A Longitudinal Study of Physical Activity to Improve Sleep Quality During Pregnancy

Liwei Tan,1,* Jiaojiao Zou,1,* Yunhui Zhang,2 Qing Yang,3 Huijing Shi1 1Department of Maternal, Child and Adolescent Health, School of Public Health, Fudan University, Shanghai, People’s Republic of China; 2Department of Environmental Health, School of Public Health, Fudan University, Shan...

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Autores principales:	Tan L, Zou J, Zhang Y, Yang Q, Shi H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	gestational weeks pregnancy sleep quality physical activity Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/fcddee188ee441ce9038a935c78222dd
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spelling	oai:doaj.org-article:fcddee188ee441ce9038a935c78222dd2021-12-02T08:21:05ZA Longitudinal Study of Physical Activity to Improve Sleep Quality During Pregnancy1179-1608https://doaj.org/article/fcddee188ee441ce9038a935c78222dd2020-07-01T00:00:00Zhttps://www.dovepress.com/a-longitudinal-study-of-physical-activity-to-improve-sleep-quality-dur-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Liwei Tan,1,* Jiaojiao Zou,1,* Yunhui Zhang,2 Qing Yang,3 Huijing Shi1 1Department of Maternal, Child and Adolescent Health, School of Public Health, Fudan University, Shanghai, People’s Republic of China; 2Department of Environmental Health, School of Public Health, Fudan University, Shanghai, People’s Republic of China; 3Department of Child Care, The Maternal and Child Healthcare Institute of Songjiang District, Shanghai, People’s Republic of China*These authors contributed equally to this workCorrespondence: Huijing Shi; Qing Yang Tel +86-21-54237022; +86 021-37621588Fax +86 21-54237022Email hjshi@fudan.edu.cn; yqzjj888@126.comPurpose: To explore the association between maternal physical activity (PA) and sleep quality during pregnancy, and the necessary PA level at different gestational stages to attain improved sleep quality.Methods: A total of 2443 participants were recruited from the Shanghai Maternal-Child Pairs Cohort (Shanghai MCPC) study, who had completed questionnaires including the Pittsburgh Sleep Quality Index (PSQI) and the International Physical Activity Questionnaire (IPAQ) at gestational weeks (GW) of 12– 16 and 32– 36. PSQI scores and their seven components at the two GW were compared, as were PSQI scores at 12– 16 and 32– 36 GW and the increment in PSQI relative to PA. Regression analysis was conducted to assess the effect of PA and its change on the total PSQI score at different GW.Results: The mean PSQI scores increased significantly during pregnancy, from 6.30 ± 3.01 at 12– 16 GW to 7.23 ± 3.47 at 32– 36 GW. Compared with women in low PA level, moderate levels of PA at both 12– 16 GW and 32– 36 GW were significantly reduced PSQI scores of 0.42 (95% CI:-0.68,-0.16) and 0.32 (95% CI:-0.63,-0.01), respectively. At 32– 36 GW, high PA level also significantly decreased PSQI score, with a greater decline than moderate PA level. (AOR=− 0.87,95% CI:-1.57,-0.18). PA increment from 12– 16 to 32– 36 weeks of pregnancy created a significant decline of 0.54 in PSQI scores.Conclusion: The study revealed sleep quality was worse at the third trimester and moderate PA level had the potential for improvement of sleep quality both in the first and the third trimester. High PA level was also beneficial to improve sleep quality of pregnant women in the third trimester.Keywords: gestational weeks, pregnancy, sleep quality, physical activityTan LZou JZhang YYang QShi HDove Medical Pressarticlegestational weekspregnancysleep qualityphysical activityPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 12, Pp 431-442 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	gestational weeks pregnancy sleep quality physical activity Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	gestational weeks pregnancy sleep quality physical activity Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Tan L Zou J Zhang Y Yang Q Shi H A Longitudinal Study of Physical Activity to Improve Sleep Quality During Pregnancy
description	Liwei Tan,1,* Jiaojiao Zou,1,* Yunhui Zhang,2 Qing Yang,3 Huijing Shi1 1Department of Maternal, Child and Adolescent Health, School of Public Health, Fudan University, Shanghai, People’s Republic of China; 2Department of Environmental Health, School of Public Health, Fudan University, Shanghai, People’s Republic of China; 3Department of Child Care, The Maternal and Child Healthcare Institute of Songjiang District, Shanghai, People’s Republic of China*These authors contributed equally to this workCorrespondence: Huijing Shi; Qing Yang Tel +86-21-54237022; +86 021-37621588Fax +86 21-54237022Email hjshi@fudan.edu.cn; yqzjj888@126.comPurpose: To explore the association between maternal physical activity (PA) and sleep quality during pregnancy, and the necessary PA level at different gestational stages to attain improved sleep quality.Methods: A total of 2443 participants were recruited from the Shanghai Maternal-Child Pairs Cohort (Shanghai MCPC) study, who had completed questionnaires including the Pittsburgh Sleep Quality Index (PSQI) and the International Physical Activity Questionnaire (IPAQ) at gestational weeks (GW) of 12– 16 and 32– 36. PSQI scores and their seven components at the two GW were compared, as were PSQI scores at 12– 16 and 32– 36 GW and the increment in PSQI relative to PA. Regression analysis was conducted to assess the effect of PA and its change on the total PSQI score at different GW.Results: The mean PSQI scores increased significantly during pregnancy, from 6.30 ± 3.01 at 12– 16 GW to 7.23 ± 3.47 at 32– 36 GW. Compared with women in low PA level, moderate levels of PA at both 12– 16 GW and 32– 36 GW were significantly reduced PSQI scores of 0.42 (95% CI:-0.68,-0.16) and 0.32 (95% CI:-0.63,-0.01), respectively. At 32– 36 GW, high PA level also significantly decreased PSQI score, with a greater decline than moderate PA level. (AOR=− 0.87,95% CI:-1.57,-0.18). PA increment from 12– 16 to 32– 36 weeks of pregnancy created a significant decline of 0.54 in PSQI scores.Conclusion: The study revealed sleep quality was worse at the third trimester and moderate PA level had the potential for improvement of sleep quality both in the first and the third trimester. High PA level was also beneficial to improve sleep quality of pregnant women in the third trimester.Keywords: gestational weeks, pregnancy, sleep quality, physical activity
format	article
author	Tan L Zou J Zhang Y Yang Q Shi H
author_facet	Tan L Zou J Zhang Y Yang Q Shi H
author_sort	Tan L
title	A Longitudinal Study of Physical Activity to Improve Sleep Quality During Pregnancy
title_short	A Longitudinal Study of Physical Activity to Improve Sleep Quality During Pregnancy
title_full	A Longitudinal Study of Physical Activity to Improve Sleep Quality During Pregnancy
title_fullStr	A Longitudinal Study of Physical Activity to Improve Sleep Quality During Pregnancy
title_full_unstemmed	A Longitudinal Study of Physical Activity to Improve Sleep Quality During Pregnancy
title_sort	longitudinal study of physical activity to improve sleep quality during pregnancy
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/fcddee188ee441ce9038a935c78222dd
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A Longitudinal Study of Physical Activity to Improve Sleep Quality During Pregnancy

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