INTRODUCTION: Short sleep duration and quality are problems for many youth, and are associated with difficulties in executive function. Our purpose was to describe subjective and objective sleep characteristics and their associations with executive function, stress and coping, adjustment, and self-management in youth with type 1 diabetes (T1D). METHOD: Youth with T1D (N = 40; mean age, 13.4 ± 1.9 years; 60% female; 77.1% non-Hispanic white; diabetes duration, 7.1 ± 4.6 years; and hemoglobin A1c, 8.2 ± 1.2%) wore an actigraph and a continuous glucose monitor for 3-7 days and completed questionnaires. Descriptive and bivariate analyses were conducted. RESULTS: Sleep variability was associated with stress and depressive symptoms, as well as more glucose variability. Consistent rest-activity rhythm timing was associated with fewer trait anxiety symptoms. Robust rhythms were associated with better diabetes self-management. DISCUSSION: Providers should routinely assess sleep habits in youth, especially those with T1D. Improving consistency in sleep timing and sleep duration may be a potential therapeutic target to improve diabetes clinical outcomes.
INTRODUCTION: Short sleep duration and quality are problems for many youth, and are associated with difficulties in executive function. Our purpose was to describe subjective and objective sleep characteristics and their associations with executive function, stress and coping, adjustment, and self-management in youth with type 1 diabetes (T1D). METHOD: Youth with T1D (N = 40; mean age, 13.4 ± 1.9 years; 60% female; 77.1% non-Hispanic white; diabetes duration, 7.1 ± 4.6 years; and hemoglobin A1c, 8.2 ± 1.2%) wore an actigraph and a continuous glucose monitor for 3-7 days and completed questionnaires. Descriptive and bivariate analyses were conducted. RESULTS: Sleep variability was associated with stress and depressive symptoms, as well as more glucose variability. Consistent rest-activity rhythm timing was associated with fewer trait anxiety symptoms. Robust rhythms were associated with better diabetes self-management. DISCUSSION: Providers should routinely assess sleep habits in youth, especially those with T1D. Improving consistency in sleep timing and sleep duration may be a potential therapeutic target to improve diabetes clinical outcomes.
Authors: Rocío de la Vega; Catarina Tomé-Pires; Ester Solé; Mélanie Racine; Elena Castarlenas; Mark P Jensen; Jordi Miró Journal: Psychol Assess Date: 2015-12
Authors: Therese Anderbro; Linda Gonder-Frederick; Jan Bolinder; Per-Eric Lins; Regina Wredling; Erik Moberg; Jan Lisspers; Unn-Britt Johansson Journal: Acta Diabetol Date: 2014-12-21 Impact factor: 4.280
Authors: Niral J Patel; Kimberly L Savin; Sachini N Kahanda; Beth A Malow; Lauren A Williams; Gray Lochbihler; Sarah S Jaser Journal: Pediatr Diabetes Date: 2018-04-30 Impact factor: 4.866
Authors: M van Dijk; E Donga; J G van Dijk; G J Lammers; K W van Kralingen; O M Dekkers; E P M Corssmit; J A Romijn Journal: Diabetologia Date: 2011-05-15 Impact factor: 10.122
Authors: Stephanie Griggs; Margaret Grey; Garrett I Ash; Chiang-Shan R Li; Sybil L Crawford; Ronald L Hickman Journal: Sci Diabetes Self Manag Care Date: 2022-04-21
Authors: Stephanie Griggs; Margaret Grey; Kingman P Strohl; Sybil L Crawford; Seunghee Margevicius; Sangeeta R Kashyap; Chiang-Shan R Li; Sanjay Rajagopalan; Ronald L Hickman Journal: J Clin Endocrinol Metab Date: 2022-02-17 Impact factor: 5.958
Authors: Stephanie Griggs; Ronald L Hickman; Kingman P Strohl; Nancy S Redeker; Sybil L Crawford; Margaret Grey Journal: J Clin Sleep Med Date: 2021-09-01 Impact factor: 4.324
Authors: Stephanie Griggs; Kingman P Strohl; Margaret Grey; Eric Barbato; Seunghee Margevicius; Ronald L Hickman Journal: Chronobiol Int Date: 2021-06-15 Impact factor: 3.749