# The effect of healthy life behaviors in pregnancy on pregnant sleep quality

**Authors:** Nazan Karahan, Sümeyra Damsarsan, Şerife İrem Döner, İlknur Sirkeci

PMC · DOI: 10.1590/1806-9282.20241821 · Revista da Associação Médica Brasileira · 2025-10-17

## TL;DR

This study found no significant link between healthy lifestyle behaviors and sleep quality in pregnant women, despite poor sleep being common during pregnancy.

## Contribution

The study contributes by investigating the relationship between healthy lifestyle behaviors and sleep quality during pregnancy using path analysis.

## Key findings

- No statistically significant relationship was found between healthy lifestyle behaviors and sleep quality during pregnancy.
- Poor sleep quality is common among pregnant women, regardless of their lifestyle behaviors.

## Abstract

The relationship between sleep quality in pregnancy, which is associated with adverse pregnancy outcomes, and healthy life behaviors is unclear. The aim of the study was to investigate the relationship between healthy life behaviors and sleep quality during pregnancy.

This study was conducted as a descriptive and correlational study. This study included 282 pregnant women. The study "Healthy Lifestyle Behaviors in Pregnancy Scale" was used to determine women's healthy lifestyle behaviors and "Pittsburgh Sleep Quality Index" was used to evaluate sleep problems. In this study, PATH analysis was used to test the model (p<0.050).

The mean age of the participants was 27.43±5.54 years, and the mean gestational age was 24.32±10.4 weeks. Healthy Lifestyle Behaviors in Pregnancy Scale total mean score was 109.62±16.46, and Pittsburgh Sleep Quality Index total mean score was 6.90±3.37. According to the results of path analysis, there was no statistically significant relationship between Pittsburgh Sleep Quality Index and Healthy Lifestyle Behaviors in Pregnancy Scale total and sub-dimension scores (p>0.050).

The results of this study suggest that there is no association between healthy lifestyle behaviors and sleep quality during pregnancy, but poor sleep quality is common during pregnancy. Therefore, studies investigating the longitudinal associations of sleep with objectively measured lifestyle behaviors during pregnancy are recommended.

## Full-text entities

- **Diseases:** sleep problems (MESH:D012893)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

22 references — full list in the complete paper: https://tomesphere.com/paper/PMC12534064/full.md

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Source: https://tomesphere.com/paper/PMC12534064