| Title: | Association of socioeconomic deprivation with sleep health in patients with type 2 diabetes |
| Journal: | Diabetes Obesity and Metabolism |
| Published: | 21 Jun 2023 |
| Pubmed: | https://pubmed.ncbi.nlm.nih.gov/37340995/ |
| DOI: | https://doi.org/10.1111/dom.15190 |
| URL: | https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/dom.15190 |
Publication 11579
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Abstract
AIMS: To investigate the association between socioeconomic deprivation and indicators of sleep health among patients with type 2 diabetes mellitus (T2DM), and additionally, to examine whether socioeconomic deprivation is associated with higher glycated haemoglobin (HbA1c) levels in these patients.</p>
MATERIALS AND METHODS: We analysed data from the UK Biobank, consisting of 17 206 participants with T2DM, to explore the relationship between socioeconomic deprivation, self-reported indicators of sleep health, and HbA1c levels. Socioeconomic deprivation was assessed using the Townsend deprivation index. Participants were divided into two groups: low socioeconomic deprivation (n = 8604; reference group) and high socioeconomic deprivation (n = 8602). Logistic regression models were employed, adjusting for covariates such as body mass index (BMI), age, and biological sex.</p>
RESULTS: Patients with high socioeconomic deprivation had higher odds of reporting usual difficulties falling asleep or sleeping through the night (adjusted odds ratio 1.20, 95% confidence interval [CI] 1.12, 1.28), and they were more likely to use at least one hypnotic medication (adjusted odds ratio 1.41, 95% CI 1.09, 1.84). They also had higher odds of reporting snoring and difficulties staying awake during the daytime (adjusted odds ratio 1.09, 95% CI 1.01, 1.18), as well as experiencing short sleep duration (defined as <6 hours of sleep per day; adjusted odds ratio 1.69, 95% CI 1.50, 1.91). Moreover, patients with high socioeconomic deprivation had increased odds of experiencing comorbid sleep problems (P ≤ 0.001). Finally, high socioeconomic deprivation was associated with a 0.1% higher HbA1c level (P < 0.001). Controlling for indicators of poor sleep health did not alter the strength of this association.</p>
CONCLUSIONS: Socioeconomic deprivation may represent a risk factor for poor sleep health in patients with T2DM.</p>
3 Authors
- Pei Xue
- Xiao Tan
- Christian Benedict
1 Application
| Application ID | Title |
|---|---|
| 55177 | Role of sleep and circadian rhythm in treatment efficacy of antidiabetics |
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