Is Being a Lark Healthier for Patients with Type 1 Diabetes Mellitus?

Autor:	Valiensi SM; Hospital Italiano de Buenos Aires, Neurología, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina., Folgueira AL; Hospital Italiano de Buenos Aires, Neurología, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina., Diez JJ; Instituto Panamericano de Medicina del Sueño y Cronobiología, Psichiatry, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina., Gonzalez-Cardozo A; Hospital Italiano de Buenos Aires, Neurología, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina., Vera VA; Hospital Italiano de Buenos Aires, Neurología, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina., Camji JM; Hospital Italiano de Buenos Aires, Neurología, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina., Alvarez AM; Hospital Italiano, Endocrinology, Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina.
Jazyk:	angličtina
Zdroj:	Sleep science (Sao Paulo, Brazil) [Sleep Sci] 2023 Apr 19; Vol. 16 (1), pp. 75-83. Date of Electronic Publication: 2023 Apr 19 (Print Publication: 2023).
DOI:	10.1055/s-0043-1767749
Abstrakt:	Background Sleep quality and mood have been evaluated in type 1 diabetic (T1DM) patients, but chronotypes were not studied. Our objectives were to analyze chronotypes, sleep and mood variables and to describe their association with some metabolic variables in this population. Methods An observational, cross-sectional study was performed. Adults with a diagnosis of T1DM were included. We evaluated chronotypes by the Morningness-Eveningness Questionnaires, sleep quality by Pittsburgh Sleep Quality Index (PSQI), excessive daytime sleepiness by Epworth Sleepiness Scale (ESS), symptoms of depression by Patient Health Questionnaire - 9 (PHQ-9) and emotional well-being by Emotional Well Being Index (IWHO-5). A few metabolic variables were included. Results Ninety-five patients participated. The mean age was 38 years old (range 18-70). The average body mass index (BMI) was 24.4 Kg/m ² (standard deviation [SD]: 4.6). Out of the total sample, 52.6% were males. The Intermediate chronotype was predominant: n = 56 (55%). We found poor quality of sleep in 67.4% of the sample, excessive daytime sleepiness in 14.7%, depressive symptoms in 6.3% by PHQ9 and low perception of well-being by IWHO-5 in 16.8%. Evening chronotype scored worse in sleep quality ( p = 0.05) and had lower well-being ( p = 0.03) compared with the other chronotypes. Higher MEQ values (morningness) correlated with lower height ( p = 0.043), lower values in the PSQI ( p = 0.021); and higher values in emotional well-being ( p = 0.040). Conclusions We found that the predominant chronotype in T1DM was the intermediate. Two-thirds reported poor quality of sleep and 14,7% excessive daytime sleepiness. Possible diagnosis of a depressive disorder in 6.3% and poor self-perception of emotional well-being in 16. 8% were observed. The morning chronotype had significant correlation with better sleep quality and higher scores in emotional well-being. Competing Interests: Conflict of Interests The authors have no conflict of interests to declare. (Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu