Evidence map›Paper›PMID 27739877›Full record

ArticleBehavioral sleep medicine

Exercise during early pregnancy is associated with greater sleep continuity.

Joshua H Baker, Scott D Rothenberger, Christopher E Kline, Michele L Okun

Registry-linked trialAbstract read
In one paragraph

Article in Behavioral sleep medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05394883 (The SPROUT), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05394883 nacompletednot on this map

The SPROUT (Pilot) Project: Starting Pregnancy With Robustness for Optimal Upward Trajectories

TypeinterventionalSponsorState University of New York - Upstate Medical UniversityRan2020 to 2022Enrolled18ConditionsPregnancy Related, Infant Development, Adherence, Treatment, Activity, MotorArmsSupervised Exercise, Home Exercise
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Joshua H Bakera Department of Psychology , University of Pittsburgh , Pittsburgh , Pennsylvania.
Scott D Rothenbergerb Department of Statistics , University of Pittsburgh , Pittsburgh , Pennsylvania.
Christopher E Klinec Department of Health and Physical Activity, University of Pittsburgh , Pittsburgh , Pennsylvania.
Michele L Okuna Department of Psychology , University of Pittsburgh , Pittsburgh , Pennsylvania.

Funding

A Novel Risk Factor for Cardiovascular Disease: The Insomnia-Short Sleep PhenotypK23HL118318 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KLINE, CHRISTOPHER EDWARD · 2014 to 2018
$776k
Pregnancy-Related Sleep Disturbances May Increase Pregnancy ComplicationsR00NR010813 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI OKUN, MICHELE L · 2009 to 2011
$732k
NHLBI NIH HHS K23 HL118318NINR NIH HHS R00 NR010813
6 · The paper itself

Abstract

OBJECTIVES/

backgroundPregnant women report disturbed sleep beginning in early pregnancy. Among nonpregnant populations, exercise has been associated with improved sleep; however, research in pregnant samples has been equivocal. We examined whether varying degrees of exercise were associated with better nocturnal sleep among pregnant women during early gestation.

participants172 pregnant women.

methodsSelf-reported sleep and exercise and objective sleep were collected during early gestation: T1 (10-12 weeks), T2 (14-16 weeks), and T3 (18-20 weeks) from 172 pregnant women. Exercise was categorized into three time-varying groups: 0 metabolic equivalent minutes per week (MET-min/week), 1 to < 500 MET-min/week, or ≥ 500 MET-min/week. Linear mixed-effects models were employed to test hypotheses.

resultsA significant main effect for Time (F[2,254] = 9.77, p < 0.0001) and Time*Exercise group interaction were observed for actigraphic sleep efficiency (aSE) (F[4,569] = 2.73, p = 0.0285). At T2, women who reported ≥ 500 MET-min/week had higher aSE than those who reported 0 MET-min/week. Significant main effects for Exercise Group and Time were observed for actigraphic wake after sleep onset (aWASO; F[2,694] = 3.04, p = 0.0483 and F[2,260] = 3.21, p = 0.0419). aWASO was lowest for those reporting 1 to < 500 MET-min/week (t[701] = 2.35, adjusted p = .0489) and aWASO decreased from T1 to T3 (t[258] = 2.53, adjusted p value = 0.036). Lastly, there was a main effect for Time for the PSQI (F[2,689] = 52.11, p < 0.0001), indicating that sleep quality improved over time.

conclusionsSome level of exercise among pregnant women appears to be more advantageous than no exercise at all. Moderate exercise, while still unclearly defined, may be a worthwhile adjunct treatment to combat sleep disturbances during pregnancy.

Indexed as

AdultExerciseFemaleHumansPregnancySleep

Identifiers

PMID27739877
PMCPMC6124311

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.