Department of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, RI 02903, USA.
Center for Health Promotion and Health Equity, School of Public Health, Brown University, Providence, RI 02903, USA.
Nutrients. 2023 Apr 30;15(9):2166. doi: 10.3390/nu15092166.
Little is known about the association between sleep and diet in pregnancy, despite both behaviors impacting maternal and fetal health. We aimed to perform a systematic review of the available literature on associations between sleep characteristics and dietary intake and eating behaviors during pregnancy, reporting on both maternal and fetal outcomes. We followed the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and conducted our search on 27 May 2021 in the PubMed, EMBASE, and CINAHL databases. The search yielded 6785 unique articles, of which 25 met our eligibility criteria. The studies, mostly observational, published 1993-2021, include data from 168,665 participants. Studies included examinations of associations between various maternal sleep measures with a diverse set of diet-related measures, including energy or nutrient intake (N = 12), dietary patterns (N = 9), and eating behaviors (N = 11). Associations of maternal exposures with fetal/infant outcomes were also examined (N = 5). We observed considerable heterogeneity across studies precluding our ability to perform a meta-analysis or form strong conclusions; however, several studies did report significant findings. Results from this systematic review demonstrate the need for consistency in methods across studies to better understand relationships between diet and sleep characteristics during pregnancy.
关于孕期睡眠与饮食之间的关联，人们知之甚少，尽管这两种行为都对母婴健康有影响。我们旨在对现有的关于孕期睡眠特征与饮食摄入和饮食行为之间关联的文献进行系统综述，报告母婴结局。我们遵循了 2020 年系统评价和荟萃分析的首选报告项目 (PRISMA) 指南，并于 2021 年 5 月 27 日在 PubMed、EMBASE 和 CINAHL 数据库中进行了检索。该检索共产生了 6785 篇独特的文章，其中 25 篇符合我们的纳入标准。这些研究主要为观察性研究，发表于 1993 年至 2021 年，包括来自 168665 名参与者的数据。研究包括检查各种母体睡眠测量与一系列不同的与饮食相关的测量之间的关联，包括能量或营养素摄入 (N=12)、饮食模式 (N=9) 和饮食行为 (N=11)。还检查了母体暴露与胎儿/婴儿结局之间的关联 (N=5)。我们观察到研究之间存在很大的异质性，这使得我们无法进行荟萃分析或得出强有力的结论;然而，一些研究确实报告了显著的发现。这项系统综述的结果表明，需要在研究中保持方法的一致性，以更好地理解孕期饮食和睡眠特征之间的关系。
