SLEEP QUALITY IN PATIENTS WITH TYPE 2 DIABETES MELLITUS AND ARTERIAL HYPERTENSION
DOI:
https://doi.org/10.32782/umv-2024.2.9Keywords:
sleep quality, PSQI, diabetes mellitus, arterial hypertension, nursingAbstract
The aim of this study was to determine the prevalence of sleep disorders among patients with type 2 diabetes mellitus in the presence or absence of concomitant hypertension.The study involved 102 patients with type 2 diabetes mellitus, including 52 with concomitant hypertension and 50 with normal blood pressure. Sleep quality and its components were determined using the Pittsburgh Sleep Quality Index (PSQI).The PSQI showed that 42 (80,8%) patients with comorbidity had poor sleep quality, and among patients without hypertension, poor sleep quality was characteristic of 36 (72,0%) people, with no statistically significant difference between the groups.A significant difference was found between the groups in terms of subjective sleep quality. The overwhelming majority of patients in the group without comorbidity rated their sleep quality as fairly good, and respondents with concomitant hypertension were equally divided into subgroups that rated their sleep quality as fairly good and fairly poor. When comparing the sleep latency component, significant differences were identified between the groups with a predominance of minor difficulty, with the largest subgroup comprising 28 patients with normal blood pressure who presented minor difficulty according to the questionnaire. The difference in the time required to fall asleep between the groups was statistically significant, with patients without comorbidity generally having a shorter time to fall asleep. It was found that subgroups with sleep efficiency >85% prevailed, which amounted to 61,5% of patients with diabetes and hypertension and 88,0% of patients with normal blood pressure, with a significant difference in the sleep efficiency parameter between the groups. The assessment of the differences in the sleep disturbance component between the groups revealed significant differences, with the majority of patients with concomitant hypertension having some difficulty, in contrast to patients without comorbidity, who are significantly dominated by a subgroup of participants with mild sleep disturbance.
References
1. Chattu V.K., Chattu S.K., Burman D., Spence D.W., Pandi-Perumal S.R. The Interlinked Rising Epidemic of Insufficient Sleep and Diabetes Mellitus. Healthcare (Basel). 2019. № 7 (1). P. 37. DOI: 10.3390/healthcare7010037.
2. Surani S., Brito V., Surani A., Ghamande S. Effect of diabetes mellitus on sleep quality. World J Diabetes. 2015. № 6 (6). P. 868–873. DOI: 10.4239/wjd.v6.i6.868.
3. Meng L., Zheng Y., Hui R. The relationship of sleep duration and insomnia to risk of hypertension incidence: a meta-analysis of prospective cohort studies. Hypertens Res. 2013. № 36 (11). P. 985–995. DOI: 10.1038/hr.2013.70.
4. Laugsand L.E., Strand L.B., Platou C., Vatten L.J., Janszky I. Insomnia and the risk of incident heart failure: a population study. European Heart Journal. 2014. № 35 (21). P. 1382–1393. DOI: 10.1093/eurheartj/eht019.
5. Li Y., Gao X., Winkelman J.W., Cespedes E.M., Jackson C.L., Walters A.S. Association between sleeping difficulty and type 2 diabetes in women. Diabetologia. 2016. № 59 (4). P. 719–727. DOI: 10.1007/s00125-015-3860-9.
6. Song Q., Liu X., Zhou W., Wang X., Wu S. Short-term changes in sleep duration and risk of type 2 diabetes: Kailuanprospectivestudy. Medicine (Baltimore). 2016. № 95 (45). P. e5363. DOI: 10.1097/md.0000000000005363.
7. Jemere T., Mossie A., Berhanu H., Yeshaw Y. Poor sleep quality and its predictors among type 2 diabetes mellitus patients attending Jimma University Medical Center, Jimma, Ethiopia. BMC Res Notes. 2019. № 12 (1). P. 488. DOI: 10.1186/s13104-019-4531-6.
8. Koopman A.D.M., Beulens J.W., Dijkstra T., Pouwer F., Bremmer M.A., van Straten A. Prevalence of Insomnia (Symptoms) in T2 Dand Association with Metabolic Parameters and Glycemic Control: Meta- Analysis. J Clin Endocrinol Metab. 2020. № 105 (3). P. 614–643. DOI: 10.1210/clinem/dgz065.
9. Bhaskar S., Hemavathy D., Prasad S. Prevalence of chronic insomnia in adult patients and its correlation with medical comorbidities. J Family Med Prim Care. 2016. № 5 (4). P. 780–784. DOI: 10.4103/2249-4863.201153.
10. Narisawa H., Komada Y., Miwa T., Shikuma J., Sakurai M., Odawara M. Prevalence, symptomatic features, and factors associated with sleep disturbance/insomnia in Japanese patients with type-2 diabetes. Neuropsychiatr Dis Treat. 2017. № 13. P. 1873–1880. DOI: 10.2147/ndt.s134814.
11. Shahid A., Wilkinson K., Marcu S., Shapiro C.M. STOP, THAT and One Hundred Other Sleep Scales. Springer New York Dordrecht Heidelberg London. 2012. 421 p. DOI: 10.1007/978-1-4419-9893-4.
12. Mazur L.P., Marushchak M.I., Batiukh O.V. Opytuvalnyky yak osnovni instrument v diagnostyci rozladiv snu [Questionnaires as the main tools in the diagnosis of sleep disorders]. Bulletin of Medical and Biological Research. 2021. № 3 (9). P. 96–100. DOI: 10.11603/bmbr.2706-6290.2021.3.12575.
13. Okubo N., Matsuzaka M., Takahashi I. Relationship between self-reported sleep quality and metabolic syndrome in general population. BMC Public Health. 2014. № 14. P. 562. DOI: 10.1186/1471-2458-14-562.
14. Valenzuela P.L., Santos-Lozano A., Torres-Barrán A. Poor self-reported sleep is associated with risk factors for cardiovascular disease: a cross-sectional analysis in half a million adults. Eur J Clin Invest. 2022. № 52 (5). P. e13738. DOI: 10.1111/eci.13738.
15. Feher M., Hinton W., Munro N., de Lusignan S. Obstructive sleep apnoea in Type 2 diabetes mellitus: increased risk for overweight as well as obese people included in a national primary care database analysis. Diabet Med. 2019. № 36 (10). P. 1304–1311. DOI: 10.1111/dme.13968.
16. Otaka H., Murakami H., Nakayama H. Association between insomnia and personality traits among Japanese patients with type 2 diabetes mellitus. J Diabetes Investig. 2019. № 10 (2). P. 484–490. DOI: 10.1111/jdi.12927.