Effects of Physical Activity Level on Sleep Quality and Well-Being in Individuals with Diabetes During Covid-19 Pandemic Period
Year 2025,
Volume: 9 Issue: 1, 1 - 11, 31.01.2025
Masoud Amır Rashedı Bonab
,
Zeynep Yıldız Kızkın
,
Bahar Özgül
,
Kağan Üstün
,
Yusuf Hasırcı
,
Tuğba Kuru Çolak
Abstract
Objective: This study was planned to compare the sleep quality and well-being levels of individuals with Diabetes Mellitus (DM) with different levels of physical activity (PA) due to the increased periods of quarantine at home during the COVID-19 pandemic.
Method: 120 individuals with DM with a mean age of 52.4 (8.42) years (53 females, 67 males) were included in the study. All information was gathered through face-to-face interviews. The participants’ PA levels were measured by the International Physical Activity Questionnaire-Short Form (IPAQ-SF), sleep quality by the Pittsburgh Sleep Quality Index (PSQI), and well-being by the Well-Being Questionnaire-22 (WBQ-22).
Results: The participants' levels of PA were “inactive” for 48 (40), “moderate active” for 64 (53.3%), and “high active” for eight (6.7%). Statistically, there was a significant difference between PA levels in terms of PSQI total score and WBQ-22 total score (p<0.001). It has been detected that there is a significantly strong negative correlation between the IPAQ-SF total score and the PSQI total score (r=-.730; p<0.001), and a strong positive correlation between the IPAQ-SF total score and WBQ-22 total score (r=.638; p<0.001).
Conclusion: Considering the detected results of relationship between PA level sleep quality and well-being in the present study, we suggest that regular and adequate PA in every period of life, especially such a sedentary life process may have positive impacts on the sleep quality, energy and well-being, and reduce conditions such as depression and anxiety for individuals with DM.
References
- 1. Singh, N., Kesharwani, R., Tiwari, A., & Patel, D. (2016). A review on diabetes mellitus. The Pharma Innovation, 5, 36-40.
- 2. Ribeiro, C., Mota, C., Voltarelli, F., Araujo, M., & Botezelli, J. (2010). Effects of moderate intensity physical training in neonatal alloxan- administered rats. Journal of Diabetes & Metabolism, 01.
- 3. Jacobson, A. M., de Groot, M., & Samson, J. A. (1997). The effects of psychiatric disorders and symptoms
on quality of life in patients with type I and type II diabetes mellitus. Quality of Life Research: An International
Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 6(1), 11-20.
- 4. Sargın, M., Sargın, H., Şengül, A. M., Hezer, Ö., Aydın, G., & Yayla, A. (2001). Evaluation of factors that affect
the emotional well-Being status in type 2 diabetic and/or hypertensive patient. SCIE, 12(2), 72-75.
- 5. Tural, E. (2020). The effect of physical activity level on the quality of life in Covid-19 pandemic period
home quarantine. Van Sağlık Bilimleri Dergisi (Special Issue on COVID-19), 10-18.
- 6. Setyawan, F. E. B., & Lestari, R. (2020). Challenges of stay-at-home policy implementation during the
coronavirus (covıd-19) pandemic in Indonesia. Indonesian Journal of Health Administration, 8(0), 15-20.
- 7. Amelia, R., Lelo, A., Lindarto, D., & Mutiara, E. (2018). Analysis of factors affecting the self-care behaviors of
diabetes mellitus type 2 patients in Binjai, North Sumatera-Indonesia. Asian Journal of Microbiology,
Biotechnology and Environmental Sciences, 20, 361-367.
- 8. Shafiq, M., Fong, A. Y. Y., Tai, E. S., Nang, E. E. K., Wee, H. L., Adam, J., et al. (2018). Cohort Profile: LIFE course
study in CARdiovascular disease Epidemiology (LIFECARE). International Journal of Epidemiology, 47(5),
1399-1400.
- 9. Lou, P., Qin, Y., Zhang, P., Chen, P., Zhang, L., Chang, G., et al. (2015). Association of sleep quality and quality
of life in type 2 diabetes mellitus: a cross-sectional study in China. Diabetes Research and Clinical Practice,
107(1), 69-76.
- 10. Luyster, F. S., & Dunbar-Jacob, J. (2011). Sleep quality and quality of life in adults with type 2 diabetes. The
Diabetes Educator, 37(3), 347-355.
- 11. Tsai, Y. W., Kann, N. H., Tung, T. H., Chao, Y. J., Lin, C. J., Chang, K. C., et al. (2012). Impact of subjective sleep
quality on glycemic control in type 2 diabetes mellitus. Family Practice, 29(1), 30-35.
- 12. Seligowski, A. V., Pless Kaiser, A. P., Niles, B. L., Mori, D. L., King, L. A., & King, D. W. (2013). Sleep quality as a
potential mediator between psychological distress and diabetes quality of life in veterans with type 2
diabetes. Journal of Clinical Psychology, 69(10), 1121-1131.
- 13. Irwin, M. R. (2015). Why sleep is important for health: a psychoneuroimmunology perspective. Annu Rev
Psychol, 66, 143-172.
- 14. Wang, F., & Boros, S. (2021). The effect of physical activity on sleep quality: a systematic review. European
Journal of Physiotherapy, 23(1), 11-18.
- 15. Duarte, C. K., Almeida, J. C., Merker, A. J., Brauer, F.deO., & Rodrigues, T.daC. (2012). Physical activity level
and exercise in patients with diabetes mellitus. Revista da Associacao Medica Brasileira (1992), 58(2), 215-
221.
- 16. Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., et al. (2003).
International physical activity questionnaire: 12-country reliability and validity. Medicine and Science in
Sports and Exercise, 35(8), 1381-1395.
- 17. Saglam, M., Arikan, H., Savci, S., Inal-Ince, D., Bosnak-Guclu, M., Karabulut, E., et al. (2010). International
physical activity questionnaire: reliability and validity of the Turkish version. Perceptual and Motor Skills, 111(1),
278-284.
- 18. Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality
Index: a new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213.
- 19. Agargun, Y.M., Kara, H., Anlar, O. (1996). The reliability and validity the Pittsburgh sleep quality index.
Turkish Journal of Psychiatry, 7, 107-111.
- 20. Bradley, C. (1994). Handbook of psychology and diabetes: a guide to psychological measurement in
diabetes research and practice. UK: Routledge.
- 21. Savli, H., & Sevinc, A. (2005). The evaluation of the Turkish version of the Well-being Questionnaire (WBQ-
22) in patients with type 2 diabetes: the effects of diabetic complications. Journal of Endocrinological
Investigation, 28(8), 683-691.
- 22. Jiménez-Pavón, D., Carbonell-Baeza, A., & Lavie, C. J. (2020). Physical exercise as therapy to fight against
the mental and physical consequences of COVID-19 quarantine: Special focus in older people. Prog
Cardiovasc Dis, 63(3), 386-388.
- 23. Zhang, F., Huang, L., & Peng, L. (2020). The degree of influence of daily physical activity on quality of life in
type 2 diabetics. Frontiers in Psychology, 11, 1292.
- 24. Marçal, I. R., Fernandes, B., Viana, A. A., & Ciolac, E. G. (2020). The urgent need for recommending physical
activity for the management of diabetes during and beyond COVID-19 outbreak. Frontiers in Endocrinology, 11, 584642.
- 25. Barone, M. T. U., Harnik, S. B., De Luca, P. V., Lima, B. L. S., Wieselberg, R. J. P., Ngongo, B., et al. (2020). The
impact of COVID-19 on people with diabetes in Brazil. Diabetes Research and Clinical Practice, 166, 108304.
- 26. Ruiz-Roso, M. B., Knott-Torcal, C., Matilla-Escalante, D. C., Garcimartín, A., Sampedro-Nuñez, M. A.,
Dávalos, A., et al. (2020). COVID-19 lockdown and changes of the dietary pattern and physical activity habits
in a cohort of patients with type 2 diabetes mellitus. Nutrients, 12(8), 2327.
- 27. Cunha, M. C., Zanetti, M. L., & Hass, V. J. (2008). Sleep quality in type 2 diabetics. Revista Latino-
Americana De Enfermagem, 16(5), 850-855.
- 28. Zhu, B., Vincent, C., Kapella, M. C., Quinn, L., Collins, E. G., Ruggiero, L., et al. (2018). Sleep disturbance in
people with diabetes: A concept analysis. Journal of Clinical Nursing, 27(1-2), 50-60.
- 29. Santos, M. A., Ceretta, L. B., Réus, G. Z., Abelaira, H. M., Jornada, L. K., Schwalm, M. et al. (2014). Anxiety
disorders are associated with quality of life impairment in patients with insulin-dependent type 2 diabetes: a
case-control study. Revista Brasileira De Psiquiatria (Sao Paulo, Brazil: 1999), 36(4), 298-304.
- 30. Collins, M. M., Corcoran, P., & Perry, I. J. (2009). Anxiety and depression symptoms in patients with
diabetes. Diabetic Medicine: A Journal of the British Diabetic Association, 26(2), 153-161.
- 31. Dong, D., Lou, P., Wang, J., Zhang, P., Sun, J., Chang, G., et al. (2020). Interaction of sleep quality and
anxiety on quality of life in individuals with type 2 diabetes mellitus. Health and Quality of Life Outcomes,
18(1), 150.
- 32. Balducci, S., & Coccia, E. M. (2021). Sedentariness and physical activity in type 2 diabetes during the
COVID-19 pandemic. Diabetes/Metabolism Research and Reviews, 37(2), 3378.
Covid-19 Pandemi Döneminde Diyabetli Bireylerde Fiziksel Aktivite Düzeyinin Uyku Kalitesi ve İyilik Hali Üzerine Etkileri
Year 2025,
Volume: 9 Issue: 1, 1 - 11, 31.01.2025
Masoud Amır Rashedı Bonab
,
Zeynep Yıldız Kızkın
,
Bahar Özgül
,
Kağan Üstün
,
Yusuf Hasırcı
,
Tuğba Kuru Çolak
Abstract
Giriş ve Amaç: Bu çalışma COVID-19 pandemi döneminde karantinada evde kalma süresinin artması sonucunda fiziksel aktivite düzeyinin ve çeşitliliğinin kısıtlanmasına bağlı olarak, farklı fiziksel aktivite düzeyine sahip diyabetli bireylerin uyku kalitesi ve iyilik hali düzeylerinin karşılaştırılması amacı ile planlandı.
Gereç ve Yöntem: Bu çalışmaya yaş ortalaması 52.4 (8.42) olan 120 diyabetli (53 kadın, 67 erkek) birey dahil edildi. Katılımcıların fiziksel aktivite düzeyi “Uluslararası Fiziksel Aktivite Anketi- Kısa Form (UFAA-KF)”, uyku kalitesi “Pittsburgh Uyku Kalitesi İndeksi (PUKİ)” ve iyilik hali ise “İyilik Hali Ölçeği (İHÖ)” ile değerlendirildi.
Bulgular: Katılımcıları fiziksel aktivite düzeyleri incelendiğinde olguların 48’i (%40) “aktif olmayan”, 64’ü (%53.3) “minimal aktif” ve sekiz olgu (%6.7) “çok aktif” olarak bulundu. Fiziksel aktivite düzeyleri arasında PUKİ toplam puanı ve İHÖ toplam puanı açısından istatistiksel olarak anlamlı bir fark vardı (p<0.001). UFAA-KF toplam puanı ile PUKİ toplam puanı arasında güçlü düzeyde ve negatif yönde (r=-0.730; p<0.001) ve UFAA-KF toplam puanı ile İHÖ arasında güçlü düzeyde ve pozitif yönde anlamlı bir korelasyon saptandı (r=638; p<0.001).
Sonuç: Tüm diyabetli bireylerde yaşamın her döneminde özellikle de karantina dönemine benzer sedanter yaşam süreçlerinde düzenli ve yeterli fiziksel aktivite ile bireylerin uyku kalitesini, enerji ve pozitif iyilik halinde artış, depresyon ve anksiyete gibi durumların azaltılması sağlanabilir.
References
- 1. Singh, N., Kesharwani, R., Tiwari, A., & Patel, D. (2016). A review on diabetes mellitus. The Pharma Innovation, 5, 36-40.
- 2. Ribeiro, C., Mota, C., Voltarelli, F., Araujo, M., & Botezelli, J. (2010). Effects of moderate intensity physical training in neonatal alloxan- administered rats. Journal of Diabetes & Metabolism, 01.
- 3. Jacobson, A. M., de Groot, M., & Samson, J. A. (1997). The effects of psychiatric disorders and symptoms
on quality of life in patients with type I and type II diabetes mellitus. Quality of Life Research: An International
Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 6(1), 11-20.
- 4. Sargın, M., Sargın, H., Şengül, A. M., Hezer, Ö., Aydın, G., & Yayla, A. (2001). Evaluation of factors that affect
the emotional well-Being status in type 2 diabetic and/or hypertensive patient. SCIE, 12(2), 72-75.
- 5. Tural, E. (2020). The effect of physical activity level on the quality of life in Covid-19 pandemic period
home quarantine. Van Sağlık Bilimleri Dergisi (Special Issue on COVID-19), 10-18.
- 6. Setyawan, F. E. B., & Lestari, R. (2020). Challenges of stay-at-home policy implementation during the
coronavirus (covıd-19) pandemic in Indonesia. Indonesian Journal of Health Administration, 8(0), 15-20.
- 7. Amelia, R., Lelo, A., Lindarto, D., & Mutiara, E. (2018). Analysis of factors affecting the self-care behaviors of
diabetes mellitus type 2 patients in Binjai, North Sumatera-Indonesia. Asian Journal of Microbiology,
Biotechnology and Environmental Sciences, 20, 361-367.
- 8. Shafiq, M., Fong, A. Y. Y., Tai, E. S., Nang, E. E. K., Wee, H. L., Adam, J., et al. (2018). Cohort Profile: LIFE course
study in CARdiovascular disease Epidemiology (LIFECARE). International Journal of Epidemiology, 47(5),
1399-1400.
- 9. Lou, P., Qin, Y., Zhang, P., Chen, P., Zhang, L., Chang, G., et al. (2015). Association of sleep quality and quality
of life in type 2 diabetes mellitus: a cross-sectional study in China. Diabetes Research and Clinical Practice,
107(1), 69-76.
- 10. Luyster, F. S., & Dunbar-Jacob, J. (2011). Sleep quality and quality of life in adults with type 2 diabetes. The
Diabetes Educator, 37(3), 347-355.
- 11. Tsai, Y. W., Kann, N. H., Tung, T. H., Chao, Y. J., Lin, C. J., Chang, K. C., et al. (2012). Impact of subjective sleep
quality on glycemic control in type 2 diabetes mellitus. Family Practice, 29(1), 30-35.
- 12. Seligowski, A. V., Pless Kaiser, A. P., Niles, B. L., Mori, D. L., King, L. A., & King, D. W. (2013). Sleep quality as a
potential mediator between psychological distress and diabetes quality of life in veterans with type 2
diabetes. Journal of Clinical Psychology, 69(10), 1121-1131.
- 13. Irwin, M. R. (2015). Why sleep is important for health: a psychoneuroimmunology perspective. Annu Rev
Psychol, 66, 143-172.
- 14. Wang, F., & Boros, S. (2021). The effect of physical activity on sleep quality: a systematic review. European
Journal of Physiotherapy, 23(1), 11-18.
- 15. Duarte, C. K., Almeida, J. C., Merker, A. J., Brauer, F.deO., & Rodrigues, T.daC. (2012). Physical activity level
and exercise in patients with diabetes mellitus. Revista da Associacao Medica Brasileira (1992), 58(2), 215-
221.
- 16. Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., et al. (2003).
International physical activity questionnaire: 12-country reliability and validity. Medicine and Science in
Sports and Exercise, 35(8), 1381-1395.
- 17. Saglam, M., Arikan, H., Savci, S., Inal-Ince, D., Bosnak-Guclu, M., Karabulut, E., et al. (2010). International
physical activity questionnaire: reliability and validity of the Turkish version. Perceptual and Motor Skills, 111(1),
278-284.
- 18. Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality
Index: a new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213.
- 19. Agargun, Y.M., Kara, H., Anlar, O. (1996). The reliability and validity the Pittsburgh sleep quality index.
Turkish Journal of Psychiatry, 7, 107-111.
- 20. Bradley, C. (1994). Handbook of psychology and diabetes: a guide to psychological measurement in
diabetes research and practice. UK: Routledge.
- 21. Savli, H., & Sevinc, A. (2005). The evaluation of the Turkish version of the Well-being Questionnaire (WBQ-
22) in patients with type 2 diabetes: the effects of diabetic complications. Journal of Endocrinological
Investigation, 28(8), 683-691.
- 22. Jiménez-Pavón, D., Carbonell-Baeza, A., & Lavie, C. J. (2020). Physical exercise as therapy to fight against
the mental and physical consequences of COVID-19 quarantine: Special focus in older people. Prog
Cardiovasc Dis, 63(3), 386-388.
- 23. Zhang, F., Huang, L., & Peng, L. (2020). The degree of influence of daily physical activity on quality of life in
type 2 diabetics. Frontiers in Psychology, 11, 1292.
- 24. Marçal, I. R., Fernandes, B., Viana, A. A., & Ciolac, E. G. (2020). The urgent need for recommending physical
activity for the management of diabetes during and beyond COVID-19 outbreak. Frontiers in Endocrinology, 11, 584642.
- 25. Barone, M. T. U., Harnik, S. B., De Luca, P. V., Lima, B. L. S., Wieselberg, R. J. P., Ngongo, B., et al. (2020). The
impact of COVID-19 on people with diabetes in Brazil. Diabetes Research and Clinical Practice, 166, 108304.
- 26. Ruiz-Roso, M. B., Knott-Torcal, C., Matilla-Escalante, D. C., Garcimartín, A., Sampedro-Nuñez, M. A.,
Dávalos, A., et al. (2020). COVID-19 lockdown and changes of the dietary pattern and physical activity habits
in a cohort of patients with type 2 diabetes mellitus. Nutrients, 12(8), 2327.
- 27. Cunha, M. C., Zanetti, M. L., & Hass, V. J. (2008). Sleep quality in type 2 diabetics. Revista Latino-
Americana De Enfermagem, 16(5), 850-855.
- 28. Zhu, B., Vincent, C., Kapella, M. C., Quinn, L., Collins, E. G., Ruggiero, L., et al. (2018). Sleep disturbance in
people with diabetes: A concept analysis. Journal of Clinical Nursing, 27(1-2), 50-60.
- 29. Santos, M. A., Ceretta, L. B., Réus, G. Z., Abelaira, H. M., Jornada, L. K., Schwalm, M. et al. (2014). Anxiety
disorders are associated with quality of life impairment in patients with insulin-dependent type 2 diabetes: a
case-control study. Revista Brasileira De Psiquiatria (Sao Paulo, Brazil: 1999), 36(4), 298-304.
- 30. Collins, M. M., Corcoran, P., & Perry, I. J. (2009). Anxiety and depression symptoms in patients with
diabetes. Diabetic Medicine: A Journal of the British Diabetic Association, 26(2), 153-161.
- 31. Dong, D., Lou, P., Wang, J., Zhang, P., Sun, J., Chang, G., et al. (2020). Interaction of sleep quality and
anxiety on quality of life in individuals with type 2 diabetes mellitus. Health and Quality of Life Outcomes,
18(1), 150.
- 32. Balducci, S., & Coccia, E. M. (2021). Sedentariness and physical activity in type 2 diabetes during the
COVID-19 pandemic. Diabetes/Metabolism Research and Reviews, 37(2), 3378.