Document Detail


Sleep disturbances and binge eating disorder symptoms during and after pregnancy.
MedLine Citation:
PMID:  23024439     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: We compared sleep problems during pregnancy and sleep dissatisfaction 18 months after pregnancy in pregnant women with binge eating disorder (BED) symptoms and pregnant women without an eating disorder.
DESIGN: Norwegian Mother and Child Cohort Study (MoBa).
PATIENTS OR PARTICIPANTS: Data were gathered from 72,435 women. A total of 1,495 (2.1%) women reported having BED symptoms both before and during pregnancy; 921 (1.3%) reported pre-pregnancy BED symptoms that remitted during pregnancy; 1,235 (1.7%) reported incident BED symptoms during pregnancy; and 68,784 (95.0%) reported no eating disorder symptoms before or during pregnancy (referent).
MEASUREMENTS AND RESULTS: Questionnaires were collected at 3 time points, with a median completion time of 17.1 weeks gestation, 30.1 weeks gestation, and 18.7 months after childbirth. We collected information on demographics, eating disorder status before and during pregnancy, sleep problems during the first 18 weeks of pregnancy, hours of sleep during the third trimester, and sleep satisfaction 18 months after childbirth. All BED symptom groups were significantly more likely to report sleep problems during the first 18 weeks of pregnancy than the referent (adjusted odds ratio [OR] = 1.26-1.42, false discovery rate [FDR] P < 0.05). In the third trimester, women with incident BED symptoms during pregnancy were more likely to report more hours of sleep than the referent (adjusted OR = 1.49, FDR P < 0.01). All BED symptom groups had higher odds of reporting more dissatisfaction with sleep 18 months after childbirth (adjusted ORs = 1.28-1.47, FDR P < 0.01).
CONCLUSIONS: BED before or during pregnancy is associated with sleeping problems during pregnancy and dissatisfaction with sleep 18 months after childbirth. Health care professionals should inquire about BED during pregnancy as it may be associated with sleep disturbances, in addition to the hallmark eating concerns.
Authors:
T Frances Ulman; Ann Von Holle; Leila Torgersen; Camilla Stoltenberg; Ted Reichborn-Kjennerud; Cynthia M Bulik
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2012-10-01
Journal Detail:
Title:  Sleep     Volume:  35     ISSN:  1550-9109     ISO Abbreviation:  Sleep     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-01     Completed Date:  2013-04-05     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  7809084     Medline TA:  Sleep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1403-11     Citation Subset:  IM    
Affiliation:
Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Binge-Eating Disorder / complications*
Cohort Studies
Female
Humans
Male
Postpartum Period / physiology,  psychology
Pregnancy
Pregnancy Complications / etiology*
Pregnancy Trimesters / physiology,  psychology
Questionnaires
Sleep
Sleep Disorders / etiology*
Grant Support
ID/Acronym/Agency:
N01 ES85433/ES/NIEHS NIH HHS; T32 MH076694/MH/NIMH NIH HHS; U01 NS047537-01/NS/NINDS NIH HHS
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