Sleep insufficiency and incident diabetes mellitus among indigenous and minority populations in Greece

Objective: To investigate the potential association between sleep pathology and diabetes mellitus (DM) using self-reported questionnaires. Material and Methods: 957 adults aged between 19 and 86 years old were enrolled in this cross-sectional study. Multistage stratified cluster sampling wa...

Full description

Bibliographic Details
Main Authors: Anestis Matziridis, Dimitrios Tsiptsios, Apostolos Manolis, Andreas Ouranidis, Andreas S Triantafyllis, Konstantinos Tsamakis, Aspasia Serdari, Eleni Leontidou, Aikaterini Terzoudi, Elena Dragioti, Paschalis Steiropoulos, Gregory Tripsianis
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda.
Series:Sleep Science
Subjects:
Online Access:https://cdn.publisher.gn1.link/sleepscience.org.br/pdf/v14nspe2a01.pdf
_version_ 1827393990849200128
author Anestis Matziridis
Dimitrios Tsiptsios
Apostolos Manolis
Andreas Ouranidis
Andreas S Triantafyllis
Konstantinos Tsamakis
Aspasia Serdari
Eleni Leontidou
Aikaterini Terzoudi
Elena Dragioti
Paschalis Steiropoulos
Gregory Tripsianis
author_facet Anestis Matziridis
Dimitrios Tsiptsios
Apostolos Manolis
Andreas Ouranidis
Andreas S Triantafyllis
Konstantinos Tsamakis
Aspasia Serdari
Eleni Leontidou
Aikaterini Terzoudi
Elena Dragioti
Paschalis Steiropoulos
Gregory Tripsianis
author_sort Anestis Matziridis
collection DOAJ
description Objective: To investigate the potential association between sleep pathology and diabetes mellitus (DM) using self-reported questionnaires. Material and Methods: 957 adults aged between 19 and 86 years old were enrolled in this cross-sectional study. Multistage stratified cluster sampling was used and subjects were classified into three groups [short (<6h), normal (6-8h) and long (>8h) sleep duration]. Individuals were classified as diabetics if they responded positively to the questions: “Have you ever been told that you are diabetic or have high blood sugar by a health professional?” or “Are you on antidiabetic medication?”. Sleep quality, utilizing Epworth sleepiness scale, Athens insomnia scale, Pittsburgh sleep quality index and Berlin questionnaire, was also examined. Results: DM prevalence was higher among expatriated and Muslim Greeks (23.1% and 18.7%, respectively) compared to indigenous Greek Christians (4.4%). DM prevalence was significantly associated with short sleep duration (aOR=2.82, p<0.001), excessive daytime sleepiness (aOR=2.09, p=0.019) and poor sleep quality (aOR=2.56, p<0.001), while its relation with insomnia (aOR=1.63, p=0.065) and risk for obstructive sleep apnea (aOR=1.53, p=0.080) were of marginal statistical significance. Conclusion: This study indicates an association between sleep quantity, quality and DM and supports early pharmacological and cognitive behavioral interventions on sleep disturbances in order to reduce the burden of DM with increased focus on minority population needs.
first_indexed 2024-03-08T17:59:31Z
format Article
id doaj.art-ba2d2c88cf104766a0b8787e1c700eda
institution Directory Open Access Journal
issn 1984-0659
1984-0063
language English
last_indexed 2024-03-08T17:59:31Z
publisher Thieme Revinter Publicações Ltda.
record_format Article
series Sleep Science
spelling doaj.art-ba2d2c88cf104766a0b8787e1c700eda2024-01-02T02:58:25ZengThieme Revinter Publicações Ltda.Sleep Science1984-06591984-006314Special2101110000110.5935/1984-0063.20200081Sleep insufficiency and incident diabetes mellitus among indigenous and minority populations in GreeceAnestis Matziridis0Dimitrios Tsiptsios1Apostolos Manolis2Andreas Ouranidis3Andreas S Triantafyllis4Konstantinos Tsamakis5Aspasia Serdari6Eleni Leontidou7Aikaterini Terzoudi8Elena Dragioti9Paschalis Steiropoulos10Gregory Tripsianis11 Democritus University of Thrace, Laboratory of Medical Statistics - Alexandroupolis - Thrace - Greece. South Tyneside & Sunderland NHS Foundation Trust, Department of Clinical Neurophysiology - Sunderland - Tyne & Wear - United Kingdom. Democritus University of Thrace, Laboratory of Medical Statistics - Alexandroupolis - Thrace - Greece. Aristotle University of Thessaloniki, Department of Chemical Engineering - Thessaloniki - Central Macedonia - Greece. Askepeion Hospital, Department of Cardiology - Athens Greece. King’s College, Institute of Psychiatry, Psychology and Neuroscience - London - United Kingdom. Democritus University of Thrace, Department of Child and Adolescent Psychiatry - Alexandroupolis - Thrace - Greece. Democritus University of Thrace, Laboratory of Medical Statistics - Alexandroupolis - Thrace - Greece. Democritus University of Thrace, Neurology Department - Alexandroupolis - Thrace - Greece. Linköping University, Department of Health, Medicine and Caring Sciences - Linköping - Linköping - Sweden. Democritus University of Thrace, Department of Pneumonology - Alexandroupolis - Thrace - Greece. Democritus University of Thrace, Laboratory of Medical Statistics - Alexandroupolis - Thrace - Greece. Objective: To investigate the potential association between sleep pathology and diabetes mellitus (DM) using self-reported questionnaires. Material and Methods: 957 adults aged between 19 and 86 years old were enrolled in this cross-sectional study. Multistage stratified cluster sampling was used and subjects were classified into three groups [short (<6h), normal (6-8h) and long (>8h) sleep duration]. Individuals were classified as diabetics if they responded positively to the questions: “Have you ever been told that you are diabetic or have high blood sugar by a health professional?” or “Are you on antidiabetic medication?”. Sleep quality, utilizing Epworth sleepiness scale, Athens insomnia scale, Pittsburgh sleep quality index and Berlin questionnaire, was also examined. Results: DM prevalence was higher among expatriated and Muslim Greeks (23.1% and 18.7%, respectively) compared to indigenous Greek Christians (4.4%). DM prevalence was significantly associated with short sleep duration (aOR=2.82, p<0.001), excessive daytime sleepiness (aOR=2.09, p=0.019) and poor sleep quality (aOR=2.56, p<0.001), while its relation with insomnia (aOR=1.63, p=0.065) and risk for obstructive sleep apnea (aOR=1.53, p=0.080) were of marginal statistical significance. Conclusion: This study indicates an association between sleep quantity, quality and DM and supports early pharmacological and cognitive behavioral interventions on sleep disturbances in order to reduce the burden of DM with increased focus on minority population needs.https://cdn.publisher.gn1.link/sleepscience.org.br/pdf/v14nspe2a01.pdfsleep durationdiabetes mellitussleep qualityinsomnia
spellingShingle Anestis Matziridis
Dimitrios Tsiptsios
Apostolos Manolis
Andreas Ouranidis
Andreas S Triantafyllis
Konstantinos Tsamakis
Aspasia Serdari
Eleni Leontidou
Aikaterini Terzoudi
Elena Dragioti
Paschalis Steiropoulos
Gregory Tripsianis
Sleep insufficiency and incident diabetes mellitus among indigenous and minority populations in Greece
Sleep Science
sleep duration
diabetes mellitus
sleep quality
insomnia
title Sleep insufficiency and incident diabetes mellitus among indigenous and minority populations in Greece
title_full Sleep insufficiency and incident diabetes mellitus among indigenous and minority populations in Greece
title_fullStr Sleep insufficiency and incident diabetes mellitus among indigenous and minority populations in Greece
title_full_unstemmed Sleep insufficiency and incident diabetes mellitus among indigenous and minority populations in Greece
title_short Sleep insufficiency and incident diabetes mellitus among indigenous and minority populations in Greece
title_sort sleep insufficiency and incident diabetes mellitus among indigenous and minority populations in greece
topic sleep duration
diabetes mellitus
sleep quality
insomnia
url https://cdn.publisher.gn1.link/sleepscience.org.br/pdf/v14nspe2a01.pdf
work_keys_str_mv AT anestismatziridis sleepinsufficiencyandincidentdiabetesmellitusamongindigenousandminoritypopulationsingreece
AT dimitriostsiptsios sleepinsufficiencyandincidentdiabetesmellitusamongindigenousandminoritypopulationsingreece
AT apostolosmanolis sleepinsufficiencyandincidentdiabetesmellitusamongindigenousandminoritypopulationsingreece
AT andreasouranidis sleepinsufficiencyandincidentdiabetesmellitusamongindigenousandminoritypopulationsingreece
AT andreasstriantafyllis sleepinsufficiencyandincidentdiabetesmellitusamongindigenousandminoritypopulationsingreece
AT konstantinostsamakis sleepinsufficiencyandincidentdiabetesmellitusamongindigenousandminoritypopulationsingreece
AT aspasiaserdari sleepinsufficiencyandincidentdiabetesmellitusamongindigenousandminoritypopulationsingreece
AT elenileontidou sleepinsufficiencyandincidentdiabetesmellitusamongindigenousandminoritypopulationsingreece
AT aikateriniterzoudi sleepinsufficiencyandincidentdiabetesmellitusamongindigenousandminoritypopulationsingreece
AT elenadragioti sleepinsufficiencyandincidentdiabetesmellitusamongindigenousandminoritypopulationsingreece
AT paschalissteiropoulos sleepinsufficiencyandincidentdiabetesmellitusamongindigenousandminoritypopulationsingreece
AT gregorytripsianis sleepinsufficiencyandincidentdiabetesmellitusamongindigenousandminoritypopulationsingreece