Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

A prospective study of the relationships between movement and glycemic control during day and night in pregnancy

Behravesh, Masoud LU ; Fernandez-Tajes, Juan LU ; Estampador, Angela C. LU ; Varga, Tibor V. LU ; Gunnarsson, Ómar S. LU orcid ; Strevens, Helena LU ; Timpka, Simon LU orcid and Franks, Paul W. LU (2021) In Scientific Reports 11(1).
Abstract

Both disturbed sleep and lack of exercise can disrupt metabolism in pregnancy. Accelerometery was used to objectively assess movement during waking (physical activity) and movement during sleeping (sleep disturbance) periods and evaluated relationships with continuous blood glucose variation during pregnancy. Data was analysed prospectively. 15-women without pre-existing diabetes mellitus wore continuous glucose monitors and triaxial accelerometers from February through June 2018 in Sweden. The relationships between physical activity and sleep disturbance with blood glucose rate of change were assessed. An interaction term was fitted to determine difference in the relationship between movement and glucose variation, conditional on... (More)

Both disturbed sleep and lack of exercise can disrupt metabolism in pregnancy. Accelerometery was used to objectively assess movement during waking (physical activity) and movement during sleeping (sleep disturbance) periods and evaluated relationships with continuous blood glucose variation during pregnancy. Data was analysed prospectively. 15-women without pre-existing diabetes mellitus wore continuous glucose monitors and triaxial accelerometers from February through June 2018 in Sweden. The relationships between physical activity and sleep disturbance with blood glucose rate of change were assessed. An interaction term was fitted to determine difference in the relationship between movement and glucose variation, conditional on waking/sleeping. Total movement was inversely related to glucose rate of change (p < 0.001, 95% CI (− 0.037, − 0.026)). Stratified analyses showed total physical activity was inversely related to glucose rate of change (p < 0.001, 95% CI (− 0.040, − 0.028)), whereas sleep disturbance was not related to glucose rate of change (p = 0.07, 95% CI (< − 0.001, 0.013)). The interaction term was positively related to glucose rate of change (p < 0.001, 95% CI (0.029, 0.047)). This study provides temporal evidence of a relationship between total movement and glycemic control in pregnancy, which is conditional on time of day. Movement is beneficially related with glycemic control while awake, but not during sleep.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scientific Reports
volume
11
issue
1
article number
23911
publisher
Nature Publishing Group
external identifiers
  • scopus:85121031947
  • pmid:34903782
ISSN
2045-2322
DOI
10.1038/s41598-021-03257-0
language
English
LU publication?
yes
id
c66d55da-c498-4d6b-a163-e048b5dac009
date added to LUP
2022-01-27 12:26:17
date last changed
2024-06-02 00:00:07
@article{c66d55da-c498-4d6b-a163-e048b5dac009,
  abstract     = {{<p>Both disturbed sleep and lack of exercise can disrupt metabolism in pregnancy. Accelerometery was used to objectively assess movement during waking (physical activity) and movement during sleeping (sleep disturbance) periods and evaluated relationships with continuous blood glucose variation during pregnancy. Data was analysed prospectively. 15-women without pre-existing diabetes mellitus wore continuous glucose monitors and triaxial accelerometers from February through June 2018 in Sweden. The relationships between physical activity and sleep disturbance with blood glucose rate of change were assessed. An interaction term was fitted to determine difference in the relationship between movement and glucose variation, conditional on waking/sleeping. Total movement was inversely related to glucose rate of change (p &lt; 0.001, 95% CI (− 0.037, − 0.026)). Stratified analyses showed total physical activity was inversely related to glucose rate of change (p &lt; 0.001, 95% CI (− 0.040, − 0.028)), whereas sleep disturbance was not related to glucose rate of change (p = 0.07, 95% CI (&lt; − 0.001, 0.013)). The interaction term was positively related to glucose rate of change (p &lt; 0.001, 95% CI (0.029, 0.047)). This study provides temporal evidence of a relationship between total movement and glycemic control in pregnancy, which is conditional on time of day. Movement is beneficially related with glycemic control while awake, but not during sleep.</p>}},
  author       = {{Behravesh, Masoud and Fernandez-Tajes, Juan and Estampador, Angela C. and Varga, Tibor V. and Gunnarsson, Ómar S. and Strevens, Helena and Timpka, Simon and Franks, Paul W.}},
  issn         = {{2045-2322}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Nature Publishing Group}},
  series       = {{Scientific Reports}},
  title        = {{A prospective study of the relationships between movement and glycemic control during day and night in pregnancy}},
  url          = {{http://dx.doi.org/10.1038/s41598-021-03257-0}},
  doi          = {{10.1038/s41598-021-03257-0}},
  volume       = {{11}},
  year         = {{2021}},
}