Associations of mind-body integrative care with sleep, metabolic profiles, and pregnancy outcomes in women with gestational diabetes mellitus: A prospective cohort study.

[ 30 , 48 , 49 ] Although anxiety and depression scores showed a decreasing trend without statistical significance, this may be attributed to the relatively short 8-week intervention period, the lagging nature of emotional improvement compared with physiological changes, and the limited sample size that constrained statistical power.

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[ 33 – 35 ] Notably, the association between exposure to mind–body integrative care and APOs was attenuated after further adjustment for sleep quality and psychological variables in the fully adjusted Cox model, resulting in a marginally nonsignificant HR.

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