Ferraro Zachary M, Chaput Jean-Philippe, Gruslin Andrée, Adamo Kristi B
Children's Hospital of Eastern Ontario Research Institute, Healthy Active Living and Obesity (HALO) Research Group, 401 Smyth Road, Ottawa, ON, Canada K1H 8L1.
Children's Hospital of Eastern Ontario Research Institute, Healthy Active Living and Obesity (HALO) Research Group, 401 Smyth Road, Ottawa, ON, Canada K1H 8L1 ; School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada K7N 6N5.
ISRN Family Med. 2014 Feb 17;2014:928293. doi: 10.1155/2014/928293. eCollection 2014.
The quality of the intrauterine environment influences maternal-fetal health and also offspring predisposition to obesity and cardiometabolic disease later in life. Several determinants, including but not limited to pregravid obesity and excessive gestational weight gain, alter the developmental milieu, fetal growth, and child obesity risk. However, the role of sleep and its relationship to healthy pregnancy is not fully established. Given the host of psychosocial and physiological complications associated with childhood obesity, targeting the gestational period is purported to be an opportune time for preventive intervention. Many longitudinal studies suggest that short sleep duration is a risk factor for the development of impaired glycemia and obesity. However, there is a dearth of information concerning the role of sleep hygiene and its role in a healthy pregnancy. Reports note disrupted and poorer quality of sleep during gestation and highlight an association between reduced sleep and risk of gestational diabetes mellitus. Given the lack of well-designed human trials assessing the value of sleep and healthy pregnancy outcomes, this review summarizes current evidence which suggests that incorporating sleep recommendations and utilizing time management strategies that encourage a healthful night 's sleep may improve the health of the mom and the baby.
子宫内环境的质量会影响母婴健康,还会影响后代日后患肥胖症和心血管代谢疾病的易感性。包括但不限于孕前肥胖和孕期体重过度增加在内的几个决定因素会改变发育环境、胎儿生长以及儿童肥胖风险。然而,睡眠的作用及其与健康妊娠的关系尚未完全明确。鉴于儿童肥胖会引发一系列心理社会和生理并发症,因此,针对孕期进行干预被认为是预防肥胖的最佳时机。许多纵向研究表明,睡眠时间短是血糖受损和肥胖症发生的危险因素。然而,关于睡眠卫生的作用及其在健康妊娠中的作用,目前还缺乏相关信息。有报告指出,孕期睡眠受到干扰且质量较差,并强调睡眠减少与妊娠期糖尿病风险之间存在关联。鉴于缺乏精心设计的人体试验来评估睡眠与健康妊娠结局之间的关系,本综述总结了当前的证据,这些证据表明,纳入睡眠建议并采用鼓励夜间良好睡眠的时间管理策略,可能会改善母婴健康。