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产后1个月时喂养方式与产褥期妇女睡眠状况关联

Association between feeding methods and sleep status at one month postpartum: a linkage study among six cities of 757 women at 1 month postpartum

    摘要
  • 摘要:
    目的 探讨产后1个月时的喂养方式与母亲睡眠状况的关联。
    方法 于2021年11月 — 2022年9月，在南京、成都、西安、武汉、广州和青岛6个城市对757名产后1个月的产褥期妇女进行面对面调查，收集婴儿的喂养方式及产褥期妇女的睡眠情况等信息，根据喂养方式将研究对象分为4组：（1）全母乳亲喂，（2）全母乳亲喂/瓶喂，（3）混合喂养 – 母乳亲喂，（4）混合喂养 – 母乳亲喂/瓶喂；采用广义线性模型分析喂养方式与产褥期妇女睡眠时长的关联；采用多分类logistic回归模型分析喂养方式与产褥期妇女总睡眠时长不足或过长风险及主观睡眠质量的关联。
    结果 全母乳亲喂、全母乳亲喂/瓶喂、混合喂养 – 母乳亲喂、混合喂养 – 母乳亲喂/瓶喂组的人数分别为263、173、152、169人，各组总睡眠时长分别为（8.4 ± 1.7）、（7.8 ± 1.5）、（8.3 ± 1.8）及（8.1 ± 1.7 ） h。调整潜在的混杂因素后，与喂养方式为全母乳亲喂的母亲相比，喂养方式为全母乳亲喂/瓶喂的母亲以及喂养方式为混合喂养 – 母乳亲喂/瓶喂的母亲总睡眠时长和夜间睡眠时长分别减少0.7 和0.5 h（P < 0.05），全母乳亲喂/瓶喂组总睡眠时长不足（ < 7 h）的风险显著升高，校正后OR（95%CI）为 2.07（1.16～3.72）；全母乳亲喂/瓶喂组，混合喂养 – 母乳亲喂组，混合喂养 – 母乳亲喂/瓶喂组主观睡眠质量较差或很差的风险均显著升高，校正后OR（95%CI）分别为3.11 （1.52～6.35）、2.31 （1.02～5.22）、3.00 （1.32～6.80）。
    结论 采用全母乳亲喂的产褥期妇女睡眠时长较长，主观睡眠质量最好。

     

    Abstract:
    Objective To explore the association between feeding methods at 1 month postpartum and maternal sleep status.
    Methods From November 2021 to September 2022, a total of 757 postpartum women at 1 month postpartum in Nanjing, Chengdu, Xi′an, Wuhan, Guangzhou, and Qingdao were surveyed by face-to-face to collect information on infant feeding methods and sleep status of 1 monthpostpartum women. The study subjects were divided into four groups according to the feeding methods: (1) exclusive breastfeeding, (2) exclusive breastfeeding/bottle-feeding, (3) mixed feeding – breastfeeding, and (4) mixed feeding – breastfeeding/bottle-feeding. A generalized linear model was used to analyze the association between feeding method and sleep duration of postpartum women. A multinomial logistic regression model was used to analyze the association between feeding method and the risk of insufficient or excessive total sleep duration and subjective sleep quality in postpartum women.
    Results The number of women in the exclusive breastfeeding, exclusive breastfeeding/bottle-feeding, mixed feeding – breastfeeding, and mixed feeding – breastfeeding/bottle-feeding groups was 263, 173, 152, and 169, respectively, and the total sleep duration was (8.4 ± 1.7), (7.8 ± 1.5), (8.3 ± 1.8), and (8.1 ± 1.7) hours, respectively. After adjusting for potential confounding factors, compared with mothers who exclusively breastfed, total sleep duration and night sleep duration were reduced by 0.7 and 0.5 hours, respectively, in mothers who exclusively breastfed/bottle-fed and mothers who mixed fed – breastfed/bottle-fed (P < 0.05). The risk of insufficient total sleep duration (< 7 h) was significantly increased in the exclusive breastfeeding/bottle-feeding group, with an adjusted OR (95%CI) of 2.07 (1.16 – 3.72). The risk of poor or very poor subjective sleep quality was significantly increased in the exclusive breastfeeding/bottle-feeding group, mixed feeding – breastfeeding group, and mixed feedin – breastfeeding/bottle-feeding group, with adjusted OR (95%CI) of 3.11 (1.52 – 6.35), 2.31 (1.02 – 5.22), and 3.00 (1.32 – 6.80), respectively.
    Conclusion Postpartum women who exclusively breastfed had longer sleep duration and the best subjective sleep quality.

     

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