Abstract
Background
Telomere length (TL) at birth is considered a potential biomarker for lifelong health.
Although maternal sleep disturbance has been linked to a series of adverse pregnancy
outcomes, evidence on the effect of maternal sleep on newborn TL remains scarce. Therefore,
we aim to investigate the association of maternal sleep duration and sleep quality
with newborn TL.
Methods
A total of 742 mother-newborn pairs were recruited from Wuhan Children’s Hospital
between November 2013 and March 2015. Cord blood TL was measured using real-time quantitative
polymerase chain reaction. Maternal sleep duration and quality during late pregnancy
were obtained via questionnaires. Multivariate linear regression models were used
to estimate the effects of maternal sleep duration and sleep quality on newborn TL.
Results
A total of 742 maternal-newborn pairs were included in the analyses. Mothers sleeping
≥10 hours had a 9.30% (95% CI: 2.09%, 15.99%) shorter newborn TL than those sleeping
7-<9 hours. However, the association in mothers with short sleep duration (<7 hours)
did not reach statistical significance. Compared to mothers with good sleep quality,
those with poor sleep quality had a 9.91% (95% CI: 4.06%, 15.40%) shorter newborn
TL. We observed a joint effect of sleep duration and sleep quality on newborn telomere
shortening. Women with sleep duration ≥10 hours and poor sleep quality were most likely
to have newborns with short TL (percent change:−19.66%, 95% CI: −28.42, −9.84%).
Conclusions
Long sleep duration and poor sleep quality during late pregnancy were associated with
shorter newborn TL.
Keywords
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References
- Interventions for sleep problems during pregnancy: a systematic review.Sleep Med Rev. 2020; 50101234
- Sleep and sleep disorders in pregnancy.Ann Intern Med. 2001; 134: 396-408
Sleep Foundation. 2007. Women and Sleep. Available at: 〈https://www.sleepfoundation.org/professionals/sleep-americar-polls/2007-women-and-sleep〉. Accessed January 6, 2022.
- Sleep disturbances during pregnancy and adverse maternal and fetal outcomes: a systematic review and meta-analysis.Sleep Med Rev. 2021; 58101436
- Maternal sleep during pregnancy and poor fetal outcomes: a scoping review of the literature with meta-analysis.Sleep Med Rev. 2018; 41: 197-219
- Sleep disturbances and inflammatory gene expression among pregnant women: differential responses by race.Brain Behav Immun. 2020; 88: 654-660
- Poor sleep quality and associated inflammation predict preterm birth: heightened risk among African Americans.Sleep. 2015; 38: 1259-1267
- Oxidative stress markers in pregnant women who snore and fetal outcome: a case control study.Acta Obstet Gynecol Scand. 2007; 86: 1317-1321
- Ageing and the telomere connection: an intimate relationship with inflammation.Ageing Res Rev. 2016; 25: 55-69
- Oxidative stress shortens telomeres.Trends Biochem Sci. 2002; 27: 339-344
- Reduced fetal telomere length in gestational diabetes.PLoS One. 2014; 9e86161
- Telomere length in the two extremes of abnormal fetal growth and the programming effect of maternal arterial hypertension.Sci Rep. 2015; 57869
- Telomeres: protecting chromosomes against genome instability.Nat Rev Mol Cell Biol. 2010; 11: 171-181
- Human telomere biology: a contributory and interactive factor in aging, disease risks, and protection.Science. 2015; 350: 1193-1198
- Association between telomere length in blood and mortality in people aged 60 years or older.The Lancet. 2003; 361: 393-395
- Leucocyte telomere length and risk of cardiovascular disease: systematic review and meta-analysis.BMJ. 2014; 349 (g4227)
- Diabetes, metabolic disease, and telomere length.The Lancet Diabetes Endocrinol. 2021; 9: 117-126
- The heritability of leucocyte telomere length dynamics.J Med Genet. 2015; 52: 297-302
- Newborn telomere length predicts later life telomere length: tracking telomere length from birth to child- and adulthood.EBioMedicine. 2021; 63103164
- Paternal age at birth is associated with offspring leukocyte telomere length in the nurses' health study.Hum Reprod. 2012; 27: 3622-3631
- Cord blood telomere length in Latino infants: relation with maternal education and infant sex.J Perinatol. 2016; 36: 235-241
- Early life tobacco exposure and children's telomere length: the HELIX project.Sci Total Environ. 2020; 711135028
- Maternal pre-pregnancy body mass index and newborn telomere length.BMC Med. 2016; 14: 148
- Long sleep duration, insomnia, and insomnia with short objective sleep duration are independently associated with short telomere length.J Clin Sleep Med. 2018; 14: 2037-2045
- Tired telomeres: poor global sleep quality, perceived stress, and telomere length in immune cell subsets in obese men and women.Brain Behav Immun. 2015; 47: 155-162
- Shorter leukocyte telomere length in midlife women with poor sleep quality.J Aging Res. 2011; 2011721390
- Short telomere length is associated with aging, central obesity, poor sleep and hypertension in lebanese individuals.Aging Dis. 2018; 9: 77-89
- Short sleep duration is associated with shorter telomere length in healthy men: findings from the Whitehall II cohort study.PloS One. 2012; 7e47292
- Telomere length is associated with sleep duration but not sleep quality in adults with human immunodeficiency virus.Sleep. 2014; 37: 157-166
- Sleep duration and telomere length in children.J Pediatr. 2017; 187e241
- Association between maternal symptoms of sleep disordered breathing and fetal telomere length.Sleep. 2015; 38: 559-566
- Maternal stress or sleep during pregnancy are not reflected on telomere length of newborns.Sci Rep. 2020; 1013986
- Telomere length measurement by a novel monochrome multiplex quantitative PCR method.Nucleic Acids Res. 2009; 37e21
- Association of prenatal exposure to arsenic with newborn telomere length: results from a birth cohort study.Environ Res. 2019; 175: 442-448
- Prenatal cadmium exposure is associated with shorter leukocyte telomere length in Chinese newborns.BMC Med. 2019; 17: 27
- Long sleep duration is associated with higher mortality in older people independent of frailty: a 5-year cohort study.J Am Med Dir Assoc. 2014; 15: 649-654
- Short sleep duration in working American Adults, 2010-2018.J Community Health. 2020; 45: 219-227
- How much sleep do we need?.Sleep Med Rev. 2001; 5: 155-179
- National Sleep Foundation's sleep quality recommendations: first report.Sleep Health. 2017; 3: 6-19
- Prenatal second-hand smoke exposure and newborn telomere length.Pediatr Res. 2020; 87: 1081-1085
- Objectively measured sleep duration and hyperglycemia in pregnancy.Sleep Med. 2014; 15: 51-55
- Sleep patterns and the risk of adverse birth outcomes among Chinese women.Int J Gynaecol Obstet. 2019; 146: 308-314
- Cooperative meta-analysis group of the working group on obesity in C: Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults--study on optimal cut-off points of body mass index and waist circumference in Chinese adults.Biomed Environ Sci. 2002; 15: 83-96
- Parental age and the risk of autism spectrum disorders: findings from a Swedish population-based cohort.Int J Epidemiol. 2014; 43: 107-115
- Sleep quality during pregnancy: a meta-analysis.Sleep Med Rev. 2018; 38: 168-176
- Effects of sleep duration and sleep quality in early pregnancy and their interaction on gestational diabetes mellitus.Sleep Breath. 2022; 26: 489-496
- Shorter sleep duration in early pregnancy is associated with birth length: a prospective cohort study in Wuhan, China.Sleep Med. 2017; 34: 99-104
- The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research.Psychiatry Res. 1989; 28: 193-213
- Sleep duration and biomarkers of inflammation.Sleep. 2009; 32: 200-204
- Maternal pro-inflammatory state during pregnancy and newborn leukocyte telomere length: a prospective investigation.Brain Behav Immun. 2019; 80: 419-426
- Obstructive sleep apnea, nighttime arousals, and leukocyte telomere length: the Multi-Ethnic Study of Atherosclerosis.Sleep. 2019; 42 (zsz089)
- Sleep duration and depression among adults: a meta-analysis of prospective studies.Depress. Anxiety. 2015; 32: 664-670
- Bi-directional associations between psychological arousal, cortisol, and sleep.Behav Sleep Med. 2011; 10: 28-40
- Maternal psychosocial functioning, obstetric health history, and newborn telomere length.Psychoneuroendocrinology. 2021; 123105043
- Maternal psychosocial stress during pregnancy is associated with newborn leukocyte telomere length.Am J Obstet Gynecol. 2013; 208: 134.e1-134.e7
Article info
Publication history
Published online: May 23, 2023
Accepted:
March 5,
2023
Received in revised form:
March 1,
2023
Received:
August 16,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 National Sleep Foundation. Published by Elsevier Inc. All rights reserved. All rights reserved.