Sleep characteristics in type 1 diabetes and associations with glycemic control: systematic review and meta-analysis

被引：173

作者：

Reutrakul, Sirimon ^{[1
]}

Thakkinstian, Ammarin ^{[2
]}

Anothaisintawee, Thunyarat ^{[2
,3
]}

Chontong, Sasipas ^{[1
]}

Borel, Anne-Laure ^{[4
,5
]}

Perfect, Michelle M. ^{[6
]}

Porto Silva Janovsky, Carolina Castro ^{[7
]}

Kessler, Romain ^{[8
]}

Schultes, Bernd ^{[9
]}

Harsch, Igor Alexander ^{[10
]}

van Dijk, Marieke ^{[11
]}

Bouhassira, Didier ^{[12
,13
]}

Matejko, Bartlomiej ^{[14
]}

Lipton, Rebecca B. ^{[15
,16
]}

Suwannalai, Parawee ^{[17
]}

Chirakalwasan, Naricha ^{[18
,19
]}

Schober, Anne-Katrin ^{[20
]}

Knutson, Kristen L. ^{[21
]}

机构：

[1] Mahidol Univ, Ramathibodi Hosp, Fac Med, Div Endocrinol & Metab, Rama 6 Rd, Bangkok 10400, Thailand

[2] Mahidol Univ, Fac Ramathibodi Hosp, Sect Clin Epidemiol & Biostat, Bangkok, Thailand

[3] Mahidol Univ, Ramathibodi Hosp, Dept Family Med, Bangkok, Thailand

[4] Grenoble Alpes Univ, INSERM, U1042, Hypoxia Pathophysiol HP2 Lab, Grenoble, France

[5] Univ Hosp, Dept Endocrinol, Grenoble, France

[6] Univ Arizona, Dept Disabil & Psychoeduc Studies, Tucson, AZ USA

[7] Univ Fed Sao Paulo, Dept Med, Endocrinol & Diabet Div, Sao Paulo, SP, Brazil

[8] Hop Univ Strasbourg, Dept Pneumol, Strasbourg, France

[9] eSwiss Med & Surg Ctr, St Gallen, Switzerland

[10] Thuringia Clin Saalfeld Georgius Agr, Dept Internal Med 2, Saalfeld Saale, Germany

[11] Leiden Univ, Med Ctr, Dept Endocrinol & Metab Dis, Leiden, Netherlands

[12] CHU Ambroise Pare, AP HP, INSERM, U987,Ctr Evaluat & Traitement Douleur, Boulogne, France

[13] Univ Versailles St Quentin, Versailles, France

[14] Jagiellonian Univ, Coll Med, Dept Metab Dis, Krakow, Poland

[15] Univ Chicago, Inst Endocrine Discovery & Clin Care, Chicago, IL USA

[16] Univ Chicago, Dept Hlth Studies, Chicago, IL USA

[17] Mahidol Univ, Ramathibodi Hosp, Fac Med, Div Allergy Immunol & Rheumatol, Bangkok, Thailand

[18] Chulalongkorn Univ, Fac Med, Dept Med, Div Pulm & Crit Care Med, Bangkok, Thailand

[19] King Chulalongkom Mem Hosp, Thai Red Cross Soc, Excellence Ctr Sleep Disorders, Bangkok, Thailand

[20] Reg Hosp Feldbach Furstenfeld, Dept Internal Med, Furstenfeld, Austria

[21] Univ Chicago, Dept Med, Sect Pulm & Crit Care, 5841 S Maryland Ave, Chicago, IL 60637 USA

来源：

SLEEP MEDICINE | 2016年 / 23卷

基金：

美国国家卫生研究院;

关键词：

Sleep quality; Sleep duration; Obstructive sleep apnea; Type; 1; diabetes; Glycemic control; Meta-analysis; SLOW-WAVE SLEEP; DEPRESSIVE SYMPTOMS; INSULIN SENSITIVITY; GLUCOSE-METABOLISM; AUTONOMIC SYMPTOMS; APNEA; CHILDREN; RISK; MELLITUS; ADULT;

D O I：

10.1016/j.sleep.2016.03.019

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objectives: The association between inadequate sleep and type 2 diabetes has garnered much attention, but little is known about sleep and type 1 diabetes (T1D). Our objectives were to conduct a systematic review and meta-analysis comparing sleep in persons with and without T1D, and to explore relationships between sleep and glycemic control in T1D. Methods: Studies were identified from Medline and Scopus. Studies reporting measures of sleep in T1D patients and controls, and/or associations between sleep and glycemic control, were selected. Results: A total of 22 studies were eligible for the meta-analysis. Children with T1D had shorter sleep duration (mean difference [MD] = -26.4 minutes; 95% confidence interval [CI] = -35.4, -17.7) than controls. Adults with T1D reported poorer sleep quality (MD in standardized sleep quality score = 0.51; 95% CI = 033, 0.70), with higher scores reflecting worse sleep quality) than controls, but there was no difference in self-reported sleep duration. Adults with TID who reported sleeping >6 hours had lower hemoglobin A1c (HbA1c) levels than those sleeping <= hours (MD = -0.24%; 95% CI = -0.47, -0.02), and participants reporting good sleep quality had lower HbA1c than those with poor sleep quality (MD = -0.19%; 95% CI = -0.30,-0.08). The estimated prevalence of obstructive sleep apnea (OSA) in adults with TID was 51.9% (95% CI = 31.2, 72.6). Patients with moderate-to severe OSA had a trend toward higher HbA1c (MD = 0.39%, 95% CI = -0.08, 0.87). Conclusion: T1D was associated with poorer sleep and high prevalence of OSA. Poor sleep quality, shorter sleep duration, and OSA were associated with suboptimal glycemic control in T1D patients. (C) 2016 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license.

引用

页码：26 / 45

页数：20

共 60 条

[31] Obstructive sleep apnoea in people with Type 1 diabetes: prevalence and association with micro- and macrovascular complications [J].