Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, and Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, Netherlands.
Department of Health Promotion, Maastricht University, Maastricht, Netherlands.
J Matern Fetal Neonatal Med. 2023 Dec;36(1):2212829. doi: 10.1080/14767058.2023.2212829.
The majority of expectant mothers report sleep alterations during pregnancy and almost 40% report poor sleep quality. There is growing evidence that sleep quality (SQ) during pregnancy influences maternal health. This review focuses on how SQ during pregnancy relates to maternal health-related quality of life (HRQoL). The review also aims to identify whether this relation varies between pregnancy trimesters, and for different subdomains of HRQoL.
A systematic review was performed according to PRISMA guidelines and registered on Prospero in August 2021 with ID no: CRD42021264707. Pubmed, Psychinfo, Embase, Cochrane, and trial registries were searched up to June 2021. Studies with any design that investigated the relation between SQ and quality of life/HRQoL in pregnant women, published in English, and peer-reviewed, were included. Two independent reviewers screened titles, abstracts, and full texts, and extracted data from the included papers. The quality of the studies was evaluated using the Newcastle-Ottawa Scale.
Three hundred and thirteen papers were identified in the initial search, of which 10 met the inclusion criteria. Data included 7330 participants from six different countries. The studies had longitudinal ( = 1) or cross-sectional designs ( = 9). In nine studies SQ was reported subjectively by self-report questionnaires. Actigraphic data was available from two studies. HRQoL was assessed by validated questionnaires in all studies. Due to high levels of clinical and methodological heterogeneity in included studies, a narrative synthesis was employed. Nine studies found that poor sleep quality was related to a lower overall HRQoL during pregnancy. Effect sizes were low to medium. This relation was reported most during the third trimester. Especially sleep disturbances and subjective low SQ seemed to be related consistently to lower HRQoL. Furthermore, an indication was found that SQ might have a relation with the mental and physical domain of HRQoL. The social and environmental domain may also be associated with overall SQ.
Despite the scarcity of studies available, this systematic review found evidence that low SQ is related to low HRQoL during pregnancy. An indication was found that the relationship between SQ and HRQoL during the second trimester might be less prominent.
大多数孕妇在怀孕期间都会报告睡眠改变，近 40%的孕妇报告睡眠质量差。越来越多的证据表明，怀孕期间的睡眠质量（SQ）会影响产妇的健康。本综述重点关注怀孕期间的 SQ 如何与与产妇健康相关的生活质量（HRQoL）相关。该综述还旨在确定这种关系是否在妊娠 trimester 之间以及不同的 HRQoL 亚领域有所不同。
根据 PRISMA 指南进行系统综述，并于 2021 年 8 月在 Prospero 上注册，注册号为 CRD42021264707。检索了 Pubmed、Psychinfo、Embase、Cochrane 和试验登记处截至 2021 年 6 月的文献。纳入了任何设计研究，调查了孕妇 SQ 与生活质量/HRQoL 之间关系的研究，这些研究以英文发表并经过同行评审。两名独立的审稿人筛选标题、摘要和全文，并从纳入的论文中提取数据。使用 Newcastle-Ottawa 量表评估研究的质量。
在最初的搜索中确定了 313 篇论文，其中 10 篇符合纳入标准。数据来自六个不同国家的 7330 名参与者。这些研究具有纵向（ = 1）或横断面设计（ = 9）。在 9 项研究中，SQ 通过自我报告问卷主观报告。两项研究提供了活动记录仪数据。所有研究均采用经过验证的问卷评估 HRQoL。由于纳入研究的临床和方法学异质性很高，因此采用了叙述性综合。9 项研究发现，睡眠质量差与怀孕期间整体 HRQoL 较低有关。效应大小为低至中等。这种关系在第三 trimester 报告最多。特别是睡眠障碍和主观低 SQ 似乎与较低的 HRQoL 密切相关。此外，有迹象表明 SQ 可能与 HRQoL 的心理和生理领域有关。社会和环境领域也可能与整体 SQ 相关。
尽管可用的研究数量有限，但本系统综述发现证据表明，低 SQ 与怀孕期间的低 HRQoL 相关。有迹象表明，第二 trimester 期间 SQ 与 HRQoL 之间的关系可能不那么明显。
