Subjective sleep impairment in adults with type 1 or type 2 diabetes: Results from Diabetes MILES—The Netherlands

Nefs, Giesje; Donga, Esther; Someren, Eus J.W. Van; Bot, Mariska; Speight, Jane; Pouwer, Frans

doi:10.1016/j.diabres.2015.07.008

Cited by 62 publications

(84 citation statements)

References 48 publications

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“…Studies examining the relationship between sleep disturbance and A1C have been inconsistent. In one study (Nefs et al., ), A1C was not related to sleep disturbance as measured by the PSQI while controlling covariates. In other studies (Knutson, Van Cauter, Zee, Liu, & Lauderdale, ; Knutson et al., ; Mahmood et al., ; Osonoi et al., ), sleep quality was related to A1C or fasting glucose in the bivariate analysis; however, the relationship became non‐significant after adjusting for covariates (e.g.…”

Section: Discussionmentioning

confidence: 96%

“…Consistent with the literature, our findings supported that females experienced more sleep disturbance than their male counterparts. In a study where sleep disturbance in people with T2DM was measured by the Pittsburgh Sleep Quality Index (PSQI), sleep disturbance was related to being female (OR = 2.72, 95% 1.42–5.20) (Nefs et al., ). In another study, females were at a higher risk for sleep disturbance (OR = 1.72, p < .05) (Gupta & Wang, ).…”

Section: Discussionmentioning

confidence: 99%

“…These moderate correlations indicate that neuropathic pain may have confounded the correlations between sleep and psychological factors, including depressive symptoms and diabetes distress. Indeed, one study showed that the significant association between sleep quality and diabetes distress became non‐significant after controlling for covariates (Nefs et al., ). Similarly, in another study, the relationship between diabetes severity and sleep disturbance was almost entirely mediated by pain and nocturia rather than psychological factors such as emotional adjustment (Lamond et al., ).…”

Section: Discussionmentioning

confidence: 99%

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Relationship and variation of diabetes related symptoms, sleep disturbance and sleep‐related impairment in adults with type 2 diabetes

Zhu

Quinn

Fritschi

2017

Journal of Advanced Nursing

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Relationship and variation of diabetes related symptoms, sleep disturbance and sleep‐related impairment in adults with type 2 diabetes

Zhu

Quinn

Fritschi

2017

Journal of Advanced Nursing

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“…Todos esses hormônios têm ações específicas, mas interferem de alguma forma no metabolismo de glicose sérica e sensibilidade periférica à insulina 3 . Estudos realizados em outros países têm demonstrado alguns fatores associados ao sono de má qualidade em pacientes diabéticos como sexo feminino [4][5] , tempo de diagnóstico [6][7] , crises de hipoglicemia noturnas, nictúria 8 , ansiedade 9 , controle glicêmico [10][11][12][13] , apneia obstrutiva do sono 1,14 , depressão 5,[8][9] , índice de massa corporal, hábito de fumar e vida isolada 15 . Alguns poucos estudos realizados no Brasil pesquisaram a qualidade do sono em pacientes diabéticos 1,[16][17] .…”

Section: Introductionunclassified

Avaliação da qualidade do sono e fatores associados em pacientes diabéticos tipo 2

et al. 2017

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ResumoAnalisar a qualidade do sono e possíveis fatores associados em pacientes diabéticos tipo 2. Estudo descritivo transversal e quantitativo com 74 pacientes. Foram utilizados o Índice de Qualidade de Sono de Pittsburgh (PSQI) para avaliação da qualidade do sono e um questionário com informações socioeconômicas e clínicas. As análises multivariadas foram conduzidas por meio de regressão logística. A maioria dos pacientes tinha 50 anos ou mais de idade (54,1%). Quase 80% tinham diagnóstico de hipertensão arterial, 60,3% eram obesos e 61,6% usavam insulina. Observou-se que 64,9% dos pacientes referiram má qualidade do sono. Ter diagnóstico de diabetes mellitus por 10 anos ou mais esteve associado à má qualidade do sono (OR=3,0;IC=1,045-8,394). A hemoglobina glicada apresentou correlação positiva e significativa para frequência de uso de medicamentos para dormir (r=0,27; p=0,02). Os resultados demonstraram alto percentual de pacientes diabéticos com má qualidade do sono. Ressalta-se a importância de direcionar ações de prevenção e enfrentamento ao cuidado desses pacientes, principalmente aqueles com maior tempo de diagnóstico e os que utilizam medicamentos para dormir. Palavras-chave: AbstractTo analyze the sleep quality and possible associated factors in patients diagnosed with type II Diabetes, a quantitative, descriptive cross-sectional study involving 74 patients was performed. The Pittsburg Sleep Quality Index (PSQI) was used for the evaluation of Sleep Quality, and a questionnaire was applied for socioeconomic and clinical information. Multivariate analyses were conducted through logistic regression. Most patients were 50 years old or older (54.1%). Almost 80% were diagnosed with arterial hypertension, 60.3% were obese, and 61.6% used of insulin. The results showed that 64% of patients reported poor sleep quality. Having type II Diabetes diagnosed for 10 years or more was associated with poor sleep quality (OR=3.0; CI=1.045-8.394). Glycated haemoglobin showed a positive and significant correlation with the frequency of sleep medication use (r=0.27; p=0.02). The results demonstrated a high percentage of diabetic patients reporting poor sleep quality. It is necessary to emphasize the importance of directing preventive actions and facing the challenges concerning the care of these patients; especially of those who have been diagnosed for a longer period and those using sleep medication.

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“…Disruptions in the hypothalamic pituitary adrenal (HPA) axis are associated with increased risk of infectious disease and inflammatory diseases, including type 2 diabetes (T2D) (Schoorlemmer et al, 2009; Nefs et al, 2015). In T2D, cells are compromised in their ability to properly respond to insulin, a condition known as insulin resistance.…”

mentioning

confidence: 99%

Biopsychosocial pathways linking subjective socioeconomic disadvantage to glycemic control in youths with type I diabetes

Zilioli

Ellis

Carré

et al. 2017

Psychoneuroendocrinology

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Older adolescent and young adults (OAYA) with type 1 diabetes (T1D) living in contexts of socio-economic disadvantage (SED) suffer disproportionately from poor glycemic control and related health complications. Although SED may convey a variety of risks, it may exacerbate diabetes-related stress levels, which in turn may account for observed disparities in health outcomes. The primary goal of the present study was to investigate the relationship between subjective SED, diabetes-related perceived stress, and diurnal cortisol secretion in urban OAYA with T1D. A secondary goal was to determine if cortisol was related to measures of blood glucose (HbA1c and mean blood glucose). Analyses were conducted among OAYA ages 17 to 20 years (n = 61) affected by T1D, who provided daily saliva samples for four days, measures of glycemic control (i.e., HbA1c and mean blood glucose assessed via Continuous Glucose Monitor), and completed psychosocial questionnaires. We found that subjective SED was associated with a flatter diurnal cortisol rhythm via diabetes-related stress. Flattened cortisol rhythm was, in turn, was associated with higher levels of HbA1c, but not with mean blood glucose assessed via Continuous Glucose Monitor. These results represent some of the first empirical evidence on how distal social factors (i.e., subjective SED) and proximal psychological processes (diabetes-related perceived stress) are connected to condition-relevant biological mechanisms (i.e., elevated HbA1c), via broad biological pathways implicated in health (i.e., flatter cortisol slope).

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Subjective sleep impairment in adults with type 1 or type 2 diabetes: Results from Diabetes MILES—The Netherlands

Cited by 62 publications

References 48 publications

Relationship and variation of diabetes related symptoms, sleep disturbance and sleep‐related impairment in adults with type 2 diabetes

Relationship and variation of diabetes related symptoms, sleep disturbance and sleep‐related impairment in adults with type 2 diabetes

Avaliação da qualidade do sono e fatores associados em pacientes diabéticos tipo 2

Biopsychosocial pathways linking subjective socioeconomic disadvantage to glycemic control in youths with type I diabetes

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