原文视听

About three weeks before delivery

也就是怀孕最后三个月的睡眠情况

and then we were actually

然后我们随后对她们的睡眠

doing a sleep intervention study later

进行了干预

but in this study

在这个研究中

just vicariously

我们间接的发现了一个情况

what we found was that the women

也就是每天睡眠时间

who had 7 hours of sleep or more

在7小时以上的孕妇

had labor of 17 hours

顺产的时间大约为17小时

Their C-section rate was about 11%

她们的剖腹产率大约为11%

and at the time the study was done

我们开展这项研究时

it was close to 30% in the general population

剖腹产率平均为30%

The women who had 6 to 7 hours of sleep

而每晚睡眠时间在6到7小时之间的孕妇

had 3 hours longer labor

她们的顺产时间要长3个小时

a 34% C-section rate

剖腹产率为34%

So they were 3.5 times more likely to have a C-section

所以她们的剖腹产率要高3.5倍

And in a group, believe it or not

大家信不信

the women in the third trimester

最后三个月

who are sleeping less than 6 hours

睡眠时间不足6个小时的孕妇

and those women had 29 hours of labor

她们的顺产时间为29个小时

10 hours longer than the other group

比其他小组多10个小时

and 37% C-section rate

剖腹产率为37%

This was 4.5 times more C-section experiences

是每天睡觉7小时以上的孕妇的

than the women who slept 7 hours or longer

4.5倍

We replicated this in other data

我们在其他研究中重复了这个试验

and this was with objective sleep measures as well

这一次引入了客观的测量标准

as there are subjective sleep reports

因为之前有很多是孕妇的主观陈述

Of course, with C-sections

当然 在是否剖腹产问题上

you always worry about the sizes of the babies

人们担心的是胎儿的大小

so we control for the baby's birth weight

所以我们对胎儿的出生重量进行了控制

I think now if we tell women get a good night sleep

现在我觉得如果我告诉孕妇要好好睡觉

make sleep a priority for you

睡觉是首要的问题

you have 10 hours shorter labor

因为这样你的顺产时间要短10个小时

and less likely to have C-section

而且剖腹产率也要低得多

I think that's pretty compelling data

我觉得这个数据很有说服力

So when we look at the model again

当我们再次研究这个模型时

we can talk about the immune function

我们谈到的是免疫功能

fat and glucose metabolism

脂肪和葡萄糖的代谢

Again, with this fat/glucose

说到脂肪和葡萄糖的代谢

if you are sleeping short hours

如果你的睡眠时间短

you are more likely to look like a Type II diabetic

那么你的情况会和II型糖尿病很相似

Your fat/glucose

你的脂肪和葡萄糖

leptin and ghrelin levels

瘦素和胃饥饿素水平

课程简介和演讲视频

课程简介
本套课程讲解了睡眠对健康的多重影响。睡眠不足会改变身体的内分泌系统，打破激素的平衡，扰乱大脑对食物的选择和摄取从而引发肥胖，严重影响胰岛素的平衡进而引发糖尿病。不同年龄段的人群有不同的睡眠需求，一般而言，年轻人的睡眠需求高于老年人，但所有成年人都应保证每天8小时的睡眠时间。老年人的睡眠时间减少并不是生理变化的自然结果，而是其他疾病造成的影响，衰老本身并不会降低睡眠需求。常见的睡眠障碍包括失眠、睡眠呼吸障碍、四肢不宁综合症、快速眼动期行为失调，患者需要就具体的睡眠障碍咨询专业的睡眠医生，确诊后有针对性的改善睡眠，进而提高整体的健康状况。不同的睡眠障碍有不同的治疗方式，但认知行为疗法是所有治疗方法的首选，其次是器械治疗、药物治疗以及外科手术治疗。患者应养成良好的睡眠习惯，培养“睡眠卫生习惯”，改善睡眠质量，尽量避免擅自用药和药物滥用。