Insufficient sleep in young patients with diabetes and their families
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OBJECTIVE: We examined sleep in families of individuals with type 1 diabetes and the relationship of sleep with obesity, diabetes, and insulin resistance. METHODS: Probands with type 1 diabetes diagnosed before age 18 and first- and second-degree relatives were included (n = 323). Demographic, anthropometric and clinical variables, and self-reported sleep duration and napping were assessed. RESULTS: On average, adults (≥20 years) slept 7.5 (SD 1.5) hr, whereas children (5-11 years) and adolescents (12-19 years) slept 9.8 (SD 1.1) and 8.5 (SD 1.9) hr, respectively (p < .01). Based on national recommendations, 40.9% of participants slept insufficiently, particularly young people (vs. adults, p < .01). In age-group stratified analysis, there were no significant associations of insufficient sleep or sleep duration with obesity, diabetes status, or insulin resistance after adjustment for age, race/ethnicity, and gender. In all, 42% of participants reported napping regularly (≥1/week), with adolescents significantly more likely to do so (vs. adults, odds ratio [OR] = 1.95, p < .01). Non-Hispanic Blacks and Hispanics also had higher odds of regular napping (vs. non-Hispanic Whites, OR = 3.74, p < .01 and OR = 2.52, p = .03, respectively). In adjusted analysis, leaner (vs. obese) adolescents, whether measured by body mass index, percentage body fat, or waist circumference, were significantly more likely to nap regularly. CONCLUSIONS: We found that insufficient sleep was significantly more likely in children and adolescents compared with adults in families with type 1 diabetes. Lower adiposity was associated with regular napping in adolescents. The high prevalence of insufficient sleep in young patients with type 1 diabetes and their relatives detected in the current study may have significant health consequences.
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Self-reported short and long sleep duration have been associated with elevated risk of obesity in both children and adults.
“Both self-reported short and long sleep duration have been associated with elevated risk of obesity in both children and adults[1-7]”
From Habitual sleep duration associated with self-reported and objectively determined cardiometabolic risk factors (2014) · cites this paper as [6]
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- Authors
- Estrada, C. L., Danielson, K. K., Drum, M. L., & Lipton, R. B.
- Affiliations
- University of Chicago (US)
- Corresponding author
- Lipton, Rebecca B.
- Venue
- Biological Research For Nursing
- Publisher
- SAGE Publications
- Published
- 2011-01-28
- Volume
- 14
- Issue
- 1
- Pages
- 48-54
- ISSN
- 1099-8004 (ISSN-L)
- 1552-4175
- PMC
- PMC3617552
- OpenAlex
- W2077246910
- Cited by
- 42
- References
- 34
- Citations by year
- 2024: 4 · 2023: 5 · 2022: 1 · 2021: 7 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 2 · 2013: 4
- FWCI
- 3.29
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Biological Research For Nursing (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- University of Chicago
- Centers for Disease Control and Prevention
- National Institute of Diabetes and Digestive and Kidney Diseases (P60DK20595, R01DK044752, R01 DK44752, P60DK020595)
- National Center for Research Resources (UL1RR024999)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- insufficient sleep, sleep duration, type 1 diabetes, adolescents, children, napping, obesity, insulin resistance, adiposity, body mass index, racial and ethnic differences, sleep recommendations
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Chicago, Child, Diabetes Mellitus, Type 1, Family, Humans, Middle Aged, Sleep Deprivation, Young Adult
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