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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
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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), 2021. Published by Science Publishing Group

Keywords

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

References
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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

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    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

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    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

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  • @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}
    }
    

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  • 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  - 

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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

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