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[孕期早期使用手机与6个月婴儿睡眠-觉醒行为的队列研究]

[Mobile phone use in early pregnant and infant sleep-wake behaviour in 6 months: a cohort study].

作者信息

Weng T T, Yan S Q, Gao G P, Wei C, Tao F B

机构信息

Maanshan Maternal and Child Health Hospital of Anhui Province, Maanshan 243000, China.

Maanshan Clinical Laboratory Center of Anhui Province, Maanshan 243000, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2020 Mar 10;41(3):320-325. doi: 10.3760/cma.j.issn.0254-6450.2020.03.008.

DOI:10.3760/cma.j.issn.0254-6450.2020.03.008
PMID:32294828
Abstract

To describe the epidemiological characteristics of mobile phone use in early pregnancy, and to explore the relationship between pregnancy mobile use and infant sleep-wake behavior. During February 2015 to August 2016, 2 212 subjects who had their first antenatal examination at Maanshan Maternity and Child Health Hospital were recruited in this cohort study and followed until postpartum for 6 months. Information of phone use was collected through questionnaire in the third trimester. There were 1 779 pregnant reported hours of mobile phone use in the questionnaire. A total of 1 951 parent reported the night-wake times. Data on night-wake behavior in infants was collected during the 6 months study. Questionnaires were completed by parents when taking the physical examination. More than 3 times per night was defined as the night-wake frequency. Unconditional multivariate logistic regression was applied to analyze the association of pregnancy time of mobile phone use and the infant night-wake frequencies. In this cohort study, the average age of 2 212 pregnant women was (26.95±3.82) years, with 1 983 of them were followed up to the time of delivery. The incidence of night-wake frequency was 28.3 (553/1 951) among these 6-month-old infants. After adjusted for feeding factors in the first trimester, frequencies of using the phone as "3 to 4 hour per day" and "5 hour and above per day" were both positively associated with the frequencies of night-wake behavior in infants. The adjusted (95) were 1.49 (1.07-2.07) and 1.79 (1.31-2.46), respectively. The mobile phone use during pregnancy was associated with night-wake of infants. Mobile phone should be rationally used during pregnancy.

摘要

描述孕早期手机使用的流行病学特征,并探讨孕期手机使用与婴儿睡眠 - 觉醒行为之间的关系。在2015年2月至2016年8月期间,本队列研究招募了2212名在马鞍山市妇幼保健院进行首次产前检查的受试者,并随访至产后6个月。在孕晚期通过问卷收集手机使用信息。问卷中有1779名孕妇报告了手机使用时长。共有1951名家长报告了婴儿夜间醒来次数。在6个月的研究期间收集婴儿夜间觉醒行为的数据。家长在进行体检时填写问卷。每晚醒来超过3次被定义为夜间觉醒频率。应用无条件多因素logistic回归分析孕期手机使用时间与婴儿夜间觉醒频率的关联。在本队列研究中,2212名孕妇的平均年龄为(26.95±3.82)岁,其中1983名随访至分娩。在这些6个月大的婴儿中,夜间觉醒频率的发生率为28.3(553/1951)。在调整孕早期喂养因素后,“每天使用手机3至4小时”和“每天使用手机5小时及以上”的频率均与婴儿夜间觉醒行为的频率呈正相关。调整后的(95)分别为1.49(1.07 - 2.07)和1.79(1.31 - 2.46)。孕期使用手机与婴儿夜间觉醒有关。孕期应合理使用手机。

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