The association between actigraphy-assessed sleep disturbance parameters, gestational diabetes risk, and maternal glycemia: a systematic review
Biological Rhythm Research, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Basım Tarihi: 2026
- Doi Numarası: 10.1080/09291016.2026.2723500
- Dergi Adı: Biological Rhythm Research
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CAB Abstracts, EMBASE, Geobase, Psycinfo, SportDiscus, Zoological Record, Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Psychology & Behavioral Sciences Collection (EBSCO)
- Anahtar Kelimeler: Gestational diabetes mellitus, actigraphy, sleep duration, circadian rhythm, pregnancy, maternal glycemia
- Atatürk Üniversitesi Adresli: Evet
Özet
This systematic review aimed to examine the association between actigraphy-assessed sleep disturbance parameters and the risk of gestational diabetes as well as maternal glycemic outcomes during pregnancy. This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and registered in PROSPERO (CRD420261411142). A systematic literature search was performed in PubMed, Scopus, Web of Science, and Cochrane Library databases between May and June 2026. Studies published in English between January 2014 and December 2025 were considered. Six studies met the inclusion criteria. Across the included studies, shorter sleep duration was generally associated with higher maternal glucose levels and/or increased GDM risk. In addition, delayed sleep timing, irregular sleep schedules, and circadian rhythm disruption were linked to impaired glycemic control and greater odds of developing GDM. Overall, actigraphy-measured short sleep duration, delayed sleep timing, and irregular sleep patterns were associated with less favorable maternal glycemic outcomes and/or GDM risk. However, heterogeneity in study populations, actigraphy protocols, outcome definitions, and confounder adjustment limits causal interpretation. Further prospective and interventional studies using standardized actigraphy protocols are needed to determine whether sleep-related parameters may serve as clinically useful risk markers or modifiable targets during pregnancy.