The effect of sleep impairment on gestational diabetes mellitus: a systematic review and meta-analysis of cohort studies
Abstract
Objective This systematic review and meta-analysis evaluated the influence of sleep duration or impairment (poor sleep quality, snoring, and obstructive sleep apnea [OSA]) on gestational diabetes mellitus (GDM) risk.Methods PubMed, Embase, EBSCO, and WOS databases were searched up to March 4th, 2019. Cohort studies were included and relative risk (RR) with 95% confidence interval (CI) were used as the measure of effects. Heterogeneity was assessed by the Chi-squared and I 2 tests. Subgroup analyses, sensitivity analysis, and dose-response analysis were performed. The overall quality of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.Results A total of 16 studies with 2,551,017 pregnant women and 142,103 GDM cases were included in this study. Both short and long sleep duration were associated with increased risk of GDM. There was a U-shaped relationship between sleep duration and GDM risk (P-nonlinearity < 0.001), and pregnant women with 8 h of sleep presented lower GDM risk. Poor sleep quality, snoring and OSA also increased the subsequent risk of GDM.Conclusions Pregnant women should be made aware of the benefits of proper sleep, and those with poor sleep quality, snoring, and OSA should be screened for GDM.
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Poor sleep quality is associated with an increased risk of gestational diabetes mellitus.
“Regarding sleep quality, we found that poor sleep quality is associated with an increased risk of diabetes mellitus (56) and gestational diabetes mellitus (53).”
From Sleep Duration/Quality with Health Outcomes: An Umbrella Review of Meta-Analyses of Prospective Studies (2022) · cites this paper as [53]
Sleep disorders are possibly a risk factor for gestational diabetes mellitus.
“The associations between sleep problems and diabetes are complex: sleep disorders are a risk factor for developing type 2 diabetes (430,431) and possibly gestational diabetes mellitus (432,433).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [433]
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- Authors
- Zhang, X., Zhang, R., Cheng, L., Wang, Y., Ding, X., Fu, J., Dang, J., Moore, J., & Li, R.
- Affiliations
- Wuhan University (CN)
- South Central Minzu University (CN)
- University of British Columbia (CA)
- Hubei Provincial Women and Children's Hospital (CN)
- Atrium Health Wake Forest Baptist (US)
- Corresponding author
- Li, Rui
- Venue
- Sleep Medicine
- Publisher
- Elsevier BV
- Published
- 2020-10
- Volume
- 74
- Pages
- 267-277
- ISSN
- 1389-9457 (ISSN-L)
- OpenAlex
- W3028436251
- Cited by
- 50
- References
- 89
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 8 · 2023: 4 · 2022: 18 · 2021: 6 · 2020: 1
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- sleep disorders, gestational diabetes mellitus, sleep duration, poor sleep quality, snoring, obstructive sleep apnea, pregnant women, U-shaped relationship, GDM screening
- MeSH terms
- Female, Humans, Sleep Initiation and Maintenance Disorders, Pregnancy, Sleep, Snoring, Cohort Studies, Diabetes, Gestational
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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