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Daytime sleepiness and functional outcomes in older adults with diabetes

Chasens, ER and Sereika, SM and Burke, LE (2009) Daytime sleepiness and functional outcomes in older adults with diabetes. Diabetes Educator, 35 (3). 455 - 464. ISSN 0145-7217

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Abstract

Purpose This secondary analysis examined the effect of excessive sleepiness on daytime function in older adults with diabetes from the National Sleep Foundation's Sleep and Aging poll. Methods Respondents were older adults (N = 1506; age range, 55-84 years) evaluated by telephone survey on their sleep duration, sleep disturbances, daytime functional outcomes, and self-reported height, weight, and comorbidities. Results Approximately 16% (n = 244) of the sample acknowledged a diagnosis of diabetes; they were older, had more comorbidities, had a higher body mass index (BMI), and were more likely to be sleepy during the daytime than nondiabetic respondents (all P <.05). Respondents with diabetes who reported frequent daytime sleepiness (n = 50; 20%) had significantly (P <.05) higher BMI, lower self-rated health, and more sleep disturbances than those who were not sleepy (n = 194). Sleepy respondents with diabetes also reported more frequent feelings of depression, decreased pleasure in life, naps, feeling drowsy, or dozing off while driving (all P <.05). Excessive sleepiness was significantly associated (P <.001) with an increased risk for depressive symptoms while controlling for BMI, age, and number of comorbidities. Conclusions These results indicate that sleep disturbances affect not only sleep quality but also daytime function in older adults with diabetes.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Chasens, ERchasense@pitt.eduCHASENSE
Sereika, SMssereika@pitt.eduSSEREIKA
Burke, LElbu100@pitt.eduLBU100
Date: 1 May 2009
Date Type: Publication
Journal or Publication Title: Diabetes Educator
Volume: 35
Number: 3
Page Range: 455 - 464
DOI or Unique Handle: 10.1177/0145721709333857
Schools and Programs: School of Nursing > Nursing
Refereed: Yes
ISSN: 0145-7217
MeSH Headings: Aged; Aged, 80 and over; Circadian Rhythm; Diabetes Complications--epidemiology; Diabetes Complications--physiopathology; Diabetes Mellitus--physiopathology; Disorders of Excessive Somnolence--diagnosis; Disorders of Excessive Somnolence--epidemiology; Disorders of Excessive Somnolence--physiopathology; Female; Humans; Interviews as Topic; Male; Middle Aged
PubMed ID: 19366861
Date Deposited: 20 Sep 2012 20:44
Last Modified: 02 Feb 2019 14:56
URI: http://d-scholarship.pitt.edu/id/eprint/14263

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