Article2009

Daytime Sleepiness and Functional Outcomes in Older Adults With Diabetes

Eileen R. Chasens · Susan M. Sereika · Lora E. Burke

41 citations0/0 files storedThe Science of Diabetes Self-Management and Care

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Abstract

PURPOSE: This secondary analysis examined the effect of excessive sleepiness on daytime function in older adults with diabetes from the National Sleep Foundation's Sleep and Aging poll. METHODS: Respondents were older adults (N = 1506; age range, 55-84 years) evaluated by telephone survey on their sleep duration, sleep disturbances, daytime functional outcomes, and self-reported height, weight, and comorbidities. RESULTS: Approximately 16% (n = 244) of the sample acknowledged a diagnosis of diabetes; they were older, had more comorbidities, had a higher body mass index (BMI), and were more likely to be sleepy during the daytime than nondiabetic respondents (all P < .05). Respondents with diabetes who reported frequent daytime sleepiness (n = 50; 20%) had significantly (P < .05) higher BMI, lower self-rated health, and more sleep disturbances than those who were not sleepy (n = 194). Sleepy respondents with diabetes also reported more frequent feelings of depression, decreased pleasure in life, naps, feeling drowsy, or dozing off while driving (all P < .05). Excessive sleepiness was significantly associated (P < .001) with an increased risk for depressive symptoms while controlling for BMI, age, and number of comorbidities. CONCLUSIONS: These results indicate that sleep disturbances affect not only sleep quality but also daytime function in older adults with diabetes.

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2017Sleep disturbance in people with diabetes: A concept analysis 2016Effect of Sleep Disturbances on Quality of Life, Diabetes Self-Care Behavior, and Patient-Reported Outcomes 2013Excessive daytime sleepiness in type 2 diabetes 2018Psychometric properties of the Epworth Sleepiness Scale: A factor analysis and item-response theory approach

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