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Type 2 diabetes and health-related quality of life among older Medicare beneficiaries: The mediating role of sleep.
Narcisse, Marie-Rachelle; McElfish, Pearl A; Schootman, Mario; Selig, James P; Kirkland, Tracie; McFarlane, Samy I; Felix, Holly C; Seixas, Azizi; Jean-Louis, Girardin.
Afiliación
  • Narcisse MR; Department of Psychiatry and Human Behavior, Brown University, 222 Richmond St., Providence, RI, 02903, USA. Electronic address: marie-rachelle_narcisse@brown.edu.
  • McElfish PA; College of Medicine, University of Arkansas for Medical Sciences Northwest, 2708 S. 48th St., Springdale, AR, 72762, USA.
  • Schootman M; College of Medicine, University of Arkansas for Medical Sciences Northwest, 2708 S. 48th St., Springdale, AR, 72762, USA.
  • Selig JP; Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences Northwest, 2708 S. 48th St., Springdale, AR, 72762, USA.
  • Kirkland T; Department of Nursing, University of Southern California, Los Angeles, CA, 90033, USA.
  • McFarlane SI; Department of Medicine, State University of New York-Downstate Health Sciences University, 450 Clarkson Avenue, MSC 50, Brooklyn, NY, 11203, USA.
  • Felix HC; Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 W. Markham St., Little Rock, AR, 72205, USA.
  • Seixas A; Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, 1600 NW 10th Ave #1140, Miami, FL, 33136, USA.
  • Jean-Louis G; Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, 1600 NW 10th Ave #1140, Miami, FL, 33136, USA.
Sleep Med ; 117: 209-215, 2024 May.
Article en En | MEDLINE | ID: mdl-38593616
ABSTRACT

OBJECTIVE:

To examine mediating effects of sleep quality and duration on the association between T2D and QoL among Medicare beneficiaries 65+.

METHODS:

Data from the Medicare Health Outcome Survey (2015-2020) were used. The outcome was QoL (physical and mental health component-summary scores [PCS and MCS]) measured by the Veterans-Rand-12. The main predictor was diagnosed T2D. Mediators were sleep duration and sleep quality. The effect modifier was race/ethnicity. Structural Equation Modeling was used to estimate moderated-mediating effects of sleep quality and duration across race/ethnicity.

RESULTS:

Of the 746,400 Medicare beneficiaries, 26.7% had T2D, and mean age was 76 years (SD ± 6.9). Mean PCS score was 40 (SD ± 12.2), and mean MCS score was 54.0 (SD ± 10.2). Associations of T2D with PCS and MCS were negative and significant. For all racial/ethnic groups, those with T2D reported lower PCS. For White, Black, Asian, and Hispanic beneficiaries only, those with T2D reported lower MCS. The negative impact of T2D on PCS and MCS was mediated through sleep quality, especially very bad sleep quality.

CONCLUSION:

Improving sleep may lead to improvement in QoL in elderly adults with T2D.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Diabetes Mellitus Tipo 2 Límite: Adult / Aged / Humans País/Región como asunto: America do norte Idioma: En Revista: Sleep Med Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Diabetes Mellitus Tipo 2 Límite: Adult / Aged / Humans País/Región como asunto: America do norte Idioma: En Revista: Sleep Med Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos