Sleep status varies by age among Japanese women during preconception and pregnancy in a nationwide birth cohort study [the Japan Environment and Children’s Study (JECS)] | Sleep and Biological Rhythms Skip to main content

Advertisement

Springer Nature Link
Log in

Sleep status varies by age among Japanese women during preconception and pregnancy in a nationwide birth cohort study [the Japan Environment and Children’s Study (JECS)]

  • Original Article
  • Published:
Sleep and Biological Rhythms Aims and scope Submit manuscript

Abstract

Pregnant women have more sleep problems compared to non-pregnant women. Our objective was to investigate the differences in sleep patterns by age among Japanese women enrolled in the Japan Environment and Children’s Study during preconception and pregnancy. Questionnaires on sleep status were administered to pregnant women twice in the first, second and/or third trimesters. Wake-up time, bedtime, sleep duration and quality of sleep were analyzed in 103,099 respondents. Women younger than 20 years of age awoke and slept the latest in comparison to all other age groups during preconception and pregnancy. Sleep time of women younger than 20 years of age was the longest in comparison to other age groups. The wake-up time and bedtime of teenage mothers were delayed from preconception to second or third trimester, but they did not display any statistically significant changes in other age groups. Moreover, the younger the pregnant women were the more sleep trouble they had despite reportedly being tired, and felt more sleep-deprived despite having had enough sleep time in both second and third trimesters. The sleep state of pregnant women differed by age, with younger women experiencing more sleep trouble and feeling less rested compared to other groups. In future studies, the influences of sleep during pregnancy on the health and development of the children of these pregnant women will be clarified.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
¥17,985 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Japan)

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Mindell JA, Cook RA, Nikolovski J. Sleep patterns and sleep disturbances across pregnancy. Sleep Med. 2015;16(4):483–8.

    Article  PubMed  Google Scholar 

  2. Nakagome S, Kaneita Y, Itani O, Ikeda M, Ichinose A, Morioka H, Osaki Y, Ohida T. Excessive daytime sleepiness among pregnant women: an epidemiological study. Sleep Biological Rhythms. 2014;12(1):12–21.

    Article  Google Scholar 

  3. Suzuki K, Ohida T, Sone T, Takemura S, Yokoyama E, Miyake T, Harano S, Nozaki N, Motojima S, Suga M. An epidemiological study of sleep problems among the Japanese pregnant women. Jpn J Public Health. 2003;50(6):526–39 (Nihon koshu eisei zasshi).

    Google Scholar 

  4. Wang H, Leng J, Li W, Wang L, Zhang C, Li W, Liu H, Zhang S, Chan J, Hu G, Yu Z, Yang X. Sleep duration and quality, and risk of gestational diabetes mellitus in pregnant Chinese women. Diabet Med. 2017;34(1):44–50.

    Article  CAS  PubMed  Google Scholar 

  5. Haney A, Buysse DJ, Rosario BL, Chen YF, Okun ML. Sleep disturbance and cardiometabolic risk factors in early pregnancy: a preliminary study. Sleep Med. 2014;15(4):444–50.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Okun ML, Schetter CD, Glynn LM. Poor sleep quality is associated with preterm birth. Sleep. 2011;34(11):1493–8.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Kajeepeta S, Sanchez SE, Gelaye B, Qiu C, Barrios YV, Enquobahrie DA, Williams MA. Sleep duration, vital exhaustion, and odds of spontaneous preterm birth: a case-control study. BMC Pregnancy Childbirth. 2014;14:337.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Lee KA, Gay CL. Sleep in late pregnancy predicts length of labor and type of delivery. Am J Obstet Gynecol. 2004;191(6):2041–6.

    Article  PubMed  Google Scholar 

  9. Dorheim SK, Bjorvatn B, Eberhard-Gran M. Insomnia and depressive symptoms in late pregnancy: a population-based study. Behav Sleep Med. 2012;10(3):152–66.

    Article  PubMed  Google Scholar 

  10. Michikawa T, Nitta H, Nakayama SF, Yamazaki S, Isobe T, Tamura K, Suda E, Ono M, Yonemoto J, Iwai-Shimada M, Kobayashi Y, Suzuki G, Kawamoto T, Japan E. Children’s Study G. Baseline Profile of Participants in the Japan Environment and Children’s Study (JECS). J Epidemiol. 2017. https://doi.org/10.2188/jea.JE20170018.

    Article  PubMed  Google Scholar 

  11. Kawamoto T, Nitta H, Murata K, Toda E, Tsukamoto N, Hasegawa M, Yamagata Z, Kayama F, Kishi R, Ohya Y, Saito H, Sago H, Okuyama M, Ogata T, Yokoya S, Koresawa Y, Shibata Y, Nakayama S, Michikawa T, Takeuchi A, Satoh H, Working Group of the Epidemiological Research for Children’s Environmental H. Rationale and study design of the Japan environment and children’s study (JECS). BMC Public Health. 2014;14:25.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Michikawa T, Nitta H, Nakayama SF, Ono M, Yonemoto J, Tamura K, Suda E, Ito H, Takeuchi A. Kawamoto TJJoe. The Japan Environment and Children’s Study (JECS): a preliminary report on selected characteristics of approximately 10000 pregnant women recruited during the first year of the study. J Epidermiol. 2015;25(6):452–8.

    Article  Google Scholar 

  13. Jaehne A, Unbehaun T, Feige B, Lutz UC, Batra A, Riemann D. How smoking affects sleep: a polysomnographical analysis. Sleep Med. 2012;13(10):1286–92.

    Article  PubMed  Google Scholar 

  14. Ohayon MM, Carskadon MA, Guilleminault C, Vitiello MV. Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep. 2004;27(7):1255–73.

    Article  Google Scholar 

  15. Kaneita Y, Ohida T, Uchiyama M, Takemura S, Kawahara K, Yokoyama E, Miyake T, Harano S, Suzuki K, Yagi Y. Excessive daytime sleepiness among the Japanese general population. J Epidemiol. 2005;15(1):1–8.

    Article  PubMed  Google Scholar 

  16. Pien GW, Schwab RJ. Sleep disorders during pregnancy. Sleep. 2004;27(7):1405–17.

    Article  PubMed  Google Scholar 

  17. Lancel M, Faulhaber J, Holsboer F, Rupprecht R. Progesterone induces changes in sleep comparable to those of agonistic GABAA receptor modulators. Am J Physiol. 1996;271(4 Pt 1):E763-72.

    PubMed  Google Scholar 

  18. Friess E, Tagaya H, Trachsel L, Holsboer F, Rupprecht R. Progesterone-induced changes in sleep in male subjects. Am J Physiol Endocrinol Metab. 1997;272(5):E885-E91.

    Article  Google Scholar 

  19. Nowakowski S, Meers J, Heimbach E. Sleep and women’s health. Sleep Med Res. 2013;4(1):1.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Tsai S-Y, Lin J-W, Kuo L-T, Thomas KA. Daily sleep and fatigue characteristics in nulliparous women during the third trimester of pregnancy. Sleep. 2012;35(2):257–62.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Lee KA, Zaffke ME, McEnany G. Parity and sleep patterns during and after pregnancy. Obstet Gynecol. 2000;95(1):14–8.

    CAS  PubMed  Google Scholar 

  22. Penman-Aguilar A, Carter M, Snead MC, Kourtis AP. Socioeconomic disadvantage as a social determinant of teen childbearing in the US. Public Health Rep. 2013;128(2_suppl1):5–22.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Chen X-K, Wen SW, Fleming N, Demissie K, Rhoads GG, Walker M. Teenage pregnancy and adverse birth outcomes: a large population based retrospective cohort study. Int J Epidemiol. 2007;36(2):368–73.

    Article  CAS  PubMed  Google Scholar 

  24. Siegel RS, Brandon AR. Adolescents, pregnancy, and mental health. J Pediatric Adolesc Gynecol. 2014;27(3):138–50.

    Article  Google Scholar 

  25. Roberts RE, Duong HT. The prospective association between sleep deprivation and depression among adolescents. Sleep. 2014;37(2):239–44.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Steptoe A, O’Donnell K, Marmot M, Wardle JJJopr. Positive affect, psychological well-being, and good sleep. 2008; 64(4): 409–15.

  27. Karlson CW, Gallagher MW, Olson CA, Hamilton NAJHP. Insomnia symptoms and well-being: Longitudinal follow-up. 2013; 32(3): 311.

  28. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.

    Article  CAS  Google Scholar 

  29. Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14(6):540–5.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

The authors would like to thank the participants in the JECS. We also thank to all the staff members of the JECS. Members of the Japan Environment and Children’s Study (JECS) as of 2018: Reiko Kishi (Hokkaido University, Sapporo, Japan), Nobuo Yaegashi (Tohoku University, Sendai, Japan), Koichi Hashimoto (Fukushima Medical University, Fukushima, Japan), Chisato Mori (Chiba University, Chiba, Japan), Shuichi Ito (Yokohama City University, Yokohama, Japan), Zentaro Yamagata (University of Yamanashi, Chuo, Japan), Hidekuni Inadera (University of Toyama, Toyama, Japan), Michihiro Kamijima (Nagoya City University, Nagoya, Japan), Takeo Nakayama (Kyoto University, Kyoto, Japan), Hiroyasu Iso (Osaka University, Suita, Japan), Masayuki Shima (Hyogo College of Medicine, Nishinomiya, Japan), Yasuaki Hirooka (Tottori University, Yonago, Japan), Narufumi Suganuma (Kochi University, Nankoku, Japan), Koichi Kusuhara (University of Occupational and Environmental Health, Kitakyushu, Japan), and Takahiko Katoh (Kumamoto University, Kumamoto, Japan). This study was funded and supported by the Ministry of the Environment, Japan. The findings and conclusions of this article are solely the responsibility of the authors and do not represent the official views of the above government agency.

Author information

Authors and Affiliations

  1. Medical Support Center for Japan Environment and Children’s Study (JECS), National Center for Child Health and Development, 2-10-1, Okura, Setagayaku, Tokyo, 157-8535, Japan

    Mizuho Konishi, Ai Tomotaki, Kiwako Yamamoto-Hanada, Hidetoshi Mezawa, Tadayuki Ayabe, Kazue Ishitsuka, Mayako Saito, Hirohisa Saito & Yukihiro Ohya

Authors
  1. Mizuho Konishi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ai Tomotaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kiwako Yamamoto-Hanada
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hidetoshi Mezawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Tadayuki Ayabe
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kazue Ishitsuka
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Mayako Saito
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Hirohisa Saito
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Yukihiro Ohya
    View author publications

    You can also search for this author in PubMed Google Scholar

Consortia

For the Japan Environment and Children’s Study Group

  • Reiko Kishi
  • , Nobuo Yaegashi
  • , Koichi Hashimoto
  • , Chisato Mori
  • , Shuichi Ito
  • , Zentaro Yamagata
  • , Hidekuni Inadera
  • , Michihiro Kamijima
  • , Takeo Nakayama
  • , Hiroyasu Iso
  • , Masayuki Shima
  • , Yasuaki Hirooka
  • , Narufumi Suganuma
  • , Koichi Kusuhara
  •  & Takahiko Katoh

Corresponding author

Correspondence to Yukihiro Ohya.

Additional information

Members of “For the Japan Environment and Children’s Study Group” are listed in acknowledgement section.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Konishi, M., Tomotaki, A., Yamamoto-Hanada, K. et al. Sleep status varies by age among Japanese women during preconception and pregnancy in a nationwide birth cohort study [the Japan Environment and Children’s Study (JECS)]. Sleep Biol. Rhythms 17, 161–172 (2019). https://doi.org/10.1007/s41105-018-0195-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s41105-018-0195-1

Keywords

Search

Navigation