دورية أكاديمية
أعرض في EDS

Morningness/eveningness in gestational diabetes mellitus: clinical characteristics and maternal-neonatal outcomes.

التفاصيل البيبلوغرافية
العنوان: Morningness/eveningness in gestational diabetes mellitus: clinical characteristics and maternal-neonatal outcomes.
المؤلفون: Facanha CFS; Departamento de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil, crisffacanha@hotmail.com; cristina.facanha@unichristus.edu.br.; Departamento de Medicina, Centro Universitário Christus, Fortaleza, CE, Brasil.; Centro Integrado de Diabetes e Hipertensão do Ceará (CIDH), Secretaria Estadual de Saúde do Ceará, Fortaleza, CE, Brasil., Alencar VS; Departamento de Medicina, Centro Universitário Christus, Fortaleza, CE, Brasil., Machado PS; Departamento de Medicina, Centro Universitário Christus, Fortaleza, CE, Brasil., Macêdo RBL; Departamento de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil.; Centro Integrado de Diabetes e Hipertensão do Ceará (CIDH), Secretaria Estadual de Saúde do Ceará, Fortaleza, CE, Brasil., de Bruin PFC; Departamento de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil., Costa E Forti A; Departamento de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil.; Centro Integrado de Diabetes e Hipertensão do Ceará (CIDH), Secretaria Estadual de Saúde do Ceará, Fortaleza, CE, Brasil., Rocha TM; Departamento de Medicina, Centro Universitário Christus, Fortaleza, CE, Brasil., de Bruin VMS; Departamento de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil.
المصدر: Archives of endocrinology and metabolism [Arch Endocrinol Metab] 2023 Jan 18; Vol. 67 (1), pp. 92-100. Date of Electronic Publication: 2022 Sep 20.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Segmento Farma Editores Country of Publication: Brazil NLM ID: 101652058 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2359-4292 (Electronic) Linking ISSN: 23593997 NLM ISO Abbreviation: Arch Endocrinol Metab Subsets: MEDLINE
أسماء مطبوعة: Original Publication: São Paulo, SP : Segmento Farma Editores
مواضيع طبية MeSH: Sleep Initiation and Maintenance Disorders*/etiology , Diabetes, Gestational* , Pre-Eclampsia*, Female ; Infant, Newborn ; Pregnancy ; Humans ; Sleep ; Circadian Rhythm ; Prospective Studies ; Fatigue ; Surveys and Questionnaires
مستخلص: Objective: This study aims to evaluate the impact of morning-evening preference in pregnancy outcomes in gestational diabetes mellitus (GDM).
Methods: This is a prospective cohort study of 2nd-3rd trimester GDM outpatient care in Fortaleza, Brazil (2018-2020). Eveningness was defined by the Horne-Östberg Morningness-Eveningness-Questionnaire (MEQ ≤ 41). Furthermore, we obtained a 7-day actigraphic register. Subjective sleep quality, daytime somnolence, insomnia, fatigue and depressive symptoms were also evaluated. Associations with pregnancy outcomes were investigated.
Results: Among 305 patients with GDM, evening preference was found in 21 (6.9%). Patients with evening preference had worse sleep quality (p < 0.01), greater severity of insomnia (p < 0.005), fatigue (p < 0.005) and depressive symptoms (<0.009). Evening chronotype was associated with preeclampsia [p = 0.01; OR = 0.27; CI 0.09-0.79] and a greater need for admission to a neonatal intensive care unit (NICU) [p = 0.02; OR = 0.23; CI .0.06-0.80]. A lower MEQ score confirmed an association with preeclampsia [p = 0.002; OR = 0.94; CI 0.90-0.97] and this was maintained after controlling for age, arterial hypertension, sleep quality, fatigue and depressive symptoms [p < 005; OR = 0.91; CI 0.87-0.95].
Conclusion: In GDM, patients with evening preference had worse sleep quality, more insomnia, fatigue, and depressive symptoms. Furthermore, eveningness was independently associated with preeclampsia. These results indicate the important role of eveningness in adverse pregnancy outcomes.
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فهرسة مساهمة: Keywords: Circadian rhythm; actigraphy; diabetes, gestational; pregnancy outcome; sleep wake disorders
تواريخ الأحداث: Date Created: 20220926 Date Completed: 20230119 Latest Revision: 20230315
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9983797
DOI: 10.20945/2359-3997000000515
PMID: 36155121
قاعدة البيانات: MEDLINE
الوصف
تدمد:2359-4292
DOI:10.20945/2359-3997000000515