J Sleep Res. 2020;00:e13135. wileyonlinelibrary.com/journal/jsr | 1 of 12
https://doi.org/10.1111/jsr.13135
© 2020 European Sleep Research Society
Received: 12 May 2020
|
Revised: 4 June 2020
|
Accepted: 9 June 2020
DOI: 10.1111/jsr.13135
REVIEW PAPER
Effects of sleep modulation during pregnancy in the mother
and offspring: Evidences from preclinical research
Gabriel Natan Pires
1,2
| Luciana Benedetto
3
| Rene Cortese
4
| David Gozal
4
|
Kamalesh K. Gulia
5
| Velayudhan Mohan Kumar
6
| Sergio Tufik
1
|
Monica Levy Andersen
1
1
Departamento de Psicobiologia,
Universidade Federal de São Paulo, São
Paulo, Brazil
2
Department of Physiological Sciences,
Santa Casa de São Paulo School of Medical
Sciences, São Paulo, Brazil
3
Departamento de Fisiología, Facultad de
Medicina, Universidad de la República,
Montevideo, Uruguay
4
Department of Child Health and Child
Health Research Institute, University of
Missouri School of Medicine, Columbia, MO,
USA
5
Division of Sleep Research, Biomedical
Technology Wing – Sree Chitra Tirunal
Institute for Medical Sciences and
Technology, Trivandrum, Kerala, India
6
Kerala Chapter (Convenor), National
Academy of Medical Sciences, New Delhi,
India
Correspondence
Gabriel Natan Pires, Departamento de
Psicobiologia, Universidade Federal de São
Paulo, Rua Napoleão de Barros, 925, Vila
Clementino – SP – 04024-002, São Paulo,
Brazil.
Email: gnspires@gmail.com; gabriel.pires@
fcmsantacasasp.edu.br
Funding information
Associação Fundo de Incentivo à Pesquisa;
Coordenação de Aperfeiçoamento de
Pessoal de Nível Superior; Conselho
Nacional de Desenvolvimento Científico e
Tecnológico; Cognitive Science Research
Initiative program of the Department of
Science and Technology, Grant/Award
Number: SR/CSI/110/2012 and SR/
CSRI/102/2014; US National Institutes of
Health, Grant/Award Number: HL130984
and HL140548
Abstract
Disturbed sleep during gestation may lead to adverse outcomes for both mother and
child. Animal research plays an important role in providing insights into this research
field by enabling ethical and methodological requirements that are not possible in hu-
mans. Here, we present an overview and discuss the main research findings related
to the effects of prenatal sleep deprivation in animal models. Using systematic re-
view approaches, we retrieved 42 articles dealing with some type of sleep alteration.
The most frequent research topics in this context were maternal sleep deprivation,
maternal behaviour, offspring behaviour, development of sleep–wake cycles in the
offspring, hippocampal neurodevelopment, pregnancy viability, renal physiology, hy-
pertension and metabolism. This overview indicates that the number of basic studies
in this field is growing, and provides biological plausibility to suggest that sleep dis-
turbances might be detrimental to both mother and offspring by promoting increased
risk at the behavioural, hormonal, electrophysiological, metabolic and epigenetic lev-
els. More studies on the effects of maternal sleep deprivation are needed, in light of
their major translational perspective.
KEYWORDS
gestation, intermittent hypoxia, maternal behaviour, scoping review, sleep deprivation, sleep
restriction, systematic review