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Can physical activity affect sleep disruption among the elderly with diabetes mellitus?

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Abstract

Diabetes mellitus (DM) is one of the most common chronic diseases among older people. The older people with DM suffer from sleep disturbances. The purpose of this study was to investigate the effect of physical activity on sleep disruption in the older Malaysians with diagnosed DM. In this project, 502 diabetic older Malaysians were evaluated to show the effects of age, ethnicity, sex differences, marital status, and physical activity on sleep problems. Approximately 43 % of respondents experienced sleep disruption. It was found that age (p < 0.001, OR = 1.07) significantly increased sleep problems in subjects. Furthermore, physical activity (p = 0.002, OR = 0.56) and being ethnic non-Malay (p = 0.003, OR = 0.56) decreased sleep disturbances. Marital status and sex differences were not found to be significant predictors for sleep disruption (p > 0.05). It was concluded that physical activity could effectively reduce sleep disruption among the diabetic older population.

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References

  1. Harbison J. Sleep disorders in older people. Age Ageing. 2002;31:6–9.

    Article  Google Scholar 

  2. Giron MST, Forsell Y, Bernsten C, et al. Sleep problems in a very old population. J Gerontol A Biol. 2002;57:M236–40.

    Article  Google Scholar 

  3. Garcia AD. The effect of chronic disorders on sleep in the elderly. Clin Geriatr Med. 2008;24:27–38.

    Article  PubMed  Google Scholar 

  4. Sargazi M, Salehi S, Naji SA. An investigation on sleep behaviors of the elderly hospitalized in Zahedan. Iran J Nurs Midwifery Res. 2012;17:58–63.

    PubMed Central  PubMed  Google Scholar 

  5. Foley D, Ancoli-Israel S, Britz P, Walsh J. Sleep disturbances and chronic disease in older adults: results of the 2003 National Sleep Foundation Sleep in America Survey. J Psychosom Res. 2004;56:497–502.

    Article  PubMed  Google Scholar 

  6. Ancoli-Israel S, Ayalon L. Diagnosis and treatment of sleep disorders in older adults. Am J Geriatr Psychiatr. 2006;14:95–103.

    Article  Google Scholar 

  7. Van Someren E. Circadian and sleep disturbances in the elderly. Exp Gerontol. 2000;35:1229–37.

    Article  PubMed  Google Scholar 

  8. Roepke SK, Ancoli-Israel S. Sleep disorders in the elderly. Indian J Med Res. 2010;131:302–10.

    PubMed  Google Scholar 

  9. Morley JE, Mooradian AD, Rosenthal MJ, Kaiser FE. Diabetes mellitus in elderly patients. Is it different? Am J Med. 1987;83:533–44.

    Article  CAS  PubMed  Google Scholar 

  10. Meneilly GS, Tessier D. Diabetes in the elderly. Diabet Med. 1995;12:949–60.

    Article  CAS  PubMed  Google Scholar 

  11. Cunha MCB, Zanetti ML, Hass VJ. Sleep quality in type 2 diabetics. Rev Latino Am Enfermagem. 2008;16:850–5.

    Article  Google Scholar 

  12. Rahmah M, Noraishah J. Determinants of glucose control among elderly diabetics in Kulim. Med Health. 2011;6:78–85.

    Google Scholar 

  13. Touma C, Pannain S. Does lack of sleep cause diabetes? Cleve Clin J Med. 2011;78:549–58.

    Article  PubMed  Google Scholar 

  14. Plantinga L, Rao MN, Schillinger D. Prevalence of self-reported sleep problems among people with diabetes in the United States, 2005-2008. Prev Chronic Dis. 2012;9:1–12.

    Google Scholar 

  15. Gu D, Sautter J, Pipkin R, Zeng Y. Sociodemographic and health correlates of sleep quality and duration among very old Chinese. Sleep. 2010;33:601–10.

    PubMed Central  PubMed  Google Scholar 

  16. Morley JE. The elderly type 2 diabetic patient: special considerations. Diabet Med Chichester. 1998;15:41–6.

    Article  Google Scholar 

  17. Montgomery P, Dennis J. Physical exercise for sleep problems in adults aged 60+. Cochrane Database Syst Rev. 2002;4.

  18. Kruk J. Physical activity in the prevention of the most frequent chronic diseases: an analysis of the recent evidence. Asian Pac J Cancer Prev. 2007;8:325–38.

    PubMed  Google Scholar 

  19. Haseli-Mashhadi N, Dadd T, Pan A, et al. Sleep quality in middle-aged and elderly Chinese: distribution, associated factors and associations with cardio-metabolic risk factors. BMC Public Health. 2009;9:130.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Craig CL, Marshall A, Sjostrom M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35:1381–95.

    Article  PubMed  Google Scholar 

  21. Dewald JF, Meijer AM, Oort FJ, Kerkhof GA, Bogels SM. The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: a meta-analytic review. Sleep Med Rev. 2010;14:179–89.

    Article  PubMed  Google Scholar 

  22. Subramaniam I, Gold JLD. Diabetes mellitus in elderly—an overview. J Indian Acad Geriat. 2005;1:77–81.

    Google Scholar 

  23. Zuo H, Shi Z, Yuan B, et al. Interaction between physical activity and sleep duration in relation to insulin resistance among non-diabetic Chinese adults. BMC Public Health. 2012;12:247.

    Article  PubMed Central  PubMed  Google Scholar 

  24. Phillips EM, Schneider JC, Mercer GR. Motivating elders to initiate and maintain exercise. Arch Phys Med Rehabil. 2004;85:52–7.

    Article  Google Scholar 

  25. Peppard PE, Young T. Exercise and sleep-disordered breathing: an association independent of body habitus. Sleep NY Westchester. 2004;27:480–4.

    Google Scholar 

  26. Shaw J, Punjabi N, Wilding J, Alberti K, Zimmet P. Sleep-disordered breathing and type 2 diabetes: a report from the international diabetes federation taskforce on epidemiology and prevention. Diabetes Res Clin Pract. 2008;81:2–12.

    Article  PubMed  Google Scholar 

  27. McCall WV. Sleep in the elderly: burden, diagnosis, and treatment. Prim Care Companion J Clin Psychiatry. 2004;6:9–20.

    Article  PubMed Central  PubMed  Google Scholar 

  28. Wu CY, Su TP, Fang CL, Chang MY. Sleep quality among community-dwelling elderly people and its demographic, mental, and physical correlates. J Chin Med Assoc. 2012;75:75–80.

    Article  PubMed  Google Scholar 

  29. Jean-Louis G, Magai C, Cohen C, et al. Ethnic differences in self-reported sleep problems in older adults. Sleep NY. 2001;24:926–36.

    CAS  Google Scholar 

  30. Lam JCM, Ip MSM. Sleep & the metabolic syndrome. Indian J Med Res. 2010;131:206–16.

    PubMed  Google Scholar 

  31. Paparrigopoulos T, Tzavara C, Theleritis C, et al. Insomnia and its correlates in a representative sample of the Greek population. BMC Public Health. 2010;10:531.

    Article  PubMed Central  PubMed  Google Scholar 

  32. Vitiello MV. Sleep in normal aging. Sleep Med Clin. 2006;1:171–6.

    Article  Google Scholar 

  33. Phelan CH, Love GD, Ryff CD, Brown RL, Heidrich SM. Psychosocial predictors of changing sleep patterns in aging women: a multiple pathway approach. Psychol Aging. 2010;25:858–66.

    Article  PubMed Central  PubMed  Google Scholar 

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Acknowledgments

The authors gratefully acknowledge the co-operation of all volunteers who participated in this study. The authors wish to acknowledge the financial support from the Ministry of Health for this study. In addition, the authors also thank all staff in their efforts on data collection.

Conflict of interest

There is no conflict of interest.

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Authors and Affiliations

  1. Institute of Gerontology, Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia

    Sima Ataollahi Eshkoor, Tengku Aizan Hamid & Chan Yoke Mun

  2. Institute for Behavioral Research, Kuala Lumpur, Malaysia

    Siti Sa’adiah Hassan Nudin

Authors
  1. Sima Ataollahi Eshkoor
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  2. Tengku Aizan Hamid
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  3. Siti Sa’adiah Hassan Nudin
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  4. Chan Yoke Mun
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Correspondence to Tengku Aizan Hamid.

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Eshkoor, S.A., Hamid, T.A., Nudin, S.S.H. et al. Can physical activity affect sleep disruption among the elderly with diabetes mellitus?. Int J Diabetes Dev Ctries 35 (Suppl 2), 271–274 (2015). https://doi.org/10.1007/s13410-015-0364-6

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  • DOI: https://doi.org/10.1007/s13410-015-0364-6

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