The effect of exercise on sleep in adults with type 1 diabetes

被引:29
|
作者
Reddy, Ravi [1 ]
El Youssef, Joseph [2 ]
Winters-Stone, Kerri [3 ]
Branigan, Deborah [2 ]
Leitschuh, Joseph [1 ]
Castle, Jessica [2 ]
Jacobs, Peter G. [1 ]
机构
[1] Oregon Hlth & Sci Univ, Dept Biomed Engn, 3303 SW Bond Ave, Portland, OR 97239 USA
[2] Oregon Hlth & Sci Univ, Dept Med, Harold Schnitzer Diabet Hlth Ctr, Div Endocrinol, Portland, OR 97201 USA
[3] Oregon Hlth & Sci Univ, Sch Nursing, Human Performance Lab, Portland, OR 97201 USA
来源
DIABETES OBESITY & METABOLISM | 2018年 / 20卷 / 02期
关键词
continuous glucose monitoring (CGM); exercise intervention; glycaemic control; hypoglycaemia; randomized trial; type; 1; diabetes; ADOLESCENTS; MANAGEMENT; PATIENT; RISK;
D O I
10.1111/dom.13065
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The aim of this pilot study was to investigate the effect of exercise on sleep and nocturnal hypoglycaemia in adults with type 1 diabetes (T1D). In a 3-week crossover trial, 10 adults with T1D were randomized to perform aerobic, resistance or no exercise. During each exercise week, participants completed 2 separate 45-minutes exercise sessions at an academic medical center. Participants returned home and wore a continuous glucose monitor and a wrist-based activity monitor to estimate sleep duration. Participants on average lost 70 (+/- 49) minutes of sleep (P = .0015) on nights following aerobic exercise and 27 (+/- 78) minutes (P = .3) following resistance exercise relative to control nights. The odds ratio with confidence intervals of nocturnal hypoglycaemia occurring on nights following aerobic and resistance exercise was 5.4 (1.3, 27.2) and 7.0 (1.7, 37.3), respectively. Aerobic exercise can cause sleep loss in T1D possibly from increased hypoglycaemia.
引用
收藏
页码:443 / 447
页数:5
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