The association between husband-reported snoring and gestational diabetes mellitus: a study of sleep-disordered breathing in pregnancy
摘要
Gestational diabetes mellitus (GDM) poses health risks to mothers and infants. This study investigates the link between husband-reported snoring in early pregnancy and GDM risk.
MethodsFrom July 2021 to June 2023, 1200 pregnant women were recruited at Babol University of Medical Sciences. Data collection included the Snoring Questionnaire and Epworth Sleepiness Scale (ESS) at the first antenatal visit. GDM was diagnosed at 24–28 weeks using an oral glucose tolerance test based on ADA criteria.
ResultsPersistent snorers had significantly higher fasting blood sugar levels, elevated 1–3-hour glucose levels, and a higher GDM prevalence (19.1% vs. 9.3%; p < 0.001) compared to soft snorers. After adjusting for confounding variables, occasional snoring (AOR: 3.93; 95% CI: 1.73–8.95; p = 0.001), frequent snoring (AOR: 4.02; 95% CI: 1.56–10.36; p = 0.004), and persistent snoring (AOR: 3.24; 95% CI: 2.04–5.13; p < 0.001) were associated with significantly increased GDM risk. A forest plot showed a significant trend of increased GDM risk with higher husband-reported snoring frequency (P < 0.001). No significant association was observed between daytime sleepiness and GDM.
ConclusionsHusband-reported snoring in early pregnancy, especially frequent snoring, is significantly associated with an increased risk of GDM. These findings highlight the potential role of sleep assessments in prenatal care for early identification and management of GDM risk.