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. 2021 Jun;7(3):362-367.
doi: 10.1016/j.sleh.2021.02.002. Epub 2021 Apr 24.

Postpartum sleep loss and accelerated epigenetic aging

Judith E Carroll  1 , Kharah M Ross  2 , Steve Horvath  3 , Michele Okun  4 , Calvin Hobel  5 , Kelly E Rentscher  6 , Mary Coussons-Read  4 , Christine Dunkel Schetter  2
Affiliations

Postpartum sleep loss and accelerated epigenetic aging

Judith E Carroll et al. Sleep Health. 2021 Jun.

Abstract

Background: Insufficient sleep has been linked to accelerated biological aging in adults, providing a possible mechanism through which sleep may influence disease risk. In the current paper, we test the hypothesis that short sleep in postpartum would predict older biological age in women one year post birth, as indicated by accelerated epigenetic aging.

Methods: As part of a larger study of pregnancy and postpartum health (Healthy Babies Before Birth, HB3), 33 mothers provided blood samples for epigenetic aging clock estimates. intrinsic epigenetic age acceleration (IEAA), extrinsic apigenetic age acceleration, phenotypic epigenetic age acceleration (PEAA), GrimAge, DNAmPAI-1, and DNAm telomere length (TL) were calculated using established protocols. Sleep duration was categorized as insufficient sleep (<7 hours per night) or healthy sleep duration (7+ hours per night). Sleep quality was determined using the Pittsburgh Sleep Quality Index (Global score >5).

Results: Maternal postpartum sleep duration at 6 months, but not 12 months, following a birth was predictive of older 12-month IEAA, B (SE) = 3.0 (1.2), P = .02, PEAA, B (SE) = 7.3 (2.0), P = .002, and DNAmTL, B (SE) = -0.18 (0.07), P = .01, but not other indices, all P> .127. Self-reported poor sleep quality at 6 and 12 months was not significantly related to epigenetic age.

Conclusions: These findings suggest that insufficient sleep duration during the early postpartum period is associated with accelerated biological aging. As the sample size is small, additional research is warranted with a larger sample size to replicate these findings.

Keywords: Aging; Epigenetic; Postpartum; Sleep; Women.

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Figures

Figure 1.
Figure 1.
Postpartum sleep duration at 6-months predicting 12-month postpartum Intrinsic Epigenetic Age Acceleration (IEAA), adjusting for batch, race/ethnicity, education, per capita household income, marital status, breastfeeding, and 12-month BMI.
Figure 2.
Figure 2.
Postpartum sleep duration at 6-months predicted Phenotypic Epigenetic Age Acceleration (PEAA) at 12 month postpartum, adjusting for batch, race/ethnicity, education, per capita household income, marital status, breastfeeding, and 12-month BMI.
Figure 3.
Figure 3.
Postpartum sleep duration at 6-months predicted DNAm Telomere Length at 12 month postpartum, adjusting for batch, race/ethnicity, education, per capita household income, marital status, breastfeeding, and 12-month BMI.
See this image and copyright information in PMC

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