Association of Fewer Hours of Sleep at 6 Months Postpartum with Substantial Weight Retention at 1 Year Postpartum
Open accessAbstract
Shorter sleep duration is linked to obesity, coronary artery disease, and diabetes. Whether sleep deprivation during the postpartum period affects maternal postpartum weight retention remains unknown. This study examined the association of sleep at 6 months postpartum with substantial postpartum weight retention (SPPWR), defined as 5 kg or more above pregravid weight at 1 year postpartum. The authors selected 940 participants in Project Viva who enrolled during early pregnancy from 1999 to 2002. Logistic regression models estimated odds ratios of SPPWR for sleep categories, controlling for sociodemographic, prenatal, and behavioral attributes. Of the 940 women, 124 (13%) developed SPPWR. Sleep distributions were as follows: 114 (12%) women slept < or =5 hours/day, 280 (30%) slept 6 hours/day, 321 (34%) slept 7 hours/day, and 225 (24%) slept > or =8 hours/day. Adjusted odds ratios of SPPWR were 3.13 (95% confidence interval (CI): 1.42, 6.94) for < or =5 hours/day, 0.99 (95% CI: 0.50, 1.97) for 6 hours/day, and 0.94 (95% CI: 0.50, 1.78) for > or =8 hours/day versus 7 hours/day (p = 0.012). The adjusted odds ratio for SPPWR of 2.05 (95% CI: 1.11, 3.78) was twofold greater (p = 0.02) for a decrease in versus no change in sleep at 1 year postpartum. Sleeping < or =5 hours/day at 6 months postpartum was strongly associated with retaining > or =5 kg at 1 year postpartum. Interventions to prevent postpartum obesity should consider strategies to attain optimal maternal sleep duration.
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Short sleepers experience greater weight increases over time according to most, but not all, prospective observational studies.
“Short sleepers experience greater weight increases over time according to most,4,18–22 but not all studies.17,23,24”
From Interacting epidemics? Sleep curtailment, insulin resistance, and obesity (2012) · cites this paper as [21]
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- Authors
- Gunderson, E. P., Rifas-Shiman, S. L., Oken, E., Rich-Edwards, J. W., Kleinman, K. P., Taveras, E. M., & Gillman, M. W.
- Affiliations
- Kaiser Permanente (US)
- Harvard University (US)
- Brigham and Women's Hospital (US)
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-10-17
- Volume
- 167
- Issue
- 2
- Pages
- 178-187
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- PMC
- PMC2930882
- OpenAlex
- W2149026465
- Cited by
- 142
- References
- 41
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 2 · 2023: 2 · 2022: 5 · 2021: 9 · 2020: 5 · 2019: 6 · 2018: 9 · 2017: 5 · 2016: 8 · 2015: 13 · 2014: 15 · 2013: 12 · 2012: 12
- FWCI
- 8.13
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (K24HL068041, R01 HL 68041, R01 HL64925, R01HL064925)
- National Institute of Diabetes and Digestive and Kidney Diseases (K01DK059944, P30DK040561)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01 HD 34568, R01HD034568)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- sleep duration, sleep deprivation, postpartum weight retention, postpartum obesity, maternal sleep, Project Viva, Project Viva cohort
- MeSH terms
- Adult, Age Factors, Breast Feeding, Female, Humans, Life Style, Longitudinal Studies, Massachusetts, Obesity, Parity, Pregnancy, Sleep, Socioeconomic Factors, Time Factors, Cohort Studies, Weight Gain, Weight Loss, Multivariate Analysis, Odds Ratio, Hypertension, Pregnancy-Induced, Postpartum Period
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