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Association between sleep duration and quality with food intake, chrononutrition patterns, and weight gain during pregnancy
Published online by Cambridge University Press: 05 January 2024
Abstract
To analyse the association between sleep duration and quality with food intake, chrononutrition patterns, and weight gain during pregnancy. A prospective cohort study was conducted with 100 pregnant women. Data collection occurred once during each gestational trimester. The assessment of sleep quality and duration was performed using the Pittsburgh Sleep Quality Index. Food intake was assessed using three 24-h recalls in each trimester. Body weight was measured during the three trimesters, and height was measured only once to calculate the BMI. Linear regression analyses were performed to associate sleep duration and quality with food consumption and weight gain variables. Longer sleep duration was associated with a later dinner in the first trimester (β = 0·228, P = 0·025) and earlier in the third trimester (β = –0·223, P = 0·026), in addition to a later morning snack in the second trimester (β = 0·315, P = 0·026). Worse sleep quality was associated with higher total energy intake (β = 0·243, P = 0·044), total fat (β = 0·291, P = 0·015) and the chrononutrition variables such as a higher number of meals (β = 0·252, P = 0·037), higher energetic midpoint (β = 0·243, P = 0·044) and shorter fasting time (β = –0·255, P = 0·034) in the third trimester. Sleep quality was also associated with a higher BMI in the first trimester of pregnancy (β = 0·420, P = < 0·001). Most of the associations found in the present study show that poor sleep is associated with higher energy and fat intake and higher BMI. Longer sleep duration was associated with a later dinner in early pregnancy and an earlier dinner in late pregnancy, as well as with a later morning snack in the second trimester of pregnancy.
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- © The Author(s), 2024. Published by Cambridge University Press on behalf of The Nutrition Society
References
Neau, JP, Texier, B & Ingrand, P (2009) Sleep and vigilance disorders in pregnancy. Eur Neurol 62, 23–29.CrossRefGoogle Scholar
Pien, GW & Schwab, RJ (2004) Sleep disorders during pregnancy. Sleep 27, 1405–1417.CrossRefGoogle ScholarPubMed
Signal, TL, Paine, SJ, Sweeney, B, et al. (2014) Prevalence of abnormal sleep duration and excessive daytime sleepiness in pregnancy and the role of socio-demographic factors: comparing pregnant women with women in the general population. Sleep Med. 15, 1477–1483.CrossRefGoogle ScholarPubMed
Sedov, ID, Cameron, EE, Madigan, S, et al. (2018) Sleep quality during pregnancy: a meta-analysis. Sleep Med Rev 38, 168–176.CrossRefGoogle ScholarPubMed
Kızılırmak, A, Timur, S & Kartal, B (2012) Insomnia in pregnancy and factors related to insomnia. Sci World J 2012, 197093.CrossRefGoogle ScholarPubMed
Gelaye, B, Barrios, YV, Zhong, QY, et al. (2015) Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women. Gen Hosp Psychiatry 37, 441–447.CrossRefGoogle ScholarPubMed
Mindell, JA, Cook, RA & Nikolovski, J (2015) Sleep patterns and sleep disturbances across pregnancy. Sleep Med 16, 483–488.CrossRefGoogle ScholarPubMed
Theorell-Haglöw, J, Lemming, EW, Michaëlsson, K, et al. (2020) Sleep duration is associated with healthy diet scores and meal patterns: results from the population-based EpiHealth study. J Clin Sleep Med 16, 9–18.CrossRefGoogle ScholarPubMed
Gębski, J, Jezewska-Zychowicz, M, Guzek, D, et al. (2018) The associations between dietary patterns and short sleep duration in polish adults (lifestyle study). Int J Environ Res Public Health 15, 2497.CrossRefGoogle ScholarPubMed
Crispim, CA, Zimberg, IZ, dos Reis, BG, et al. (2011) Relationship between food intake and sleep pattern in healthy individuals. J Clin Sleep Med 7, 659–664.CrossRefGoogle ScholarPubMed
Al-Musharaf, S (2022) Changes in sleep patterns during pregnancy and predictive factors: a longitudinal study in Saudi women. Nutrients 14, 2633.CrossRefGoogle ScholarPubMed
Van-Lee, L, Chia, AR, Loy, SL, et al. (2017) Sleep and dietary patterns in pregnancy: findings from the gusto cohort. Int J Environ Res Public Health 14, 1409.CrossRefGoogle ScholarPubMed
Chang, MW, Brown, R, Nitzke, S, et al. (2015) Stress, sleep, depression and dietary intakes among low-income overweight and obese pregnant women. Matern Child Health J 19, 1047–1059.CrossRefGoogle ScholarPubMed
Bennett, CJ, Cain, SW & Blumfield, ML (2019) Monounsaturated fat intake is associated with improved sleep quality in pregnancy. Midwifery 78, 64–70.CrossRefGoogle ScholarPubMed
Shiraseb, F, Mirzababaei, A, Daneshzad, E, et al. (2023) The association of dietary approaches to stop hypertension (DASH) and Mediterranean diet with mental health, sleep quality and chronotype in women with overweight and obesity: a cross-sectional study. Eat Weight Disord 28, 57.CrossRefGoogle ScholarPubMed
Capers, PL, Fobian, AD, Kaiser, KA, et al. (2015) A systematic review and meta-analysis of randomized controlled trials of the impact of sleep duration on adiposity and components of energy balance. Obes Rev 16, 771–782.CrossRefGoogle ScholarPubMed
Chaput, JP (2014) Sleep patterns, diet quality and energy balance. Physiol Behav 134, 86–91.CrossRefGoogle ScholarPubMed
Dashti, HS, Scheer, FA, Jacques, PF et al. (2015) Short sleep duration and dietary intake: epidemiologic evidence, mechanisms, and health implications. Adv Nutr 6, 648–659.CrossRefGoogle ScholarPubMed
Hogenkamp, PS, Nilsson, E, Nilsson, VC, et al. (2013) Acute sleep deprivation increases portion size and affects food choice in young men. Psychoneuroendocrinology 38, 1668–1674.CrossRefGoogle ScholarPubMed
Kim, S, DeRoo, LA & Sandler, DP (2014) Eating patterns and nutritional characteristics associated with sleep duration. Public Health Nutr 14, 889–895.CrossRefGoogle Scholar
Taheri, S, Lin, L, Austin, D, et al. (2004) Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Med 1, e62.CrossRefGoogle ScholarPubMed
Jakubowicz, D, Froy, O, Wainstein, J, et al. (2012) Meal timing and composition influence ghrelin levels, appetite scores and weight loss maintenance in overweight and obese adults. Steroids 77, 323–331.CrossRefGoogle ScholarPubMed
Ladyman, SR, Augustine, RA & Grattan, DR (2010) Hormone interactions regulating energy balance during pregnancy. J Neuroendocrinol 22, 805–817.CrossRefGoogle ScholarPubMed
Godos, J, Grosso, G, Castellano, S, et al. (2021) Association between diet and sleep quality: a systematic review. Sleep Med Rev 57, 101430.CrossRefGoogle ScholarPubMed
Loy, SL, Loo, RSX, Godfrey, KM, et al. (2020) Chrononutrition during pregnancy: a review on maternal night-time eating. Nutrients 12, 2783.CrossRefGoogle ScholarPubMed
Chen, Y-E, Loy, SL & Chen, L-W (2023) Chrononutrition during pregnancy and its association with maternal and offspring outcomes: a systematic review and meta-analysis of Ramadan and non-Ramadan studies. Nutrients 15, 756.CrossRefGoogle ScholarPubMed
Messika, A, Toledano, Y, Hadar, E, et al. (2022) Relationship among chrononutrition, sleep, and glycaemic control in women with gestational diabetes mellitus: a randomized controlled trial. Am J Obstet Gynecol 4, 100660.Google ScholarPubMed
Facco, FL, Grobman, WA, Reid, KJ, et al. (2017) Objectively measured short sleep duration and later sleep midpoint in pregnancy are associated with a higher risk of gestational diabetes. Am J Obstet Gynecol 217, e441–447.CrossRefGoogle ScholarPubMed
Rasmussen, KM, Yaktine, AL (2009) Institute of medicine (U.S.) and national research council (U.S.) and committee to reexamine IOM pregnancy weight guidelines. In Weight Gain during Pregnancy: Reexamining the Guidelines. Washington DC: National Academies Press.Google Scholar
Saldana, TM, Siega-Riz, AM, Adair, LS, et al. (2006) The relationship between pregnancy weight gain and glucose tolerance status among black and white women in central North Carolina. Am J Obstet Gynecol 195, 1629–1635.CrossRefGoogle ScholarPubMed
Haugen, M, Brantsæter, AL, Winkvist, A, et al. (2014) Associations of pre-pregnancy body mass index and gestational weight gain with pregnancy outcome and postpartum weight retention: a prospective observational cohort study. BMC Pregnancy Childbirth 14, 201.CrossRefGoogle ScholarPubMed
Fall, CH (2013) Fetal programming and the risk of noncommunicable disease. na J Pediatr 80, Suppl. 1, S13–S20.Google ScholarPubMed
International Association of Diabetes and Pregnancy Study Groups Consensus Panel, Metzger, BE, Gabbe, SG, et al. (2010) International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabet Care 33, 676–682.CrossRefGoogle ScholarPubMed
Alberti, KG & Zimmet, PZ (1998) Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: Diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet Med 15, 539–553.3.0.CO;2-S>CrossRefGoogle ScholarPubMed
Buysse, DJ, Reynolds, CF, Monk, TH, et al. (1989) The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 28, 193–213.CrossRefGoogle ScholarPubMed
Backhaus, J, Junghanns, K, Broocks, A, et al. (2002) Test-retest reliability and validity of the Pittsburgh sleep quality index in primary insomnia. J Psychosom Res 53, 737–740.CrossRefGoogle ScholarPubMed
Bertolazi, AN, Fagondes, SC, Hoff, LS, et al. (2011) Validation of the Brazilian Portuguese version of the Pittsburgh sleep quality index. Sleep Med 12, 70–75.CrossRefGoogle ScholarPubMed
Qiu, C, Gelaye, B, Zhong, QY, et al. (2016) Construct validity and factor structure of the Pittsburgh sleep quality index among pregnant women in a Pacific-Northwest cohort. Sleep Breath 20, 293–301.CrossRefGoogle Scholar
Zhong, QY, Gelaye, B, Sánchez, SE, et al. (2015) Psychometric properties of the Pittsburgh sleep quality index (PSQI) in a cohort of Peruvian pregnant women. J Clin Sleep Med 15, 869–877.CrossRefGoogle Scholar
Reutrakul, S, Hood, MM, Crowley, SJ, et al. (2014) The relationship between breakfast skipping, chronotype, and glycaemic control in type 2 diabetes. Chronobiol Int 31, 64–71.CrossRefGoogle ScholarPubMed
Institute of Medicine (US) and National Research Council (US) Committee to Reexamine IOM Pregnancy Weight Guidelines (2009) Weight Gain During Pregnancy: Reexamining the Guidelines [Rasmussen, KM, Yaktine, AL, editors]. Washington (DC): National Academies Press (US).Google Scholar
Samur, A, Castillo, EL, Santoro, CC, et al. (1997) Proposal of a new standard for the nutritional assessment of pregnant women. Rev Méd Chile 125, 1429–1436.Google Scholar
Loy, SL, Wee, PH, Colega, MT, et al. (2017) Maternal night-fasting interval during pregnancy is directly associated with neonatal head circumference and adiposity in girls but not boys. J Nutr 147, 1384–1391.CrossRefGoogle Scholar
Trancoso, SC, Cavalli, SB & Proença, RPC (2010) Breakfast: characterization, consumption and importance for health. Rev Nutrição 23, 859–869.CrossRefGoogle Scholar
Sato, APS, Fujimori, E, Szarfarc, SC, et al. (2010) Food consumption and iron intake of pregnant and reproductive aged women. Rev Latino-Am Enfermagem 18, 247–254.CrossRefGoogle ScholarPubMed
TACO (2011) Tabela Brasileira de Composição de Alimentos. 4a ed. rev. e ampl. Campinas, São Paulo, Brasil: NEPA— UNICAMP.Google Scholar
USDA (2005) United States Dietetic Association. Dietary Guidelines for Americans. http://health.gov/dietaryguidelines/dga2005/document/ (accessed July 2023).Google Scholar
Gibney, MJ & Wolever, TM (1997) Periodicity of eating and human health: present perspective and future directions. Br J Nutr 77, Suppl. 1, S3–S5.CrossRefGoogle ScholarPubMed
Gill, S & Panda, S (2015) A smartphone app reveals erratic diurnal eating patterns in humans that can be modulated for health benefits. Cell Metab 22, 789–798.CrossRefGoogle ScholarPubMed
Marinac, CR, Natarajan, L, Sears, DD, et al. (2015) Prolonged nightly fasting and breast cancer risk: findings from NHANES (2009–2010). Cancer Epidemiol Biomarkers Prev 24, 783–789.CrossRefGoogle ScholarPubMed
Faul, F, Erdfelder, E, Lang, AG, et al. (2007) G*Power 3: a flexible statistical power analysis program for the social, behavioural, and biomedical sciences. Behav Res Methods 39, 175–191.CrossRefGoogle ScholarPubMed
Moreno-Fernandez, J, Ochoa, JJ, Lopez-Frias, M, et al. (2020) Impact of early nutrition, physical activity and sleep on the fetal programming of disease in the pregnancy: a narrative review. Nutrients 12, 3900.CrossRefGoogle ScholarPubMed
Hill, C, Lipsky, LM, Betts, GM, et al. (2021) A prospective study of the relationship of sleep quality and duration with gestational weight gain and fat gain. J Womens Health (Larchmt) 30, 405–411.CrossRefGoogle ScholarPubMed
Gallant, AR, Lundgren, J & Drapeau, V (2012) The night-eating syndrome and obesity. Obes Rev 13, 528–536.CrossRefGoogle Scholar
Garaulet, M & Gómez-Abellán, P (2014) Timing of food intake and obesity: a novel association. Physiol Behavior 134, 44–50.CrossRefGoogle ScholarPubMed
McHill, AW, Phillips, AJ, Czeisler, CA, et al. (2017) Later circadian timing of food intake is associated with increased body fat. Am J Clin Nutr 106, 1213–1219.CrossRefGoogle ScholarPubMed
Teoh, AN, Kaur, S, Shafie, SR, et al. (2023) Chrononutrition is associated with melatonin and cortisol rhythm during pregnancy: Findings from MY-CARE cohort study. Front Nutr 9, 1078086.CrossRefGoogle ScholarPubMed
Czyzyk, A, Podfigurna, A & Genazzani, AR (2017) The role of progesterone therapy in early pregnancy: from physiological role to therapeutic utility. Gynecol Endocrinol 33, 421–424.CrossRefGoogle ScholarPubMed
Tsai, SY, Lee, PL, Lin, JW, et al. (2017) Persistent and new-onset daytime sleepiness in pregnant women: a prospective observational cohort study. Int J Nurs Stud 66, 1–6.CrossRefGoogle ScholarPubMed
Gontijo, CA, Balieiro, LCT, Teixeira, GP, et al. (2020) Higher energy intake at night effects daily energy distribution and contributes to excessive weight gain during pregnancy. Nutrition 74, 110756.CrossRefGoogle ScholarPubMed
Loy, SL, Chan, JK, Wee, PH, et al. (2017) Maternal circadian eating time and frequency are associated with blood glucose concentrations during pregnancy. J Nutr 147, 70–77.CrossRefGoogle ScholarPubMed
Parrettini, S, Caroli, A & Torlone, E (2020) Nutrition and metabolic adaptations in physiological and complicated pregnancy: focus on obesity and gestational diabetes. Front Endocrinol (Lausanne) 30, 11, 611929.CrossRefGoogle Scholar
Bo, S, Musso, G, Beccuti, G, et al. (2014) Consuming more of daily caloric intake at dinner predisposes to obesity: a 6-year population-based prospective cohort study. PLOS ONE 9, e108467.CrossRefGoogle ScholarPubMed
Maukonen, M, Kanerva, N, Partonen, T, et al. (2019) Chronotype and energy intake timing in relation to changes in anthropometrics: a 7-year follow-up study in adults. Chronobiol Int 36, 27–41.CrossRefGoogle ScholarPubMed
Chandler-Laney, PC, Schneider, CR, Gower, BA, et al. (2016) Association of late-night carbohydrate intake with glucose tolerance among pregnant African American women. Matern Child Nutr 12, 688–698.CrossRefGoogle ScholarPubMed
Loy, SL, Cheng, TS, Colega, MT, et al. (2016) Predominantly night-time feeding and maternal glycaemic levels during pregnancy. Br J Nutr 115, 1563–1570.CrossRefGoogle ScholarPubMed
Englund-Ögge, L, Birgisdottir, BE, Sengpiel, V, et al. (2017) Meal frequency patterns and glycaemic properties of maternal diet in relation to preterm delivery: results from a large prospective cohort study. PLOS ONE 12, e0172896.CrossRefGoogle ScholarPubMed
Betsch, M, Wehrle, R, Dor, L, et al. (2015) Spinal posture and pelvic position during pregnancy: a prospective rasterstereographic pilot study. Eur Spine J 24, 1282–1288.CrossRefGoogle ScholarPubMed
Silveira et al. supplementary material
Silveira et al. supplementary material
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