School of Nursing, Shanghai Jiao Tong University, Shanghai, China.
Department of Nursing, Lujiazui Community Health Service Center, Shanghai, China.
Front Endocrinol (Lausanne). 2024 Mar 5;15:1361906. doi: 10.3389/fendo.2024.1361906. eCollection 2024.
To examine the association between napping characteristics and glycemic control in people with type 2 diabetes.
This study used a cross-sectional design.
A convenience sample of people with type 2 diabetes (N=226) were included. Glycemic control was indicated by HbA1c which was measured by A1C Now®+. Napping characteristics including napping frequency, duration, timing, and type were measured by validated questionnaires. Other variables, such as insomnia, cognitive impairment, and depression were measured by the Insomnia Severity Index, Montreal Cognitive Assessment, and Patient Health Questionnaire-9, respectively. Multivariate linear regression analyses were performed.
The sample consisted of 122 women (54.0%), with a median age of 67 years. Their median HbA1c was 6.8%. No significant relationship was found between napping frequency and HbA1c. Among nappers, after controlling for covariates, long napping duration (≥60 min) and morning napping were both associated with poorer glycemic control. Compared with appetitive napping, restorative napping was associated with better glycemic control.
Daytime napping (e.g., duration and type) is an important modifiable factor for glycemic control in people with type 2 diabetes. This study provides new insights into the relationship between napping and glucose management among people with diabetes.
探讨 2 型糖尿病患者午睡特征与血糖控制之间的关系。
本研究采用横断面设计。
纳入了 226 名 2 型糖尿病患者的便利样本。血糖控制通过 A1C Now®+测量的 HbA1c 来表示。午睡特征包括午睡频率、持续时间、时间和类型，通过经过验证的问卷进行测量。其他变量，如失眠、认知障碍和抑郁，分别通过失眠严重程度指数、蒙特利尔认知评估和患者健康问卷-9 进行测量。进行了多变量线性回归分析。
样本由 122 名女性（54.0%）组成，中位年龄为 67 岁。他们的中位 HbA1c 为 6.8%。午睡频率与 HbA1c 之间没有显著关系。在午睡者中，在校正了混杂因素后，长时间午睡（≥60 分钟）和晨睡与较差的血糖控制有关。与开胃性午睡相比，恢复性午睡与更好的血糖控制相关。
日间午睡（例如，持续时间和类型）是 2 型糖尿病患者血糖控制的一个重要可调节因素。本研究为糖尿病患者午睡与血糖管理之间的关系提供了新的见解。
