Meta-Analysis of Relationship of Sleep Quality and Duration With Risk of Diabetic Retinopathy
ObjectiveA meta-analysis is used to explore the relationship of sleep quality and duration with the risk of diabetic retinopathy (DR).MethodCochrane Library, PubMed, Embase, and other databases are searched from their establishment to April 2022. Literature on the relationship of sleep quality and d...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-06-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2022.922886/full |
| _version_ | 1811240538911801344 |
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| author | Zhenzhen Zheng Chaoyu Wang Chunhe Li Qinglan Wu Xiaojuan Chen Huimin Chen Huizhao Liao Jinru Zhu Junyan Lin Xudong Ou Zhihong Zou Jinhua Liang Riken Chen |
| author_facet | Zhenzhen Zheng Chaoyu Wang Chunhe Li Qinglan Wu Xiaojuan Chen Huimin Chen Huizhao Liao Jinru Zhu Junyan Lin Xudong Ou Zhihong Zou Jinhua Liang Riken Chen |
| author_sort | Zhenzhen Zheng |
| collection | DOAJ |
| description | ObjectiveA meta-analysis is used to explore the relationship of sleep quality and duration with the risk of diabetic retinopathy (DR).MethodCochrane Library, PubMed, Embase, and other databases are searched from their establishment to April 2022. Literature on the relationship of sleep quality and duration with DR risk published in various databases is collected, and two researchers independently screen the literature, extract data, and evaluate the quality of the included articles. The meta-analysis is performed with Review Manage 5.4.1 software.ResultsA total of 7 articles are selected, including 4,626 subjects. The results show a strong correlation between sleep quality and DR risk. When comparing the sleep quality scores of “DR” (experimental group) and “NO DR” (control group), the Pittsburgh sleep quality index(PSQI) score of the DR group is significantly higher than that of the NO DR group (MD = 2.85; 95% confidence interval [CI] 1.92, 3.78, P<0.001), while the ESS score of the DR group is also significantly higher than that of the NO DR group (MD = 1.17; 95% confidence interval [CI] 0.14 to 2.30, P=0.04), so the sleep quality score of the DR group is higher than that of the NO DR group in both the PSQI and ESS scores, which confirms that low sleep quality is a risk factor for DR. Long sleep duration is also associated with the risk of developing DR; the number of adverse events (DR prevalence) is higher for “long sleep duration” than “normal sleep duration” [OR = 1.83, 95%CI 1.36–2.47, P < 0.001], suggesting that long sleep duration can cause increased DR risk. Short sleep duration is also associated with the occurrence of DR [OR = 1.49, 95%CI 1.15–1.94), P = 0.003] and can increase DR risk.ConclusionSleep quality and duration (including long and short sleep duration) are significantly associated with DR. To reduce DR risk, sleep intervention should be actively carried out, lifestyle changes should be made, and attention should be paid to the role of DR management. |
| first_indexed | 2024-04-12T13:22:07Z |
| format | Article |
| id | doaj.art-b4e9afb9834a4cb29e0979273532b380 |
| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-04-12T13:22:07Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj.art-b4e9afb9834a4cb29e0979273532b3802022-12-22T03:31:28ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922022-06-011310.3389/fendo.2022.922886922886Meta-Analysis of Relationship of Sleep Quality and Duration With Risk of Diabetic RetinopathyZhenzhen Zheng0Chaoyu Wang1Chunhe Li2Qinglan Wu3Xiaojuan Chen4Huimin Chen5Huizhao Liao6Jinru Zhu7Junyan Lin8Xudong Ou9Zhihong Zou10Jinhua Liang11Riken Chen12Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, ChinaDepartment of Respiratory and Critical Care Medicine, Taishan Hospital of Traditional Chinese Medicine, Jiangmen, ChinaDepartment of Critical Care Medicine, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, ChinaDepartment of Respiratory and Critical Care Medicine, Central People’s Hospital of Zhanjiang, Zhanjiang, ChinaMedical College, Jiaying Uiversity, Meizhou, ChinaDepartment of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, ChinaGuangzhou Medical University, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, ChinaDepartment of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, ChinaGuangzhou Medical University, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, ChinaGuangzhou Medical University, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, ChinaGuangzhou Medical University, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, ChinaDepartment of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, ChinaGuangzhou Medical University, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, ChinaObjectiveA meta-analysis is used to explore the relationship of sleep quality and duration with the risk of diabetic retinopathy (DR).MethodCochrane Library, PubMed, Embase, and other databases are searched from their establishment to April 2022. Literature on the relationship of sleep quality and duration with DR risk published in various databases is collected, and two researchers independently screen the literature, extract data, and evaluate the quality of the included articles. The meta-analysis is performed with Review Manage 5.4.1 software.ResultsA total of 7 articles are selected, including 4,626 subjects. The results show a strong correlation between sleep quality and DR risk. When comparing the sleep quality scores of “DR” (experimental group) and “NO DR” (control group), the Pittsburgh sleep quality index(PSQI) score of the DR group is significantly higher than that of the NO DR group (MD = 2.85; 95% confidence interval [CI] 1.92, 3.78, P<0.001), while the ESS score of the DR group is also significantly higher than that of the NO DR group (MD = 1.17; 95% confidence interval [CI] 0.14 to 2.30, P=0.04), so the sleep quality score of the DR group is higher than that of the NO DR group in both the PSQI and ESS scores, which confirms that low sleep quality is a risk factor for DR. Long sleep duration is also associated with the risk of developing DR; the number of adverse events (DR prevalence) is higher for “long sleep duration” than “normal sleep duration” [OR = 1.83, 95%CI 1.36–2.47, P < 0.001], suggesting that long sleep duration can cause increased DR risk. Short sleep duration is also associated with the occurrence of DR [OR = 1.49, 95%CI 1.15–1.94), P = 0.003] and can increase DR risk.ConclusionSleep quality and duration (including long and short sleep duration) are significantly associated with DR. To reduce DR risk, sleep intervention should be actively carried out, lifestyle changes should be made, and attention should be paid to the role of DR management.https://www.frontiersin.org/articles/10.3389/fendo.2022.922886/fullPittsburgh sleep quality indexEpworth sleepiness scalemeta-analysisdiabetic retinopathysleep durationsleep quality |
| spellingShingle | Zhenzhen Zheng Chaoyu Wang Chunhe Li Qinglan Wu Xiaojuan Chen Huimin Chen Huizhao Liao Jinru Zhu Junyan Lin Xudong Ou Zhihong Zou Jinhua Liang Riken Chen Meta-Analysis of Relationship of Sleep Quality and Duration With Risk of Diabetic Retinopathy Frontiers in Endocrinology Pittsburgh sleep quality index Epworth sleepiness scale meta-analysis diabetic retinopathy sleep duration sleep quality |
| title | Meta-Analysis of Relationship of Sleep Quality and Duration With Risk of Diabetic Retinopathy |
| title_full | Meta-Analysis of Relationship of Sleep Quality and Duration With Risk of Diabetic Retinopathy |
| title_fullStr | Meta-Analysis of Relationship of Sleep Quality and Duration With Risk of Diabetic Retinopathy |
| title_full_unstemmed | Meta-Analysis of Relationship of Sleep Quality and Duration With Risk of Diabetic Retinopathy |
| title_short | Meta-Analysis of Relationship of Sleep Quality and Duration With Risk of Diabetic Retinopathy |
| title_sort | meta analysis of relationship of sleep quality and duration with risk of diabetic retinopathy |
| topic | Pittsburgh sleep quality index Epworth sleepiness scale meta-analysis diabetic retinopathy sleep duration sleep quality |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2022.922886/full |
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