Prevalence, symptomatic features, and factors associated with sleep disturbance/insomnia in Japanese patients with type-2 diabetes

Hajime Narisawa,1 Yoko Komada,1 Takashi Miwa,2 Junpei Shikuma,2 Mamoru Sakurai,2 Masato Odawara,2 Yuichi Inoue1,3 1Department of Somnology, 2Department of Diabetes, Endocrinology and Metabolism, Tokyo Medical University, Shinjuku-ku, 3Japan Somnology Center, Institute of Neuropsychiatry, Shibuya-ku...

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Autores principales:	Narisawa H, Komada Y, Miwa T, Shikuma J, Sakurai M, Odawara M, Inoue Y
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	diabetes glycated hemoglobin A1c insomnia quality of life subjective sleep quality Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/b942cd9ef50740f7841ac5de9e53d9ee
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spelling	oai:doaj.org-article:b942cd9ef50740f7841ac5de9e53d9ee2021-12-02T00:27:28ZPrevalence, symptomatic features, and factors associated with sleep disturbance/insomnia in Japanese patients with type-2 diabetes1178-2021https://doaj.org/article/b942cd9ef50740f7841ac5de9e53d9ee2017-07-01T00:00:00Zhttps://www.dovepress.com/prevalence-symptomatic-features-and-factors-associated-with-sleep-dist-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Hajime Narisawa,1 Yoko Komada,1 Takashi Miwa,2 Junpei Shikuma,2 Mamoru Sakurai,2 Masato Odawara,2 Yuichi Inoue1,3 1Department of Somnology, 2Department of Diabetes, Endocrinology and Metabolism, Tokyo Medical University, Shinjuku-ku, 3Japan Somnology Center, Institute of Neuropsychiatry, Shibuya-ku, Tokyo, Japan Purpose: To clarify the prevalence and symptomatic characteristics of sleep disturbance/insomnia among type-2 diabetes mellitus (DM) Japanese patients.Methods: A cross-sectional survey of Japanese patients with the disorder was conducted. Participants consisted of 622 type-2 DM patients (mean 56.1±9.56 years) and 622 sex- and age-matched controls. Participants’ scores in the Japanese version of the Pittsburgh Sleep Quality Index (PSQI-J), the Japanese version of the 12-item Center for Epidemiologic Studies Depression Scale (CES-D), the Medical Outcomes Study 8-item Short Form Health Survey (SF-8), and the glycated hemoglobin A1c (HbA1c) of type-2 DM patients were analyzed.Results: There were 253 poor sleepers (43.9%) in the type-2 DM group as a result of dichotomization with the PSQI-J cutoff total score of 5.5. The type-2 DM group recorded a higher mean PSQI-J total score (P<0.01) and manifested poorer sleep maintenance. Poor sleepers in both groups had lower mental component summary from SF-8 (MCS), physical component summary from SF-8 (PCS), and CES-D than good sleepers, and good sleepers in both groups had higher MCS, PCS, and CES-D than poor sleepers. Higher body mass index, presence of smoking habit, and living alone were significantly associated with sleep disturbance/insomnia symptoms, but HbA1c was not associated with sleep disturbance/insomnia in the type-2 DM group.Conclusion: Individuals affected with type-2 DM are likely to experience sleep problems, characterized by disturbance in sleep maintenance. Sleep disturbance/insomnia symptoms in DM patients might considerably reduce health-related quality of life. Keywords: cross-sectional survey, depression, glycated hemoglobin A1c, quality of life, subjective sleep qualityNarisawa HKomada YMiwa TShikuma JSakurai MOdawara MInoue YDove Medical Pressarticlediabetesglycated hemoglobin A1cinsomniaquality of lifesubjective sleep qualityNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 1873-1880 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes glycated hemoglobin A1c insomnia quality of life subjective sleep quality Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	diabetes glycated hemoglobin A1c insomnia quality of life subjective sleep quality Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Narisawa H Komada Y Miwa T Shikuma J Sakurai M Odawara M Inoue Y Prevalence, symptomatic features, and factors associated with sleep disturbance/insomnia in Japanese patients with type-2 diabetes
description	Hajime Narisawa,1 Yoko Komada,1 Takashi Miwa,2 Junpei Shikuma,2 Mamoru Sakurai,2 Masato Odawara,2 Yuichi Inoue1,3 1Department of Somnology, 2Department of Diabetes, Endocrinology and Metabolism, Tokyo Medical University, Shinjuku-ku, 3Japan Somnology Center, Institute of Neuropsychiatry, Shibuya-ku, Tokyo, Japan Purpose: To clarify the prevalence and symptomatic characteristics of sleep disturbance/insomnia among type-2 diabetes mellitus (DM) Japanese patients.Methods: A cross-sectional survey of Japanese patients with the disorder was conducted. Participants consisted of 622 type-2 DM patients (mean 56.1±9.56 years) and 622 sex- and age-matched controls. Participants’ scores in the Japanese version of the Pittsburgh Sleep Quality Index (PSQI-J), the Japanese version of the 12-item Center for Epidemiologic Studies Depression Scale (CES-D), the Medical Outcomes Study 8-item Short Form Health Survey (SF-8), and the glycated hemoglobin A1c (HbA1c) of type-2 DM patients were analyzed.Results: There were 253 poor sleepers (43.9%) in the type-2 DM group as a result of dichotomization with the PSQI-J cutoff total score of 5.5. The type-2 DM group recorded a higher mean PSQI-J total score (P<0.01) and manifested poorer sleep maintenance. Poor sleepers in both groups had lower mental component summary from SF-8 (MCS), physical component summary from SF-8 (PCS), and CES-D than good sleepers, and good sleepers in both groups had higher MCS, PCS, and CES-D than poor sleepers. Higher body mass index, presence of smoking habit, and living alone were significantly associated with sleep disturbance/insomnia symptoms, but HbA1c was not associated with sleep disturbance/insomnia in the type-2 DM group.Conclusion: Individuals affected with type-2 DM are likely to experience sleep problems, characterized by disturbance in sleep maintenance. Sleep disturbance/insomnia symptoms in DM patients might considerably reduce health-related quality of life. Keywords: cross-sectional survey, depression, glycated hemoglobin A1c, quality of life, subjective sleep quality
format	article
author	Narisawa H Komada Y Miwa T Shikuma J Sakurai M Odawara M Inoue Y
author_facet	Narisawa H Komada Y Miwa T Shikuma J Sakurai M Odawara M Inoue Y
author_sort	Narisawa H
title	Prevalence, symptomatic features, and factors associated with sleep disturbance/insomnia in Japanese patients with type-2 diabetes
title_short	Prevalence, symptomatic features, and factors associated with sleep disturbance/insomnia in Japanese patients with type-2 diabetes
title_full	Prevalence, symptomatic features, and factors associated with sleep disturbance/insomnia in Japanese patients with type-2 diabetes
title_fullStr	Prevalence, symptomatic features, and factors associated with sleep disturbance/insomnia in Japanese patients with type-2 diabetes
title_full_unstemmed	Prevalence, symptomatic features, and factors associated with sleep disturbance/insomnia in Japanese patients with type-2 diabetes
title_sort	prevalence, symptomatic features, and factors associated with sleep disturbance/insomnia in japanese patients with type-2 diabetes
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/b942cd9ef50740f7841ac5de9e53d9ee
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Prevalence, symptomatic features, and factors associated with sleep disturbance/insomnia in Japanese patients with type-2 diabetes

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