{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T11:10:51Z","timestamp":1779361851242,"version":"3.51.4"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sleep Sci"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Adolescence is a stage of development in which several social and biological parameters change drastically. Behavioral alterations are common during puberty, including the appearance of risk-taking behaviors such as substance use and unprotected sex, which can lead to unintended pregnancy. Of note, in addition to the inherent risks of pregnancy at a young age, sleep impairment and substance use are commonly seen in adolescents, even during pregnancy. The increased risk for the development of gestational diabetes, which has been linked to both sleep impairment and drug use, further complicates this scenario and deserves consideration among the scientific community and in the clinical setting. Therefore, in this commentary, we discuss the pathways connecting the risk of substance misuse, sleep impairment, and the development of gestational diabetes, a network that demonstrates the vulnerability of the pregnant teenage population. Future studies evaluating the complicating factors and modulators of pregnancy outcomes in these individuals are of the utmost importance.<\/jats:p>","DOI":"10.1055\/s-0045-1809925","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T23:33:06Z","timestamp":1754350386000},"page":"e451-e452","source":"Crossref","is-referenced-by-count":0,"title":["Substance Use, Poor Sleep, and Gestational Diabetes: Concerns in Adolescent Pregnancy"],"prefix":"10.1055","volume":"18","author":[{"given":"Vin\u00edcius","family":"Dokkedal-Silva","sequence":"additional","affiliation":[{"name":"Department of Psychobiology, Universidade Federal de S\u00e3o Paulo (UNIFESP), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aparecida E.","family":"Hirata","sequence":"additional","affiliation":[{"name":"Department of Physiology, Universidade Federal de S\u00e3o Paulo (UNIFESP), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"La\u00eds F.","family":"Berro","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 C. F.","family":"Galdur\u00f3z","sequence":"additional","affiliation":[{"name":"Department of Psychobiology, Universidade Federal de S\u00e3o Paulo (UNIFESP), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Tufik","sequence":"additional","affiliation":[{"name":"Department of Psychobiology, Universidade Federal de S\u00e3o Paulo (UNIFESP), S\u00e3o Paulo, SP, Brazil"},{"name":"Instituto do Sono, Associa\u00e7\u00e3o Fundo de Incentivo \u00e0 Pesquisa (AFIP), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1894-6748","authenticated-orcid":false,"given":"Monica Levy","family":"Andersen","sequence":"additional","affiliation":[{"name":"Department of Psychobiology, Universidade Federal de S\u00e3o Paulo (UNIFESP), S\u00e3o Paulo, SP, Brazil"},{"name":"Instituto do Sono, Associa\u00e7\u00e3o Fundo de Incentivo \u00e0 Pesquisa (AFIP), S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,8,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1016\/j.smrv.2018.03.006","article-title":"Sleep duration and risk-taking in adolescents: A systematic review and meta-analysis","volume":"41","author":"M A Short","year":"2018","journal-title":"Sleep Med Rev"},{"issue":"01","key":"ref2","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1186\/s12889-019-6396-y","article-title":"Lifestyle risk indices in adolescence and their relationships to adolescent disease burden: findings from an Australian national survey","volume":"19","author":"L Mewton","year":"2019","journal-title":"BMC Public Health"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"11220","DOI":"10.34117\/bjdv6n3-115","article-title":"Newborn outcomes exposure to crack cocaine during pregnancy: a critical review","volume":"6","author":"T Britto Silveira","year":"2020","journal-title":"Brazilian Journal of Development"},{"issue":"05","key":"ref4","doi-asserted-by":"publisher","first-page":"806","DOI":"10.1016\/j.childyouth.2013.02.004","article-title":"Substance Use among Adolescent Mothers: A Review","volume":"35","author":"S L Chapman","year":"2013","journal-title":"Child Youth Serv Rev"},{"issue":"01","key":"ref5","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1038\/s41386-019-0465-x","article-title":"Drugs, sleep, and the addicted brain","volume":"45","author":"R J Valentino","year":"2020","journal-title":"Neuropsychopharmacology"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1016\/j.smrv.2017.06.005","article-title":"Sleep quality during pregnancy: A meta-analysis","volume":"38","author":"I D Sedov","year":"2018","journal-title":"Sleep Med Rev"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/j.sleep.2019.11.1246","article-title":"Sleep quality and gestational diabetes in pregnant women: a systematic review and meta-analysis","volume":"67","author":"B Zhu","year":"2020","journal-title":"Sleep Med"},{"issue":"06","key":"ref8","doi-asserted-by":"publisher","first-page":"CD012202","DOI":"10.1002\/14651858.CD012202.pub2","article-title":"Exercise for pregnant women with gestational diabetes for improving maternal and fetal outcomes","volume":"6","author":"J Brown","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"e2701","DOI":"10.1590\/1518-8345.0815.2701","article-title":"Diabetes mellitus and drug abuse during pregnancy and the risk for orofacial clefts and related abnormalities","volume":"24","author":"I K Trindade-Suedam","year":"2016","journal-title":"Rev Lat Am Enfermagem"}],"container-title":["Sleep Science"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1809925.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T22:46:59Z","timestamp":1776293219000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1809925"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,4]]},"references-count":9,"aliases":["10.1055\/s-0045-1809992"],"journal-issue":{"issue":"04","published-online":{"date-parts":[[2025,12,31]]},"published-print":{"date-parts":[[2025,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0045-1809925","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1984-0659","1984-0063"],"issn-type":[{"value":"1984-0659","type":"print"},{"value":"1984-0063","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,4]]}}}