睡眠时间和质量对喀麦隆城乡社区居民糖尿病负担的影响

Cardiology research and cardiovascular medicine Pub Date : 2021-06-15 DOI:10.11648/j.ccr.20210502.16

D. Lemogoum, W. Ngatchou, P. Borne, B. Essola, Thierry Messomo, M. Dandji, J. Degaute, M. Leeman, M. Hermans

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摘要

背景:众所周知，睡眠障碍与许多心血管合并症有关，包括2型糖尿病。喀麦隆人口中糖尿病的患病率和睡眠质量和持续时间的影响尚未得到很好的确定。本研究评估了喀麦隆城市和农村人口中睡眠的两个方面(持续时间和质量)对葡萄糖稳态的单独和综合贡献。方法:对喀麦隆年龄≥18岁的249名农村和250名城市社区居民进行横断面前瞻性调查。采用匹兹堡睡眠质量指数(PSQI)评估自我报告的睡眠持续时间(SD)和睡眠质量。PSQI评分为bb0.5分为睡眠质量差，SD短为≤6h。空腹血糖低于126mg/d或使用降糖药物被认为是糖尿病。结果:平均年龄36±12岁，男性占39.1%。睡眠质量差的频率为50.3%，城乡人群相似(分别为48.2%和52.4%，p=0.395)。30.5%的受试者存在短SD，在城市居民中更为常见(36.1% vs 24.8%，分别p=0.006)。短SD与糖尿病显著相关(OR 2.62, 95%CI 1.38-5.00)。虽然与PSQI≤5的参与者相比，睡眠质量差的参与者患糖尿病的频率更高(分别为10%和6.5%)，但观察到的差异并不显著(p>0.05)。睡眠质量差和SD短的组合与糖尿病密切相关(OR 2.67, 95%CI 1.23-5.79)。结论:本调查显示睡眠时间短以及睡眠时间短和睡眠质量差与2型糖尿病患病率之间存在显著关联。将睡眠质量和持续时间视为与喀麦隆人群中糖尿病的存在或管理相关的潜在可修改变量是适当的。

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Impact of Sleep Duration and Quality on the Burden of Diabetes Among Urban and Rural Community Dwellers in Cameroon

Background: Sleep disorders are known to be linked with numerous cardiovascular comorbidities including type 2 diabetes mellitus. The prevalence and impact of sleep quality and duration on diabetes in the Cameroonian population is not well established. This study evaluates the isolated and combined contribution of two aspects of sleep (duration and quality) on glucose homeostasis in an urban and rural Cameroonian population. Methods: This was a cross-sectional prospective survey conducted among 249 rural and 250 urban community dwellers in Cameroon aged ≥18 years. Self-reported sleep duration (SD) and quality were evaluated using the Pittsburgh Sleep Quality Index (PSQI). Poor sleep quality was considered for PSQI score>5 and short SD was considered≤ 6h. Diabetes was considered for fasting blood glucose>126mg/d Land/or use of glucose-lowering medications. Results: Mean age was 36±12 years, and men accounted for 39.1%. Frequency of poor sleep quality was 50.3% and was similar in urban and rural groups (48.2% vs 52.4% respectively, p=0.395). Short SD was present in 30.5% of subjects and was more frequent among urban dwellers (36.1% vs 24.8% in rural, p=0.006, respectively). Short SD was significantly associated with diabetes (OR 2.62, 95%CI 1.38-5.00). Although the frequency of diabetes was higher in participants with poor sleep quality compared to those with PSQI ≤5 (10% vs 6.5%, respectively), the observed difference was not significant (p>0.05). The combination of poor sleep quality and short SD was strongly associated with diabetes (OR 2.67, 95%CI 1.23-5.79). Conclusion: This survey demonstrates a significant association between short sleep duration as well as the combination of short sleep duration and poor sleep quality with type 2 diabetes prevalence. It is appropriate to consider sleep quality and duration as potentially modifiable variables associated with the presence or management of diabetes in these Cameroonian populations.

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Cardiology research and cardiovascular medicine

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