Abstract
Background
Type 1 diabetes mellitus (T1DM) is one of the most encountered chronic diseases in children and adolescents. Sleep as an essential part of life cycles follows a complicated biological pattern.
Objective
This study aimed to investigate and compare the sleep disorders between T1DM and non-diabetic children and adolescents.
Methods
This is a cross-sectional study that was conducted in a pediatric endocrinology clinic in Qazvin City during 2018–2019. The participated samples in T1DM and non-diabetic groups were 47 and 44 samples, respectively. The Children Sleep Health Questionnaire (CSHQ) was completed by the parents. Data were analyzed using SPSS software package version 22.
Results
The findings showed that the subscales of CSHQ including bedtime resistance, sleep onset delay, sleep duration, sleep anxiety, night waking, parasomnia, and total sleep disorder score of the diabetic patients were significantly higher than that of the control group (p < 0.05). The total score of CSHQ in the T1DM children group was higher than that the non-diabetic group, and this observed difference between scores was statistically significant (49.80 vs. 43.77, p < 0.05). The odds of the sleep complications in diabetic group (T1DM) are higher more than three times of the non-diabetic group controlling the confounding effects of the factors including age, sex, and BMI (OR = 3.16, 95% CI: 1.05–9.52).
Conclusion
According to the findings of our study, impaired sleep conditions in the T1DM children group were approximately three times the observed ones in the non-diabetic children group. According to our findings, routine evaluation of sleep disorders in diabetic children and adolescents is recommended.
Similar content being viewed by others
References
Slavish DC, et al. The cycle of daily stress and sleep: sleep measurement matters. Ann Behav Med. 2021;55(5):413–23.
Owens J. Classification and epidemiology of childhood sleep disorders. Sleep Med Clin. 2007;2(3):353–61.
Jalilolghadr S. Sleep and its disorders in pediatrics. Qazvin: Qazvin Univ Med Sci; 2012.
Lewandowski AS, Ward TM, Palermo TM. Sleep problems in children and adolescents with common medical conditions. Pediatr Clin. 2011;58(3):699–713.
Faulkner MS, Smart MJ. Sleep quality and heart rate variability in adolescents with type 1 or type 2 diabetes. J Diabetes Complications. 2021;35(12):108049.
Gabbs MH, et al. Poor sleep, increased stress and metabolic comorbidity in adolescents and youth with type 2 diabetes. Can J Diabetes. 2022;46(2):142–9.
Khandelwal D, et al. Sleep disorders in type 2 diabetes. Indian journal of endocrinology and metabolism. 2017;21(5):758.
Hackett RA, Dal Z, Steptoe A. The relationship between sleep problems and cortisol in people with type 2 diabetes. Psychoneuroendocrinology. 2020;117:104688.
Caruso NC, et al. Sleep, executive functioning and behaviour in children and adolescents with type 1 diabetes. Sleep Med. 2014;15(12):1490–9.
Pillar G, et al. Interactions between hypoglycemia and sleep architecture in children with type 1 diabetes mellitus. J Pediatr. 2003;142(2):163–8.
Perfect MM, et al. Sleep, glucose, and daytime functioning in youth with type 1 diabetes. Sleep. 2012;35(1):81–8.
Monaghan M, et al. Sleep behaviors and parent functioning in young children with type 1 diabetes. Child Health Care. 2012;41(3):246–59.
Rees P, et al. Sleep apnoea in diabetic patients with autonomic neuropathy. J R Soc Med. 1981;74(3):192–5.
Bergner EM, et al. Sleep in teens with type 1 diabetes: perspectives from adolescents and their caregivers. Diabetes Educ. 2018;44(6):541–8.
Azadnajafabad S, Mohammadi E, Aminorroaya A, Fattahi N, Rezaei S, Haghshenas R, et al. Non-communicable diseases’ risk factors in Iran; a review of the present status and action plans. J Diabetes Metab Disord. 2021;1–9.
Berk E, Çelik N. Sleep quality and glycemic control in children and adolescents with type 1 diabetes mellitus. Eur Rev Med Pharmacol Sci. 2023;27(10).
van Dijk M, et al. Disturbed subjective sleep characteristics in adult patients with long-standing type 1 diabetes mellitus. Diabetologia. 2011;54:1967–76.
Jauch-Chara K, et al. Altered neuroendocrine sleep architecture in patients with type 1 diabetes. Diabetes Care. 2008;31(6):1183–8.
Chang A-M, et al. Sleep timing and circadian phase in delayed sleep phase syndrome. J Biol Rhythms. 2009;24(4):313–21.
Shrivastava D, Jung S, Saadat M, Sirohi R, Crewson K. How to interpret the results of a sleep study. J Community Hosp Intern Med Perspect. 2014;4(5):24983.
Fobian AD, Avis K, Schwebel DC. The impact of media use on adolescent sleep efficiency. J Dev Behav Pediatr. 2016;37(1):9.
Donga E, et al. Partial sleep restriction decreases insulin sensitivity in type 1 diabetes. Diabetes Care. 2010;33(7):1573–7.
Griggs S, et al. Daily variations in sleep and glucose in adolescents with type 1 diabetes. Pediatr Diabetes. 2020;21(8):1493–501.
Owens JA, Spirito A, McGuinn M. The Children’s Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep-New York-. 2000;23(8):1043–52.
Hosseini F, et al. Sleep habits of school age children [Persian language]. Iran J Nurs. 2005;18(41):131–8.
American Diabetes Association. 6. Glycemic targets: standards of medical care in diabetes—2021. Diabetes Care. 2021;44(Supplement_1):S73–84.
Farabi SS. Type 1 diabetes and sleep. Diabetes Spectr. 2016;29(1):10.
Ilter Bahadur E, et al. Sleep disorder and behavior problems in children with type 1 diabetes mellitus. J Pediatr Endocrinol Metab. 2022;35(1):29–38.
von Schnurbein J, et al. Sleep and glycemic control in adolescents with type 1 diabetes. Pediatr Diabetes. 2018;19(1):143–9.
Jaser SS, Ellis D. Sleep in adolescents and young adults with type 1 diabetes: associations with diabetes management and glycemic control. Health Psychol Behav Med. 2016;4(1):49–55.
Perfect MM. Sleep-related disorders in patients with type 1 diabetes mellitus: current insights. Nat Sci Sleep. 2020;101–23.
Kim J, et al. The association of sleep duration and type 2 diabetes in Korean male adults with abdominal obesity: the Korean National Health and Nutrition Examination Survey 2005. Diabetes Res Clin Pract. 2009;86(2):e34–6.
Chillaron JJ, et al. Estimated glucose disposal rate in assessment of the metabolic syndrome and microvascular complications in patients with type 1 diabetes. J Clin Endocrinol Metab. 2009;94(9):3530–4.
Reutrakul S, et al. Sleep characteristics in type 1 diabetes and associations with glycemic control: systematic review and meta-analysis. Sleep Med. 2016;23:26–45.
Frye SS, Perfect MM, Silva GE. Diabetes management mediates the association between sleep duration and glycemic control in youth with type 1 diabetes mellitus. Sleep Med. 2019;60:132–8.
Acknowledgements
The authors thank the staff of the Children Growth Research Center at Qazvin Children Hospital, affiliated to the Qazvin University of Medical Sciences, for their help in preparing this paper.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical approval
The present work was conducted after being approved by the Ethical Committee of Qazvin University of Medical Sciences (IR.QUMS.REC.1397.319).
Conflict of interest
The authors declare no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Saffari, F., Homaei, A., Dodangeh, S. et al. The comparison of sleep disorders between type-1 diabetic and non-diabetic children and adolescents. Int J Diabetes Dev Ctries (2024). https://doi.org/10.1007/s13410-024-01344-2
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s13410-024-01344-2