TY - JOUR T1 - The Relationship Between the Risk of Type 2 Diabetes and Insomnia Severity and Sleep Duration in Academicians TT - Akademisyenlerde Tip 2 Diyabet Riski ile Uykusuzluk Şiddeti ve Uyku Süresi Arasındaki İlişki AU - Bilgehan, Tuğba AU - Çalık Var, Esra PY - 2024 DA - December Y2 - 2024 DO - 10.48071/sbuhemsirelik.1436414 JF - Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi JO - SBÜHD PB - Sağlık Bilimleri Üniversitesi WT - DergiPark SN - 2667-8357 SP - 203 EP - 210 VL - 6 IS - 3 LA - en AB - Introduction: Academicians, who frequently spend long hours in front of computer screens, may have lifestyles and sleep habits that differ from those of other professional groups and could entail a higher risk of diabetes. Aim: This study aimed to ascertain the association between insomnia severity, sleep duration among academicians, and the risk of type 2 diabetes. Method: This cross-sectional study was conducted with 125 individuals working as academicians at a state university between January and March 2020. Data collection tools included a Survey form, the Finnish Diabetes Risk Score, and the Insomnia Severity Index. Data analysis involved percentages, means, standard deviations, Pearson correlation, and regression tests. Results: Among the academicians, 23.2% were at moderate risk and 12.0% were at high risk of diabetes. Additionally, 39.2% were below the insomnia threshold. Significant positive correlations were found between the Finnish Diabetes Risk Score and variables such as Insomnia Severity Index, age, body mass index, waist circumference, and daily sleep hours; a significant negative correlation was noted with daily sleep hours (p < 0.05). Regression analysis revealed a significant negative relationship between daily sleep hours and type 2 diabetes Risk (β = -1.25, p < 0.001). Conclusion: The results demonstrated a clear and significant link between the severity of sleep deprivation, sleep duration, and diabetes risk among academicians. Therefore, adopting preventive strategies that emphasize lifestyle changes, including adequate sleep, is crucial for preventing diabetes development among academicians KW - insomnia KW - nursing KW - sleep KW - type 2 diabetes N2 - Giriş: Özellikle uzun saatler boyunca bilgisayar ekranı başında çalışan akademisyenlerin yaşam tarzları ve uyku alışkanlıkları, diğer meslek gruplarından farklı olabilir ve diyabet riski taşıyabilir. Amaç: Bu çalışma, akademisyenler arasında uykusuzluk şiddeti, uyku süresi ve tip 2 diyabet riski arasındaki ilişkiyi belirlemeyi amaçlamaktadır. Yöntem: Bu araştırma Ocak ile Mart 2020 tarihleri arasında bir devlet üniversitesinde akademisyen olarak görev yapan 125 kişi ile kesitsel nitelikte gerçekleştirildi. Veri toplamada Anket formu, Finlandiya Diyabet Risk Anketi ve Uykusuzluk Şiddeti İndeksi kullanıldı. Verilerin analizinde, yüzdelik, ortalama, standart sapma, pearson korelasyon ve regresyon testleri kullanıldı. Bulgular: Akademisyenlerin, %23,2’si orta ve %12,0’ı yüksek derecede olmak üzere diyabet riski bulunmuştur. Ayrıca %39,2’si uykusuzluk alt eşiğindedir. Finlandiya Diyabet Risk Anketi değişkeni ile uykusuzluk şiddeti indeksi, yaş, beden kitle indeksi, bel çevresi ve günlük uyku saati değişkenleri ile pozitif yönde; günlük uyku saati ile negatif yönde anlamlı bir ilişki bulunmuştur (p < 0,05). Regresyon analizi, günlük uyku saatleri ile diyabet riski arasında anlamlı bir negatif ilişki olduğunu gösterdi (β = -1,25, p < 0,001). Sonuç: Araştırma sonuçlarımıza göre akademisyenlerde uykusuzluğun şiddeti ve uyku süresi ile diyabet riski arasında açık ve anlamlı bir bağlantı bulunmaktadır. Bu nedenle, yeterli uyku da dahil olmak üzere yaşam tarzı değişikliklerini vurgulayan önleyici stratejilerin benimsenmesi, akademisyenler arasında diyabet gelişiminin önlenmesi açısından önemlidir. CR - Alebiosu, O. C., Familoni, O. B., Ogunsemi, O. O., Raimi, T. H., Balogun, W. O., Odusan, O., ..., & Adewuyi, P. A. (2013). Community based diabetes risk assessment in Ogun state, Nigeria (World Diabetes Foundation project 08-321). Indian Journal of Endocrinology and Metabolism, 17(4), 653. doi: 10.4103/2230-8210.113756 CR - Ardıç, S. (2018). As a public health problem, sleep and sleep disorders. Türkiye Klinikleri Pulmonary Medicine-Special Topics, 11(2), 145-150. CR - Ardic, S., Demir, A. U., Ucar, Z. Z., Firat, H., Itil, O., Karadeniz, D., ..., & Oktay, B. (2013). Prevalence and associated factors of sleep-disordered breathing in the Turkish adult population. Sleep and Biological Rhythms, 11, 29-39. doi: 10.1111/sbr.12000 CR - Awad, A. I., & Alsaleh, F. M. (2015). 10-year risk estimation for type 2 diabetes mellitus and coronary heart disease in Kuwait: A cross-sectional populationbased study. PloS One, 10(1) 1-21. doi: 10.1371/journal.pone.0116742 CR - Azharuddin, M., Kapur, P., Adil, M., Ghosh, P., & Sharma, M. (2020). The impact of sleep duration and sleep quality on glycaemic control in Asian population with type 2 diabetes mellitus: A systematic literature review and metaanalysis of observational studies. Clinical Epidemiology and Global Health, 8(3), 967-975. doi: 10.1016/j.cegh.2020.03.006 CR - Bastien, C. H., Vallières, A., & Morin, C. M. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Medicine, 2(4), 297-307. doi: 10.1016/S1389-9457(00)00065-4 CR - Boysan, M., Güleç, M., Besiroglu, L., & Kalafat, T. (2010). Psychometric properties of the Insomnia Severity Index in Turkish sample. Anadolu Psikiyatri Dergisi, 11(3), 248. CR - Buxton, O. M., & Marcelli, E. (2010). Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States. Social Science & Medicine, 71(5), 1027-1036. doi: 10.1016/j.socscimed.2010.05.041 CR - Chang, J. K., Koo, M., Kao, V. Y. Y., & Chiang, J. K. (2012). Association of sleep duration and insulin resistance in Taiwanese vegetarians. BMC Public Health, 12(1), 1-7. doi: /10.1186/1471-2458-12-666 CR - Christensen, L. B., Johnson, B. R., & Turner, L. A. (2015). Araştırma yöntemleri desen ve analiz (A. Aypay, Çev.). Ankara: Anı Yayıncılık. CR - Çevik, A. B., Karaaslan, M. M., Koçan, S., Pekmezci, H., Şahin, S. B., Kırbaş, A., & Ayaz, T. (2016). Prevalence and screening for risk factors of type 2 diabetes in Rize, Northeast Turkey: findings from a population-based study. Primary Care Diabetes, 10(1), 10-18. doi: 10.1016/j.pcd.2015.06.002 CR - Erdoğan, G., & Coşansu, G. (2017). Determination of healthy lifestyle behaviours of taxi drivers. Journal of Continuing Medical Education, 26(5), 144-150. CR - Gottlieb, D. J., Punjabi, N. M., Newman, A. B., Resnick, H. E., Redline, S., Baldwin, C. M., & Nieto, F. J. (2005). Association of sleep time with diabetes mellitus and impaired glucose tolerance. Archives of Internal Medicine, 165(8), 863-867. doi:10.1001/archinte.165.8.863 CR - Jackson, C. L., Redline, S., Kawachi, I., & Hu, F. B. (2013). Association between sleep duration and diabetes in black and white adults. Diabetes Care, 36(11), 3557-3565. doi: 10.2337/dc13-0777 CR - James, G., Witten, D., Hastie, T., & Tibshirani, R. (2013). An introduction to statistical learning (Vol. 112, p. 18). New York: Springer. CR - Johnson, K. A., Gordon, C., Chapman, J., Hoyos, C., Marshall, N., Miller, C. B., & Grunstein, R. (2021). The association of insomnia disorder characterised by objective short sleep duration with hypertension, diabetes and body mass index: A systematic review and meta-analysis. Sleep Medicine Reviews, 59, 101456. doi: 10.1016/j.smrv.2021.101456 CR - Karasar, N. (2005). Scientific Research Method. (4th Edition). Ankara; Nobel Publishing Distribution, p.124. CR - Kessler, L., Nedeltcheva, A., Imperial, J., & Penev, P. D. (2010). Changes in serum TSH and free T4 during human sleep restriction. Sleep, 33(8), 1115-1118. doi: 10.1093/sleep/33.8.1115 CR - Knutson, K. L., & Van Cauter, E. (2008). Associations between sleep loss and increased risk of obesity and diabetes. Annals of the New York Academy of Sciences, 1129(1), 287-304. doi:10.1196/annals.1417.033 CR - Kulak, E., Berber, B., Temel, H., Kutluay, S. N., Yıldırım, M., Dedeoğlu, F. N., ..., & Save, D. (2019). Determination of type 2 diabetes risk levels in individuals applying to family medicine. Türk Aile Hekimliği Dergisi, 23(1), 20-30. doi: 10.15511/tahd.19.00120 CR - Kutlu, R., Sayın, S., & Koçak, A. (2016). Applicability of the Finnish Diabetes Risk (FINDRISC) as a screening tool for type 2 diabetes mellitus. Konuralp Tıp Dergisi, 8(3), 158-166 CR - Lee, D., Jung, I., Park, S., Yu, J., Seo, J., Kim, K. J., …, & Shin, C. (2023). Sleep duration and the risk of type 2 diabetes: A community-based cohort study with a 16-year follow-up. Endocrinology and Metabolism, 38(1), 146-155. doi: 10.3803/EnM.2022.1582 CR - Lee, S. W. H., Yen Ng, K. Y., & Chin, W. K. (2017). The impact of sleep amount and sleep quality on glycemic control in type 2 diabetes: A systematic review and meta-analysis. Sleep Medicine Reviews, 31, 91-101. doi: 10.1016/j. smrv.2016.02.001 CR - Lindström, J., Ilanne-Parikka, P., Peltonen, M., Aunola, S., Eriksson, JG., HemiöK, H.H.,... Tuomilehto, J. Finnish Diabetes Prevention Study Group. Lindström, J., & Tuomilehto, J. (2003). The diabetes risk score: a practical tool top redict type 2 diabetes risk. Diabetes Care, 26(3):725-731. doi: 10.1016/ S0140-6736(06)69701-8. CR - Liu, R., Zee, P. C., Chervin, R. D., Arguelles, L. M., Birne, J., Zhang, S., ..., & Wang, X. (2011). Short sleep duration is associated with insulin resistance independent of adiposity in Chinese adult twins. Sleep Medicine, 12(9), 914919. doi: 10.1016/j.sleep.2011.04.006 CR - Lüdecke, D. (2023). sjPlot: Data visualization for statistics in social science. R package version 2.8.15. Retrieved Date: 02.05.2022. Retrieved from: https:// CRAN.R-project.org/package=sjPlot CR - Makrilakis, K., Liatis, S., Grammatikou, S., Perrea, D., & Katsilambros, N. (2010). Education and psychological aspects implementation and effectiveness of the first community lifestyle intervention programme to prevent type 2 diabetes in Greece. The DE-PLAN study. Diabetic Medicine, 27(4), 459-465. doi: 10.1111/j.1464-5491.2010.02918.x CR - Makrilakis, K., Liatis, S., Grammatikou, S., Perrea, D., Stathi, C., Tsiligros, P., & Katsilambros, N. (2011). Validation of the Finnish diabetes risk score (FINDRISC) questionnaire for screening for undiagnosed type 2 diabetes, dysglycaemia and the metabolic syndrome in Greece. Diabetes & Metabolism, 37(2), 144-151. doi: 10.1016/j.diabet.2010.09.006 CR - Martínez-Mesa, J., González-Chica, D. A., Bastos, J. L., Bonamigo, R. R., & Duquia, R. P. (2014). Sample size: how many participants do I need in my research? Anais Brasileiros de Dermatologia, 89, 609-615. doi: 10.1590/ abd1806-4841.20143705 CR - Martinez-Rodriguez, J. E., & Santamaria, J. (2005). CSF markers in sleep neurobiology. Clinica Chimica Acta, 362(1-2), 12-25. doi: 10.1016/j. cccn.2005.05.014 CR - Morin, C. M. (1993). Insomnia: Psychological assessment and management. Guilford Press. CR - Morin, C. M., Belleville, G., Bélanger, L., & Ivers, H. (2006). The Insomnia Severity Index: Psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep, 34(5), 601-608. doi:10.1093/sleep/34.5.601 CR - Naranjo, A. A., Rodríguez, Á. Y., Llera, R. E., & Aroche, R. (2013). Diabetes risk in a Cuban primary care setting in persons with no known glucose abnormalities. MEDICC Review, 15, 16-19. CR - Nilsson, P. M., Månsson, N., & Nilsson, J.-A. (2004). Inflammation and development of metabolic syndrome-The malmö diet and cancer study. Metabolism, 53(7), 863-868. doi: 10.1016/j.metabol.2004.01.011 CR - Ohkuma, T., Fujii, H., Iwase, M., Ogata-Kaizu, S., Ide, H., Kikuchi, Y., ..., & Kitazono, T. (2014). U-shaped association of sleep duration with metabolic syndrome and insulin resistance in patients with type 2 diabetes: The Fukuoka Diabetes Registry. Metabolism, 63(4), 484-491. doi: 10.1016/j. metabol.2013.12.001 CR - Olgun, N. (2012). Diyabet (Tip 2) ve bakımı. Durna Z, Akın S. (Ed.), Kronik hastalıklar ve bakım (s. 291-296). İstanbul: Nobel Tıp Kitabevi. CR - Pyykkönen, A. J., Isomaa, B., Pesonen, A. K., Eriksson, J. G., Groop, L., Tuomi, T., & Räikkönen, K. (2014). Sleep duration and insulin resistance in individuals without type 2 diabetes: The PPP-Botnia study. Annals of Medicine, 46(5), 324-329. doi: 10.3109/07853890.2014.902226 CR - R Core Team (2023). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. URL https://www.Rproject.org/ CR - Reutrakul, S., & Van Cauter, E. (2018). Sleep influences on obesity, insulin resistance, and risk of type 2 diabetes. Metabolism, 84, 56-66. doi: 10.1016/j. metabol.2018.02.010 CR - Shan, Z., Ma, H., Xie, M., Yan, P., Guo, Y., Bao, W., ..., & Liu, L. (2015). Sleep duration and risk of type 2 diabetes: A meta-analysis of prospective studies. Diabetes Care, 38(3), 529-537. doi: 10.2337/dc14-2073 CR - Stamatakis, K. A., & Punjabi, N. M. (2010). Effects of sleep fragmentation on glucose metabolism in normal subjects. Chest, 137(1), 95-101. doi: 10.1378/ chest.09-0791 CR - Tan, X., Chapman, C. D., Cedernaes, J., & Benedict, C. (2018). Association between long sleep duration and increased risk of obesity and type 2 diabetes: A review of possible mechanisms. Sleep Medicine Reviews, 40, 127-134. doi: 10.1016/j.smrv.2017.11.001 CR - Tare, A., Lane, J. M., Cade, B. E., Grant, S. F., Chen, T. H., Punjabi, N. M., .., &. Saxena, R. (2014). Sleep duration does not mediate or modify association of common genetic variants with type 2 diabetes. Diabetologia, 57, 339-346. doi: 10.1007/s00125-013-3110-y CR - Türkiye Endocrinology and Metabolism Association. (2022). Diabetes mellitus and complications diagnosis, treatment and monitoring guide (15th Edition Update). Retrieved Date: 02.05.2022. Retrieved from: https://file.temd.org. tr/Uploads/publications/guides/documents/diabetes-mellitus_2022.pdf CR - Vgontzas, A. N., Lin, H. M., Papaliaga, M., Calhoun, S., Vela-Bueno, A., Chrousos, G. P., & Basta, M. (2008). Insomnia and sleep disorders and distress: Implications from a stress diathesis perspective. Sleep Medicine Reviews, 12(3), 207-215. doi: 10.1016/j.smrv.2007.10.002 CR - Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., ..., & Tasali, E. (2015). Recommended amount of sleep for a healthy adult: A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. Journal of Clinical Sleep Medicine, 11(6), 591-592. doi: 10.5664/jcsm.4758 CR - World Health Organization. (2023). Health topics: Diabetes. Retrieved Date: 05.05.2023. Retrieved from: https://www.who.int/health-topics/ diabetes#tab=tab_1 CR - World Health Organization. Health topics, diabetes. Retrieved Date: 02.05.2022. Retrieved from: https://www.who.int/health-topics/diabetes#tab=tab_1 CR - Wu, I. H., Heredia, N., Dong, Q., McNeill, L. H., Balachandran, D. D., Lu, Q., & Chang, S. (2021). Sleep duration and type 2 diabetes risk: A prospective study in a population-based Mexican American cohort. Sleep Health, 7(2), 168-176. doi: 10.1016/j.sleh.2020.12.003 CR - Xu, Q., Song, Y., Hollenbeck, A., Blair, A., Schatzkin, A., & Chen, H. (2010). Day napping and short night sleeping are associated with higher risk of diabetes in older adults. Diabetes Care, 33(1), 78-83. doi: 10.2337/dc09-1143 UR - https://doi.org/10.48071/sbuhemsirelik.1436414 L1 - https://dergipark.org.tr/tr/download/article-file/3726285 ER -