Prevalence of Self-Reported Sleep Problems Among People With Diabetes in the United States, 2005-2008 ▲Medscape CME Activity - CDC - Preventing Chronic Disease: Volume 9, 2012: 11_0244

Medscape CME Activity - CDC - Preventing Chronic Disease: Volume 9, 2012: 11_0244

 

Prevalence of Self-Reported Sleep Problems Among People With Diabetes in the United States, 2005-2008

Laura Plantinga, ScM; Madhu N. Rao, MD; Dean Schillinger, MD

Suggested citation for this article: 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;9:110244. DOI: http://dx.doi.org/10.5888/pcd9.110244.

MEDSCAPE CME Medscape, LLC is pleased to provide online continuing medical education (CME) for this journal article, allowing clinicians the opportunity to earn CME credit. This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Medscape, LLC and Preventing Chronic Disease. Medscape, LLC is accredited by the ACCME to provide continuing medical education for physicians. Medscape, LLC designates this Journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. All other clinicians completing this activity will be issued a certificate of participation. To participate in this journal CME activity: (1) review the learning objectives and author disclosures; (2) study the education content; (3) take the post-test with a 70% minimum passing score and complete the evaluation at www.medscape.org/journal/pcd; (4) view/print certificate. Release date: March 22, 2012; Expiration date: March 22, 2013 Learning Objectives Upon completion of this activity, participants will be able to: Describe the overall prevalence of sleep problems among persons with diabetes as based on 2005-2008 NHANES data. Describe factors modifying the prevalence of sleep problems among persons with diabetes as based on 2005-2008 NHANES data. Describe the prevalence of specific sleep problems among persons with diabetes as based on 2005-2008 NHANES data. CME EDITOR Nancy Saltmarsh, Editor, Preventing Chronic Disease. Disclosure: Nancy Saltmarsh has disclosed no relevant financial relationships. CME AUTHOR Laurie Barclay, MD. Freelance writer and reviewer, Medscape, LLC. Disclosure: Laurie Barclay, MD, has disclosed no relevant financial relationships. AUTHORS Disclosures: Laura Plantinga, ScM; Madhu N. Rao, MD; and Dean Schillinger, MD, have disclosed no relevant financial relationships.

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Abstract

Introduction
Sleep problems, including insomnia, apnea, and restless legs syndrome, are common, burdensome, and under-recognized in the United States. We sought to examine the association of sleep problems with diabetes among community-dwelling US adults.
Methods
We examined self-reported sleep problems in 9,848 adults (aged ≥20 y) participating in the National Health and Nutrition Examination Survey 2005 through 2008. Sleep problem information was elicited via validated questionnaire. Diabetes was defined by self-reported diagnosis or glycohemoglobin of 6.5% or higher. Multivariable logistic regression with US population-based weighting was used to obtain adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for various sleep problems by diabetes status.
Results
Sleep problems were common (>90% for any problem; 10%-40% for individual problems) overall, and people with diabetes were more likely than those without diabetes to report multiple problems (mean, 3.1 vs 2.5, respectively, P < .001). After adjustment for potential confounders (including demographics, body mass index, cardiovascular and kidney disease, and alcohol use), restless legs symptoms (OR, 1.40; 95% CI, 1.12-1.78), sleep apnea (OR, 1.45; 95% CI, 1.06-1.98), and nocturia (OR, 1.51; 95% CI, 1.22-1.87) were all positively associated with diabetes status.
Conclusion
Diabetes is associated with a higher risk of sleep problems, including not only sleep apnea but also inadequate sleep, excessive sleepiness, leg symptoms, and nocturia, independent of body mass index. Clinicians should be aware of the high prevalence of sleep problems among their patients with diabetes and should consider screening and treatment, which may improve patients’ quality of life.