TY - JOUR
T1 - Maternal antenatal stress has little impact on child sleep
T2 - results from a prebirth cohort in Mexico City
AU - Chatterjee, Avik
AU - Thompson, Jennifer W.
AU - Svensson, Katherine
AU - Tamayo y Ortiz, Marcela
AU - Wright, Robert
AU - Wright, Rosalind
AU - Tellez-Rojo, Martha
AU - Baccarelli, Andrea
AU - Cantoral, Alejandra
AU - Schnaas, Lourdes
AU - Oken, Emily
N1 - Funding Information:
The PROGRESS study was funded by the National Institutes of Health ( R01 ES21357 ). This study was also supported and partially funded by the National Institute of Public Health/Ministry of Health of Mexico . Dr Chatterjee received funding support from an Institutional National Research Service Award ( T32HP12706 ), the Ryoichi Sasakawa Fellowship Fund , and the Department of Population Medicine at Harvard Medical School/Harvard Pilgrim Health Care Institute . Dr Oken was funded by the National Institutes of Health ( K24 HD069408 , P30 DK092924 ). The funding sources had no role in study design, in data collection or analysis, in the writing of the manuscript, or in the decision to submit for publication. We would also like to acknowledge the Instituto Nacional de Salud Pública and the American British Cowdray Medical Center for their support providing the research facilities.
Funding Information:
The PROGRESS study was funded by the National Institutes of Health (R01 ES21357). This study was also supported and partially funded by the National Institute of Public Health/Ministry of Health of Mexico. Dr Chatterjee received funding support from an Institutional National Research Service Award (T32HP12706), the Ryoichi Sasakawa Fellowship Fund, and the Department of Population Medicine at Harvard Medical School/Harvard Pilgrim Health Care Institute. Dr Oken was funded by the National Institutes of Health (K24 HD069408, P30 DK092924). The funding sources had no role in study design, in data collection or analysis, in the writing of the manuscript, or in the decision to submit for publication. We would also like to acknowledge the Instituto Nacional de Salud P?blica and the American British Cowdray Medical Center for their support providing the research facilities.
Publisher Copyright:
© 2018 National Sleep Foundation.
PY - 2018/10
Y1 - 2018/10
N2 - Study objectives: Maternal antenatal stress may influence offspring development and behavior, but any association with child sleep is unknown. Methods: From 2007 to 2011, we recruited pregnant women in Mexico City to the Programming Research in Obesity, Growth, Environment, and Social Stressors prebirth cohort. Mothers completed the Perceived Stress Scale (PSS, a 4-item questionnaire assessing past-month stress) and the Crisis in Family Systems measure assessing negative life events (NLEs; how many domains among the 11 assessed in which the mother experienced a stressful event in the prior 6 months)—with higher scores reflecting higher stress—and provided 5 timed salivary samples per day on 2 consecutive days, from which we derived cortisol area under the curve, slope, and awakening response. At age 4-6 years, children's sleep was estimated using accelerometry over a 7-day period. We performed secondary analysis of associations of antenatal maternal stress with child sleep duration and efficiency (time asleep/time in bed) using linear regression adjusted for maternal and child characteristics. Results: Among 594 mother-child dyads, mean antenatal PSS score was 5.2 (SD = 3.2) out of 16, and mean NLE was 3.2 (SD = 2) out of 11; child sleep duration was 7.7 hours (SD = 0.7), and sleep efficiency was 79% (SD = 6). There was no association between any of the stress measures—PSS, NLE, or salivary cortisol—and sleep duration or sleep efficiency in adjusted or unadjusted models. Conclusions: Among mother-child dyads in a Mexico City cohort, antenatal stress was not associated with important changes in child sleep at 4-6 years.
AB - Study objectives: Maternal antenatal stress may influence offspring development and behavior, but any association with child sleep is unknown. Methods: From 2007 to 2011, we recruited pregnant women in Mexico City to the Programming Research in Obesity, Growth, Environment, and Social Stressors prebirth cohort. Mothers completed the Perceived Stress Scale (PSS, a 4-item questionnaire assessing past-month stress) and the Crisis in Family Systems measure assessing negative life events (NLEs; how many domains among the 11 assessed in which the mother experienced a stressful event in the prior 6 months)—with higher scores reflecting higher stress—and provided 5 timed salivary samples per day on 2 consecutive days, from which we derived cortisol area under the curve, slope, and awakening response. At age 4-6 years, children's sleep was estimated using accelerometry over a 7-day period. We performed secondary analysis of associations of antenatal maternal stress with child sleep duration and efficiency (time asleep/time in bed) using linear regression adjusted for maternal and child characteristics. Results: Among 594 mother-child dyads, mean antenatal PSS score was 5.2 (SD = 3.2) out of 16, and mean NLE was 3.2 (SD = 2) out of 11; child sleep duration was 7.7 hours (SD = 0.7), and sleep efficiency was 79% (SD = 6). There was no association between any of the stress measures—PSS, NLE, or salivary cortisol—and sleep duration or sleep efficiency in adjusted or unadjusted models. Conclusions: Among mother-child dyads in a Mexico City cohort, antenatal stress was not associated with important changes in child sleep at 4-6 years.
KW - Accelerometry
KW - Cortisol
KW - Sleep
KW - Stress
UR - http://www.scopus.com/inward/record.url?scp=85052746801&partnerID=8YFLogxK
U2 - 10.1016/j.sleh.2018.07.013
DO - 10.1016/j.sleh.2018.07.013
M3 - Article
C2 - 30241653
AN - SCOPUS:85052746801
SN - 2352-7218
VL - 4
SP - 397
EP - 404
JO - Sleep Health
JF - Sleep Health
IS - 5
ER -