Meta-Analysis of Relationship of Sleep Quality and Duration With Risk of Diabetic Retinopathy

Zheng, Zhenzhen; Wang, Chaoyu; Li, Chunhe; Wu, Qinglan; Chen, Xiaojuan; Chen, Huimin; Liao, Huizhao; Zhu, Jiang; Lin, Junyan; Ou, Xudong; Zou, Zhihong; Liang, Jing; Chen, Riken

doi:10.3389/fendo.2022.922886

Cited by 7 publications

(3 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…35 With regard to diabetes complications, a recent meta-analysis of 7 articles including more than 4500 people with diabetes found that low sleep quality related to a higher occurrence of diabetic retinopathy. 57 With respect to sleep problems, our meta-analysis showed that in those with T2D having insomnia (symptoms), there are higher HbA 1c levels (mean difference, 0.23% [0.1-0.4]) and higher fasting glucose levels (mean difference, 0.40 mmol/L [0.2-0.7]), 43 compared to those without insomnia. In addition, among people with T1D with moderate-to-severe OSA there was a trend toward higher HbA 1c levels (MD = 0.39%, 95% CI = −0.08, 0.87).…”

Section: Sleep Qualitymentioning

confidence: 88%

Sleep and Circadian Rhythm Disturbances in Diabetes: A Narrative Review

Rutters¹,

Nefs²

2022

DMSO

View full text Add to dashboard Cite

Sleep and circadian rhythm disturbances are less-known risk factors for the development and suboptimal outcomes of diabetes. The goal of this narrative review is to highlight the importance of sleep and circadian rhythm disturbances in the development and outcomes of type 1 diabetes (T1D) and type 2 diabetes (T2D), assess current treatment options and the possible mediating mechanisms. We performed a literature search using PubMed and selected relevant English and Dutch papers. Disturbances of sleep and circadian rhythm are common in people with diabetes. They are associated with an increased risk of developing T2D as well as with suboptimal diabetes outcomes (including higher HbA 1c levels and reduced quality of life) for T1D and T2D. Preliminary data suggest that treatment of sleep and circadian rhythm disturbances could improve diabetes outcomes in people with T1D and T2D. Finally, the association with medical parameters appears to be mediated by disturbance in hormones, and by suboptimal self-care including forgetting or postponing glucose monitoring or medication use as well as higher consumption of high fat/high sugary foods. Diabetes may also disturb sleep, for example through nocturnal hypoglycemia and nocturia. We concluded that sleep and circadian rhythm disturbances are closely linked with diabetes. More attention to sleep in regular diabetes care is warranted, while further research is needed on treatment of sleep and circadian rhythm disturbances in the prevention of diabetes and its suboptimal outcomes.

show abstract

Section: Sleep Qualitymentioning

confidence: 88%

Sleep and Circadian Rhythm Disturbances in Diabetes: A Narrative Review

Rutters¹,

Nefs²

2022

DMSO

View full text Add to dashboard Cite

show abstract

“…The inverse association between physical activity and the risk of diabetic complications may be attributed to reduced inflammation and elevated levels of 25-OH-Vitamin D3 [ 37 ].In this study, sleeping for less than 5 h was associated with an increased risk of DR. Sleep duration demonstrated a U-shaped association with diabetic vascular complications, with 6–8 h recommended for the lowest risk [ 38 ]. Beyond sleep deprivation, poor sleep quality has also been shown to impact the incidence of diabetic complication [ 39 ]. Potential mechanisms underlying these associations may involve sleep deprivation decreasing insulin sensitivity and enhancing systemic inflammatory responses due to circadian rhythm disruption [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

Modifiable lifestyle, mental health status and diabetic retinopathy in U.S. adults aged 18–64 years with diabetes: a population-based cross-sectional study from NHANES 1999–2018

Li,

Zhou,

et al. 2024

BMC Public Health

View full text Add to dashboard Cite

Background The relationship between integrated lifestyles, mental status and their impact on overall well-being has attracted considerable attention. This study aimed to evaluate the association between lifestyle factors, depression and diabetic retinopathy (DR) in adults aged 18–64 years. Methods A cohort of 3482 participants diagnosed with diabetes was drawn from the National Health and Nutrition Examination Survey (NHANES) spanning the years 1999–2018. DR was defined based on self-reported diabetic retinopathy diagnoses by professional physicians, relying on Diabetes Interview Questionnaires. Subgroup analysis was employed to assess lifestyle and psychological factors between participants with DR and those without, both overall and stratified by diabetic duration. Continuous variables were analyzed using the student’s t test, while weighted Rao-Scott χ2 test were employed for categorical variables to compare characteristics among the groups. Results Of the 3482 participants, 767 were diagnosed with diabetic retinopathy, yielding a weighted DR prevalence of 20.8%. Patients with DR exhibited a higher prevalence of heavy drinking, depression, sleep deprivation, and insufficient physical activity compared to those without DR. Furthermore, multivariable logistic regression analysis revealed that sleeping less than 5 h (OR = 3.18, 95%CI: 2.04–4.95, p < 0.001) and depression (OR = 1.35, 95%CI:1.06–1.64, p = 0.025) were associated with a higher risk of DR, while moderate drinking (OR = 0.49, 95%CI: 0.32–0.75, p = 0.001) and greater physical activity (OR = 0.64, 95%CI: 0.35–0.92, p = 0.044) were identified as protective factors. Conclusions Adults aged 18–64 years with DR exhibited a higher prevalence of lifestyle-related risk factors and poorer mental health. These findings underscore the need for concerted efforts to promote healthy lifestyles and positive emotional well-being in this population.

show abstract

“…3,4 Consequently, older adults may experience frequent complaints due to changes in their sleep patterns and quality.Poor SQ increases the risk of various physical and mental health problems. 5,6 Numerous studies demonstrated that poor SQ is associated with an increased risk of falls, cognitive disorders, dementia, reduced concentration, and mortality-related outcomes. [7][8][9][10][11][12] It is important to note that alterations in sleep patterns during the aging process can adversely affect the quality of life.…”

mentioning

confidence: 99%

Evaluation of Sleep Quality and Related Factors in Community-Dwelling Adults: Ardakan Cohort Study on Aging (ACSA)

Delbari,

Ghavidel,

Bidkhori

et al. 2023

Journal of Research in Health Sciences

View full text Add to dashboard Cite

Background: Sleep is a necessary physiological process that affects health. The current study aimed to evaluate sleep quality (SQ) and the related factors in Iranian community-dwelling adults. Study Design: A cross-sectional study. Method: Population-based cross-sectional data from the first wave of the Ardakan cohort study on aging (ACSA) were analyzed. The analytical sample consisted of 5197 community-dwelling adults aged≥50. All data were collected by trained staff. Pittsburgh Sleep Quality Index (PSQI) scores were used to measure SQ. Univariable and multivariable logistic regression were used to identify predictors of SQ. Results: The mean age of the participants was 62.22±7.7 years, and 51.8% were female. About threequarters of them (76.36%) were found to have poor SQ (PSQI score≥5). Multivariable logistic regression analysis revealed a relationship between SQ and gender, education, work, and financial level. Furthermore, SQ was found to be associated with self-reported health and physical activity. Regarding comorbidity, SQ had a significant relationship with cardiovascular diseases, musculoskeletal diseases, depression, and anxiety (P<0.05). Conclusion: The prevalence of poor SQ was high in these community-dwelling adults in Iran. These findings highlight the importance of intervention programs for sleep hygiene education and screening for middle-aged and older adults.

show abstract

Meta-Analysis of Relationship of Sleep Quality and Duration With Risk of Diabetic Retinopathy

Cited by 7 publications

References 43 publications

Sleep and Circadian Rhythm Disturbances in Diabetes: A Narrative Review

Sleep and Circadian Rhythm Disturbances in Diabetes: A Narrative Review

Modifiable lifestyle, mental health status and diabetic retinopathy in U.S. adults aged 18–64 years with diabetes: a population-based cross-sectional study from NHANES 1999–2018

Evaluation of Sleep Quality and Related Factors in Community-Dwelling Adults: Ardakan Cohort Study on Aging (ACSA)

Contact Info

Product

Resources

About