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Disturbed subjective sleep characteristics in adult patients with long-standing type 1 diabetes mellitus

AIMS/HYPOTHESIS: Decreased sleep duration and/or impaired sleep quality negatively influence glucoregulation. The aim of this study was to assess subjective sleep characteristics in patients with type 1 diabetes, to relate sleep characteristics to long-term glycaemic control and to assess possible r...

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Autores principales: van Dijk, M., Donga, E., van Dijk, J. G., Lammers, G. J., van Kralingen, K. W., Dekkers, O. M., Corssmit, E. P. M., Romijn, J. A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer-Verlag 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3131522/
https://www.ncbi.nlm.nih.gov/pubmed/21573904
http://dx.doi.org/10.1007/s00125-011-2184-7
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author van Dijk, M.
Donga, E.
van Dijk, J. G.
Lammers, G. J.
van Kralingen, K. W.
Dekkers, O. M.
Corssmit, E. P. M.
Romijn, J. A.
author_facet van Dijk, M.
Donga, E.
van Dijk, J. G.
Lammers, G. J.
van Kralingen, K. W.
Dekkers, O. M.
Corssmit, E. P. M.
Romijn, J. A.
author_sort van Dijk, M.
collection PubMed
description AIMS/HYPOTHESIS: Decreased sleep duration and/or impaired sleep quality negatively influence glucoregulation. The aim of this study was to assess subjective sleep characteristics in patients with type 1 diabetes, to relate sleep characteristics to long-term glycaemic control and to assess possible risk factors for impaired sleep. METHODS: We studied 99 adult patients with type 1 diabetes (55 men, 44 women, duration of diabetes 26.9 ± 1.2 years) and 99 age-, sex- and BMI-matched non-diabetic controls. Subjective sleep characteristics were assessed by validated questionnaires, i.e. Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale and the Berlin Questionnaire. Glucoregulation was assessed by HbA(1c) values. Clinical variables were obtained from medical charts. Depression was assessed by the Hospital Anxiety and Depression Scale (HADS). Peripheral polyneuropathy was assessed by neurological examination and quantitative sensory testing. RESULTS: Of the patients with type 1 diabetes, 35% had subjective poor sleep quality compared with 20% of the control participants (p = 0.021). A higher proportion of the patients with type 1 diabetes were at increased risk for obstructive sleep apnoea (OSA) (17.2% vs 5.1%, p = 0.012). There was no significant association between individual sleep characteristics and HbA(1c) values. On logistic regression analysis, the HADS depression score, presence of peripheral polyneuropathy, habitual snoring and other sleep disturbances (e.g. hypoglycaemia) were independently associated with poor sleep quality. CONCLUSIONS/INTERPRETATION: Adult patients with long-standing type 1 diabetes mellitus have disturbed subjective sleep quality and a higher risk for OSA compared with control participants. Subjective sleep disturbances are part of the complex syndrome of long-standing type 1 diabetes.
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spelling pubmed-31315222011-08-10 Disturbed subjective sleep characteristics in adult patients with long-standing type 1 diabetes mellitus van Dijk, M. Donga, E. van Dijk, J. G. Lammers, G. J. van Kralingen, K. W. Dekkers, O. M. Corssmit, E. P. M. Romijn, J. A. Diabetologia Article AIMS/HYPOTHESIS: Decreased sleep duration and/or impaired sleep quality negatively influence glucoregulation. The aim of this study was to assess subjective sleep characteristics in patients with type 1 diabetes, to relate sleep characteristics to long-term glycaemic control and to assess possible risk factors for impaired sleep. METHODS: We studied 99 adult patients with type 1 diabetes (55 men, 44 women, duration of diabetes 26.9 ± 1.2 years) and 99 age-, sex- and BMI-matched non-diabetic controls. Subjective sleep characteristics were assessed by validated questionnaires, i.e. Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale and the Berlin Questionnaire. Glucoregulation was assessed by HbA(1c) values. Clinical variables were obtained from medical charts. Depression was assessed by the Hospital Anxiety and Depression Scale (HADS). Peripheral polyneuropathy was assessed by neurological examination and quantitative sensory testing. RESULTS: Of the patients with type 1 diabetes, 35% had subjective poor sleep quality compared with 20% of the control participants (p = 0.021). A higher proportion of the patients with type 1 diabetes were at increased risk for obstructive sleep apnoea (OSA) (17.2% vs 5.1%, p = 0.012). There was no significant association between individual sleep characteristics and HbA(1c) values. On logistic regression analysis, the HADS depression score, presence of peripheral polyneuropathy, habitual snoring and other sleep disturbances (e.g. hypoglycaemia) were independently associated with poor sleep quality. CONCLUSIONS/INTERPRETATION: Adult patients with long-standing type 1 diabetes mellitus have disturbed subjective sleep quality and a higher risk for OSA compared with control participants. Subjective sleep disturbances are part of the complex syndrome of long-standing type 1 diabetes. Springer-Verlag 2011-05-15 2011 /pmc/articles/PMC3131522/ /pubmed/21573904 http://dx.doi.org/10.1007/s00125-011-2184-7 Text en © The Author(s) 2011 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Article
van Dijk, M.
Donga, E.
van Dijk, J. G.
Lammers, G. J.
van Kralingen, K. W.
Dekkers, O. M.
Corssmit, E. P. M.
Romijn, J. A.
Disturbed subjective sleep characteristics in adult patients with long-standing type 1 diabetes mellitus
title Disturbed subjective sleep characteristics in adult patients with long-standing type 1 diabetes mellitus
title_full Disturbed subjective sleep characteristics in adult patients with long-standing type 1 diabetes mellitus
title_fullStr Disturbed subjective sleep characteristics in adult patients with long-standing type 1 diabetes mellitus
title_full_unstemmed Disturbed subjective sleep characteristics in adult patients with long-standing type 1 diabetes mellitus
title_short Disturbed subjective sleep characteristics in adult patients with long-standing type 1 diabetes mellitus
title_sort disturbed subjective sleep characteristics in adult patients with long-standing type 1 diabetes mellitus
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3131522/
https://www.ncbi.nlm.nih.gov/pubmed/21573904
http://dx.doi.org/10.1007/s00125-011-2184-7
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