Sleep deprivation in the last trimester of pregnancy and inadequate vitamin D: Is there a relationship?

dc.contributor.authorGunduz, Suzan
dc.contributor.authorKosger, Hatice
dc.contributor.authorAldemir, Secil
dc.contributor.authorAkcal, Banu
dc.contributor.authorTevrizci, Hatice
dc.contributor.authorHizli, Deniz
dc.contributor.authorCelik, Huseyin Tugrul
dc.date.accessioned2025-10-24T18:09:04Z
dc.date.available2025-10-24T18:09:04Z
dc.date.issued2016
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractBackground: Disturbed sleep is a significant health issue for pregnant women. Inadequate vitamin D intake is common among pregnant women and can affect many bodily systems. The purpose of this cross-sectional study was to test the hypothesis that serum vitamin D levels are low in pregnant women who have poor sleep quality in their last trimester. Methods: We enrolled 92 pregnant women who were admitted to the Maternity Clinic of Turgut Ozal University (Ankara, Turkey) in their last trimester. Venous blood sampling was performed to determine serum 25-hydroxyvitamin D levels. Sleep quality was measured by the Pittsburgh Sleep Questionnaire. The Student t test and Chi-square test were used to evaluate the relationships between variables. Logistic regression analysis was used to identify independent predictors of the vitamin D level. Results: The median score of the Pittsburgh Sleep Questionnaire was 6.2 +/- 3.3 (range, 1-17). We determined that 43.5% (40) of participants had poor sleep quality. The mean number of sleep hours at night was 8.6 +/- 1 hours (range, 6.30-11 hours), and the mean sleep latency was 20.3 +/- 12.7 minutes (range, 5-60 minutes). Vitamin D levels were measured for 87 participants; the median serum level of 25 (OH) vitamin D was 22.9 +/- 16.2 ng/mL (range, 4.9-99 ng/mL). Among all patients, we did not determine any significance between the vitamin D-deficient group and the non vitamin D-deficient group with regard to the Pittsburgh Sleep Questionnaire Inventory (PSQI) total score and subcomponents scores of the questionnaire (p > 0.05). Among 37 patients with poor sleep quality and for whom the vitamin D level was measured, 56.8% (21) women had vitamin D deficiency, and 81% (30) women had vitamin D insufficiency. However, we did not find any significance between participants with poor sleep and participants with good sleep quality with regard to age, occupational status, relationship with her partner, prepregnancy body mass index (BMI), weight gain during pregnancy, being primiparus, length of labor, and mode of delivery. Our findings further showed that being in a low income family was associated with poor sleep quality. Conclusion: Inadequate vitamin D and poor sleep quality are prevalent in pregnant women, but low levels of vitamin D are not associated with poor sleep quality. Further studies with larger sample sizes and studies that include preterm deliveries and special sleep disorders should be performed to understand this issue better. Copyright (C) 2015 Elsevier Taiwan LLC and the Chinese Medical Association. All rights reserved.
dc.description.sponsorshipFatih University Foundation (Istanbul, Turkey) [2013-04-008]
dc.description.sponsorshipThis work was supported by grants from the Fatih University Foundation (Istanbul, Turkey; project no: 2013-04-008).
dc.identifier.doi10.1016/j.jcma.2015.06.017
dc.identifier.endpage38
dc.identifier.issn1726-4901
dc.identifier.issn1728-7731
dc.identifier.issue1
dc.identifier.pmid26391786
dc.identifier.scopus2-s2.0-84983096003
dc.identifier.scopusqualityQ1
dc.identifier.startpage34
dc.identifier.urihttps://doi.org/10.1016/j.jcma.2015.06.017
dc.identifier.urihttps://hdl.handle.net/20.500.12899/3456
dc.identifier.volume79
dc.identifier.wosWOS:000372137300008
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofJournal Of The Chinese Medical Association
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20251023
dc.subjectinadequate vitamin D; poor sleep quality; pregnancy
dc.titleSleep deprivation in the last trimester of pregnancy and inadequate vitamin D: Is there a relationship?
dc.typeArticle

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