Characterizing sleep in adults with Type 1 and Type 2 diabetes

Objective: To characterize sleep/insomnia and sleep habits among adults with type 1 (T1D) and type 2 (T2D) diabetes. Methods: Adults with T1D or T2D were invited to complete an anonymous cross-sectional online survey containing validated self-reported measures on sleep quality, sleep health, insomni...

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Main Authors: Lydi-Anne Vézina-Im, Stéphane Turcotte, Anne-Frédérique Turcotte, Dominique Beaulieu, François Boudreau, Christine Morin
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Sleep Epidemiology
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Online Access:http://www.sciencedirect.com/science/article/pii/S2667343624000076
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author Lydi-Anne Vézina-Im
Stéphane Turcotte
Anne-Frédérique Turcotte
Dominique Beaulieu
François Boudreau
Christine Morin
author_facet Lydi-Anne Vézina-Im
Stéphane Turcotte
Anne-Frédérique Turcotte
Dominique Beaulieu
François Boudreau
Christine Morin
author_sort Lydi-Anne Vézina-Im
collection DOAJ
description Objective: To characterize sleep/insomnia and sleep habits among adults with type 1 (T1D) and type 2 (T2D) diabetes. Methods: Adults with T1D or T2D were invited to complete an anonymous cross-sectional online survey containing validated self-reported measures on sleep quality, sleep health, insomnia severity, and questions on sleep habits. Multivariate linear and logistic regression analyses were performed. Results: A total of 303 adults (20–86 years; 75.3 % female) with T1D (n = 121) and T2D (n = 182) completed the whole survey. Sleep quality was associated with type of diabetes (β=1.27; 95 % CI: 0.28, 2.27) and income (β=-1.18; 95 % CI: -2.11, -0.26) when adjusted for sex and age. Adults with T2D and with a lower income reported poorer sleep quality. Sleep timing variability (rs=0.25–0.33; p < 0.05) and caffeine consumption before bedtime (rs=0.14–0.17; p < 0.05) were the sleep habits that were correlated with sleep quality, sleep health, and insomnia severity when adjusted for sex, age, and income. Sleep timing variability ≥3 times/week was associated with age (OR=0.97; 95 % CI: 0.94, 0.99). Caffeine consumption before bedtime ≥3 times/week was associated with sex × age (p = 0.0165). Younger males were the most likely to indicate adopting this sleep habit. Conclusions: Adults with T2D and those reporting a lower income seem at high risk for poor sleep quality. Adults with diabetes mentioning sleep issues, especially those with T2D and with a lower income, should have access to inexpensive behavioral sleep interventions. Younger adults with diabetes should receive counseling promoting healthy sleep habits, especially males in the case of caffeine consumption before bedtime.
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spelling doaj-art-7bf18674ab3e40c5a70b4f20bc4fd2ca2025-08-20T02:50:27ZengElsevierSleep Epidemiology2667-34362024-12-01410007810.1016/j.sleepe.2024.100078Characterizing sleep in adults with Type 1 and Type 2 diabetesLydi-Anne Vézina-Im0Stéphane Turcotte1Anne-Frédérique Turcotte2Dominique Beaulieu3François Boudreau4Christine Morin5Département des sciences de la santé, Université du Québec à Rimouski (UQAR), Campus de Lévis, 1595 boulevard Alphonse-Desjardins, Lévis, Québec, G6V 0A6 Canada; Centre de recherche du Centre intégré de santé et de services sociaux de Chaudière-Appalaches, 143 rue Wolfe, Lévis, Québec, G6V 3Z1 Canada; Corresponding author.Centre de recherche du Centre intégré de santé et de services sociaux de Chaudière-Appalaches, 143 rue Wolfe, Lévis, Québec, G6V 3Z1 CanadaCentre de recherche du Centre intégré de santé et de services sociaux de Chaudière-Appalaches, 143 rue Wolfe, Lévis, Québec, G6V 3Z1 CanadaDépartement des sciences de la santé, Université du Québec à Rimouski (UQAR), Campus de Lévis, 1595 boulevard Alphonse-Desjardins, Lévis, Québec, G6V 0A6 Canada; Centre de recherche du Centre intégré de santé et de services sociaux de Chaudière-Appalaches, 143 rue Wolfe, Lévis, Québec, G6V 3Z1 Canada; Axe Santé des populations et pratiques optimales en santé, Centre de recherche du CHU de Québec, 2400 avenue D'Estimauville, Québec, Québec, G1E 6W2 CanadaDépartement des sciences infirmières, Université du Québec à Trois-Rivières (UQTR), 3351 boulevard des Forges, Trois-Rivières, Québec, G8Z 4M3 CanadaClinique de diabète, Hôtel-Dieu de Lévis, 143 rue Wolfe, Lévis, Québec, G6V 3Z1 CanadaObjective: To characterize sleep/insomnia and sleep habits among adults with type 1 (T1D) and type 2 (T2D) diabetes. Methods: Adults with T1D or T2D were invited to complete an anonymous cross-sectional online survey containing validated self-reported measures on sleep quality, sleep health, insomnia severity, and questions on sleep habits. Multivariate linear and logistic regression analyses were performed. Results: A total of 303 adults (20–86 years; 75.3 % female) with T1D (n = 121) and T2D (n = 182) completed the whole survey. Sleep quality was associated with type of diabetes (β=1.27; 95 % CI: 0.28, 2.27) and income (β=-1.18; 95 % CI: -2.11, -0.26) when adjusted for sex and age. Adults with T2D and with a lower income reported poorer sleep quality. Sleep timing variability (rs=0.25–0.33; p < 0.05) and caffeine consumption before bedtime (rs=0.14–0.17; p < 0.05) were the sleep habits that were correlated with sleep quality, sleep health, and insomnia severity when adjusted for sex, age, and income. Sleep timing variability ≥3 times/week was associated with age (OR=0.97; 95 % CI: 0.94, 0.99). Caffeine consumption before bedtime ≥3 times/week was associated with sex × age (p = 0.0165). Younger males were the most likely to indicate adopting this sleep habit. Conclusions: Adults with T2D and those reporting a lower income seem at high risk for poor sleep quality. Adults with diabetes mentioning sleep issues, especially those with T2D and with a lower income, should have access to inexpensive behavioral sleep interventions. Younger adults with diabetes should receive counseling promoting healthy sleep habits, especially males in the case of caffeine consumption before bedtime.http://www.sciencedirect.com/science/article/pii/S2667343624000076Sleep qualitySleep healthInsomniaSleep habitsType 1 diabetesType 2 diabetes
spellingShingle Lydi-Anne Vézina-Im
Stéphane Turcotte
Anne-Frédérique Turcotte
Dominique Beaulieu
François Boudreau
Christine Morin
Characterizing sleep in adults with Type 1 and Type 2 diabetes
Sleep Epidemiology
Sleep quality
Sleep health
Insomnia
Sleep habits
Type 1 diabetes
Type 2 diabetes
title Characterizing sleep in adults with Type 1 and Type 2 diabetes
title_full Characterizing sleep in adults with Type 1 and Type 2 diabetes
title_fullStr Characterizing sleep in adults with Type 1 and Type 2 diabetes
title_full_unstemmed Characterizing sleep in adults with Type 1 and Type 2 diabetes
title_short Characterizing sleep in adults with Type 1 and Type 2 diabetes
title_sort characterizing sleep in adults with type 1 and type 2 diabetes
topic Sleep quality
Sleep health
Insomnia
Sleep habits
Type 1 diabetes
Type 2 diabetes
url http://www.sciencedirect.com/science/article/pii/S2667343624000076
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