Sleep initiation and maintenance disorders Archives - Revista Brasileira de Ginecologia e Obstetrícia

  • Original Article

    Sleep quality in overweight pregnant women

    Rev Bras Ginecol Obstet. 2015;37(8):359-365

    Summary

    Original Article

    Sleep quality in overweight pregnant women

    Rev Bras Ginecol Obstet. 2015;37(8):359-365

    DOI 10.1590/SO100-720320150005415

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    PURPOSE:

    To compare sleep quality of overweight versus normal weight women in the second and third trimesters of pregnancy.

    METHODS:

    A cross-sectional study involving 223 women with 14 or more weeks of pregnancy, 105 of them overweight (pre-pregnancy body mass index - BMI - ≥25.0 kg/m2) and 118 of normal weight (BMI 18.5-24.9 kg/m2), attending the prenatal care clinic. The Brazilian version of the Pittsburgh Sleep Quality Index (PSQI-BR) questionnaire was used to evaluate sleep quality. The Student t-test and the chi-square test were used to compare differences between groups and a p value <0.05 was considered statistically significant.

    RESULTS:

    Most of the participants (67.7%) were poor sleepers (total score >5); this proportion was significantly higher among overweight (80/105) versus normal weight (67/118) women (76.2 versus 56.8%, p=0,004). During the second trimester, this difference did not reach statistical significance (72.5 versus 53.7%, respectively, p=0.06) but mean total PSQI-BR scores were significantly higher among overweight participants (7.0±3.8 versus 5.5±3.2, p=0.02). In the 2nd trimester, overweight women also had higher scores for sleep latency (1.4±1.0 versus 1.0±0.9, p=0.02) and subjective sleep quality (1.3±0.8 versus 0.8±0.8, p=0.02). In the third trimester, the proportion of women with poor sleep quality was significantly higher in the overweight group, but did not reach statistical significance (79.6 versus 60.8%, p=0.06). During this period, total mean scores were similar for women with and without excess weight (9.4±4.2 versus 8.3±4.6, p=0.2). However, overweight women had higher mean scores for sleep disturbance (2.3±0.7 versus 2.0±0.8, p=0.04).

    CONCLUSION:

    Overweight women had a poorer sleep quality than normal weight women in the second and third trimesters of pregnancy.

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    Sleep quality in overweight pregnant women
  • Original Article

    Morbidity and associated factors in climacteric women: a population based study in women with 11 or more years of formal education

    Rev Bras Ginecol Obstet. 2012;34(5):215-220

    Summary

    Original Article

    Morbidity and associated factors in climacteric women: a population based study in women with 11 or more years of formal education

    Rev Bras Ginecol Obstet. 2012;34(5):215-220

    DOI 10.1590/S0100-72032012000500005

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    PURPOSE: To evaluate factors associated with morbidities among Brazilian women aged 40-65 years and with 11 or more years of schooling. METHODS: A secondary analysis of a cross-sectional population-based study was conducted, using an anonymous self-report questionnaire completed by 377 women. Were evaluated, with this instrument, some morbidities (hypertension, diabetes, insomnia and depression) and sociodemographic, behavioral, clinical and reproductive factors. The association between morbidities and independent variables was evaluated by the Χ2 test. Multiple logistic regression analysis with stepwise selection criteria was used to select the major factors associated with morbid conditions. RESULTS: In the multiple regression analysis, insomnia was associated with bad/fair self-perception of health (OR=2.3) and nervousness (OR=5.1). Depression was associated with bad/fair self-perception of health (OR=3.7) and bad/poor leisure (OR=2.8). Hypertension was associated with obesity (OR=3.1) and being in postmenopausal (OR=2.6). Diabetes was associated with age above 50 years (OR=3.9) and obesity (OR=12.5). CONCLUSIONS: The prevalence of morbidities was high and a worse self-perception of health and obesity were the main factors associated with morbidity.

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