Ruiz González Isabel, Valenza Marie Carmen, Molina Carmen M, Torres Sanchez Irene, Cabrera Martos Irene, González-Jiménez Emilio
Servicio Andaluz de Salud. Servicio de Endocrinologia, Hospital Clínico San Cecilio, Granada..
Departamento de Fisioterapia. Facultad de Ciencias de la Salud. Universidad de Granada..
Nutr Hosp. 2015 Sep 1;32(3):1139-44. doi: 10.3305/nh.2015.32.3.9365.
recent studies suggest that women with gestational diabetes are more likely to suffer sleep disorders compared to pregnant women without diabetes. The objectives of this study were to analyze the risk factors associated with gestational diabetes and to verify if exist an association between the presence or abscense of gestational diabetes and the quality of the sleep and/or daytime sleepiness.
case-controls study with a sample of 130 pregnant women, 46 of them with gestational diabetes and 84 controls. Anthropometric parameters such as weight, stature, body mass index (BMI) and abdominal perimeter were evaluated. Socio-demographic variables, including age and family situation were assessed, and a gynecological study was performed, evaluating the number of simple or multiple births, number of miscarriages and gynecological pathology during the past 3 years. The O'Sullivan test was conducted for the diagnosis of gestational diabetes. The quality of sleep and daytime sleepiness were also measured.
46 women were diagnosed of gestational diabetes. There are significant differences (p < 0.001) in BMI scores among women with gestational diabetes and controls, being the highest values in the diabetic group. There is a significant association (p = 0.002) between the existence of family history of type 2 diabetes mellitus and the presence or abscense of gestational diabetes. Women with gestational diabetes present a significant worse quality of sleep (p < 0.001), and values of daytime sleepiness higher than the general population.
high values of BMI or family history of type 2 diabetes mellitus seems to be factors associated to the risk of suffer gestational diabetes. Women with gestational diabetes have a poorer quality of sleep and a higher degree of daytime sleepiness than the general population, reducing the well-being of the mother and the fetus.
最近的研究表明，与未患糖尿病的孕妇相比，患有妊娠期糖尿病的女性更易出现睡眠障碍。本研究的目的是分析与妊娠期糖尿病相关的危险因素，并验证妊娠期糖尿病的有无与睡眠质量和/或日间嗜睡之间是否存在关联。
采用病例对照研究，样本为130名孕妇，其中46名患有妊娠期糖尿病，84名作为对照。评估了体重、身高、体重指数（BMI）和腹围等人体测量参数。评估了社会人口统计学变量，包括年龄和家庭状况，并进行了妇科检查，评估过去3年的单胎或多胎分娩次数、流产次数和妇科病理情况。采用奥沙利文试验诊断妊娠期糖尿病。还测量了睡眠质量和日间嗜睡情况。
46名女性被诊断为妊娠期糖尿病。患有妊娠期糖尿病的女性与对照组的BMI评分存在显著差异（p < 0.001），糖尿病组的值最高。2型糖尿病家族史的存在与妊娠期糖尿病的有无之间存在显著关联（p = 0.002）。患有妊娠期糖尿病的女性睡眠质量明显较差（p < 0.001），日间嗜睡值高于一般人群。
BMI值高或有2型糖尿病家族史似乎是与患妊娠期糖尿病风险相关的因素。患有妊娠期糖尿病的女性比一般人群的睡眠质量更差，日间嗜睡程度更高，这会降低母亲和胎儿的幸福感。
