Impact of high‐risk glycemic control on habitual sleep patterns and sleep quality among youth (13–20 years) with type 1 diabetes mellitus compared to controls without diabetes
Background In type 1 diabetes mellitus (T1D), glycemic control and sleep have a bidirectional relationship, with unhealthy glycemic control impacting sleep, and inadequate sleep impacting diabetes management. Youth are at risk for poor quality sleep; however, little is known about sleep among youth...
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| Published in | Pediatric diabetes Vol. 22; no. 5; pp. 823 - 831 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Former Munksgaard
John Wiley & Sons A/S
01.08.2021
John Wiley & Sons, Inc |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1399-543X 1399-5448 1399-5448 |
| DOI | 10.1111/pedi.13215 |
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| Abstract | Background
In type 1 diabetes mellitus (T1D), glycemic control and sleep have a bidirectional relationship, with unhealthy glycemic control impacting sleep, and inadequate sleep impacting diabetes management. Youth are at risk for poor quality sleep; however, little is known about sleep among youth with high‐risk glycemic control.
Objective
To assess differences in habitual sleep timing, duration, and quality among youth with T1D and controls.
Subjects
Two‐hundred‐thirty youth (13–20 years): 64 with T1D (mean age 16.6 ± 2.1 years, 48% female, diabetes duration 7.5 ± 3.8 years, HbA1c 96 ± 18.0 mmol/mol [10.9 ± 1.7%]), and 166 controls (mean age 15.3 ± 1.5, 58% female).
Methods
Comparison of data from two concurrent studies (from the same community) using subjective and objective methods to assess sleep in youth: Pittsburgh Sleep Quality Index evaluating sleep timing and quality; 7‐day actigraphy measuring habitual sleep patterns. Regression analyses were used to compare groups.
Results
When adjusted for various confounding factors, youth with T1D reported later bedtimes (+36 min; p < 0.05) and shorter sleep duration (−53 min; p < 0.05) than controls, and were more likely to rate subjective sleep duration (OR 3.57; 95% CI 1.41–9.01), efficiency (OR 4.03; 95% CI 1.43–11.40), and quality (OR 2.59; 95% CI 1.16–5.76) as “poor” (p < 0.05). However, objectively measured sleep patterns were similar between the two groups.
Conclusions
Youth with high‐risk T1D experience sleep difficulties, with later bedtimes contributing to sleep deficit. Despite a lack of objective differences, they perceive their sleep quality to be worse than peers without diabetes. |
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| AbstractList | BackgroundIn type 1 diabetes mellitus (T1D), glycemic control and sleep have a bidirectional relationship, with unhealthy glycemic control impacting sleep, and inadequate sleep impacting diabetes management. Youth are at risk for poor quality sleep; however, little is known about sleep among youth with high‐risk glycemic control.ObjectiveTo assess differences in habitual sleep timing, duration, and quality among youth with T1D and controls.SubjectsTwo‐hundred‐thirty youth (13–20 years): 64 with T1D (mean age 16.6 ± 2.1 years, 48% female, diabetes duration 7.5 ± 3.8 years, HbA1c 96 ± 18.0 mmol/mol [10.9 ± 1.7%]), and 166 controls (mean age 15.3 ± 1.5, 58% female).MethodsComparison of data from two concurrent studies (from the same community) using subjective and objective methods to assess sleep in youth: Pittsburgh Sleep Quality Index evaluating sleep timing and quality; 7‐day actigraphy measuring habitual sleep patterns. Regression analyses were used to compare groups.ResultsWhen adjusted for various confounding factors, youth with T1D reported later bedtimes (+36 min; p < 0.05) and shorter sleep duration (−53 min; p < 0.05) than controls, and were more likely to rate subjective sleep duration (OR 3.57; 95% CI 1.41–9.01), efficiency (OR 4.03; 95% CI 1.43–11.40), and quality (OR 2.59; 95% CI 1.16–5.76) as “poor” (p < 0.05). However, objectively measured sleep patterns were similar between the two groups.ConclusionsYouth with high‐risk T1D experience sleep difficulties, with later bedtimes contributing to sleep deficit. Despite a lack of objective differences, they perceive their sleep quality to be worse than peers without diabetes. In type 1 diabetes mellitus (T1D), glycemic control and sleep have a bidirectional relationship, with unhealthy glycemic control impacting sleep, and inadequate sleep impacting diabetes management. Youth are at risk for poor quality sleep; however, little is known about sleep among youth with high-risk glycemic control. To assess differences in habitual sleep timing, duration, and quality among youth with T1D and controls. Two-hundred-thirty youth (13-20 years): 64 with T1D (mean age 16.6 ± 2.1 years, 48% female, diabetes duration 7.5 ± 3.8 years, HbA1c 96 ± 18.0 mmol/mol [10.9 ± 1.7%]), and 166 controls (mean age 15.3 ± 1.5, 58% female). Comparison of data from two concurrent studies (from the same community) using subjective and objective methods to assess sleep in youth: Pittsburgh Sleep Quality Index evaluating sleep timing and quality; 7-day actigraphy measuring habitual sleep patterns. Regression analyses were used to compare groups. When adjusted for various confounding factors, youth with T1D reported later bedtimes (+36 min; p < 0.05) and shorter sleep duration (-53 min; p < 0.05) than controls, and were more likely to rate subjective sleep duration (OR 3.57; 95% CI 1.41-9.01), efficiency (OR 4.03; 95% CI 1.43-11.40), and quality (OR 2.59; 95% CI 1.16-5.76) as "poor" (p < 0.05). However, objectively measured sleep patterns were similar between the two groups. Youth with high-risk T1D experience sleep difficulties, with later bedtimes contributing to sleep deficit. Despite a lack of objective differences, they perceive their sleep quality to be worse than peers without diabetes. In type 1 diabetes mellitus (T1D), glycemic control and sleep have a bidirectional relationship, with unhealthy glycemic control impacting sleep, and inadequate sleep impacting diabetes management. Youth are at risk for poor quality sleep; however, little is known about sleep among youth with high-risk glycemic control.BACKGROUNDIn type 1 diabetes mellitus (T1D), glycemic control and sleep have a bidirectional relationship, with unhealthy glycemic control impacting sleep, and inadequate sleep impacting diabetes management. Youth are at risk for poor quality sleep; however, little is known about sleep among youth with high-risk glycemic control.To assess differences in habitual sleep timing, duration, and quality among youth with T1D and controls.OBJECTIVETo assess differences in habitual sleep timing, duration, and quality among youth with T1D and controls.Two-hundred-thirty youth (13-20 years): 64 with T1D (mean age 16.6 ± 2.1 years, 48% female, diabetes duration 7.5 ± 3.8 years, HbA1c 96 ± 18.0 mmol/mol [10.9 ± 1.7%]), and 166 controls (mean age 15.3 ± 1.5, 58% female).SUBJECTSTwo-hundred-thirty youth (13-20 years): 64 with T1D (mean age 16.6 ± 2.1 years, 48% female, diabetes duration 7.5 ± 3.8 years, HbA1c 96 ± 18.0 mmol/mol [10.9 ± 1.7%]), and 166 controls (mean age 15.3 ± 1.5, 58% female).Comparison of data from two concurrent studies (from the same community) using subjective and objective methods to assess sleep in youth: Pittsburgh Sleep Quality Index evaluating sleep timing and quality; 7-day actigraphy measuring habitual sleep patterns. Regression analyses were used to compare groups.METHODSComparison of data from two concurrent studies (from the same community) using subjective and objective methods to assess sleep in youth: Pittsburgh Sleep Quality Index evaluating sleep timing and quality; 7-day actigraphy measuring habitual sleep patterns. Regression analyses were used to compare groups.When adjusted for various confounding factors, youth with T1D reported later bedtimes (+36 min; p < 0.05) and shorter sleep duration (-53 min; p < 0.05) than controls, and were more likely to rate subjective sleep duration (OR 3.57; 95% CI 1.41-9.01), efficiency (OR 4.03; 95% CI 1.43-11.40), and quality (OR 2.59; 95% CI 1.16-5.76) as "poor" (p < 0.05). However, objectively measured sleep patterns were similar between the two groups.RESULTSWhen adjusted for various confounding factors, youth with T1D reported later bedtimes (+36 min; p < 0.05) and shorter sleep duration (-53 min; p < 0.05) than controls, and were more likely to rate subjective sleep duration (OR 3.57; 95% CI 1.41-9.01), efficiency (OR 4.03; 95% CI 1.43-11.40), and quality (OR 2.59; 95% CI 1.16-5.76) as "poor" (p < 0.05). However, objectively measured sleep patterns were similar between the two groups.Youth with high-risk T1D experience sleep difficulties, with later bedtimes contributing to sleep deficit. Despite a lack of objective differences, they perceive their sleep quality to be worse than peers without diabetes.CONCLUSIONSYouth with high-risk T1D experience sleep difficulties, with later bedtimes contributing to sleep deficit. Despite a lack of objective differences, they perceive their sleep quality to be worse than peers without diabetes. Background In type 1 diabetes mellitus (T1D), glycemic control and sleep have a bidirectional relationship, with unhealthy glycemic control impacting sleep, and inadequate sleep impacting diabetes management. Youth are at risk for poor quality sleep; however, little is known about sleep among youth with high‐risk glycemic control. Objective To assess differences in habitual sleep timing, duration, and quality among youth with T1D and controls. Subjects Two‐hundred‐thirty youth (13–20 years): 64 with T1D (mean age 16.6 ± 2.1 years, 48% female, diabetes duration 7.5 ± 3.8 years, HbA1c 96 ± 18.0 mmol/mol [10.9 ± 1.7%]), and 166 controls (mean age 15.3 ± 1.5, 58% female). Methods Comparison of data from two concurrent studies (from the same community) using subjective and objective methods to assess sleep in youth: Pittsburgh Sleep Quality Index evaluating sleep timing and quality; 7‐day actigraphy measuring habitual sleep patterns. Regression analyses were used to compare groups. Results When adjusted for various confounding factors, youth with T1D reported later bedtimes (+36 min; p < 0.05) and shorter sleep duration (−53 min; p < 0.05) than controls, and were more likely to rate subjective sleep duration (OR 3.57; 95% CI 1.41–9.01), efficiency (OR 4.03; 95% CI 1.43–11.40), and quality (OR 2.59; 95% CI 1.16–5.76) as “poor” (p < 0.05). However, objectively measured sleep patterns were similar between the two groups. Conclusions Youth with high‐risk T1D experience sleep difficulties, with later bedtimes contributing to sleep deficit. Despite a lack of objective differences, they perceive their sleep quality to be worse than peers without diabetes. |
| Author | Smith, Claire Wheeler, Benjamin J. Boucher, Sara E. Rayns, Jenny A. Wiltshire, Esko J. Galland, Barbara C. MacKenzie, Karen E. Rose, Shelley Stanley, James Bock, Martin I. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33880853$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1155_2023_1842008 crossref_primary_10_1016_j_sleep_2024_01_031 crossref_primary_10_1016_j_jpsychores_2023_111457 crossref_primary_10_1007_s40200_024_01397_4 crossref_primary_10_3389_fnut_2024_1326039 crossref_primary_10_1007_s40200_022_01089_x |
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In type 1 diabetes mellitus (T1D), glycemic control and sleep have a bidirectional relationship, with unhealthy glycemic control impacting sleep,... In type 1 diabetes mellitus (T1D), glycemic control and sleep have a bidirectional relationship, with unhealthy glycemic control impacting sleep, and... BackgroundIn type 1 diabetes mellitus (T1D), glycemic control and sleep have a bidirectional relationship, with unhealthy glycemic control impacting sleep, and... |
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| SubjectTerms | Adolescent Adult Blood Glucose - metabolism Case-Control Studies Diabetes diabetes mellitus Diabetes mellitus (insulin dependent) Diabetes Mellitus, Type 1 - blood Diabetes Mellitus, Type 1 - epidemiology Diabetes Mellitus, Type 1 - physiopathology Diabetes Mellitus, Type 1 - therapy Female Glycated Hemoglobin A - metabolism Glycemic Control - statistics & numerical data Humans Male New Zealand - epidemiology Risk Factors Sleep Sleep - physiology Sleep deprivation Sleep Quality Teenagers type 1 Young Adult |
| Title | Impact of high‐risk glycemic control on habitual sleep patterns and sleep quality among youth (13–20 years) with type 1 diabetes mellitus compared to controls without diabetes |
| URI | https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fpedi.13215 https://www.ncbi.nlm.nih.gov/pubmed/33880853 https://www.proquest.com/docview/2548325393 https://www.proquest.com/docview/2516224433 |
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