Articlegold2015

Association between Poor Glycemic Control, Impaired Sleep Quality, and Increased Arterial Thickening in Type 2 Diabetic Patients

Koichiro Yoda · Masaaki Inaba · Kae Hamamoto · Maki Yoda · Akihiro Tsuda · Katsuhito Mori +3 more

68 citations0/0 files storedPLoS ONE

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Abstract

OBJECTIVE: Poor sleep quality is an independent predictor of cardiovascular events. However, little is known about the association between glycemic control and objective sleep architecture and its influence on arteriosclerosis in patients with type-2 diabetes mellitus (DM). The present study examined the association of objective sleep architecture with both glycemic control and arteriosclerosis in type-2 DM patients. DESIGN: Cross-sectional study in vascular laboratory. METHODS: The subjects were 63 type-2 DM inpatients (M/F, 32/31; age, 57.5±13.1) without taking any sleeping promoting drug and chronic kidney disease. We examined objective sleep architecture by single-channel electroencephalography and arteriosclerosis by carotid-artery intima-media thickness (CA-IMT). RESULTS: HbA1c was associated significantly in a negative manner with REM sleep latency (interval between sleep-onset and the first REM period) (β=-0.280, p=0.033), but not with other measurements of sleep quality. REM sleep latency associated significantly in a positive manner with log delta power (the marker of deep sleep) during that period (β=0.544, p=0.001). In the model including variables univariately correlated with CA-IMT (REM sleep latency, age, DM duration, systolic blood pressure, and HbA1c) as independent variables, REM sleep latency (β=-0.232, p=0.038), but not HbA1c were significantly associated with CA-IMT. When log delta power was included in place of REM sleep latency, log delta power (β=-0.257, p=0.023) emerged as a significant factor associated with CA-IMT. CONCLUSIONS: In type-2 DM patients, poor glycemic control was independently associated with poor quality of sleep as represented by decrease of REM sleep latency which might be responsible for increased CA-IMT, a relevant marker for arterial wall thickening.

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References

2007The American Academy of Sleep Medicine (AASM) Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications 2008Cardiovascular, Inflammatory, and Metabolic Consequences of Sleep Deprivation 2011Insomnia and the Risk of Acute Myocardial Infarction 2002NREM Sleep EEG Frequency Spectral Correlates of Sleep Complaints in Primary Insomnia Subtypes 2013Insomnia as a risk factor for ill health: results from the large population‐based prospective HUNT Study in N orway 2007Do Insomnia Complaints Cause Hypertension or Cardiovascular Disease?2012Association of Insomnia and Short Sleep Duration With Atherosclerosis Risk in the Elderly 2010Do Differences in Sleep Architecture Exist between Persons with Type 2 Diabetes and Nondiabetic Controls?

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