Physical activity and sleep quality and duration among Hispanic postpartum women at risk for type 2 diabetes: Estudio PARTO

UMMS Affiliation

Department of Population and Quantitative Health Sciences, Division of Preventive and Behavioral Medicine; UMass Worcester Prevention Research Center

Publication Date


Document Type



Behavioral Medicine | Community Health and Preventive Medicine | Epidemiology | Maternal and Child Health | Preventive Medicine | Women's Health


OBJECTIVES: Poor sleep among postpartum women is associated with adverse maternal outcomes. Physical activity (PA) is associated with better sleep. However, few studies have been conducted among postpartum Hispanic women. The objective of this study was to examine the association between PA and sleep quality and duration among postpartum Hispanic women.

DESIGN: A cross-sectional analysis using baseline data from Estudio PARTO, an ongoing randomized controlled trial aimed at reducing type 2 diabetes risk among Hispanic women.

SETTING: Baystate Medical Center, in Western Massachusetts, which serves an ethnically and socioeconomically diverse population.

PARTICIPANTS: Hispanic women, at elevated risk for type 2 diabetes, at a mean of 11 weeks (SD=4.5) postpartum.

MEASUREMENTS: PA was measured with the Pregnancy Physical Activity Questionnaire (PPAQ), and sleep was measured with the Pittsburgh Sleep Quality Index (PSQI).

RESULTS: Mean sleep duration was 5.9 hour/night (SD=1.7) and PSQI score was 6.5 (SD=3.9). In multivariable logistic models, sports/exercise was associated with lower odds of very poor sleep quality (PSQI > 10) (OR=0.18, 95% CI=0.05 to 0.69). Sports/exercise (OR=0.05, 95% CI=0.01 to 0.26) and vigorous intensity PA (OR=0.13, 95% CI=0.04 to 0.42) were associated with lower odds of short (vs normal) sleep duration. There were no statistically significant relationships between PA in any other domain or intensity and sleep quality or duration

CONCLUSIONS: Findings can inform interventions designed to improve postpartum sleep via increasing opportunities for exercise among postpartum women.


Epidemiology, Exercise, Physical activity, Postpartum, Women's sleep

DOI of Published Version



Sleep Health. 2019 Jun 3. pii: S2352-7218(19)30076-2. doi: 10.1016/j.sleh.2019.04.003. [Epub ahead of print] Link to article on publisher's site

Journal/Book/Conference Title

Sleep health

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PubMed ID