| Peer-Reviewed

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

Received: 2 May 2021    Accepted: 3 June 2021    Published: 15 June 2021
Views:       Downloads:
Abstract

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.

Published in Cardiology and Cardiovascular Research (Volume 5, Issue 2)
DOI 10.11648/j.ccr.20210502.16
Page(s) 88-93
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Sleep Quality, Sleep Duration, Type 2 Diabetes, Urban, Rural

References
[1] Bonnet MH, Arand DL. We are chronically sleep deprived. Sleep1995; 18: 908–11.
[2] Knutson KL, Van Cauter E, Rathouz PJ, DeLeire T, Lauderdale DS. Trends in the prevalence of short sleepers in the USA: 1975–2006. Sleep 2010; 33 (1): 37–45.
[3] Leger D, Roscoat E, Bayon V, Guignard R, Paquereau J, Beck F. Short sleep in young adults: Insomnia or sleep debt? Prevalence and clinical description of short sleep in a representative sample of 1004 young adults from France. Sleep Med. 2011; 12 (5): 454–462.
[4] Brown WD. Insomnia: Prevalence and daytime consequences. In: Lee-Chiong T, editor. Sleep: A Comprehensive Handbook. Hoboken, New Jersey: John Wiley and Sons; 2006. pp. 93–98.
[5] Trenell MI, Marshall NS, Rogers NL. Sleep and metabolic control: waking to a problem? Clin. Exp. Pharmacol. Physiol. 2007; 34: 1–9.
[6] National Sleep Foundation (NSF). Sleep in America Poll 2003. Washington, DC: National Sleep Foundation; 2003
[7] Mitler M, Carskadon MA, Czeisler CA, Dement WC, Dinges DF, GraeberRC. Catastrophes, sleep, and public policy: Consensus report. Sleep 1988; 11: 100-9.
[8] Gilling JC. Are sleep disturbances risk factors for anxiety, depressive and addictive disorders? Acta Psychiatr Scand Suppl 1998; 393: 39-43.
[9] Colten HR, Altevogt BM, editors. Sleep disorders and sleep deprivation: An unmet public health problem. Washington DC: National Academies Press; 2006. p. 67-209.
[10] Marjollet A., Weiszenstein M., Henri M., Thomas A., Ribuot D., et al, The impact of sleep disorders on glucose metabolism: endocrine and molecular mechanisms, Diabetol. Metab. Syndr. 2015; 25: 7–25.
[11] Logue EE, Scott ED, Palmieri PA, Dudley P. Sleep duration, quality, or stability and obesity in an urban family medicine center. J. Clin. Sleep Med. 2014; 10: 177–182.
[12] Okubo N, Matsuzaka M, Takahashi I, Sawada K, Sato S, Akimoto N, Umeda T, Nakaji S. Relationship between self-reported sleep quality and metabolic syndrome in general population. BMC Public Health 2014; 14: 562.
[13] Lou P, Chen P, Zhang L, Zhang P, Chang G, Zhang N, Li T, Qiao C. Interaction of sleep quality and sleep duration on impaired fasting glucose: A population-based cross-sectional survey in China. BMJ Open 2014, 4.
[14] Cappuccio FP, D’Elia L, Strazzullo P, Miller MA. Quantity and quality of sleep and incidence of type 2 diabetes: a systematic review and meta-analysis. Diabetes Care. 2010; 33: 414–420. DOI: 10.2337/dc09-1124.
[15] Holliday EG, Magee CA, Kritharides L, Banks E, Attia J. Short sleep duration is associated with risk of future diabetes but not cardiovascular disease: a prospective study and meta-analysis. PLoS One. 2013; 8: e82305. doi: 10.1371/journal.pone.0082305.
[16] Broussard JL, Ehrmann DA, Van Cauter E, Tasali E, Brady MJ. Impaired insulin signaling in human adipocytes after experimental sleep restriction: a randomized, crossover study. Ann Intern Med. 2012; 157: 549–557. DOI: 10.7326/0003-4819-157-8-201210160-00005.
[17] Buxton OM, Pavlova M, Reid EW, Wang W, Simonson DC, Adler GK. Sleep restriction for 1 week reduces insulin sensitivity in healthy men. Diabetes. 2010; 59: 2126–2133. DOI: 10.2337/db09-0699.
[18] Knutson KL, Van Cauter E, Zee P, Liu K, Lauderdale DS. Cross-sectional associations between measures of sleep and markers of glucose metabolism among subjects with and without diabetes: the Coronary Artery Risk Development in Young Adults (CARDIA) Sleep Study. Diabetes Care. 2011; 34 (5): 1171–6.
[19] World Health Organization (WHO). Global Status Report on noncommunicable diseases 2010. Geneva: World Health Organization, 2011.
[20] Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28: 193-213.
[21] Martica, H. H.; Muldoon, M. F.; Jennings, J. R.; Buysse, D. J.; Flory, J. D.; Manuck, S. B. Self-reported sleep duration is associated with the metabolic syndrome in midlife adults. Sleep 2008; 31: 635–643.
[22] James EG, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Pickering TG, Rundle AG, Zammit GK, Malaspina D. Short sleep duration as a risk factor for hypertension analyses of the first national health and nutrition examination survey. Hypertension 2006; 47: 833–839.
[23] Mancia G, Fagard R, Narkiewicz K, et al. 2013 ESH/ESC hypertension guidelines for the Management of Arterial Hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of cardiology (ESC). Eur Heart J. 2013; 34: 2159-2219.
[24] American Diabetes Association (ADA). Standards of medical care in diabetes-2010. Diabetes Care 2010; 33: 11-61.
[25] Hsu YW, Ho CH, Wang JJ, Hsieh KY, Weng SF, Wu MP. Longitudinal trends of the healthcare-seeking prevalence and incidence of insomnia in Taiwan: an 8-year nationally representative study. Sleep Med. 2013; 14: 843–9.
[26] Lu K, Chen J, Wang L, Wang C, Ding R, Wu S Hu D. Association of Sleep Duration, Sleep Quality and Shift-Work Schedule in Relation to Hypertension Prevalence in Chinese Adult Males: A Cross-Sectional Survey. Int. J. Environ. Res. Public Health 2017; 14: 210; doi: 10.3390/ijerph14020210.
[27] Hung H-C, Yang Y-C, Ou H-Y, Wu J-S, Lu F-H, Chang CJ. The Association between Self-Reported Sleep Quality and Metabolic Syndrome. PLoS ONE 2013; 8 (1): e54304. doi: 10.1371/journal.pone.0054304.
[28] Ford ES, Li C, Wheaton AG, Chapman DP, Perry GS, Crof JB. Sleep duration and body mass index and waist circumference among US adults. Obesity 2014; 22 (2): 598–607. doi: 10.1002/oby.20558.
[29] Stranges S, Tigbe W, Gomez-Olivé FX, Thorogood M, Kandala NB. Sleep problems: an emerging global epidemic? Finding from the INDEPTH WHO-SAGE study among more than 40,000 older adults from 8 countries across Africa and Asia. Sleep Med Rev. 2012; 35 (8): 1173-81.
[30] Tai SY, Wang WF, Yang YH. Current status of sleep quality in Taiwan: a nationwide walk-in survey. Ann Gen Psychiatry 2015; 14: 36 DOI 10.1186/s12991-015-0078-7.
[31] Fiorentini A, Valente R, Perciaccante A, Tubani L. Sleep’s quality disorders in patients with hypertension and type 2 diabetes mellitus. Int J Cardiol. 2007; 114 (2): E50–2.
[32] Zubair U, Majid F, Siddiqui A A, Zubair Z. Sleep Abnormalities Among Patients With and Without Diabetes Using Pittsburg Sleep Quality Index and Epworth Sleepiness Scale. Cureus 2018; 10 (2): e2151. DOI 10.7759/cureus.2151.
[33] Anothaisintawee T, Reutrakul S, Van Cauter E, Thakkinstian A. Sleep disturbances compared to traditional risk factors for diabetes development: systematic review and meta-analysis. Sleep Med Rev. 2015; 30: 11–24.
[34] Engeda J, Mezuk B, Ratliff S, Ning Y. Association between duration and quality of sleep and the risk of pre-diabetes: evidence from NHANES. Diabet Med. 2013; 30 (6): 676–80.
[35] Knutson KL. Sociodemographic and cultural determinants of sleep deficiency: implications for cardiometabolic disease risk. Soc Sci Med 2013; 79: 7–15. doi: 10.1016/j.socscimed.2012.05.002.
[36] Tasali E, Leproult R, Ehrmann DA, Van CauterE. Slow-wave sleep and the risk of type 2 diabetes in humans. Proc Natl AcadSci USA 2008; 105: 1044–1049.
[37] Stamatakis KA, Punjabi NM. Effects of sleep fragmentation on glucose metabolism in normal subjects. Chest 2010; 137: 95–101.
[38] Hoevenaar-Blom MP, Spijkerman AM, Kromhout D, van den Berg JF, Verschuren WM. Sleep duration and sleep quality in relation to 12-year cardiovascular disease incidence: The MORGEN study. Sleep 2011; 34: 1487–1492.
Cite This Article
  • APA Style

    Daniel Lemogoum, William Ngatchou, Philippe Van de Borne, Basile Essola, Thierry Messomo, et al. (2021). Impact of Sleep Duration and Quality on the Burden of Diabetes Among Urban and Rural Community Dwellers in Cameroon. Cardiology and Cardiovascular Research, 5(2), 88-93. https://doi.org/10.11648/j.ccr.20210502.16

    Copy | Download

    ACS Style

    Daniel Lemogoum; William Ngatchou; Philippe Van de Borne; Basile Essola; Thierry Messomo, et al. Impact of Sleep Duration and Quality on the Burden of Diabetes Among Urban and Rural Community Dwellers in Cameroon. Cardiol. Cardiovasc. Res. 2021, 5(2), 88-93. doi: 10.11648/j.ccr.20210502.16

    Copy | Download

    AMA Style

    Daniel Lemogoum, William Ngatchou, Philippe Van de Borne, Basile Essola, Thierry Messomo, et al. Impact of Sleep Duration and Quality on the Burden of Diabetes Among Urban and Rural Community Dwellers in Cameroon. Cardiol Cardiovasc Res. 2021;5(2):88-93. doi: 10.11648/j.ccr.20210502.16

    Copy | Download

  • @article{10.11648/j.ccr.20210502.16,
      author = {Daniel Lemogoum and William Ngatchou and Philippe Van de Borne and Basile Essola and Thierry Messomo and Marc Dandji and Jean Paul Degaute and Marc Leeman and Michel P. Hermans},
      title = {Impact of Sleep Duration and Quality on the Burden of Diabetes Among Urban and Rural Community Dwellers in Cameroon},
      journal = {Cardiology and Cardiovascular Research},
      volume = {5},
      number = {2},
      pages = {88-93},
      doi = {10.11648/j.ccr.20210502.16},
      url = {https://doi.org/10.11648/j.ccr.20210502.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20210502.16},
      abstract = {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.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Impact of Sleep Duration and Quality on the Burden of Diabetes Among Urban and Rural Community Dwellers in Cameroon
    AU  - Daniel Lemogoum
    AU  - William Ngatchou
    AU  - Philippe Van de Borne
    AU  - Basile Essola
    AU  - Thierry Messomo
    AU  - Marc Dandji
    AU  - Jean Paul Degaute
    AU  - Marc Leeman
    AU  - Michel P. Hermans
    Y1  - 2021/06/15
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ccr.20210502.16
    DO  - 10.11648/j.ccr.20210502.16
    T2  - Cardiology and Cardiovascular Research
    JF  - Cardiology and Cardiovascular Research
    JO  - Cardiology and Cardiovascular Research
    SP  - 88
    EP  - 93
    PB  - Science Publishing Group
    SN  - 2578-8914
    UR  - https://doi.org/10.11648/j.ccr.20210502.16
    AB  - 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.
    VL  - 5
    IS  - 2
    ER  - 

    Copy | Download

Author Information
  • Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon

  • Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon

  • Department of Cardiology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium

  • Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon

  • Cameroon Heart Institute, Cameroon Heart Foundation, Douala, Cameroon

  • Laboratory of Medicinal Plants Biochemistry, Food Science and Nutrition, Department of Biochemistry, Faculty of Science, University of Dschang, Dschang, Cameroon

  • Department of Cardiology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium

  • Department of Cardiology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium

  • Endocrinologyand Nutrition Unit, Cliniques Universitaires St-Luc, UniversitéCatholique de Louvain, Avenue Hippocrate, Brussels, Belgium

  • Sections