Gender differences in the relationship between walking activity and sleep disturbance among community-dwelling older adult with diabetes in Taiwan

Abstract

This study explored the gender differences in the relationship between walking activity and sleep disturbances. A cross-sectional study of 201 community-dwelling older adults with diabetes was conducted in southern Taiwan. Using the Taiwanese version of the International Physical Activity Questionnaire, self-administered short version (IPAQ-SS), information on physical activity and sleep disturbance conditions was collected. Among older female adults with diabetes, 54.2% reported sleep disturbance significantly higher than males (38.1%). Logistic regression analysis suggested that for women, in addition to the active group, older adults in the low-active, high-walking group exhibited a significantly lower rate of sleep disturbance than did those who walked less.

Symptom Profiles, Health-Related Quality of Life, and Clinical Blood Markers among Korean Community-Dwelling Older Adults Living with Chronic Conditions

“…Studies have suggested sex differences in symptoms experience [40][41][42]. We found that sex was the strongest predictor of high symptom burden.…”

Beliefs, Benefits and Barriers Associated with Physical Activity: Impact of These Factors on Physical Activity in Patients With Type II Diabetes Mellitus

“…external factors, and physical activity barriers of patients with type II DM, and design patient-centered physical activity programs such as: resistance exercises performed in three sets of 8 to 12 repetitions for three times per week (Hsieh et al, 2018), daily walking for at least 30 min (Cheng et al, 2019), and Tai Chi exercise three times per week with each session lasting up to 1 hr (Chen et al, 2010). This type of exercise will help these patients to improve sleep problems and physical fitness in order to manage diabetes and facilitate quality of life.…”

“…Videoconferencing-delivered group-based physical activity (Jeske et al, 2020), physical therapist-guided resistance training (Hsieh et al, 2018), home-based exercise (Chen et al, 2010), and simple ways to exercise (daily walking) (Cheng et al, 2019) help to overcome time and transportation issues and facilitate motivation.…”

“…Research has revealed that diabetes patients with higher body mass index (Rachmah et al, 2019), poor glycaemic control (Kaizu et al, 2014), waist circumference of more than 80 or 90 (Kaizu et al, 2014), who are older adults (age > 65 years) (Gallardo-Alfaro et al, 2019), and have lower levels of education (Gallardo-Alfaro et al, 2019) are more likely to be physically inactive. Although some Taiwanese studies have explored this issue, most research has focused on hospital-based patient care (Hsieh et al, 2018), older adults (Cheng et al, 2019), and obesity patients (Chen et al, 2010).…”

Letter regarding “sleep disturbance in people with diabetes: A concept analysis”

“…Adan, Fabbri, Natale, and Prat (2006) and Larcher, Benhamou, Pépin, and Borel (2015) indicated that sleep hygiene-sleep facilitating and inhibiting practices-is related to sleep quality and sleep duration. In addition, Cheng et al (2017) described that physical activity is associated with sleep disturbance. Although sleep patterns, sleep hygiene and physical activities can be antecedents of sleep disturbance in people without diabetes, they can also have a considerable impact on the sleep quality and sleep duration of people with diabetes.…”