnancy obesity status may modify this association. It was also shown that association of sleep duration and GDM may be trimester-specific, with sleep duration during the second trimester (and not the first trimester) significantly associated with GDM risk. CrossRef
42.
Zurück zum Zitat Cheung NW, Wasmer G, Al-Ali J. Risk factors for gestational diabetes among Asian women. Diabetes Care. 2001;24(5):955–6.CrossRef Cheung NW, Wasmer G, Al-Ali J. Risk factors for gestational diabetes among Asian women. Diabetes Care. 2001;24(5):955–6.CrossRef
43.
44.
Zurück zum Zitat Sedov ID, Cameron EE, Madigan S, Tomfohr-Madsen LM. Sleep quality during pregnancy: a meta-analysis. Sleep Med Rev. 2018;38:168–76.CrossRef Sedov ID, Cameron EE, Madigan S, Tomfohr-Madsen LM. Sleep quality during pregnancy: a meta-analysis. Sleep Med Rev. 2018;38:168–76.CrossRef
45.
Zurück zum Zitat August EM, Salihu HM, Biroscak BJ, Rahman S, Bruder K, Whiteman VE. Systematic review on sleep disorders and obstetric outcomes: scope of current knowledge. Am J Perinatol. 2013;30(04):323–34.CrossRef August EM, Salihu HM, Biroscak BJ, Rahman S, Bruder K, Whiteman VE. Systematic review on sleep disorders and obstetric outcomes: scope of current knowledge. Am J Perinatol. 2013;30(04):323–34.CrossRef
46.
Zurück zum Zitat Naud K, Ouellet A, Brown C, Pasquier J-C, Moutquin J-M. Is sleep disturbed in pregnancy? J Obstet Gynaecol Can. 2010;32(1):28–34.CrossRef Naud K, Ouellet A, Brown C, Pasquier J-C, Moutquin J-M. Is sleep disturbed in pregnancy? J Obstet Gynaecol Can. 2010;32(1):28–34.CrossRef
50.
Zurück zum Zitat • Liu L, Su G, Wang S, Zhu B. The prevalence of obstructive sleep apnea and its association with pregnancy-related health outcomes: a systematic review and meta-analysis. Sleep Breath. 2019;23(2):399–412. https://doi.org/10.1007/s11325-018-1714-7. This review paper only included studies with objectively measured OSA and found that pregnant women with OSA have increased GDM risk.CrossRefPubMed • Liu L, Su G, Wang S, Zhu B. The prevalence of obstructive sleep apnea and its association with pregnancy-related health outcomes: a systematic review and meta-analysis. Sleep Breath. 2019;23(2):399–412. https://​doi.​org/​10.​1007/​s11325-018-1714-7. This review paper only included studies with objectively measured OSA and found that pregnant women with OSA have increased GDM risk.CrossRefPubMed
65.
Zurück zum Zitat • Wanitcharoenkul E, Chirakalwasan N, Amnakkittikul S, Charoensri S, Saetung S, Chanprasertyothin S, et al. Obstructive sleep apnea and diet-controlled gestational diabetes. Sleep Med. 2017;39:101–7. https://doi.org/10.1016/j.sleep.2017.08.010. Experiments in this study showed that OSA severity, as measured by different parameters of hypoxia (e.g. oxygen desaturation), is associated with various metabolic effects in pregnant women with GDM. CrossRefPubMed • Wanitcharoenkul E, Chirakalwasan N, Amnakkittikul S, Charoensri S, Saetung S, Chanprasertyothin S, et al. Obstructive sleep apnea and diet-controlled gestational diabetes. Sleep Med. 2017;39:101–7. https://​doi.​org/​10.​1016/​j.​sleep.​2017.​08.​010. Experiments in this study showed that OSA severity, as measured by different parameters of hypoxia (e.g. oxygen desaturation), is associated with various metabolic effects in pregnant women with GDM. CrossRefPubMed
Metadaten
Titel
Sleep in Pregnancy and Maternal Hyperglycemia: a Narrative Review
verfasst von
Nur Khairani Farihin Abdul Jafar
Derric Zenghong Eng
Shirong Cai
Publikationsdatum
01.12.2019
Verlag
Springer US
Erschienen in
Current Diabetes Reports / Ausgabe 12/2019
Print ISSN: 1534-4827
Elektronische ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-019-1259-6

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