Evidence map›Paper›PMID 31818260›Full record

ArticleBMC pregnancy and childbirth2019

Impact of sleep duration during pregnancy on the risk of gestational diabetes in the Japan environmental and Children's study (JECS).

Mai Myoga, Mayumi Tsuji, Rie Tanaka, Eiji Shibata, David J Askew, Yukiyo Aiko, Ayako Senju, Toshihiro Kawamoto, Toru Hachisuga, Shunsuke Araki and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 5% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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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

14 authors at 2 institutions in 1 country.

Mai MyogaDepartment of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu-city, Fukuoka, 807-8555, Japan.
Mayumi TsujiDepartment of Environmental Health, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan.
Rie TanakaDepartment of Environmental Health, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan.
Eiji ShibataDepartment of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu-city, Fukuoka, 807-8555, Japan. age-s@med.uoeh-u.ac.jp.
David J AskewDepartment of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu-city, Fukuoka, 807-8555, Japan.
Yukiyo AikoDepartment of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu-city, Fukuoka, 807-8555, Japan.
Ayako SenjuJapan Environment and Children's Study, UOEH Subunit Center, University of Occupational and Environmental Health, Fukuoka, Japan.
Toshihiro KawamotoDepartment of Environmental Health, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan.
Toru HachisugaDepartment of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu-city, Fukuoka, 807-8555, Japan.
Shunsuke ArakiDepartment of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan.
Koichi KusuharaDepartment of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan.
Seiichi MorokumaResearch Center for Environmental and Developmental Medical Sciences, Kyushyu University, Fukuoka, Japan.
Masafumi SanefujiResearch Center for Environmental and Developmental Medical Sciences, Kyushyu University, Fukuoka, Japan.
Japan Environment and Children’s Study
University of Occupational and Environmental Health Japan · JPKyushu University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGestational diabetes mellitus (GDM) has serious effects on both mother and child. Like Type 2 Diabetes Mellitus, it is increasing in prevalence world-wide. In addition to obesity, sleep duration has been named an important risk factor. Using a large cohort study, including data from 48,787 participants of the Japan Environment and Children's Study (JECS), we examined the association between sleep duration and both random blood glucose levels and GDM rates during pregnancy.

methodsRandom blood glucose levels were measured during pregnancy. GDM diagnosis was based on the results of 75 g oral glucose tolerance test. Additional anthropometric data was collected from questionnaires for statistical analysis.

resultsCompared to mothers averaging 7 to < 10 h sleep (reference group), women receiving < 5 h or ≥ 10 h sleep exhibited significantly elevated random blood glucose levels. This was associated with an elevated risk for positive GDM screening (< 5 h sleep: OR 1.17 (0.96-1.44) p = 0.126; ≥10 h sleep: OR 1.13 (1.03-1.25) p = 0.006). Calculating the risk for GDM, women sleeping < 5 h or ≥ 10 h exhibited elevated risks of 1.31-fold and 1.21 respectively. However, this trend was not found to be significant.

conclusionsSleep is a critical factor in glucose metabolism, with both abnormally long and short sleep duration increasing random blood glucose levels in pregnant women. Moreover, the risk for positive GDM screening increases significantly with elevated sleep, ≥10 h per night. These findings are promising because they support the idea that sleep duration is a modifiable risk factor, and can be focused upon to improve health and pregnancy outcome.

Indexed as

SleepAdultBlood GlucoseCohort StudiesDiabetes, GestationalFemaleGlucose Tolerance TestHumansJapanPregnancyPregnancy ComplicationsRisk FactorsSleep Wake DisordersTime FactorsBlood GlucoseGestational diabetes mellitusSleep duration in pregnancy

Identifiers

PMID31818260
PMCPMC6902452
OpenAlexW2993834096

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.