Prevalence of Self-Reported Sleep Problems Among People With Diabetes in the United States, 2005-2008

Abstract

Introduction Sleep problems, including insomnia, apnea, and restless legs syndrome, are common, burdensome, and under-recognized in the United States. We sought to examine the association of sleep problems with diabetes among community-dwelling US adults. Methods We examined self-reported sleep problems in 9,848 adults (aged ≥20 y) participating in the National Health and Nutrition Examination Survey 2005 through 2008. Sleep problem information was elicited via validated questionnaire. Diabetes was defined by self-reported diagnosis or glycohemoglobin of 6.5% or higher. Multivariable logistic regression with US population-based weighting was used to obtain adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for various sleep problems by diabetes status. Results Sleep problems were common (>90% for any problem; 10%-40% for individual problems) overall, and people with diabetes were more likely than those without diabetes to report multiple problems (mean, 3.1 vs 2.5, respectively, P < .001). After adjustment for potential confounders (including demographics, body mass index, cardiovascular and kidney disease, and alcohol use), restless legs symptoms (OR, 1.40; 95% CI, 1.12-1.78), sleep apnea (OR, 1.45; 95% CI, 1.06-1.98), and nocturia (OR, 1.51; 95% CI, 1.22-1.87) were all positively associated with diabetes status. Conclusion Diabetes is associated with a higher risk of sleep problems, including not only sleep apnea but also inadequate sleep, excessive sleepiness, leg symptoms, and nocturia, independent of body mass index. Clinicians should be aware of the high prevalence of sleep problems among their patients with diabetes and should consider screening and treatment, which may improve patients' quality of life.

Can physical activity affect sleep disruption among the elderly with diabetes mellitus?

“…It seems that the aggravated effects of DM on sleep problems in subjects can cause a higher risk of sleep disruption [11,13,14]. The findings agreed with those who reported no predictability of marital status to develop sleep disruption [30,32], in contrast to earlier studies [24,25].…”

“…It shows that the positive impact of physical activity on sleep problems in diabetic patients in a previous research [23] and our study probably is due to promoting health and making slow the progression of diseases [24]. Besides, physical activity can reduce sleep problems such as sleep apnea via weight loss [25,26], which consequently influences physical and mental health in diabetic patients [14]. The feeling of well-being and life satisfaction [22,27,28] in relation to physical activities can help to decrease sleep disruption among the diabetic elderly.…”

“…Chronic diseases such as DM aggravate age-related sleep problems in the elderly [11,13,14]. In the current study, age, ethnicity, sex differences, marital status, and physical activity were evaluated regarding their influences on sleep disturbances in the older Malaysian people with DM.…”

“…Sleep problems in diabetic patients are due to nocturia, sleep apnea, inadequate sleep, restless legs symptoms, and frequent daytime sleepiness. In addition, advanced age, obesity, neuropathy, complications of co-morbid diseases, and taking medications interfere with sleeping well in these patients [14]. Sleep quality and duration in diabetes are bound to socio-demographic, social combinations, and health behavior factors as well [15].…”

The Prevalence of Self-Reported Sleep Problems and Some Factors Affecting It Among the Elderly in Amirkola

“…In Plantinga et al (44) nocturia was the most common cause of sleep disorders. Nocturiais is not often considered a cause of sleep disorder, but this problem can have a significant effect on ones sleep and quality of life (42).…”