Relationship among sleep quality,sleep duration and diabetes in elderly patients
Zheng Hong
Qi Zhenbo
Xu Jie
Zang Yanan
Yu Xinyu
Yu Qingfeng
Cui Na
Abstract：Objective To discuss the relationship among sleep quality,sleep duration and diabetes in elderly patients.Methods The patients aged ≥80(n=1 12)were chosen,and among them there 37 patients with type 2 diabetes mellitus(T2DM group)and 75 without T2DM(control group).The sleep status was surveyed face-to-face by using Pittsburgh Sleep Quality Index(PSQI),and basic data,conditions of chronic diseases and indexes of blood sugar and blood fat were collected in 2 groups.The relationship among sleep quality,sleep duration and diabetes was reviewed by using Logistic regression model.Results In comparison in sleep quality between 2 groups,the differences in the total score of PSQI,sleep quality,sleep time,sleep efficiency,sleep disorder,hypnotics and scores of daytime dysfunction index had statistical significance(P＜0.05).The differences in complicated diabetes history,length of night sleep and the total sleep duration had statistical significance in groups with difference sleep quality(P＜0.05).The differences in age,complicated diabetes history,levels of total cholesterol(TC)and low-density lipoprotein-cholesterol(LDL-C),sleep latency,the total sleep duration and PSQI scores had statistical significance in groups with difference sleep durations(P＜0.05).The results of Logistic regression analysis showed that,after adjusting confounding factors,the risk of diabetes was higher in elderly patients with poor sleep(scores ≥7)compared with that in those with good sleep(scores＜7,OR=5.429,95％CI:1.34-21.998,P＜0.05).The risk of diabetes was higher in elderly patients with sleep duration≥6 h was higher than that in those with sleep duration＜6 h(OR=4.433,95％CI:1.78～11.038,P＜0.05).After adjusting confounding factors,there was no significant correlation between diabetes risk and lack of sleep durationin elderly patients(OR=1.839,95％CI:0.401～8.436,P＞0.05).Conclusion There is a correlation between lower sleep quality(scores≥ 7)and diabetes in elderly patients.
Keywords：Type 2 diabetes mellitusAdvanced ageSleep qualitySleep duration
Publication Date：2024-09-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1044-1047 )