Sleep health and diabetes: The role of sleep duration, subjective sleep, sleep disorders, and circadian rhythms on diabetes

2019 ◽  
pp. 213-225
Author(s):  
Azizi A. Seixas ◽  
Rebecca Robbins ◽  
Alicia Chung ◽  
Collin Popp ◽  
Tiffany Donley ◽  
...  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Teresa Arora ◽  
Mariapaola Barbato ◽  
Shaikha Al Hemeiri ◽  
Omar M. Omar ◽  
Maryam A. AlJassmi

Abstract Background Interoception is mental awareness, recognition and acknowledgement of physiological body signals. Understanding the role of sleep and interoception may provide a better understanding surrounding the sleep-health connection. Our primary objective was to examine the potential relationships between subjective sleep quality and multiple dimensions of interoceptive abilities in a large sample of young adults, a group who are vulnerable to sleep impairment and its widespread health consequences. Methods We conducted an online cross-sectional survey targeting young adults, aged 18–25 years. The Pittsburgh Sleep Quality Index (PSQI) was used to identify subjective sleep quality and the Multidimensional Assessment of Interoceptive Awareness Version 2 was used to assess eight domains of interoception. We conducted a series of Spearman’s bivariate correlations to assess the relationships between global sleep quality as well as the seven PSQI sub-components in relation to the eight interoception outcomes. We then conducted quantile regression to assess if global PSQI score was an independent predictor of interoception. Participants (n = 609) consented and provided data. Results After adjustment, the global PSQI was a significant predictor of ‘Non-Distracting’, ‘Emotional Awareness’ and ‘Trusting’, where β = − 0.10 (95% CI: − 0.14, − 0.07), β = 0.05 (0.01, 0.09), and β = − 0.10 (− 0.14, − 0.05), respectively. Conclusions Our findings reveal a small, significant relationship between sleep quality and interoceptive abilities amongst young adults. Sleep impairment may inhibit interoceptive skills, thus adding value to the mechanistic explanation of the sleep-health relationship. Experimental and prospective studies are needed to determine temporal associations.


Author(s):  
Evan Winiger ◽  
Leah Hitchcock ◽  
Angela Bryan ◽  
Cinnamon Bidwell

Objectives: Estimate the associations between cannabis use with expectations of cannabis being a sleep aid, subjective sleep outcomes, and the influence of age on these relationships. Methods: In 152 moderate cannabis users (67% female, mean age = 31.45, SD = 12.96, age range = 21-70) we assessed the influence of cannabis use history and behaviors on expectations of cannabis being a sleep aid and subjective sleep outcomes via the Pittsburgh Sleep Quality Index (PSQI). We used moderation analysis to examine the role of age in the relationship between cannabis use and subjective sleep outcomes. Results: Cannabis use along with more frequent cannabis use were associated with increased expectations that cannabis use improves sleep (all β > 0.03, p < 0.04). Frequency of recent cannabis use and reported average THC or CBD concentration were largely not associated with subjective sleep outcomes. However, endorsing current cannabis use was associated with worse subjective sleep quality (β = 1.34, p = 0.02) and increased frequency of consuming edibles was associated with worse subjective sleep efficiency (β = 0.03, p = 0.04), lower sleep duration (β = 0.03, p = 0.01), and higher global PSQI scores (worse overall sleep) (β = 0.10, p = 0.01). Furthermore, age was determined to have a moderating influence on the relationship between increased concentration of CBD and both better sleep duration and sleep quality (both p < 0.03). Conclusion: Cannabis users have higher expectations of cannabis being a sleep aid, but few associations existed between cannabis use and subjective sleep outcomes with the exceptions of endorsing any cannabis use and frequency of edible use. Additionally, age may be an important moderator of the potential positive influence CBD concentration can have on sleep.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A58-A58
Author(s):  
Gina Mathew ◽  
David Reichenberger ◽  
Orfeu Buxton ◽  
Lauren Hale ◽  
Anne-Marie Chang

Abstract Introduction Sleep health is linked to dietary choices, and skipping breakfast is associated with risk of negative health outcomes in adolescents. However, there is a lack of research on whether dimensions of sleep at night predict adolescents eating breakfast the next day. We investigated within- and between-person associations of multiple aspects of sleep with adolescent breakfast consumption. Methods Data were collected from a subset of the age 15 wave of the Fragile Families and Child Wellbeing Study (n=590). Teens wore an actigraphy device and completed daily surveys for ~1 week (mean=5.9 days). Surveys assessed subjective sleep quality (low–high) and consumption of breakfast (no/yes). Mixed models assessed whether actigraphy-measured sleep timing (onset, midpoint, and offset) and subjective sleep quality predicted odds of breakfast consumption in both within- and between-person models. A curvilinear association between sleep duration and breakfast consumption was also assessed. Irregularity of sleep duration and timing were tested as additional predictors, calculated as SD per person (in between-person models only). Analyses included random intercepts for participants and covariates: school day, boredom, loneliness, happiness, depressive symptoms, sex, race/ethnicity, body mass index, and household income. Results Within-person analyses revealed a significant curvilinear association between sleep duration and breakfast consumption, such that on nights when teens slept shorter or longer than their average, they had lower odds of eating breakfast the next day (p=.005). Additionally, on nights when teens had a later sleep midpoint or offset than their usual, they tended to skip breakfast the next day (both p&lt;.05). Between-person models showed that teens who on average had later sleep timing (onset, midpoint, and offset) and who reported lower sleep quality had lower odds of eating breakfast (all p&lt;.04). Lastly, teens with greater irregularity of sleep duration and sleep timing (midpoint and offset) had lower odds of eating breakfast (all p&lt;.009). Conclusion Findings indicate that multiple dimensions of adolescent sleep health, including long and short sleep duration, later sleep timing, and poorer sleep quality, are associated with lower odds of eating breakfast. These sleep and dietary behaviors in adolescence may consequently impact future metabolic health. Support (if any) R01HD073352


2013 ◽  
Vol 59 ◽  
pp. 618-622 ◽  
Author(s):  
Querino Maia ◽  
Michael A. Grandner ◽  
James Findley ◽  
Indira Gurubhagavatula

2021 ◽  
Author(s):  
Rebecca Robbins ◽  
Matthew D Weaver ◽  
Stuart Quan ◽  
Jason P Sullivan ◽  
Salim Qadri ◽  
...  

Sleep deficiency and undiagnosed or untreated sleep disorders are pervasive among employed adults, yet often ignored in the context of workplace health promotion programs among employers. Smartphone applications (app) are a promising, scalable approach to improving sleep among employees. In this randomized clinical trial, we evaluate the dayzz app, a personalized sleep training program that promotes healthy sleep and sleep disorders awareness through personalized, comprehensive sleep improvement solutions. In a sample of daytime employees affiliated with a large healthcare organization, we evaluated the dayzz app in a parallel-group, randomized, waitlist control trial. Participants were randomly assigned to either use the dayzz app throughout the study or the waitlist control condition where they would receive the dayzz app at the end of the study period. We collected data on employee sleep (e.g., sleep duration, sleep health behavioral changes); workplace outcomes (e.g., employee presenteeism, absenteeism, and performance); and healthcare utilization (e.g., mental health, ambulatory visits, and emergency room visits), throughout the study. Results show that those assigned to the experimental condition exhibited an increase in healthy sleep behaviors; an increase in sleep duration; a trend toward a more regular sleep schedule; and a significant increase in overall sleep quality. Regarding workplace outcomes, results showed that those in the experimental condition also demonstrated a trend toward less absenteeism and significantly lower presenteeism; and those in the experimental condition reported lower healthcare utilization. Results from this randomized clinical trial demonstrate that a workplace sleep wellness program can be beneficial to both the employee and employer.


Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 1675-P
Author(s):  
XIAO TAN ◽  
CHRISTIAN BENEDICT

2020 ◽  
Vol 26 (21) ◽  
pp. 2492-2496 ◽  
Author(s):  
Fiammetta Romano ◽  
Giovanna Muscogiuri ◽  
Elea Di Benedetto ◽  
Volha V. Zhukouskaya ◽  
Luigi Barrea ◽  
...  

Background: Vitamin D exerts multiple pleiotropic effects beyond its role in calcium-phosphate metabolism. Growing evidence suggests an association between hypovitaminosis D and sleep disorders, thus increasing the interest in the role of this vitamin in the regulatory mechanisms of the sleep-wake cycle. Objective: The study aimed to explore and summarize the current knowledge about the role of vitamin D in sleep regulation and the impact of vitamin D deficiency on sleep disorders. Methods: The main regulatory mechanisms of vitamin D on sleep are explained in this study. The literature was scanned to identify clinical trials and correlation studies showing an association between vitamin D deficiency and sleep disorders. Results: Vitamin D receptors and the enzymes that control their activation and degradation are expressed in several areas of the brain involved in sleep regulation. Vitamin D is also involved in the pathways of production of Melatonin, the hormone involved in the regulation of human circadian rhythms and sleep. Furthermore, vitamin D can affect sleep indirectly through non-specific pain disorders, correlated with alterations in sleep quality, such as restless legs syndrome and obstructive sleep apnea syndrome. Conclusions: : Vitamin D has both a direct and an indirect role in the regulation of sleep. Although vitamin D deficiency has been associated to sleep disorders, there is still scant evidence to concretely support the role of vitamin D supplementation in the prevention or treatment of sleep disturbances; indeed, more intervention studies are needed to better clarify these aspects.


Sign in / Sign up

Export Citation Format

Share Document