Personalized intervention to improve stress and sleep patterns for glycemic control and weight management in obese Emirati patients with type 2 diabetes: a randomized controlled clinical trial

Bashair M Mussa,1 Mia Schauman,2 Vijay Kumar,3 Sijomol Skaria,3 Salah Abusnana4,51Basic Medical Science Department, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates; 2Medical Research Department, Celolab, Dubai, United Arab Emirates; 3Rashid Centre for Diabetes and Research,...

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Autores principales:	Mussa BM, Schauman M, Kumar V, Skaria S, Abusnana S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Diabetes mellitus Obesity Stress Recovery Levels Sleep Pattern Heart Rate Variability Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/50cf341dd2c54e67aae66940f4a524cd
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spelling	oai:doaj.org-article:50cf341dd2c54e67aae66940f4a524cd2021-12-02T08:22:58ZPersonalized intervention to improve stress and sleep patterns for glycemic control and weight management in obese Emirati patients with type 2 diabetes: a randomized controlled clinical trial1178-7007https://doaj.org/article/50cf341dd2c54e67aae66940f4a524cd2019-06-01T00:00:00Zhttps://www.dovepress.com/personalized-intervention-to-improve-stress-and-sleep-patterns-for-gly-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Bashair M Mussa,1 Mia Schauman,2 Vijay Kumar,3 Sijomol Skaria,3 Salah Abusnana4,51Basic Medical Science Department, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates; 2Medical Research Department, Celolab, Dubai, United Arab Emirates; 3Rashid Centre for Diabetes and Research, Ajman, United Arab Emirates; 4Clinical Science Department, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates; 5Diabetes and Endocrinology Department, University Hospital Sharjah, Sharjah, United Arab EmiratesBackground: There is growing evidence that stress and sleep deprivation are involved in development of type 2 diabetes (T2DM). The latter is one of the most challenging health problems in the UAE. Therefore, the present study aimed to investigate the effects of personalized intervention on glycemic and weight control in Emirati patients with T2DM. The intervention involved assessment and modification of stress levels and sleep patterns.Methods: This was a randomized controlled study conducted on 51 Emirati patients with T2DM (age 18–60 years, body-mass index (BMI) ≥25 kg/m2): those in the intervention group who completed the trial numbered 18 and those in the control group who completed the trial numbered 17. Heart-rate variability was used for real-life and long-term assessments of stress, sleep, and recovery. Body weight, BMI, HbA1c and lipid profile were included in the investigation. The National Clinical Trial identifier number is NCT03644134.Results: Percentage change in body weight was significantly greater (P<0.05) in the intervention group (–3.2±2.9) than the control group (–0.02). Percentage change in the BMI of the intervention group was –4.50±5.9, while the control group exhibited less change in BMI (–0.0003±3.3, P<0.05). In addition, a significant reduction in HbA1c was observed in the intervention group (–5.3±15.7) and an increase of 9.9±13.1 was observed in the control group (P<0.01).Conclusion: The findings of the present study show that personalized approaches that reduce stress levels, increase recovery levels, and promote healthy sleep habits play an important role in weight management and glycemic control in T2DM.Keywords: diabetes mellitus, obesity, stress, recovery levels, sleep pattern, heart rate variabilityMussa BMSchauman MKumar VSkaria SAbusnana SDove Medical PressarticleDiabetes mellitusObesityStressRecovery LevelsSleep PatternHeart Rate VariabilitySpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 12, Pp 991-999 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diabetes mellitus Obesity Stress Recovery Levels Sleep Pattern Heart Rate Variability Specialties of internal medicine RC581-951
spellingShingle	Diabetes mellitus Obesity Stress Recovery Levels Sleep Pattern Heart Rate Variability Specialties of internal medicine RC581-951 Mussa BM Schauman M Kumar V Skaria S Abusnana S Personalized intervention to improve stress and sleep patterns for glycemic control and weight management in obese Emirati patients with type 2 diabetes: a randomized controlled clinical trial
description	Bashair M Mussa,1 Mia Schauman,2 Vijay Kumar,3 Sijomol Skaria,3 Salah Abusnana4,51Basic Medical Science Department, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates; 2Medical Research Department, Celolab, Dubai, United Arab Emirates; 3Rashid Centre for Diabetes and Research, Ajman, United Arab Emirates; 4Clinical Science Department, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates; 5Diabetes and Endocrinology Department, University Hospital Sharjah, Sharjah, United Arab EmiratesBackground: There is growing evidence that stress and sleep deprivation are involved in development of type 2 diabetes (T2DM). The latter is one of the most challenging health problems in the UAE. Therefore, the present study aimed to investigate the effects of personalized intervention on glycemic and weight control in Emirati patients with T2DM. The intervention involved assessment and modification of stress levels and sleep patterns.Methods: This was a randomized controlled study conducted on 51 Emirati patients with T2DM (age 18–60 years, body-mass index (BMI) ≥25 kg/m2): those in the intervention group who completed the trial numbered 18 and those in the control group who completed the trial numbered 17. Heart-rate variability was used for real-life and long-term assessments of stress, sleep, and recovery. Body weight, BMI, HbA1c and lipid profile were included in the investigation. The National Clinical Trial identifier number is NCT03644134.Results: Percentage change in body weight was significantly greater (P<0.05) in the intervention group (–3.2±2.9) than the control group (–0.02). Percentage change in the BMI of the intervention group was –4.50±5.9, while the control group exhibited less change in BMI (–0.0003±3.3, P<0.05). In addition, a significant reduction in HbA1c was observed in the intervention group (–5.3±15.7) and an increase of 9.9±13.1 was observed in the control group (P<0.01).Conclusion: The findings of the present study show that personalized approaches that reduce stress levels, increase recovery levels, and promote healthy sleep habits play an important role in weight management and glycemic control in T2DM.Keywords: diabetes mellitus, obesity, stress, recovery levels, sleep pattern, heart rate variability
format	article
author	Mussa BM Schauman M Kumar V Skaria S Abusnana S
author_facet	Mussa BM Schauman M Kumar V Skaria S Abusnana S
author_sort	Mussa BM
title	Personalized intervention to improve stress and sleep patterns for glycemic control and weight management in obese Emirati patients with type 2 diabetes: a randomized controlled clinical trial
title_short	Personalized intervention to improve stress and sleep patterns for glycemic control and weight management in obese Emirati patients with type 2 diabetes: a randomized controlled clinical trial
title_full	Personalized intervention to improve stress and sleep patterns for glycemic control and weight management in obese Emirati patients with type 2 diabetes: a randomized controlled clinical trial
title_fullStr	Personalized intervention to improve stress and sleep patterns for glycemic control and weight management in obese Emirati patients with type 2 diabetes: a randomized controlled clinical trial
title_full_unstemmed	Personalized intervention to improve stress and sleep patterns for glycemic control and weight management in obese Emirati patients with type 2 diabetes: a randomized controlled clinical trial
title_sort	personalized intervention to improve stress and sleep patterns for glycemic control and weight management in obese emirati patients with type 2 diabetes: a randomized controlled clinical trial
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/50cf341dd2c54e67aae66940f4a524cd
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Personalized intervention to improve stress and sleep patterns for glycemic control and weight management in obese Emirati patients with type 2 diabetes: a randomized controlled clinical trial

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