About three weeks before delivery
也就是懷孕最后三個(gè)月的睡眠情況
and then we were actually
然后我們隨后對(duì)她們的睡眠
doing a sleep intervention study later
進(jìn)行了干預(yù)
but in this study
在這個(gè)研究中
just vicariously
我們間接的發(fā)現(xiàn)了一個(gè)情況
what we found was that the women
也就是每天睡眠時(shí)間
who had 7 hours of sleep or more
在7小時(shí)以上的孕婦
had labor of 17 hours
順產(chǎn)的時(shí)間大約為17小時(shí)
Their C-section rate was about 11%
她們的剖腹產(chǎn)率大約為11%
and at the time the study was done
我們開(kāi)展這項(xiàng)研究時(shí)
it was close to 30% in the general population
剖腹產(chǎn)率平均為30%
The women who had 6 to 7 hours of sleep
而每晚睡眠時(shí)間在6到7小時(shí)之間的孕婦
had 3 hours longer labor
她們的順產(chǎn)時(shí)間要長(zhǎng)3個(gè)小時(shí)
a 34% C-section rate
剖腹產(chǎn)率為34%
So they were 3.5 times more likely to have a C-section
所以她們的剖腹產(chǎn)率要高3.5倍
And in a group, believe it or not
大家信不信
the women in the third trimester
最后三個(gè)月
who are sleeping less than 6 hours
睡眠時(shí)間不足6個(gè)小時(shí)的孕婦
and those women had 29 hours of labor
她們的順產(chǎn)時(shí)間為29個(gè)小時(shí)
10 hours longer than the other group
比其他小組多10個(gè)小時(shí)
and 37% C-section rate
剖腹產(chǎn)率為37%
This was 4.5 times more C-section experiences
是每天睡覺(jué)7小時(shí)以上的孕婦的
than the women who slept 7 hours or longer
4.5倍
We replicated this in other data
我們?cè)谄渌芯恐兄貜?fù)了這個(gè)試驗(yàn)
and this was with objective sleep measures as well
這一次引入了客觀的測(cè)量標(biāo)準(zhǔn)
as there are subjective sleep reports
因?yàn)橹坝泻芏嗍窃袐D的主觀陳述
Of course, with C-sections
當(dāng)然 在是否剖腹產(chǎn)問(wèn)題上
you always worry about the sizes of the babies
人們擔(dān)心的是胎兒的大小
so we control for the baby's birth weight
所以我們對(duì)胎兒的出生重量進(jìn)行了控制
I think now if we tell women get a good night sleep
現(xiàn)在我覺(jué)得如果我告訴孕婦要好好睡覺(jué)
make sleep a priority for you
睡覺(jué)是首要的問(wèn)題
you have 10 hours shorter labor
因?yàn)檫@樣你的順產(chǎn)時(shí)間要短10個(gè)小時(shí)
and less likely to have C-section
而且剖腹產(chǎn)率也要低得多
I think that's pretty compelling data
我覺(jué)得這個(gè)數(shù)據(jù)很有說(shuō)服力
So when we look at the model again
當(dāng)我們?cè)俅窝芯窟@個(gè)模型時(shí)
we can talk about the immune function
我們談到的是免疫功能
fat and glucose metabolism
脂肪和葡萄糖的代謝
Again, with this fat/glucose
說(shuō)到脂肪和葡萄糖的代謝
if you are sleeping short hours
如果你的睡眠時(shí)間短
you are more likely to look like a Type II diabetic
那么你的情況會(huì)和II型糖尿病很相似
Your fat/glucose
你的脂肪和葡萄糖
leptin and ghrelin levels
瘦素和胃饑餓素水平