Association of Maternal Short Sleep Duration With Neurodevelopmental Delay in Offspring: A Prospective Cohort Study

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

Maternal SSD during pregnancy was continuously associated with an increased incidence of neurodevelopmental delay with sex differences among offspring. This association may be mediated in part by increased higher levels of cord C-peptide.

Study context

Population
Mother-child pairs from the Maternal & Infants Health in Hefei cohort; 3 hospitals and children's health centers in Hefei
Participants
7,059 mother-child pairs
Exposure
Maternal short sleep duration (SSD) during pregnancy vs no SSD
Outcome
Offspring neurodevelopmental delay (Denver Developmental Screening Test-II and Gesell Development Diagnosis Scale)
Follow-up
6 to 36 months postpartum
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Neurodevelopmental delay in boys, maternal SSD during midpregnancy

Adjusted HR

2.05

95% CI 1.29, 3.25

Observational data: associations, not effects.

Further findings

Cord blood serum C-peptide and offspring neurodevelopmental delay

RR
0.04 (95% CI 0.00, 0.08)
Proportion of SSD–delay association mediated by cord blood C-peptide
11.05%
  • Mediation analysis

Original publication

Association of Maternal Short Sleep Duration With Neurodevelopmental Delay in Offspring: A Prospective Cohort Study. J Clin Endocrinol Metab. Published 26 September 2024. doi:10.1210/clinem/dgae569

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