Interaction of sleep quality and anxiety on quality of life in individuals with type 2 diabetes mellitus
Abstract Purpose Sleep disturbances and anxious symptoms are very common in people with type 2 diabetes mellitus(T2DM). This study aimed to assess the interactive effects of poor sleep quality and anxious symptoms on the quality of life of people with T2DM. Methods Nine hundred and forty-four partic...
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| Format: | Article |
| Language: | English |
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BMC
2020-05-01
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| Series: | Health and Quality of Life Outcomes |
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| Online Access: | http://link.springer.com/article/10.1186/s12955-020-01406-z |
| _version_ | 1828834875006779392 |
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| author | Dong Dong Peian Lou Jian Wang Pan Zhang Jianquan Sun Guiqiu Chang Chunrong Xu |
| author_facet | Dong Dong Peian Lou Jian Wang Pan Zhang Jianquan Sun Guiqiu Chang Chunrong Xu |
| author_sort | Dong Dong |
| collection | DOAJ |
| description | Abstract Purpose Sleep disturbances and anxious symptoms are very common in people with type 2 diabetes mellitus(T2DM). This study aimed to assess the interactive effects of poor sleep quality and anxious symptoms on the quality of life of people with T2DM. Methods Nine hundred and forty-four participants with T2DM were enrolled in a cross-sectional study. Demographic and physiological characteristics were recorded. Each participant completed a Chinese version of the Pittsburgh Sleep Quality Index, the Patient Health Questionnaire-9 and General Anxiety Disorder questionnaire, and the Diabetes Specificity Quality of Life scale. The products of poor sleep quality and anxiety were added to a logistic regression model to evaluate the multiplicative interactions, expressed as the relative excess risk of interaction, the attributable proportion of interaction, and the synergy index. Results Poor sleep quality and anxiety symptoms were associated with reduced quality of life. There was a significant interaction between poor sleep quality and anxiety symptoms; this combined effect significantly reduced quality of life scores by 6.09-fold. The relative excess risk of interactions was 1.36. Conclusions The combined effect of poor sleep quality and anxiety symptoms reduces quality of life in people with T2DM. Trial registration ChiCTR-IOP-16008045 . Registered 3 March 2016. A clinical study to investigate gum infection in patients undergoing kidney dialysis. |
| first_indexed | 2024-12-12T17:48:21Z |
| format | Article |
| id | doaj.art-6ffc83123fbe4b14a5f0856bfa84b1af |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-12-12T17:48:21Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-6ffc83123fbe4b14a5f0856bfa84b1af2022-12-22T00:16:52ZengBMCHealth and Quality of Life Outcomes1477-75252020-05-011811710.1186/s12955-020-01406-zInteraction of sleep quality and anxiety on quality of life in individuals with type 2 diabetes mellitusDong Dong0Peian Lou1Jian Wang2Pan Zhang3Jianquan Sun4Guiqiu Chang5Chunrong Xu6Department of Endocrinology, Xuzhou Third People’s HospitalDepartment of Control and Prevention of Chronic non-communicable diseases of Xuzhou Center for Disease Control and Prevention, The School of Public Health, Xuzhou Medical UniversityDepartment of Endocrinology, Xuzhou Third People’s HospitalDepartment of Control and Prevention of Chronic non-communicable diseases of Xuzhou Center for Disease Control and Prevention, The School of Public Health, Xuzhou Medical UniversityDepartment of Endocrinology, Xuzhou Third People’s HospitalDepartment of Control and Prevention of Chronic non-communicable diseases of Xuzhou Center for Disease Control and Prevention, The School of Public Health, Xuzhou Medical UniversityDepartment of Endocrinology, Xuzhou Third People’s HospitalAbstract Purpose Sleep disturbances and anxious symptoms are very common in people with type 2 diabetes mellitus(T2DM). This study aimed to assess the interactive effects of poor sleep quality and anxious symptoms on the quality of life of people with T2DM. Methods Nine hundred and forty-four participants with T2DM were enrolled in a cross-sectional study. Demographic and physiological characteristics were recorded. Each participant completed a Chinese version of the Pittsburgh Sleep Quality Index, the Patient Health Questionnaire-9 and General Anxiety Disorder questionnaire, and the Diabetes Specificity Quality of Life scale. The products of poor sleep quality and anxiety were added to a logistic regression model to evaluate the multiplicative interactions, expressed as the relative excess risk of interaction, the attributable proportion of interaction, and the synergy index. Results Poor sleep quality and anxiety symptoms were associated with reduced quality of life. There was a significant interaction between poor sleep quality and anxiety symptoms; this combined effect significantly reduced quality of life scores by 6.09-fold. The relative excess risk of interactions was 1.36. Conclusions The combined effect of poor sleep quality and anxiety symptoms reduces quality of life in people with T2DM. Trial registration ChiCTR-IOP-16008045 . Registered 3 March 2016. A clinical study to investigate gum infection in patients undergoing kidney dialysis.http://link.springer.com/article/10.1186/s12955-020-01406-zType 2 diabetes mellitusQuality of lifeInteraction |
| spellingShingle | Dong Dong Peian Lou Jian Wang Pan Zhang Jianquan Sun Guiqiu Chang Chunrong Xu Interaction of sleep quality and anxiety on quality of life in individuals with type 2 diabetes mellitus Health and Quality of Life Outcomes Type 2 diabetes mellitus Quality of life Interaction |
| title | Interaction of sleep quality and anxiety on quality of life in individuals with type 2 diabetes mellitus |
| title_full | Interaction of sleep quality and anxiety on quality of life in individuals with type 2 diabetes mellitus |
| title_fullStr | Interaction of sleep quality and anxiety on quality of life in individuals with type 2 diabetes mellitus |
| title_full_unstemmed | Interaction of sleep quality and anxiety on quality of life in individuals with type 2 diabetes mellitus |
| title_short | Interaction of sleep quality and anxiety on quality of life in individuals with type 2 diabetes mellitus |
| title_sort | interaction of sleep quality and anxiety on quality of life in individuals with type 2 diabetes mellitus |
| topic | Type 2 diabetes mellitus Quality of life Interaction |
| url | http://link.springer.com/article/10.1186/s12955-020-01406-z |
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